Getting your providers enrolled in Medicare and making sure that their credentialing is managed accurately and on time can be a massive headache.
It almost seems like Medicare makes provider enrollment and credentialing as confusing as possible with numerous deadlines, online login requirements (PECOS, NPPES), slow new provider approval, application changes (forms 855I/855R), numerous notifications, multiple account types (surrogacy, I&A), etc. etc. etc. Well, the good news is that it doesn’t have to be confusing.
This recently released training 5-Part Series: Stop Medicare Enrollment & Credentialing Chaos offers step-by-step advice from three national experts
David J. Zetter, PHR, SHRM-CP, CHC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP, CMHP
Dreama Sloan-Kelly, MD, CCS, CPC
Tracey Tokheim.
Each session in this practical series tackles one piece of the Medicare enrollment and credentialing process. Then, the experts provide you with easy-to-implement, actionable advice to make the processes more manageable. After going through all 5 parts of the training, you’ll have a solid foundation, along with expert tactics, to make enrollment and credentialing for Medicare providers faster, easier, and more accurate.
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PART 1: Credentialing 101: Proven Tactics Keep Practice Revenue Flowing
Order the On-Demand Recording to Watch at Your Convenience.
The consequences of incorrect provider enrollment and credentialing are extreme. Your provider can be terminated from payer networks, lose hospital admitting privileges, and see dramatic reductions in new patients and revenue.
Sure, much regarding provider credentialing isn’t rocket science, but there are specific nuances that can trip you up and lead to serious reimbursement backlash. However, with a little guidance, you could avoid these devastating revenue delays due to credentialing errors and ensure that your revenue keeps flowing.
That’s where credentialing and enrollment expert, Tracey Tokheim, can help. During her 90-minute online training session, she’ll walk you through the most important aspects of provider credentialing and enrollment, and help you ensure everything sails through the approval process the first time.
Here are just a few of the step-by-step enrollment and credentialing strategies you’ll receive by attending this online training:
Proven process to overcome the top barriers to successful enrollment
Identify application red flags fast and stop them from hurting your revenue
Avoid missed deadlines with proven provider enrollment activity tracking
Master electronic database application processes
Pin down clear hand-offs to avoid details falling through the cracks
Implement proven expirables management and stop being dropped
More easily and in less time check the status of your application
Determine whether you need to credential providers with EVERY single plan that your patients may have
Speed up payments for newly licensed non-physician practitioners
Proven Initial Application Process Checklist to avoid missed deadlines
Head off the most common references errors
And so much more…
Unlike hospitals that have entire departments dedicated to credentialing, you probably got handed this responsibility in addition to the mounds of other duties you tackle every day. And maybe you’ve never been trained on how to correctly credential your providers; you were just expected to figure it out on your own. Well, you are not alone.
Don’t submit another application or credentialing update without signing up for this must-see training. Sign up today.
PART 2: Speed Up Credentialing & Reimbursement for New Providers
Order the On-Demand Recording to Watch at Your Convenience.
When onboarding a new physician to your practice, your process must be flawless. The slightest mistake can result in significant reimbursement delays – or worse, payer rule violations.
To get your new provider up to speed fast, there are a million details you must get right the first time. Failure to do so can significantly delay a new provider from being eligible to see patients and get paid. Even simple errors can get your set-up/transfer documents thrown out, and then you have to go through the entire process all over again.
It is vital that your new physician starts to see patients and get paid as soon as possible. You can make this happen by attending this online training presented by practice management expert, David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP.
David will walk you through each step of creating, implementing, and optimizing your new provider onboarding process. You can make your onboarding process more efficient and accurate. You can speed up your billing process and get paid more quickly. David’s upcoming online training will give you the proven tactics you need to make this happen.
Here are just a few of the challenging onboarding questions you’ll get expert answers to by attending this 60-minute online training:
Is it better for a new provider to bill under their personal NPI or your practice’s?
When is it possible to start credentialing for a new doctor before they arrive?
How can a new physician see patients before they are fully credentialed?
When and how must new doctors re-attest with PECOS and CAQH?
When can a new provider bill under another physician’s name at your practice?
How can you speed up a new provider’s Medicare enrollment transfer?
When is filing for temporary hospital privileges worth your time?
Can a new physician bill for services under the supervision of another provider?
If a new provider’s documents are not all in, can they still bill for their services?
How can you get your payer plans to approve a new physician more quickly?
And much more!
Even an innocent mistake during your provider onboarding process can have serious financial implications for your practice. You must get it right the first time to avoid difficult-to-fix payer set up errors that will significantly delay reimbursements. Everyone at your practice (including the patients) are depending on you to get your new doctor up and running as quickly and efficiently as possible, and this upcoming online training can show you how.
