National Provider Enrollment
Virtual Event – On-Demand

On-Demand

Day 1 DAY 2

Day 1


1 Hour	All Aboard! Streamlining Payer Enrollment Donna Goestenkors, CPMSM, EMSP, President - Team Med Global Healthcare Consulting Dina Solis, PESC, PESC, Owner/Principal Consultant, Sonoma Credentialing Services - Sonoma Credentialing Services The key to timely payer enrollment and reimbursement is gathering a complete package of information from the provider. The challenge is that different payers have diverse enrollment requirements. Join Team Med Global to discover the ideal road map for streamlined provider onboarding. -Explain the types of information required by payers -Identify the elements of the ideal provider packet -Describe the research needed for successful onboarding
1 Hour	APP-Avalanche: Payer Enrollment for Nonphysician Practitioners Donna Goestenkors, CPMSM, EMSP, President - Team Med Global Healthcare Consulting Yesenia Servin, CPMSM, PESC, Payer Enrollment Lead - Team Med Global Healthcare Consulting Payer enrollment specialists are adept at juggling and tracking multiple providers. However, advanced practice professionals, or APPs—such as nurse practitioners, physician assistants, and registered nurse anesthetists—can pose an avalanche of challenges to an industry once geared to physicians. Join Team Med Global for a discussion of mechanisms to streamline payer enrollment for nonphysician practitioners and achieve optimal revenue recovery. -Pinpoint credentialing and payer enrollment differences between physicians and APPs -Describe strategies to streamline APP applications for commercial health plans -Identify solutions to common enrollment challenges for APPs
1 Hour	Tech-Tastic! Streamlining CAQH Applications Donna Goestenkors, CPMSM, EMSP, President - Team Med Global Healthcare Consulting Larry DeHoyos, CPCS, PESC, Team Member - Team Med Global Healthcare Consulting The Council for Affordable Quality Healthcare (CAQH) database is the cornerstone of payer enrollment, with nine out of 10 private insurers using CAQH for certain provider types. Yet incomplete CAQH applications delay enrollment and have an immediate impact on an organization’s bottom line. Join Team Med Global’s payer enrollment team as they reveal processes designed to increase CAQH efficiencies and utilization, and to fast-track reimbursements. -Identify three processes that expedite CAQH configuration and setup -Describe best practices for communicating with providers -Contrast the strategies for the CAQH Practice Manager module and the CAQH Provider module
30 Minutes	Live Q&A Donna Goestenkors, CPMSM, EMSP, President - Team Med Global Healthcare Consulting Larry DeHoyos, CPCS, PESC, Team Member - Team Med Global Healthcare Consulting Yesenia Servin, CPMSM, PESC, Payer Enrollment Lead - Team Med Global Healthcare Consulting Dina Solis, PESC, PESC, Owner/Principal Consultant, Sonoma Credentialing Services - Sonoma Credentialing Services Our speakers answer questions from the day’s sessions during a live Q&A.

DAY 2


1 Hour	Credentialing and Enrollment: The Integration Opportunity Amy Niehaus, MBA, CPMSM, CPCS, President - AMN Consulting, LLC As healthcare organizations continue to search for ways to reduce costs while maintaining quality, the credentialing and enrollment departments are coming to the forefront as ideal candidates for integration. While credentialing and enrollment are unique and distinct functions, there is significant overlap with the practitioner data and skill sets required to perform them. Attendees will learn how to achieve greater efficiency and enhance revenue by successfully integrating these two functions. -State the similarities and differences between credentialing and enrollment -Describe the benefits of integrating credentialing and enrollment -Identify various approaches to integration and alignment -Discuss common missteps in the integration process and how to avoid them
1 Hour	Exclusion 101 Sean Fahey, Attorney - Hall, Render, Killian, Heath & Lyman Join attorney Sean Fahey, JD, as he provides information on the Office of Inspector General’s (OIG) exclusion authority and processes. This session will review the OIG’s guidance on screening for excluded individuals and entities, examine the effect of exclusion, and discuss the self-disclosure of the employment of excluded individuals. -Explain the OIG’s exclusion authority and processes -Apply best practices when screening for excluded individuals -Manage the self-disclosure of the employment of an excluded individual
1 Hour	Five Steps to Run a Provider Enrollment Team LaShawna Brown, CPMSM, CPCS, Credentialing Manager, , CommunityCare Managed Healthcare Plans of Oklahoma Founder, On A Mission Credentialing - On A Mission Credentialing Often, when credentialing specialists and provider enrollment specialists are excellent at their job, they get promoted or step into a team leadership role. The transition often happens without any additional training, and suddenly everyone is looking to the new leaders for answers they may not have. This presentation will guide your new leaders through the basics they need to research and know to thrive in their new role. -Identify the members of the new leader’s overall team -Outline the necessary conversations with leadership to define the new leader’s role and its expectations -Evaluate and recognize opportunities for self-development and staff development
30 Minutes	Live Q&A LaShawna Brown, CPMSM, CPCS, Credentialing Manager, , CommunityCare Managed Healthcare Plans of Oklahoma Founder, On A Mission Credentialing - On A Mission Credentialing Sean Fahey, Attorney - Hall, Render, Killian, Heath & Lyman Amy Niehaus, MBA, CPMSM, CPCS, President - AMN Consulting, LLC Our speakers answer questions from the day’s sessions during a live Q&A.

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