Credentialing and Provider Enrollment 103

Credentialing and Provider Enrollment 103

Description

CMS Identity & Access Step-by-Step Walk-through

NPPES Step by Step

The NPPES interface is complex and confusing. Your organization and providers' CMS National Plan and Provider Enumeration System (NPPES) account is about so much more than just acquiring a National Provider Identifier (NPI), but maintaining it accurately and compliantly can be confusing and frustrating. Whether you have just one or 50 accounts to manage, you can improve your results with expert guidance from nationally certified credentialing specialist, Yesenia Servin, CPMSM, PESC.

Review that the taxonomy details are accurate.

What if your application gets denied or rejected?

What if your claims are being labeled as out of Network, but you have an in-network approval?

Learning Objectives

• Setup/Maintenance/Attestation of 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
• • Create a strong I & A to securely access CMS systems such as NPPES & PECOS
  • Utilize the surrogacy program to easily manage multiple NPPES accounts within your own account
  • Accurately and efficiently complete an NPPES registration on the first try
  • Manage multiple NPI profiles within your own account
  • Understand specialties and taxonomies.

Who Should Attend

• Practice Managers
• PESC
• CPMSM
• Revenue Cycle
• Directors
• CFO
• Credentialing
• Provider Enrollment
• EFT Enrollment
• Operations.