By attending this expert-led physician onboarding training, you’ll receive proven, step-by-step tactics that you can put into action immediately. Register now to secure your spot to this access-limited 60-minute online training today.
PART 3: PECOS: Master CMS Surrogacy Enrollment Requirements
Order the On-Demand Recording to Watch at Your Convenience.
CMS specifically prohibits you from using your provider’s PECOS (Provider Enrollment, Chain and Ownership System) login to manage, verify, update or authorize their Medicare enrollments.
Instead, the Agency wants you to set up a PECOS Surrogacy enrollment account which allows you to work on your provider’s behalf using your own login. Failing to comply with these rules, means that you are NOT in compliance with CMS requirements – not somewhere you want to be.
There are strict guidelines for proper completion and compliance for managing Medicare PECOS surrogacy enrollment accounts, which means the accurate set-up of connection requests and access can be complex and confusing.
This is where enrollment expert and educator, David J. Zetter, PHR, SHRM-CP, CHC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP, CMHP, can help. During his 60-minute online training, David will walk you through how to set up your Identity & Access Management System (I&A) and Surrogacy accounts, so you get it right the first time. You’ll get step-by-step advice on how to set up connection requests that allow you to access multiple systems (PECOS, NPPES, & NPI). Also, you’ll receive instruction on how to utilize the multifactor authentication process.
Here are just a few of the easy-to-implement tactics you’ll receive by attending this 60-minute online training that will help you effectively set up and manage Medicare’s PECOS Surrogacy enrollment (and related services):
Efficiently add, modify and terminate providers from your group login
Comply with access rules for the Identify & Access (I&A) Management System
Efficiently manage organizational and individual practitioner enrollments in PECOS
Create an I&A account to securely access CMS systems such as NPPES & PECOS
Easily manage provider NPPES & PECOS accounts with your surrogacy program login
Successfully use your login to also manage your provider NPI records in NPPES
Choose your correct designation: Authorized/Access Manager (AO/AM) or Staff End User
More easily and quickly update practitioner information to avoid Medicare deactivation
Easily authorize your staff as PECOS & NPPES users to streamline workflow
And so much more….
By attending this expert-led online training, you’ll be able to more accurately and efficiently use the I&A systemto comply with Medicare surrogacy regulations. Your login will also give you access to multiple platforms (PECOS, NPPES, etc.) all from one easy login.
Using Medicare’s PECOS Surrogacy enrollment account accurately is one of the few occasions where complying with government regulations will actually save you time and headaches. With the click of a button, you’ll be able to tell which of your practitioners need updating or are missing information and be able to resolve the issue fast.
Whether utilizing the PECOS enrollment system to enroll a provider for the first time, modify an existing account or remove a practitioner from your group you must comply with Medicare access rules. This training will help you set up and utilize Medicare’s surrogacy process accurately and compliantly.
Don’t wait, sign up for this online training today.
PART 4: Speed Medicare Enrollment (855I/855R) Approval & Payments
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You have no choice. You must complete your Medicare provider enrollment forms 855I and 855R correctly, down to the letter, the first time, or risk not being paid.
Whether you use PECOS (Provider Enrollment, Chain, and Ownership System) or submit your Medicare provider enrollment forms manually, missing even one small step can have disastrous consequences for BOTH your new and existing providers. This is especially important considering the recent changes to the PECOS submission process.
Even a small blunder can bring your Medicare reimbursement to a halt – or worse, result in your providers not being able to see Medicare patients at all. Side-stepping the commonplace pitfalls that occur during the complex Medicare provider enrollment process is not easy. However, it is necessary if you want to get your new providers approved quickly and maintain your existing providers’ ability to be reimbursed by Medicare.
Fortunately, you don’t have to figure this out on your own…
This is where enrollment expert, Dreama Sloan-Kelly, MD, CCS, CPC, can help. During this online training session, Dr. Sloan-Kelly walk you through each part of the PECOS-driven CMS Forms 855I and 855R step-by-step. In only 60 minutes, you’ll receive proven strategies to ensure you get it right the first time.
Here are just a few examples of the expert Medicare enrollment advice you’ll receive by attending this online training:
Avoid missing Medicare submission deadlines to keep your cash flowing
Expedite cashflow, prevent common form errors when adding and terminating practitioners
Uncover Physician Assistant Medicare enrollment differences to get approved more quickly
Stop wasting your time enrolling practitioners that are notMedicare qualified
Identify the correct number of reassignments needed for multi-location practices
Collect required follow-up documentation to prevent delays and denials
Master Medicare Program Integrity Regulatory requirements to avoid rule violations
Proven tactics to speed up the approval of new practitioners and get paid faster
Comply with special considerations when terminating practitioner reassignments
Create a practical Medicare enrollment/termination checklist to get it right every time
Set up an airtight follow-up plan to keep track of application statuses
Transition an ordering/referring practitioner to one that can bill Medicare directly
Ace the reviewal process when enrolling an existing Medicare provider into another MAC
Correctly fill out paper Form 855I so Medicare doesn’t toss it out
Differentiate between enrollment for ordering/referring vs. billing professional services
And so much more . . .
