Credentialing and Provider Enrollment 102

Credentialing and Provider Enrollment 102

Credentialing & Enrollment 102: Advanced strategies for 2025 compliance, revalidations, and avoiding enrollment pitfalls.

By Skilled Compliance

Date and time

Saturday, May 31 · 10 - 11am PDT

Location

Online

Refund Policy

Refunds up to 7 days before event

About this event

  • Event lasts 1 hour

Credentialing and Provider Enrollment 102

Presenter: Yesenia Servin (CPMSM, PESC)

Description:

This is the second session of our Credentialing and Enrollment series. Yesenia presents this detailed, comprehensive webinar, teaching you to successfully credential your providers and mid-level providers. This webinar features a complete step-by-step guide to provider credentialing, including 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! You will be provided tracking tools to aid in the tracking/verification of provider documents and payer application tracking.


  • Provider Documentation Requirements
  • Verification/Validation of Provider Documents
  • Provider Document Tracking
  • Setup/Maintenance of Provider File
  • Setup/Maintenance of CAQH, PECOS, NPPES, I/A
  • Provider Portals & Profiles
  • Payer application requirements
  • Payer application prep/submission
  • Payer-specific enrollment information
  • Payer application tracking
  • Medicare/Medicaid Enrollment
  • Provider Linkage to Payer
  • Efficient and Timely Communication
  • Steps to complete once the provider is approved by the payer
  • Multiple Printable/Customizable Forms, Letters, Tracking Tools

Learning Objectives:

  • Setup/Maintenance/Attestation of CAQH, PECOS, NPPES, I&A
  • How to complete the payer enrollment applications
  • Follow-up process for provider enrollment applications
  • Payer-specific requirements for applications and submission
  • Payer-specific contact and submission information
  • Tracking of payer enrollment application packages.

Areas Covered:

  • CMS PECOS
  • Medicare application
  • Medicare revalidation
  • Medicare
  • DME
  • Ordering & Prescribing
  • Mental Health Providers
  • LCPC, LMFT
  • RHC, RHE, Hospitals
  • MACs
  • CHOW
  • Organization ownership data
  • NPI Profile
  • CAQH
  • Workflow
  • Provider Enrollment
  • Credentialing
  • EFT.

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Skilled Compliance

Skilled Compliance We the leading professional education and digital learning platform dedicated to advancing knowledge and skills in compliance and regulations. Our platform offers a wide range of webinars and online training sessions delivered by industry experts. With a keen eye on compliance issues and up-to-date knowledge of trending topics, our experts provide valuable insights into regulatory compliance across various industries.

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Attending webinars on our platform equips you with the necessary skills to stay ahead in your professional career. We understand the demands of your busy schedule, which is why we offer flexible learning options including live webinars, recorded sessions, transcripts, and digital downloads.