CredentialStream for Urgent Care Clinics

Easily Privilege Providers and Credential your Urgent Care Facilities with CredentialStream

The Urgent Care Clinic (UCC) sector is one of the fastest growing sectors in healthcare. According to the Urgent Care Association (UCA), the total number of urgent care centers in the U.S. reached 8,774 in 2018 — up 8 percent from the previous year. Aggressive growth has led to stricter industry regulations and increased scrutiny by accreditation organizations.


You must ensure that your patients receive competent care at qualified facilities from capable caregivers, but privileging and credentialing providers and facilities is a time-consuming job that can easily get lost in the shuffle. The key to be sure it all gets done is: AUTOMATION.


VerityStream's industry leading automated privileging and credentialing solution, delivers a comprehensive library of delineated privileges for more than 100 adult and pediatric specialties, including physicians, advanced practice professionals, and non-physician specialties. It also monitors health plan credentialing requirements, allowing you to stay on top of the facility credentialing process and ensuring your ability to provide care while eliminating inefficiencies and expediting reimbursement.


Urgent Care Clinics Distinct Care Settings = Disctinct Needs
 

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With CredentialStream you can:


  • Develop and maintain evidence-based privileging criteria
  • Clearly define the delineation of clinical privileges
  • Share privileging information with key stakeholders
  • Eliminate facility credentialing inefficiencies and expedite payer reimbursement

 

Get CredentialStream, and get a single system – built around the best content, data, and practices – to manage all your privileging and credentialing needs.


Urgent Care Association - Vendor Member 2020
Outpatient surgery is expected to see an 11% increase
The number of urgent care facilities increased from 6,400 in 2014 to 8,100 in 2018, with another 500 to 600 expected to open by year end.

Consumer Reports


89M patients visits
Urgent Care Clinics handle about 89 million patient visits each year.

UCA


competition and regulation
Exponential growth has caused both an increase in government regulation and in competition.

UCA


CredentialStream Enables Urgent Care Clinic Providers To:


Protect Residents and Ensure That Quality Care is Delivered

Protect Patients and Ensure the Delivery of Quality Care Through Proven Privileging and Credentialing Processes

UCC’s provide easy access to on-demand, affordable care and meet the healthcare needs of a variety of patient populations. To provide care in these settings, health plans require that your providers be privileged and your facilities be credentialed. CredentialStream allows you to easily manage your facilities credentialing while processing privilege requests, delineations and approvals for all provider types including Physicians, Physician Assistants, Nurse Practitioners, Registered Nurses, Medical Assistants, and Radiologic Technicians.

Paperless Credentialing

Go Paperless

Only a little more than half of the enrollment professionals we surveyed use some type of software solution to help automate their processes. A process rooted in paper leads to clerical errors and data loss. CredentialStream moves credentialing, privileging, and enrollment online – creating a single source of truth and eliminating the need for manual processes and file storage.

Streamline credentialing

Maintain Facility Compliance While Reducing Payer Enrollment Processing Times

Ensure your facilities credentialing status and get your providers seeing patients faster with CredentialStream. UCC reports enrollment times often exceed 6 months and result in as much as $7000 per provider in administrative expenses. Manage, accelerate, and automate the process of requesting facility and provider participation in a health insurance networks with thousands of pre-formatted forms that populate in seconds, including forms from CAQH, PECOS, Medicaid and more.


Reduce Aging Receivables and Claim Denials

Reduce Aging Receivables and Claim Denials

Estimates indicate that 80 percent of all credentialing applications submitted are lacking information required for the payer to process the application properly. CredentialStream automates your credentialing process so you can avoid clerical errors and oversights that halt payer reimbursement and affect a provider’s ability to practice and collect reimbursements.

Comply with current and future from federal and state

Create a Culture of Compliance

Navigating the complex regulatory healthcare environment can be difficult and regulation oversight can negatively impact the health of your UCC. With CredentialStream you can electronically verify and monitor performance according to standards set by: CMS, State Departments of Public Health, TJC, IMQ, and more.

 

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