A Guide to Provider Enrollment and Building a Successful Provider Enrollment Program

Description

Are you new to credentialing? Building a credentialing program? Has it been a while since you used your credentialing skill set? If you answered YES, then this course is for you.

Join expert Cati Harris, CBCS as she presents this comprehensive webinar teaching you how to successfully navigate provider enrollment.

This webinar will include topics covering provider credential verification, setup/maintenance of CAQH/NPPES/PECOS/I&A, CV Verification, Application Prep/Review/Submission, Red Flags, Linking of a provider to existing contracts, Provider Re-Verification, Maintaining of the provider file, FAQ section, and guidance/information on how to set up a successful provider enrollment program.

This webinar is designed to be an in-depth view of provider enrollment, maintenance, and development of successful provider enrollment programs.

Bonus: You will be provided with multiple free printable and customizable forms for provider enrollment.

At the end of the webinar, you will have an opportunity for a live Q&A session to ensure all of your questions are answered.

Learning Objectives:-

• Preparation/Submission of Provider Enrollment Contract for Services
• Preparation/Submission of the Provider Welcome Package
• Provider Enrollment Expectations for Providers
• Privacy/NDA Disclosures
• Required information for provider enrollment
• Guidelines/Requirements for Provider Verification of Credentials
• Provider CV Verification
• Tracking of Provider Enrollment Information
• Provider Enrollment Application Prep/Review/Submission
• Payer-specific provider enrollment information with payor-preferred submission methods
• Setup/Maintenance/Attestation of CAQH, PECOS, NPPES, I&A
• Red Flags with Provider Enrollment
• Linking provider to existing payor contracts
• Provider re-verification
• FAQ - Quick Tips for Provider Enrollment
• Enrollment Checklist
• Maintaining Provider File once Initial Credentialing is Complete
• Timely Communication and Tracking
• Setup and Launch of Provider Enrollment Program
• Description of various positions within provider enrollment
• Job assignments within the provider enrollment program
• Live Q&A session

Areas Covered:-

• Provider Enrollment Contract for Services
• Provider Welcome Package
• Requirements/Guidelines for Provider Verification of Credentials
• Provider CV Verification
• Tracking of Provider Enrollment Information
• Provider Enrollment Application Prep/Review/Submission
• Payer-specific provider enrollment information with payor preferred
  submission methods.
• Setup/Maintenance/Attestation of CAQH, PECOS, NPPES, I&A
• Red Flags with Provider Enrollment
• Linking provider to existing payor contracts
• Provider re-verification
• FAQ - Quick Tips for Provider Enrollment
• Enrollment Checklist
• Maintaining Provider File once Initial Credentialing is Complete
• Timely Communication and Tracking
• Setup and Launch of Provider Enrollment Program
• Description of various positions within provider enrollment
• Job assignments within the provider enrollment program
• Live Q&A Session

Who Should Attend:-

• Credentialing and Enrollment Specialists
• Credentialing and Enrollment Support Staff
• Credentialing and Enrollment Experts
• Credentialing and Enrollment Leaders
• Healthcare Administrative Teams, Personnel
• Practice Managers
• Healthcare Billing Specialist
• Staff Providing NPI Support, NPPES Support
• PESC, CPMSM, CPCS
• Staff Providing CAQH Support
• Staff Providing PECOS Support
• Clinic Managers
• Allied Health Providers
• Advance Health Practitioner
• Providers (MD, DO, NP, PA)
• Credentialing
• Enrollment
• Office Managers
• Operations
• Revenue Cycle
• Revenue Cycle Managers
• Practice Owners
• Billing Specialist
• Coders
• Claims Teams
• MSPs