Credentialing and Enrollment Tools: Prepare, Submit, Track, Revalidate and Finalize Provider Credentialing

Live Webinar | Cati Harris | Jun 28, 2024 , 01 : 00 PM EST | 60 Minutes

|  8 Days Left

Training Options & Pricing

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Live     $199
Recording     $199
DVD     $209
Live & Recording     $359
Live & DVD     $369
Recording + DVD     $369
Corporate Live 1-3-Attendees     $499
Corporate Live 1-6-Attendees     $899
Transcript (Pdf)     $199
Live & Transcript (Pdf)     $359
Recording & Transcript (Pdf)     $359
DVD & Transcript (Pdf)     $369
Flash Drive     $229


Are you Onboarding a new physician/ advanced-practice provider (APPs), or a previously credentialed provider/ advanced-practice provider (APPs) to your practice? Are you wanting to start building your onboarding program to credential providers in the future? If you answered yes, then this is the webinar for you! The onboarding process is filled with many different requirements. The slightest mistake in this process can result in significant reimbursement delays and rejection of your application package. Implementing a proven method for credentialing is the key to efficient, timely, and cost-effective credentialing. Failure to implement a strong credentialing program will impact the provider and practice revenue, leading to an affect on patient care. A successful onboarding program will ensure you avoid delay in reimbursement and interruptions to patient care.

During this session, Expert Cati Harris, CBCS, walks you through each step of the Onboarding credentialing process for physicians and advanced practice providers (APPs). You will learn documentation requirements, application requirements, payer-specific requirements, document and application package prep, credentialing package submission, setup and maintenance of CAQH, PECOS, NPPES, tracking of applications submitted to payers, and final steps once approval has been received. This will also include a review of provider/ advanced-practice providers (APPs) revalidations, and providers currently credentialed joining a new group/ Tax ID.

Learning Objectives:-

  • When is it possible to start credentialing for new physician/ advanced-practice providers (APPs)?
  • What is the process for Setup/ Maintenance/ Attestation of CAQH, PECOS, NPPES
  • What are the required documents for credentialing a provider/ advanced-practice providers (APPs)?
  • How to complete the payer applications for credentialing
  • How to submit the provider/ advanced-practice providers (APPs) application package to payers
  • Payer Specific requirements for applications and submission
  • Payer Specific contact and submission information
  • How to track submitted payer application packages
  • Common processing times and how to identify flagged applications
  • Tips to ensure your credentialing process is efficient and timely
  • Process to complete once the payer has approved credentialing
  • How to review the proposed Fee Schedule and Contracts
  • How to efficiently communicate updates with the payer and provider/ advanced-practice providers (APPs)
  • How to link a credentialed provider to a new Tax ID

Areas Covered in the Session:-

  • Credentialing Keys to Success
    • Research
    • Preparation
    • Tracking
    • Communication
  • How do I start the process of credentialing a provider?
  • Research
    • Provider Research
    • Payer Research
  • Provider Welcome Package Documents
    • Provider Enrollment Information Document
    • Provider Document Checklist
    • Provider CV Requirements
    • Welcome Letter
    • Description of Services
    • Provider Contact Information Sheet
    • CAQH Release and Attestation Form
  • Payer Documents
    • Payer/ State Applications
    • Payer Contact Information
    • Tracking Spreadsheet
  • Provider Document Preparation
    • Review All Documents for Accuracy, Dates, Infractions
    • Create a Provider File
    • Access Provider Logins
    • Review Provider CV
  • National Plan & Provider Enumeration System (NPPES)
  • Identity & Access Management System
  • Council for Affordable Quality Healthcare (CAQH)
  • Provider, Enrollment, Chain & Ownership System (PECOS)
  • Payer Document Preparation
  • Application Preparation
  • Payer Application Submission via Email/ Fax
  • Payer Application Submission via Payer Website
  • Linking of Provider/ Mid-Level Providers
  • Linking a Provider/ Mid-Level Providers already PAR with the Payer
  • Linking of Provider/ advanced-practice providers (APPs)
  • Provider Re-Validation
  • Tracking
    • Document Tracking
    • Application Tracking
  • Provider Document Tracking Tools
    • Provider Document Checklist
    • Excel Tracking Spreadsheet
  • Application Tracking
  • Communication
  • Minimize Impact
  • Steps to Minimize Financial Impact
  • Next Step after Provider Credentialing is Approved
  • Information Storage
  • Important Forms & Sheets
  • Live Q&A session

Who Will Benefit:-

  • Credentialing and Enrollment Specialists
  • Credentialing and Enrollment Experts
  • Credentialing and Enrollment Leaders
  • Healthcare Administrative Teams, Personnel
  • Practice Managers
  • Healthcare Billing Specialist
  • Staff Providing NPI Support, NPPES Support
  • Staff Providing CAQH Support
  • Clinic Managers
  • Allied Health Providers
  • Advance Health Practitioner
  • Credentialing
  • Enrollment
  • Office Managers
  • Operations
  • Revenue Cycle
  • Coders
  • Clinical Directors
  • Practice Owners
  • Claims Teams
  • MSPs
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