Advanced Provider Enrollment & Credentialing Success Bundle (102–103-104)

Master the complexities of provider credentialing and enrollment with this comprehensive 3-part webinar series led by nationally certified credentialing specialist. This professional development series provides healthcare administrators with the essential tools, templates, and knowledge needed to navigate today's credentialing landscape efficiently and compliantly.

What You'll Learn

Session 102: Comprehensive Provider Credentialing Fundamentals

Gain mastery over the complete credentialing lifecycle with this step-by-step workshop covering:

• Provider Documentation Management - Requirements, verification, validation, and tracking systems
• File Setup & Maintenance - Establishing compliant provider files and documentation workflows
• Portal Management - CAQH, PECOS, NPPES, and I&A setup and maintenance
• Application Processes - Payer-specific requirements, preparation, and submission strategies
• Medicare/Medicaid Enrollment - Government payer processes and linkage procedures
• Revalidation & Updates - Maintaining current provider credentials and employment history
• Communication Best Practices - Ensuring efficient, timely correspondence with payers

Bonus Materials: Printable and customizable forms, cover letter templates, and comprehensive tracking tools

Session 103: NPPES Mastery & CMS Systems Navigation

Demystify the NPPES interface and optimize your National Provider Identifier (NPI) management:

• NPPES Deep Dive - Complete setup, maintenance, and attestation procedures
• I&A Security - Creating robust Identity & Access credentials for CMS systems
• Surrogacy Program - Managing multiple NPPES accounts efficiently
• Taxonomy Accuracy - Understanding specialties and ensuring correct classification
• Troubleshooting - Resolving denials, rejections, and out-of-network claim issues
• Multi-Profile Management - Handling multiple NPI profiles within a single account
• First-Time Success - Completing NPPES registration accurately on the first attempt

Session 104: Advanced Enrollment Operations & Compliance

Take your enrollment processes to the next level with advanced operational strategies:

• Timeline Management - Tracking enrollment deadlines across multiple payers
• Plan Structures - Understanding healthcare plan types and product hierarchies
• Reporting & Rostering - Implementing data accuracy and compliance monitoring systems
• Government vs. Commercial - Distinguishing requirements between payer types
• Workflow Optimization - Streamlining enrollment processes for maximum efficiency
• Regulatory Alignment - Maintaining compliance with evolving standards

Key Topics Covered Across the Series

• National Provider Identifier (NPI)
• NPPES & PECOS Systems
• Medicare & Medicaid Enrollment
• CAQH Profile Management
• Provider Credentialing Standards
• Locum Tenens Processes
• Provider Roster Management
• Timeline & Turnaround Tracking
• EFT Enrollment
• Compliance & Documentation

Who Should Attend

This series is essential for healthcare professionals responsible for provider operations and credentialing:

• Practice Managers
• Credentialing Specialists (CPMSM, PESC)
• Provider Enrollment Specialists
• Revenue Cycle Managers
• Healthcare Operations Directors
• Chief Financial Officers (CFO)
• EFT Enrollment Coordinators
• Medical Staff Services Professionals

What You'll Receive

• Comprehensive step-by-step guides for each enrollment phase
• Customizable templates for payer communications and applications
• Provider documentation tracking tools and checklists
• Payer-specific enrollment information and contact resources
• Best practice frameworks for compliance maintenance

Registration Information

This is a 3-part series. Each session builds upon the previous one to provide comprehensive credentialing and enrollment expertise. Attendees are encouraged to register for all three sessions for maximum value, though individual sessions may be attended separately.

Don't miss this opportunity to transform your credentialing operations and ensure your providers are enrolled efficiently and compliantly in 2025!