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 ProductsBe confident in your staff’s ability to reduce risk by providing compliance training that changes behavior.
View All ProductsDevelop next-level people for next-level care by prioritizing quality and safety improvements.
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View All ProductsStop wasting money on RCM issues. Learn how to Provide your team with expert-led revenue cycle training to help them reduce denied claims, reimbursement mistakes, and more.
View All ProductsLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ProductsOur competency development solutions personalize learning for clinicians to bridge the gap between theory and practice for your nurse residents.
View All ProductsEnhance maternal & child nursing care with solutions focused on improving the quality of care for mothers, infants, and children.
View All ProductsAddress staffing orientation challenges to easily achieve and maintain certification with our emergency and acute care training solutions.
View All ProductsAs a premier provider of healthcare education, we are committed to promoting safer, more successful surgical and sedation outcomes for each and every patient.
View All ProductsOur solutions are designed to cater to the needs of patients, healthcare professionals, and organizations dealing with illnesses or chronic conditions.
View All ProductsOnline clinical placement software allows schools, healthcare organizations, and students to seamlessly manage clinical and nursing rotations.
View All ProductsTackle all the challenges of provider directory management within a health plan with a single solution tailored to your specific needs.
View All ProductsOur affordable CVO credentialing services establish patient safety by enabling primary source verification for your healthcare organization.
View All ProductsFinally, a comprehensive resource to support collecting, storing, and sharing credentialing data with ease.
View All ProductsIntegrate with Epic to validate and add new providers directly to your provider master file.
View All ProductsHealthcare workforce management is essential. We provide advanced scheduling solutions for organizations to solve issues such as nurse retention
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:
HealthStream’s learning management system and healthcare training solutions support medical training initiatives and allow for 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 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 & ComplianceBe confident in your staff’s ability to reduce risk by providing compliance training that changes behavior.
View All ProductsDevelop next-level people for next-level care by prioritizing quality and safety improvements.
View All ProductsEstablish a culture of belonging with education supporting DEI, wellness, engagement, and leadership development.
View All ProductsUtilize patient access solutions and advanced reimbursement solutions to manage clinical denials and improve your organization’s reimbursement strategy.
View All ReimbursementExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ProductsOur competency development solutions personalize learning for clinicians to bridge the gap between theory and practice for your nurse residents.
View All ProductsEnhance maternal & child nursing care with solutions focused on improving the quality of care for mothers, infants, and children.
View All ProductsAddress staffing orientation challenges to easily achieve and maintain certification with our emergency and acute care training solutions.
View All ProductsAs a premier provider of healthcare education, we are committed to promoting safer, more successful surgical and sedation outcomes for each and every patient.
View All ProductsOur solutions are designed to cater to the needs of patients, healthcare professionals, and organizations dealing with illnesses or chronic conditions.
View All ProductsOnline clinical placement software allows schools, healthcare organizations, and students to seamlessly manage clinical and nursing rotations.
View All ProductsComprehensive, industry-leading provider onboarding and credentialing software that validates health outcomes and supports provider assessment.
View All CredentialingOur affordable CVO credentialing services establish patient safety by enabling primary source verification for your healthcare organization.
View All ProductsIntegrate with Epic to validate and add new providers directly to your provider master file.
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 workforce management is essential. We provide advanced scheduling solutions for organizations to solve issues such as nurse retention
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