Delegation with Payers – A Roadmap to Delegated Credentialing

Course Description:

If you work in payer enrollment or revenue cycle, chances are you’ve heard about delegated credentialing and its many benefits for an organization, such as increased revenue generation, shortened turnaround times for onboarding, and increased provider satisfaction to name a few. If you’ve considered delegated credentialing but are not sure if it’s the best option for your organization, this presentation is for you! We will review delegated credentialing and its impact on revenue cycle. We will discuss the advantages and disadvantages of delegated credentialing. The presentation will address the steps to becoming delegated with health plans and explain how to determine the feasibility of delegated credentialing for your organization. Lastly, we will discuss in detail the process of applying for and implementing a delegation agreement with contracted health plans and next steps after achieving delegation.

Learning Objectives:

Define Delegated Credentialing
Discuss Delegated Credentialing’s Impact on Revenue Cycle
Understand the Steps to Become Delegated with Health Plans
Determine the Feasibility of Delegated Credentialing for an Organization
Describe the Process of Applying for and Implementing a Delegation Agreement with Health Plans

Areas Covered in the Session:

Overview of the Delegated Credentialing Process
Advantages and Disadvantages of Delegated Credentialing
Determining the Feasibility of Delegated Credentialing for Your Organization
NCQA Standards for Delegated Credentialing
Staffing Analysis
Pre-Delegation Process
Delegation Process
Live Q&A Session

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Suggested Attendees:

Credentialing Specialists
Provider Enrollment Specialists
Provider Enrollment Supervisors/Managers
Revenue Cycle Manager
CVO Manager/Director
Chief Financial Officer
Medical Staff Coordinator
Practice Administrators
Office Managers

About the Presenter:

Tammy West is Sr. Director CVO Operations and Regulatory Compliance for The Hardenbergh Group. She brings 25 years of experience in healthcare administration and 16 years in Medical Staff Services. In her current role, Tammy pursued and successfully achieved NCQA certification for Hardenbergh Group’s CVO. Tammy specializes in CVO operations, provider credentialing, provider enrollment, quality analysis, quality improvement, quality auditing, delegation audits, and policy and procedure creation and implementation.

Prior to joining The Hardenbergh Group, Tammy was a consultant and independent contractor for hospitals, health systems, CVOs, locum companies and private practices across the United States. She has vast experience as an MSP, including credentialing specialist, provider enrollment specialist, medical staff coordinator, Medical Staff Manager, and CVO Director.

In previous roles, Tammy was a CVO Manager where the CVO achieved NCQA accreditation and delegated credentialing status with commercial payors during her tenure. Additionally, Tammy worked as a quality auditor for an NCQA certified managed care company and an Adjunct Instructor teaching medical office systems classes. Tammy has a BS in Human Services Management and a master’s in healthcare administration with a minor in Education. She is a member of the North Carolina Association Medical Staff Services and the National Association Medical Staff Services.

Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to talk and hear clearly

Live Course Cancellation Policy: If for any reason Skillacquire need to cancel this program, Skillacquire will notify participants by email of the cancellation no less than 24 hours prior to the expected start time.

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com

Snippet From Our Previous Session:

FAQ:

Live Access:
- For individuals who want real-time participation.
On-Demand Recording:
- Best for flexibility and learning at convenience.
- Forever access with unlimited views and resources.
Flash Drive + Replay:
- Physical flash drive with full webinar recording.
- Ownership with bonus forever digital replay access.
Live + On-Demand Bundle:
- Covers both live interaction and future reference.
- Includes live session participation and forever on-demand access.
Live + Flash Drive + Replay:
- Physical flash drive with full webinar recording.
- Permanent ownership, with bonus forever digital replay access.
- Includes live session participation for real-time engagement.
E-book Format:
- Comprehensive written guide with power point slides and visual references.
- E-Book will be sent after the Live Session is done.
- Ideal for learners who prefer reading over watching videos.
Corporate/Team Access:
- Ideal for teams (up to 10 members) looking for a shared experience.
- Live or on-demand access with team dashboard and group certificates.

Testimonials:

"This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course"

Melissa Preston, Health Information Management Staff

"David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN"

Sandie Fowler, Out of Network Billing Staff

"Great presentation. Able to do during the day. Timing was great"

Tina Duffy, Compliance Officer

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