CredentialStream for Primary and Specialty Care Practices

The pace of change in primary and specialty care practices has never been more accelerated.

A recent study by the Physician’s Advocacy Institute, showed an eye-popping 50 percent increase in hospital-owned practices from 2012–2015. All over the country, independent physician-owned primary and specialty care practices are opting for a steady paycheck in exchange for increased patient capture and referral volume from an acquiring hospital system.

Verity Dashboard

Trying to maintain your independence by doing business the way you’ve always done - won’t get you ahead. To thrive today, independent primary and specialty care practices need to become more efficient. To be ready for tomorrow, they must be agile.

Primary 50%
The number of hospital-owned medical groups in the U.S. grew by 50% from 2012 to 2015.

Source: Physicians Advocacy Institute

Primary acquisition
From 2012 to 2015, hospitals acquired 31,000 physician practices in the U.S.

Source: Modern Healthcare

Primary 1of4
In mid-2015, one in four medical practices, or 67,000 practices, were owned by hospitals.

Source: Modern Healthcare

If you’re ready to grow, we’re ready to help.

At VerityStream, we recognize that to keep pace with the industry’s rapidly changing regulations and requirements and maintain your independence, your practice must find better ways to improve patient care, increase efficiency, and optimize revenue performance. We know that if you’re delivering care today – you need a single system to manage all of your credentialing and enrollment needs for your providers. CredentialStream enables primary and specialty care practices like yours to:

Streamline Provider Onboarding

Streamline Provider Onboarding

Reduce the amount of paperwork required of your providers by utilizing “claim your profile” functionality and tapping into VerityStream’s Validated Provider data to automatically populate your providers’ information.

Accelerate Provider (Primary-Revenue)

Accelerate Provider Enrollment and Reduce Claim Denials

Rapidly complete enrollment applications utilizing CredentialStream library of more than 7,000 preformatted payer application and ensure accurate provider data is submitted so payers can process enrollments without the risk of rejections and deliver reimbursements sooner.

Rapid Verify

Rapidly Verify Licensure, Education, and Sanctions/Exclusions

CredentialStream has plug-ins with almost 1,500 databases to deliver real-time verification abilities with primary sources, including: state medical boards, the National Student Clearinghouse, various accrediting bodies, OIG/SAM, and the Social Security Death Master File.

Manage Delegated Credentialing

Manage Delegated Credentialing

Delegated credentialing helps payers reduce operational costs and helps provider groups have better control and consistency in their revenue cycle. But many organizations struggle with setting up and maintaining an NCQA-compliant process that is cost effective and scalable while also meeting the needs of the payers. CredentialStream makes it easier.