Consulting and Interim Staffing Solutions

Consulting Solutions

• Credentialing and Expirables Management Strategy
  
  
• Development of an in-house initial enrollment, re-enrollment and expirables management department
  
  
• Development of an in-house initial enrollment, re-enrollment and expirables management processing methodology
  
  
• Staffing and Productivity Assessment to streamline current work efforts
  
  
• Payer Contract Analysis
  
  
• Managed Care Contracting Negotiation
  
  
• Revenue Analysis
  
  
• Patient Demographic, Insurance Panel Participation Analysis
  
  
• Physician Credentialing Workflow Software and Technology Assistance
  
  
• Application Processing Methodology
  
  
• Certification, Third Party Insurance, and Governmental Regulatory Monitoring

Interim Staffing Solutions

Often, physicians will create a thriving practice but will need assistance in managing the overall operations. However, operational issues such as lack of experienced management and staff turn-over can quickly turn a profitable practice into a practice with poor patient service, performance and bottom line.

Newport Credentialing Solutions provides Interim Staffing Solutions for academic medical centers, health systems, hospital employed providers and group practices. Our highly skilled credentialing directors and staff work with clients who currently have a credentialing department but need assistance in managing their existing infrastructure. Some of our interim staffing solution include:

• Operations Assessment
  
  
• Interim Staffing
  
  
• Staffing Assessment
  
  
• Rapid Implementation of an Operational Improvement Plan
  
  
• Day to Day management of all aspects of the credentialing and expirables management department
  
  
• Transition Planning for when the practice resumes managerial responsibilities


We understand that occasionally, an experienced outside perspective is required to fix an operational issue. Newport brings the experience of highly qualified directors, who have managed credentialing departments in the past, to meet our client’s needs. We focus on three main management strategies:

• Domain Experience – Our credentialing directors have managed credentialing departments in the past and understand how to quickly translate their domain experience into operational solutions.
  
  
• Superior Office Management Skills – Our credentialing directors will quickly assess every aspect of the credentialing office’s operations and will implement improvements based on their deep management expertise. We will work with you to develop a customized office setting to meet every business office need.
  
  
• Business Office Extension – We do not seek to replace your current credentialing staff. Rather, we will act as an extension of your current office through the empowerment and training of your team.

Newport’s Philosophy – Business Office Empowerment

Newport understands that while most physicians have fully functional business offices, some do not. Specific to developing a fully functional business office is focus on both the operating and revenue sides of the equation.

• Operating Expense - Newport will work with you to reduce your operational overhead and develop a low cost, streamlined credentialing and expirables management solution. Using our proven analytical tools, our consultants will identify improvement opportunities and assist you in implementing a long term solution.
  
  
• Revenue - Newport will work with you to identify incremental revenue opportunities. Newport will conduct a detailed rejections analysis which focuses on core credentialing denials. Based on the denials analysis, Newport will work with you to implement a denials reduction plan. Newport will also conduct a patient demographic and insurance panel participation analysis to identify those areas where you might increase your revenue by increasing your panel participation. The result is increased patient flow and increased revenue.
  
  
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