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Format: On-Demand Webinar
Presenter: Cati Harris, CBCS
Time: You can access the webinar anytime
Duration: 90 minutes
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Are you wanting to update your credentialing skill set? Do you have providers you are responsible for maintaining their CAQH and credentialing with all payers? Is it time for your provider’s revalidation?

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 providing you the steps to maintain your provider’s CAQH, PECOS, payer enrollments, and completing provider revalidations. This webinar features a guide to provider credentialing, maintenance of provider enrollments, and completing provider revalidations. Also includes multiple 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!

At the end of this information-packed webinar, you will have the opportunity for a live question/answer session.

Learning Objectives:

  • What is needed to maintain provider enrollment with payers?
  • Setup/Maintenance of the Provider File
  • How to maintain CAQH, PECOS, NPPES
  • What are the required documents for credentialing a provider?
  • How to Verify/Validate provider documents
  • Tracking of Provider Documents
  • Payer-Specific Enrollment Information
  • How to link a provider to a group contract
  • How to complete a provider revalidation
  • Credentialing skills and tips
  • Tracking of submitted payer revalidations and maintenance
  • Processing times and how to identify flagged applications.
  • Effective, Timely Communication for updating providers of status

Areas Covered in the Session

  • Credentialing Keys to Success
    • Research
    • Preparation
    • Tracking
    • Communication
  • How do I start the process of credentialing a provider?
  • Research
    • Research – Provider
    • Payer Research
  • Provider Welcome Package Documents
    • Provider Enrollment Information Document
    • Provider Document Checklist
    • Provider CV Requirements
    • Welcome Letter
    • Description of Services
  • Payer Documents
    • Payer/State Applications
    • Payer Contact Information
    • Tracking Spreadsheet
  • Provider Document Preparation
    • Review All Documents for Accuracy, Dates, Infractions
    • Create a Provider File
    • Access Provider Logins
    • Review Provider CV
  • National Plan & Provider Enumeration System (NPPES)
  • Identity & Access Management System
  • Council for Affordable Quality Healthcare (CAQH)
  • Provider, Enrollment, Chain & Ownership System (PECOS)
  • Payer Document Preparation
  • Application Preparation
  • Payer Application Submission via Email/Fax
  • Payer Application Submission via Payer Website
  • Linking of Provider/Mid-Level
  • Linking a Provider already PAR with the Payer
  • Provider Re-Validation
  • Tracking
    • Document Tracking
    • Application Tracking
  • Provider Document Tracking Tools
    • Provider Document Checklist
    • Excel Tracking Spreadsheet
  • Application Tracking
  • Communication
  • Minimize Impact
  • Steps to Minimize Financial Impact
  • Next Step after Provider Credentialing is Approved
  • Information Storage
  • Important Forms & Sheets

Suggested Attendees

  • Credentialing and Enrollment Specialists
  • Credentialing and Enrollment Support Staff
  • Credentialing and Enrollment Experts
  • Credentialing and Enrollment Leaders
  • Healthcare Administrative Teams, Personnel
  • Practice Managers
  • Healthcare Billing Specialist
  • Staff Providing NPI Support, NPPES Support
  • PESC, CPMSM, CPCS
  • Staff Providing CAQH Support
  • Staff Providing PECOS Support
  • Clinic Managers
  • Allied Health Providers
  • Advance Health Practitioner
  • Providers (MD, DO, NP, PA)
  • Credentialing
  • Enrollment
  • Office Managers
  • Operations
  • Revenue Cycle
  • Revenue Cycle Managers
  • Practice Owners
  • Billing Specialist
  • Coders
  • Claims Teams
  • MSPs

About the Presenter

Cati Harris, CBCS is a nationally certified credentialing, billing, and coding specialist, with over 20 years of experience in the healthcare industry. Cati is the Director of Provider Credentialing and Contracting with Solor, Inc., a third-party billing company providing physicians across all specialties full-service revenue cycle management, billing, and credentialing. Cati’s expertise extends through managing credentialing services, implementing successful enrollment programs, and contract/fee schedule negotiations for providers with all major payers.

Course Content

You can access all the webinar materials after successful payment

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