A Guide to Provider Enrollment and Building a Successful Provider Enrollment Program

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Are you new to credentialing? Building a credentialing program? Has it been a while since you used your credentialing skill set? If you answered YES, then this course is for you.

Join expert Cati Harris, CBCS as she presents this comprehensive webinar teaching you how to successfully navigate provider enrollment.

This webinar will include topics covering provider credential verification, setup/maintenance of CAQH/NPPES/PECOS/I&A, CV Verification, Application Prep/Review/Submission, Red Flags, Linking of a provider to existing contracts, Provider Re-Verification, Maintaining of the provider file, FAQ section, and guidance/information on how to set up a successful provider enrollment program.

Bonus: You will be provided with multiple free printable and customizable forms for provider enrollment.

This webinar is designed to be an in-depth view of provider enrollment, maintenance, and development of successful provider enrollment programs.

At the end of the webinar, you will have an opportunity for a live Q&A session to ensure all of your questions are answered.

Learning Objectives:-

Preparation/Submission of Provider Enrollment Contract for Services.
Preparation/Submission of the Provider Welcome Package
Provider Enrollment Expectations for Providers
Privacy/NDA Disclosures
Required information for provider enrollment.
Guidelines/Requirements for Provider Verification of Credentials
Provider CV Verification
Tracking of Provider Enrollment Information
Provider Enrollment Application Prep/Review/Submission
Payer-specific provider enrollment information with payor-preferred submission methods.
Setup/Maintenance/Attestation of CAQH, PECOS, NPPES, I&A
Red Flags with Provider Enrollment
Linking provider to existing payor contracts
Provider re-verification
FAQ - Quick Tips for Provider Enrollment
Enrollment Checklist
Maintaining Provider File once Initial Credentialing is Complete.
Timely Communication and Tracking
Setup and Launch of Provider Enrollment Program
Description of various positions within provider enrollment
Job assignments within the provider enrollment program
Live Q&A session

Areas Covered:-

Provider Enrollment Contract for Services
Provider Welcome Package
Requirements/Guidelines for Provider Verification of Credentials
Provider CV Verification
Tracking of Provider Enrollment Information
Provider Enrollment Application Prep/Review/Submission
Payer-specific provider enrollment information with payor preferred
submission methods.
Setup/Maintenance/Attestation of CAQH, PECOS, NPPES, I&A
Red Flags with Provider Enrollment
Linking provider to existing payor contracts
Provider re-verification
FAQ - Quick Tips for Provider Enrollment
Enrollment Checklist
Maintaining Provider File once Initial Credentialing is Complete
Timely Communication and Tracking
Setup and Launch of Provider Enrollment Program
Description of various positions within provider enrollment
Job assignments within the provider enrollment program
Live Q&A Session

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