Complete Guide to Provider Credentialing & Enrollment: Preparation And Tracking

Course Description:

Are you Onboarding a new physician/ advanced-practice providers (APPs), or a previously credentialed provider/ advanced-practice providers (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 entire 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 a 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

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Suggested Attendees:

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
PESC, CPMSM, CPCS
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

About the Presenter:

Cati Harris, CBCS, is a nationally certified credentialing, billing, and coding specialist, with over 20 years of experience in the healthcare industry. Cati is the Director of Provider Credentialing and Contracting with Solor Inc., a third-party billing company providing physicians across all specialties full-service revenue cycle management, billing, and credentialing. Cati’s expertise extends through managing credentialing services, implementing successful enrollment programs, and contract/fee schedule negotiations for providers with all major payers.

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.

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