Skillacquire

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Format:	On-Demand Webinar
Presenter:	Cati Harris, CBCS
Time:	You can access the webinar anytime
Duration:	90 minutes

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

Other Relevant Webinars

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

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Course Link

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