
HealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsDeliver custom or industry designed product training directly to patient and resident care environments to reinforce proper use.
View All ProductsTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
View All ProductsCreate engaging and impactful learning experiences that meet the unique needs of your acute care staff.
View All ProductsExperience standardized and centralized healthcare provider credentialing, privileging, and enrollment that is smarter and faster than ever before.
View All ProductsAutomated, web-based provider credentialing and enrollment software for growing medical groups.
View All ProductsNCQA-certified CVO verification services for initial and re-credentialing files in an overflow or full-service capacity for healthcare organizations.
View All ProductsSearch, review, and add providers into the Epic provider master file with our Epic app integration, Provider Validate.
View All ProductsFinally, a comprehensive resource to support collecting, storing, and sharing credentialing data with ease.
View All ProductsHealthcare scheduling software designed to optimize staffing requirements & elevate patient care
View All ProductsPrecisely align staffing and needed resources to enable efficient patient flow and high-quality, cost-effective patient care.
View All ProductsHealthStream’s free nurse schedule app, NurseGrid™, is built to help you care for your staff and engage with their specific needs.
View All ProductsMitigate risk and elevate your quality of care. Improving both clinical and business outcomes starts with a smarter, more integrated approach to regulatory training, continuing education and quality management.
Learn MoreMedical Services Professionals (MSPs) have a lot to keep up with. Whether it be data management or resource management, MSPs are tracking multiple components that are critical to the success of a health plan’s operation. One major challenge health plans face today is navigating the No Surprises Act. But the good news is, they don’t have to tackle it alone, Network with CredentialStream can help.
The No Surprises Act
Congress passed the No Surprises Act as part of the Consolidated Appropriations Act of 2021 to eliminate surprise medical bills. It requires health insurers and healthcare practitioners to work together to ensure consumers are informed and protected from unexpected out-of-network bills.
The act also enacted a directory verification mandate for fully insured group health plans, individual health plans, and self-funded employer plans. The legislature aligns with the existing Centers for Medicare and Medicaid (CMS) mandates related to directory accuracy requirements, which require directory information to be updated every 90 days. Specifically, upon receipt of a practitioner or facility change, the plan has two days to update the directory. And, all consumer inquiries must be responded to within one business day upon receipt of the request.
Easily Meet the Requirements of the No Surprises Act
CredentialStream® is an easy-to-engage with software solution for credentialing, enrollment, privileging, and evaluation, that enables MSPs to cover every angle of the provider lifecycle. CredentialStream’s Network module directly addresses payer needs with a focus on provider data management and the creation of downstream efficiencies. Separate workflows designed to support key demands include:
More importantly, Network provides support for the No Surprises Act with its unique data structure, which establishes a dependable relationship between individuals, organizations, and the line of business.
Specifically, Network allows individual practitioners to be linked to your organization with a variety of different attributes, including:
And, more specifics can be added, such as:
Serving MSPs and Providers
Network allows credentialing specialists, provider relations staff, and network management staff the flexibility to login to manage practitioners, organizations, and lines of business from one centralized location.
CredentialStream also includes a Provider Hub, where providers can manage their own data. With access to a secure online portal, providers, individual practitioners, or their delegates are able to apply for initial credentialing, review re-credentialing details, and keep their own information up to date.
Automation and Reporting Delivered
Successfully managing the No Surprises Act starts with the ability to easily access and update directory information, which Network facilitates. Should provider or facility information change, key individuals at your organization will receive an email notification linking them straight to the Provider Hub, where they can review and accept changes as they filter in. The database is updated based on workflows you set up, ensuring data is updated accurately and in real time, within your required parameters.
Mass updating elements within CredentialStream and across workflows is also possible. Using the quick-edit functionality, you may select either one or 1000 records, and assign an attribute to them, for example, update their effective dates, and then save.
But the reporting capabilities within CredentialStream is where the solution really shines. So long as you have the data in CredentialStream, you can report off of it. That includes dashboard reports on your home page or an additional view section for dashboards. Better yet, you can share these links outside of CredentialStream, making it easier to share details with executives and other stakeholders. These details are updated and refreshed regularly, which means team members can access the same information from their own home screens.
Network Continues to Evolve as Your Business Evolves
Network is a one-stop shop for managing and monitoring provider networks for health plans, and it’s always being updated and improved! The next set of updates to be released include:
Network was created with the needs of health plans in mind. This blog post only covers the basics of what is possible with the module. To find out more about its many workflows and upcoming features, be sure to watch our webinar, Manage Your Health Plan Business Demands with Network with CredentialStream..
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ResuscitationIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
View All ProductsLearn more about HealthStream's provider credentialing, privileging, & enrollment solutions for healthcare organizations.
View All CredentialingExperience standardized and centralized healthcare provider credentialing, privileging, and enrollment that is smarter and faster than ever before.
View All ProductsAutomated, web-based provider credentialing and enrollment software for growing medical groups.
View All ProductsNCQA-certified CVO verification services for initial and re-credentialing files in an overflow or full-service capacity for healthcare organizations.
View All ProductsSearch, review, and add providers into the Epic provider master file with our Epic app integration, Provider Validate.
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare scheduling software designed to optimize staffing requirements & elevate patient care
View All ProductsPrecisely align staffing and needed resources to enable efficient patient flow and high-quality, cost-effective patient care.
View All ProductsHealthStream’s free nurse schedule app, NurseGrid™, is built to help you care for your staff and engage with their specific needs.
View All Products