Whether it’s your first time filling out CMS enrollment forms 855I and 855R, or you’ve been doing it for years, you’ll walk away from this upcoming training with actionable how-to tactics to help make your Medicare enrollment process easier and more successful – the first time.
During this practical online training, you’ll receive a detailed breakdown of every single step you must take to accurately complete and update your provider Medicare enrollment forms 855I and 855R – helping you avoid Medicare payment delays and denials. You’ll get the proven strategies and tools you need to seamlessly overcome Medicare provider enrollment stumbling blocks for both new and existing providers.
Don’t delay. Sign up for this expert-led online training today.
PART 5: Stop Provider Credentialing Headaches w/Proven Tracking Tools
Order the On-Demand Recording to Watch at Your Convenience.
Your providers are depending on you to accurately manage their credentialing and enrollment obligations. If something falls through the cracks, or if the information is not 100% accurate, your physicians can be left with no way to get paid.
Whether you are managing payer credentialing requests, updating hospital applications or adding a new provider, there are a million places where things can go wrong. Every payer, hospital, and government agency has their own unique requirements, and without the right monitoring tools, it can seem impossible to stay ahead.
Fortunately, credentialing expert, David Zetter, PHR, SHRM-CP, CHC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP, CMHP, can help. During this online training, David will walk you through each step of a successful credentialing and enrollment management process. Whether you are managing one or 100 providers, he’ll help you determine how you can streamline your current monitoring processes to reduce your hassle and improve the outcomes.
Here are just a few of the plain-English, easy-to-implement physician credentialing and enrollment monitoring strategies that you’ll receive by attending this 60-minute online training:
Head off the top barriers to successful enrollment before they’re a problem
Overcome the most common application “red flags” to keep revenue flowing
Determine whether a credentialing software is worth the cost
Pinpoint when and what process – enrollment, credentialing, or privileging – you need
Implement the keys that unlock a successful tracking system customized for your practice
How to successfully include hospital privileging tracking into the mix
Prevent lost enrollment applications with proven provider activity tracking tool
Understand the exact differences between credentialing and enrollment
Proven tactics to speed up your providers response time to your information requests
Avoid data overload, determine what information you really NEED to track
And so much more…
Who should attend? If you wants to cut hours from your credentialing and enrollment process or figure out to head delaying approvals, this session is a must-attend. It is also great if you’re new to credentialing, enrollment, or privileging, or needs a refresher.
The most common physician credentialing and enrollment errors are due to poor processes. Whether it’s a missed deadline or an incomplete application, the result can be financially devastating for your practice. The good news is, that with a few process modifications, you can improve the accuracy and timeliness of your credentialing and enrollment compliance and keep your reimbursement flowing.
You can lighten your credentialing and enrollment burden by registering for this expert-led, 60-minute online training. Sign up today.
Past Webinar Reviews:
“This was a great, basic training guide for new credentialing and provider enrollment personnel who are unfamiliar with CMSI & A, PECCOS, and NPPES.” – Marilla Knight, Emergence Health Network
“The content was well organized. Ms. Tokheim was knowledgeable about the different aspects of credentialing.” – Monica Martin, Central Nephrology Clinic
“The webinar was very thorough and explained the information well. The speaker did a great job teaching the subject.” – Joan Taylor, Callender Dermatology and Cosmetic Center
“The overall experience was seamless. It was helpful to have the handouts ahead of time. The presenter was engaging, knowledgeable, and articulate.” – Bridget Coleman
“I thought the webinar was great especially since I am new to credentialing.” – Kristine Keane, Shore Neuropsychology & Behavioral Health
“Very informative. Great job breaking down the information!” – Angie Young, Ferrell Hospital
100% Satisfaction Guaranteed or a Full Refund.
You take no risk whatsoever. If you find this essential session doesn’t meet your expectations or you are not satisfied for any reason, simply let us know.
A recognized leader known for crafting strategic vision to achieve business goals through the development and execution of process efficiency, out-of-the box thinking, and key management partnerships.
While serving as a Product Line Senior Director with Aperture Credentialing, LLC, Tracey has achieved a strong customer collaboration to secure customer commitment to efficient provider enrollment/credentialing and the use of our products to get to a very efficient process.
