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Event Materials (Key Required)

Format: On-Demand Webinar
Presenter: Yesenia Servin, CPMSM, PESC
Time: You can access the webinar anytime
Duration: 60 minutes
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If you’re new to enrolling, contracting, and credentialing providers with private/ commercial payers, join Yesenia Servin as she shares best practices for completing these tasks and tell how to do these processes efficiently, identify red flags that will require special attention, and practice ongoing maintenance. This professional presentation will provide training and guidance on creating a successful medical/ health practice. The presenter will go over crucial steps that impact your revenue cycle; including insurance credentialing and contracting and provider enrollment. Providers will understand how to create an efficient credentialing/ enrollment process and understand the connection with a healthy revenue cycle. During this webinar, providers will understand CAQH, NPPES, I&A, Availity, ERA and EFTs, and Medicare portals.

Some basic knowledge of the enrollment/ credentialing area is required, but you need not have in-depth knowledge or skills. The presenter, Yesenia Servin will provide information at a level beyond the basic knowledge of the topic. Program content focuses on ethical, best practice or regulatory policies, guidelines, and standards that influence healthcare practice, education, or research.

Learning Objectives

  • Assess structure needed to build a Successful payer/ provider enrollment practice
  • Discuss credentialing & enrollment processes that impact your revenue cycle
  • Recognize the various insurance payers, including private/ commercial and government and each enrollment process
  • Understand current enrollment/ credentialing regulatory policies, guidelines, and standards
  • Know the complete process of enrollment with both private and government payers

Areas Covered in the Session

  • Provider Enrollment
  • Credentialing
  • Preparation
    • Provider: Organization Name
      • As listed on the IRS letter
      • DBA listed on W9
    • Provider: Individual Name
      • As listed on professional paper
      • SSN registration
    • EIN/TIN/SSN
      • Organization
      • Individual
    • CMS Identity & Access (I&A)
      • I&A
        • Medicare Participation
      • NPPES – NPI
      • PECOS
        • Initial Enrollments
        • Revalidations
        • Reassignments
        • Terminations
      • CAQH Profile
        • Practice Manager
        • Groups
        • Individual Providers
    • Fee Schedule
  • Credentialing / Enrollment Tech & Tools
    • Cred/Enroll Systems
    • CAQH
    • Excel, Access
    • Onboarding Tools
  • Recruiting / Onboarding
    • Communication
    • Documentation
  • Discovery
  • Data & Documentation
  • Medicaid
    • State Regulations & Rules
    • Organization
    • Individual
    • As of 2021, 21.1% of the US population have Medicaid
  • Medicare
    • CMS Regulations & Rules
    • Organization
    • Individual
  • Tricare, VA, VA CCN
  • Independent Physician Association (IPA)
  • Physician Hospital Organization (PHO)
  • Clinically Integrated Network (CIN)
  • Private, Commercial
  • Professional Profiles
  • Telehealth
    • Government
      • Federal
      • State
    • IPA / PHO / CIN
    • Commercial / Private
    • Directories
  • Onboarding

Suggested Attendees

  • Authorized officials
  • Delegated officials
  • Revenue cycle directors
  • Credentialing
  • Enrollment
  • Office Manager
  • Revenue Cycle
  • Operations
  • Billing Team
  • In and Out of Network Providers
  • Medical Billing Companies
  • Providers’ Office Staff
  • Physician
  • Hospitals and Facilities
  • Insurance Companies
  • Healthcare Attorneys
  • Executive and Administrators
  • Front Desk
  • Scheduling
  • Authorizations Staff
  • Medical Assistants
  • Certified nursing assistants

About the Presenter

Yesenia Servin 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, hospital 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, NAMSS member, and is a past NAMSS Educational Conference Guest Speaker, a current member of the NAHRI Leadership Council, 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.

Course Content

You can access all the webinar materials after successful payment

  • Webinar Link + Handouts PDF
    00:00
  • Course Key
    00:00
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