Provider Enrollment
Virtual Summit

On-Demand

Virtual Day 1

11:30 a.m.–12:30 p.m.
The Future Is Now: Best Practices in Payer Enrollment

It’s difficult to stay abreast of the rapidly evolving payer enrollment field, yet doing so is crucial to avoid reimbursement delays. Join Team Med Global’s Donna Goestenkors and Nicole Keller and discover the latest payer enrollment trends that will increase your effectiveness as a payer enrollment specialist or team leader.

12:40 p.m.–1:40 p.m.
I&A, PECOS, and NPPES: Setting Up Providers and Suppliers

In this session, Zetter outlines who can act as a surrogate, how someone applies for surrogacy, and the different responsibilities of Delegated Officials and Authorized Officials. He also breaks down how to use PECOS to efficiently enroll your providers and provides information on important updates to NPPES and I&A.

1:40 p.m.–1:55 p.m.
Break
1:55 p.m.–2:55 p.m.
Mastering Provider Enrollment Maintenance, Medicare Revalidations, and Recredentialing

Never miss a recredentialing or Medicare revalidation deadline again with the help of these tips from Davis. Learn how to keep your provider and facility information up to date with payers, how to determine a provider’s Medicare revalidation date, and what ramifications your organization could face if enrollment with payers lapse.

3:05 p.m.–4:05 p.m.
Onboarding New Providers: How to Get Paid

Resolve the hidden cash flow drain at your organization with Zetter as he explains how to onboard new providers quickly and effectively. Additionally, gain best practices and tips for your onboarding process to ensure there are no gaps in reimbursement when a new provider starts.

4:15 p.m.–4:45 p.m.
LIVE Q&A Session

Virtual Day 2

12:00 p.m. – 1:30 p.m.
Successfully Completing and Submitting CMS-855 Forms

Receive comprehensive instruction on how to submit the CMS-855A and CMS-855B to enroll and revalidate suppliers and providers with Medicare and the CMS-855R to reassign practitioners’ Medicare benefits.

1:30 p.m. – 1:50 p.m.
Break
1:50p.m.- 2:50 p.m.
How to Approach a Denial of a CMS 855 Form

Through real-life examples, healthcare consultant Todd Selby sheds light on why different CMS-855 forms may be rejected and explains how your organization can appeal rejections. Selby also provides guidance for how to avoid rejections in the first place.

3:00 p.m.- 4:00 p.m.
How Healthcare Transactions and Changes of Ownership Affect Reimbursement

Brian Jent takes a deep dive into changes of ownership, explaining the process at a federal and state level and detailing when changes of ownership must be filed in order to avoid gaps in reimbursement. Additionally, learn which transactions count as changes of ownership for Medicare purposes as well as tips for performing due diligence.

4:15 p.m. – 4:45 p.m.
LIVE Q&A Session

Virtual Day 3

11:30 a.m.–12:30 p.m.
Enrolling With Private Payers

Learn how to successfully enroll and contract your providers with private/commercial payers. Zetter provides an overview of the process and vendors involved as well as discussing the role credentialing plays in enrolling with private payers.

12:40 p.m.–1:40 p.m.
Exploring CAQH Solutions

Through real-world examples, Christopher Swartz and Jammal Dorsey explain how a variety of healthcare organizations are utilizing CAQH services to streamline their enrollment processes. Learn which solutions may work for your organization as well as how to implement them.

1:40 p.m.–1:55 p.m.
Break
1:55 p.m.–2:55 p.m.
Improved Data Sharing for Delegated Credentialing

Enrolling and tracking multiple providers is just another day at the office for payer enrollment specialists. However, nonphysician practitioners—such as physician assistants, nurse practitioners, and registered nurse anesthetists—can present new challenges and require a fresh knowledge base. Join Team Med Global’s Larry DeHoyos and Yesenia Servin as they introduce efficiencies for maximizing revenue when enrolling advanced practice professionals.

3:05 p.m.–4:05 p.m.
Rising to the Challenge: Enrolling Nonphysician Practitioners

Enrolling and tracking multiple providers is just another day at the office for payer enrollment specialists. However, nonphysician practitioners—such as physician assistants, nurse practitioners, and registered nurse anesthetists—can present new challenges and require a fresh knowledge base. Join Team Med Global’s Larry DeHoyos and Yesenia Servin as they introduce efficiencies for maximizing revenue when enrolling advanced practice professionals.

4:15 p.m.–4:45 p.m.
LIVE Q&A Session

Fundamentals of Provider Enrollment - a Bonus Learning Opportunity for Attendees!

Session 1: Introduction to Provider Enrollment

Join Terri Lynn Davis for a foundational session on provider enrollment, perfect for anyone new to the field or looking to brush up on the basics. Davis defines key industry terminology, outlines the purposes of various CMS enrollment forms, and explains in simple steps how to successfully enroll providers.

Session 2: Exploring PECOS, Identity & Access, and Surrogacy

Join David Zetter for an introduction to the Provider Enrollment, Chain, and Ownership System (PECOS). Learn the key functions of the Identity & Access Management System (I&A), the National Plan & Provider Enumeration System (NPPES), and National Provider Identifiers (NPI).

Session 3: Understanding the Relationship Between Credentialing and Provider Enrollment

Credentialing and provider enrollment have more in common than many realize, and in this session, Davis explains where these overlaps and shared skills exist. She also describes the primary functions of both departments, including primary source verification and the enrollment process.

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