Description
This is the second 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.
Learning Objectives:-
- 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.
Areas Covered in the Session:-
- 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.
Who Will Benefit?
- Practice Managers
- PESC
- CPMSM
- Revenue Cycle
- Directors
- CFO
- Credentialing
- Provider Enrollment
- EFT Enrollment
- Operations.
Speaker
Yesenia Servin
Yesenia Servin CPMSM, PESC is an expert in credentialing and provider/payer enrollment with over 23 years of experience in the healthcare industry. Yesenia has a deep understanding of Medicare & Medicaid enrollment and is a nationally certif...
Yesenia Servin CPMSM, PESC is an expert in credentialing and provider/payer enrollment with over 23 years of experience in the healthcare industry. Yesenia has a deep understanding of Medicare & Medicaid enrollment and is a nationally certified credentialing manager and provider enrollment specialist. Through, YS Credentialing PLLC, Yesenia helps organizations develop and implement best practices guidelines, and processes. Guides the credentialing and payer enrollment structure. Thrives on training and growing administrative, credentialing, and enrollment healthcare professionals.
Yesenia manages payer enrollment, keeps team members and colleagues up to date on industry trends, and is a liaison to all departments that impact payer-enrollment processes. Yesenia works with durable medical equipment, hospitals and health systems, and community mental health organizations, global managed care organizations as well as providing revenue cycle consulting services to various healthcare providers and organizations.
Yesenia is a current CharterOak University Faculty, a NAMSS member, and is a past NAMSS Educational Conference Guest Speaker, a current member of the NAHRI Leadership Council, a current trainer for The Chicago School of Professional Psychology trainer, and a TMG Collaborator. Yesenia studied microeconomics and communications at NEIU and healthcare administration at Concordia University Chicago.
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