Provider Credentialing: Maintaining Provider Enrollments, Updates, and Re-Validations

Recorded Webinar | Cati Harris | From: Sep 27, 2023 - To: Dec 31, 2023

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Recording     $249
Digital Download     $299
Transcript (PDF)     $249

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Are you wanting to update your credentialing skill set? Do you have providers you are responsible for maintaining their CAQH and credentialing with all payers? Is it time for your provider's revalidation?

If you answered yes, then you have found the webinar made just for you!

Join expert Cati Harris, CBCS as she presents this detailed, comprehensive webinar providing you with the steps to maintain your provider's CAQH, PECOS, payer enrollments, and completing provider revalidations. This webinar features a guide to provider credentialing, maintenance of provider enrollments, and completing provider revalidations. Also includes multiple printable and customizable forms for payer/application cover letters, provider documentation requirements, Verification of Documentation, CV requirements, application submission, payer linkage, provider revalidation, employment history, and much more!

At the end of this information-packed webinar, you will have the opportunity for a live question/answer session.

Learning Objectives:-

  • What is needed to maintain provider enrollment with payers?
  • Setup/Maintenance of the Provider File
  • How to maintain CAQH, PECOS, NPPES
  • What are the required documents for credentialing a provider?
  • How to Verify/Validate provider documents
  • Tracking of Provider Documents
  • Payer-Specific Enrollment Information
  • How to link a provider to a group contract
  • How to complete a provider revalidation
  • Credentialing skills and tips
  • Tracking of submitted payer revalidations and maintenance
  • Processing times and how to identify flagged applications
  • Effective, Timely Communication for updating providers on status

Areas Covered:-

  • Provider Documentation Requirements
  • Verification/Validation of Provider Documents
  • Provider Document Tracking
  • Setup/Maintenance of Provider File
  • Setup/Maintenance of CAQH, PECOS, NPPES, I/A
  • Maintaining Provider Enrollments
  • Provider Revalidations
  • Payer enrollment tracking
  • Medicare/Medicaid Enrollment Maintenance
  • Provider Linkage to Payer
  • Efficient and Timely Communication
  • Multiple Printable/Customizable Forms, Letters, Tracking Tools
  • Live Q&A Session

Who Should Attend:-

  • Credentialing and Enrollment Specialists
  • Credentialing and Enrollment Support Staff
  • Credentialing and Enrollment Experts
  • Credentialing and Enrollment Leaders
  • Healthcare Administrative Teams, Personnel
  • Practice Managers
  • Healthcare Billing Specialist
  • Staff Providing NPI Support, NPPES Support
  • Staff Providing CAQH Support
  • Staff Providing PECOS Support
  • Clinic Managers
  • Allied Health Providers
  • Advance Health Practitioner
  • Providers (MD, DO, NP, PA)
  • Credentialing
  • Enrollment
  • Office Managers
  • Operations
  • Revenue Cycle
  • Revenue Cycle Managers
  • Practice Owners
  • Billing Specialist
  • Coders
  • Claims Teams
  • MSPs