Credentialing 101: A Detailed Guide to Provider Credentialing online event, Covina
Are you wanting to learn the provider credentialing process? Are you looking for a complete guide to get you started with provider credentialing? Are you looking to update your process with a proven method with payer specifics? Are you wanting to build or update your current credentialing processes?
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 teaching you to successfully credential your providers and mid-level providers. This webinar features a comprehensive step-by-step guide to provider credentialing including over 10 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! You will be provided tracking tools to aid in the tracking/verification of provider documents and payer application tracking.
Additionally, you will learn how to setup/maintain CAQH, PECOS, NPPES, and Identity & Management, credentialing documentation requirements, verification and validation of documents, payor application requirements, prep/submission of payer enrollment applications packages, and the key items to complete once the credentialing process is complete and approved.
At the end of this information-packed webinar, you will have the opportunity for a live question/answer session.
Learning Objectives
When is it possible to start credentialing for a provider/mid-level?
Critical information for beginning the credentialing process
What are the required documents for credentialing a provider?
How to Verify/Validate provider documents
Tracking of Provider Documents
Setup/Maintenance of the Provider File
Payer-Specific Enrollment Information
Setup/Maintenance/Attestation of CAQH, PECOS, NPPES, I&A
How to complete the payer enrollment applications
How to submit provider enrollment applications
Payer Specific requirements for applications and submission
Payer Specific contact and submission information
Tracking of submitted payer enrollment application packages
Processing times and how to identify flagged applications
Effective, Timely Communication for updating application status with providers
The process to complete once the payer has approved credentialing
Areas Covered
Provider Welcome Package
Provider Documentation Requirements
Verification/Validation of Provider Documents
Provider Document Tracking
Setup/Maintenance of Provider File
Setup/Maintenance of CAQH, PECOS, NPPES, I/A
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
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