Credentialing 102 – A Detailed Guide to Provider Enrollment

This is the session of our Credentialing and Enrollment series. Yesenia presents this detailed, comprehensive webinar, teaching you to successfully credential your providers and mid-level providers. This webinar features a complete step-by-step guide to provider credentialing, including 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! You will be provided tracking tools to aid in the tracking/verification of provider documents and payer application tracking.

• Provider Documentation Requirements
• Verification/Validation of Provider Documents
• Provider Document Tracking
• Setup/Maintenance of Provider File
• Setup/Maintenance of CAQH, PECOS, NPPES, I/A
• Provider Portals & Profiles
• Payer application requirements
• Payer application prep/submission
• Payer-specific enrollment information
• Payer application tracking
• Medicare/Medicaid Enrollment
• Provider Linkage to Payer
• Efficient and Timely Communication
• Steps to complete once the provider is approved by the payer
• Multiple Printable/Customizable Forms, Letters, Tracking Tools
• Live Q&A Session.

• Setup/Maintenance/Attestation of CAQH, PECOS, NPPES, I&A
• How to complete the payer enrollment applications
• Follow-up process for provider enrollment applications
• Payer-specific requirements for applications and submission
• Payer-specific contact and submission information
• Tracking of payer enrollment application packages.

• CMS PECOS
• Medicare application
• Medicare revalidation
• Medicare
• DME
• Ordering & Prescribing
• Mental Health Providers
• LCPC, LMFT
• RHC, RHE, Hospitals
• MACs
• CHOW
• Organization ownership data
• NPI Profile
• CAQH
• Workflow
• Provider Enrollment
• Credentialing
• EFT.

• Practice Managers
• PESC
• CPMSM
• Revenue Cycle
• Directors
• CFO
• Credentialing
• Provider Enrollment
• EFT Enrollment
• Operations.