Overview:

Are you seeking to enhance your expertise in provider credentialing? Are you responsible for managing your providers' CAQH profiles, payer enrollments, and revalidation cycles? If so, this comprehensive webinar is designed for you.

Join expert Cati Harris, CBCS, for an in-depth session that outlines the critical steps for maintaining provider credentials. This webinar serves as a complete guide to managing CAQH and PECOS profiles, sustaining active payer enrollments, and successfully navigating the revalidation process. Participants will gain access to a suite of essential, customizable resources, including cover letter templates, documentation checklists, verification forms, and tracking tools for applications and employment history.

The session will conclude with a live Q&A period, providing an opportunity to address your specific challenges.

Learning Objectives:

Upon completion, attendees will be able to:

• Identify the requirements for maintaining active provider enrollment with payers.

• Manage the setup and ongoing maintenance of provider files in CAQH, PECOS, and NPPES.

• Verify and track essential provider documents effectively.

• Execute the processes for linking a provider to a group contract and completing a revalidation.

• Implement best practices for tracking applications, identifying potential issues, and communicating updates in a timely manner.

Areas Covered:

• Documentation Management: Requirements, verification, and tracking of provider documents.

• Profile Maintenance: Setup and upkeep of CAQH, PECOS, NPPES, and Identity & Access (I/A) accounts.

• Enrollment & Revalidation: Strategies for maintaining payer enrollments and successfully completing provider revalidations.

• Payer Relations: Tracking enrollment status and managing provider linkage to group contracts.

• Efficiency Tools: Access to printable, customizable forms, letters, and tracking tools.

• Interactive Session: Live Q&A with an industry expert.

Who Should Attend:

This webinar is ideal for professionals involved in the credentialing and enrollment lifecycle, including:

• Credentialing & Enrollment Specialists, Experts, and Leaders

• Healthcare Administrative Teams, Practice Managers, and Office Managers

• Revenue Cycle Managers, Billing Specialists, and Coders

• Clinical Directors, Allied Health Providers, and Advanced Practitioners

• Staff supporting NPI, NPPES, CAQH, and PECOS

• Practice Owners and Operations Personnel