Stop Reimbursement Losses for Multi-Location & Multiple NPIs Practices - Enrollment & Credentialing

Course Description:

This webinar will provide guidance on creating a successful payer credentialing & enrollment process. The presenter will go over crucial steps including credentialing, provider enrollment, billing, and revenue cycle management. Providers will understand how to create an efficient credentialing and enrollment process to overturn enrolment denials and get approval fast. Review how these processes impact claims submissions and receive claims reimbursement from different payers. During this webinar, providers will understand CAQH, PECOS, NPPES, I&A, Availity, ERA and EFTs, and the Medicare portals.

Licensing and credentialing providers can pose challenges to expanding programs in rural communities. Licensing and credentialing are intended to protect patients by ensuring that providers are in compliance with state regulations and hospital policies. There are many struggling hospitals, physician deficiencies, and insufficient access to healthcare providers. Many healthcare facilities invest more time, money and resources into upgrading their offerings to neutralize these shortages.

Learning Objectives:

Review the enrollment process for the multi-practice, multi-NPI organization to meet compliance
Review process enrollment process that collaborates with the revenue cycle management
Determine if your organization is set up for network delegated agreements vs individual provider applications
Set strong enrollment process to ease internal misses and avoid reimbursement losses
Evaluate how impacts the organization with multiple EINs / NPIs
Know state by state rules and licensure requirements
Discuss the who, why, when and where of creating, reviewing and maintaining an NPI account
Examine the impact an NPI account has on the revenue cycle

Areas Covered in the Session:

Provider Credentialing
Payer/Provider Enrollment
Organizations Practitioners
On-boarding – Entity/Organization and Individual
Complete Credentialing and Enrollment for Organizations with Payer “Delegated Agreements”
Credentialing and Enrollment for Organization without Payer “Delegated Agreements”
Enrollment Process
- Multiple Locations
- Multiple NPIs – Type 1 NPI and Type 2 NPI
- Multiple Tax IDs
- Government Payers
- Commercial Payers
  - Provider Account Management
  - CAQH
  - I&A and NPPES
  - PECOS
Additional credentialing & enrollment process to review
NPI Management
Licensing Requirement
State Regulations and Compliance
Live Q&A Session

Suggested Attendees:

Credentialing Specialist
Revenue Cycle Managers
Enrollment Specialist
Hospitals
Mental Health Providers
LCPC
LMFT
Practice and Clinic Owners
Hospital Leadership
Authorized Officials
Delegated Officials
Revenue Cycle Directors
Office Manager
Revenue Cycle Staff
Operations Staff
Billing Team
In and Out of Network Providers
Medical Billing Companies
Providers Office Staff
Physicians
Hospitals and Facilities
Insurance Companies
Healthcare Attorneys
Executive and Administrators
Front Desk
Authorizations Staff
Medical Assistants
Certified Nursing Assistants

About the Presenter:

Yesenia Servin CPMSM, PESC is an expert in credentialing and provider/payer enrollment with over 23 years of experience in the healthcare industry. Yesenia has a deep understanding of Medicare & Medicaid enrollment and is a nationally certified credentialing manager and provider enrollment specialist. Through, YS Credentialing PLLC, Yesenia helps organizations develop and implement best practices guidelines and processes for credentialing and payer enrollment structure. Yesenia manages payer enrollment, keeps team members and colleagues up to date on industry trends, and is a liaison to all departments that impact payer-enrollment processes. Yesenia works with durable medical equipment, hospital and health systems, and community mental health organizations, global managed care organizations as well as providing revenue cycle consulting services to various healthcare providers and organizations.

Yesenia is a current CharterOak University Faculty, NAMSS member, and is a past NAMSS Educational Conference Guest Speaker, a current member of the NAHRI Leadership Council, current trainer for The Chicago School of Professional Psychology trainer and a TMG Collaborator. Yesenia studied microeconomics and communications at NEIU and healthcare administration at Concordia University Chicago.

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

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

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Melissa Preston, Health Information Management Staff

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Sandie Fowler, Out of Network Billing Staff

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Tina Duffy, Compliance Officer

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