Master Provider Credentialing & Enrollment: Complete 3-Part Webinar Series

Series Overview

Session 1: Credentialing Fundamentals & Provider Enrollment (102)

Master the Complete Credentialing Lifecycle

This foundational session provides a detailed, step-by-step guide to successfully credential your providers and mid-level practitioners. Walk away with customizable templates and tracking tools you can implement immediately.

What You'll Learn:

• Provider documentation requirements and verification processes
• Setup and maintenance of CAQH, PECOS, NPPES, and I&A systems
• Provider portals and profile management
• Payer application preparation and submission strategies
• Medicare/Medicaid enrollment procedures
• Provider linkage to payer networks
• Best practices for timely communication
• Post-approval action steps

Bonus Materials:

✓ Customizable forms and cover letters
✓ Document tracking spreadsheets
✓ Payer application tracking tools
✓ Provider file organization templates

Session 2: NPPES Mastery & CMS Systems Navigation (103)

Demystify the Complex NPPES Interface

The NPPES system is confusing and mistakes are costly. Learn to navigate the CMS National Plan and Provider Enumeration System with confidence, whether managing one account or fifty.

What You'll Learn:

• Complete NPPES registration accurately on the first attempt
• Setup, maintenance, and attestation of NPPES and I&A accounts
• Understanding specialties, taxonomies, and taxonomy details
• Utilizing the surrogacy program for multiple account management
• Creating secure I&A credentials for CMS system access
• Managing multiple NPI profiles efficiently
• Troubleshooting denied or rejected applications
• Resolving out-of-network claim issues despite in-network approval

Critical Skills Covered:

✓ Payer-specific enrollment requirements and submission protocols
✓ Follow-up processes for enrollment applications
✓ Application package tracking systems
✓ Payer contact and submission information database

Session 3: Advanced Enrollment Operations & Compliance (104)

Optimize Workflows and Ensure Regulatory Compliance

Take your enrollment operations to the next level with advanced strategies for tracking, reporting, and maintaining compliance across commercial and government payers.

What You'll Learn:

• Key enrollment timelines and payer-specific requirements
• Healthcare plan structures and product navigation
• Provider data management through reporting and rostering
• Government vs. commercial payer process distinctions
• Streamlining enrollment workflows for maximum efficiency
• Ensuring data accuracy across all platforms
• Maintaining alignment with evolving regulatory standards

Advanced Topics:

✓ Timeline tracking and turnaround time optimization
✓ Provider roster management
✓ Compliance reporting best practices
✓ Locum tenens enrollment processes
✓ EFT enrollment coordination

Who Should Attend

This series is essential for:

• Practice Managers looking to optimize operations
• Credentialing Specialists (CPMSM, PESC certified or pursuing certification)
• Provider Enrollment Professionals
• Revenue Cycle Directors and staff
• CFOs and financial leadership
• Operations Managers
• Healthcare Administrators responsible for payer relations

Key Systems Covered

• National Provider Identifier (NPI)
• NPPES (National Plan and Provider Enumeration System)
• CAQH ProView
• PECOS (Provider Enrollment, Chain, and Ownership System)
• Medicare and Medicaid enrollment portals
• Commercial payer credentialing platforms

Why Attend This Series?

Expert Instruction from a nationally certified credentialing specialist
Practical Tools including customizable forms, letters, and tracking spreadsheets
Real-World Solutions to common credentialing challenges
Comprehensive Coverage from basic setup to advanced compliance
Immediate Implementation strategies you can use right away
Time-Saving Techniques to reduce enrollment timelines
Compliance Confidence across all payer types

What's Included

• Access to all three comprehensive webinar sessions
• Provider documentation tracking tools
• Payer application tracking systems
• Step-by-step process guides
• Reference materials for NPPES, CAQH, PECOS, and I&A

Learning Outcomes

By completing this series, you will be able to:

1. Execute complete provider credentialing from initial documentation through payer approval
2. Navigate NPPES and CMS systems with confidence and accuracy
3. Implement efficient tracking systems for all enrollment activities
4. Distinguish between commercial and government payer requirements
5. Troubleshoot common enrollment issues and application denials
6. Maintain compliant provider files and documentation
7. Streamline workflows to reduce enrollment turnaround times
8. Manage multiple provider accounts and profiles effectively

Perfect For

• Medical practices adding new providers
• Organizations struggling with enrollment delays
• Teams seeking to improve credentialing efficiency
• Professionals preparing for CPMSM or PESC certification
• Revenue cycle departments addressing claim denials
• Administrators managing multiple provider locations

Investment in Your Professional Development

This comprehensive training series represents a strategic investment in your organization's operational efficiency and your own professional expertise. The tools, templates, and knowledge gained will save countless hours and reduce costly enrollment errors.