Tracey’s career is comprised of over fifteen years management experience and over ten years project management execution while being recognized by staff for exceptional customer focus and employee recognition opportunity as “One of our Best” nominated by employees and leaders.
Tracey has dedicated her adult career to health care organizations experiencing process failure and been a part of achieving process success, execution successful implementation of training and process change, and leaves a mark as a leader by example.
Tracey holds a Master’s in Business Administration and Project Management and donates time and dollars to help children play sports who otherwise cannot afford it. She also has a passion for the outdoors while spending time with family and on her Harley. Tracey lives in Minnesota hence being outdoors is a love and a must. Even in the cold!!!
David Zetter is the founder and President of Zetter HealthCare, LLC in Mechanicsburg, PA and has over 30 years of operational and healthcare experience. David is nationally recognized for his presentations and expertise. He is well versed in regulatory requirements, revenue cycle management, credentialing and contracting, compliance, coding and documentation. He is considered an expert on Medicare, not only by his clients, but his consultant colleagues across the country. He has evaluated existing ambulatory care facilities and practices with respect to patient flow, operations, marketing, fee structures, use of ancillary services and financial considerations; developing strategic plans to improve profitability and productivity. His activities in management and compliance include physician practices, IDTFs, hospitals, ASCs, pharmacy, DME and other facility types, including coding and broad‐based regulatory issues. David has also conducted chart audits on behalf of Medicare contractors and Blue Cross/Blue Shield early in his career, so he has knowledge of what the expectations are from the payers.
David’s firm works with healthcare professional clients and facilities coast to coast, in all areas of practice and facility management including start‐ups, buy‐ins, compensation, exit strategies, reimbursement enhancement, practice financial modeling, governance documentation, policy and procedure development and implementation, credentialing and contracting, human resources staffing and management, compliance, coding and chart reviews, physician education and many other areas. David has helped to maximize both profitability and reimbursement of physician practices, facility and ambulatory practices, re‐engineered operational and human resources, and addressed coding and billing issues for providers to curtail fraud, abuse, kickback, OIG, and IRS issues. He is also an original member of CMS’ PECOS Power User Group, CMS Compliance Focus Group and MIPS Design Lean Work Group which provides feedback and recommendations to Medicare’s Center for Program Integrity and Provider Enrollment Operations Group on design and improvements to the PECOS enrollment environment, as well as, NPPES and MIPS and conducts beta testing of the EHR/HITECH user interfaces and environments at the request of the Office of e‐Health Standards & Services Director. David is also on the CMS contracted team awarded the PECOS 2.0 contract to rebuild PECOS from the ground up.
David has conducted practice management, human resource, coding and compliance education and seminars in many states over the past twenty‐five years. David speaks often on a variety of practice management subjects at hospital residency programs, the National Society for Certified Healthcare Business Consultants, the Medical Management Group Association, the American Academy of Professional Coders, AHIMA, Florida Institute of Certified Public Accountants, Florida Medical Society, many other venues and is often called upon by the MGMA, HFMA, Decision Health, Part B News, Part B Insider, and many others, to conduct audio conferences and webinars. He has been published in Medical Economics and interviewed and quoted in many publications including Report on Patient Privacy and Report on Medicare Compliance.
David is a past President and current Executive Board Member of the National Society of Certified Healthcare Business Consultants. He has served on the Education Committee for more than twenty years and is a Certified Healthcare Business Consultant. He is a member of the Society for Human Resource Management and is a past Professional Development Chair and past Vice President of Human Resource Professionals of Central PA. David is also a past board member of the Central PA affiliate chapter of the American Academy of Professional Coders and is certified as a Professional Coder for physician practices, hospitals, and facilities. David is also a Certified Compliance Consultant and Officer. David is also a member of the American Health Lawyers Association, the Medical Group Management Association, and the Healthcare Financial Management Association.
David advises on and publishes operations policies and procedures manuals, employee handbooks, compliance manuals, HIPAA and OSHA and has published articles in numerous healthcare and human resource related magazines on subjects like coding and compliance, interviewing, recruitment, evaluations and disciplinary processes.
Dreama has over 14 years of experience in the medical field. A graduate of Wellesley College and Tufts University School of Medicine she has a varied background including clinical, billing, and coding. As CEO of Dr. Sloan-Kelly Consulting, Dreama speaks at various seminars, imparting her knowledge in an upbeat, matter of fact, manner.
Her goal is to provide attendees with only pertinent information to minimize the nonsense, and make sure everyone has fun at the same time. Dreama works with practices one on one, through coding consulting. She offers in-services seminars that can be held on or off-site. Dreama has learned in most seminars you spend a whole day only getting 20% of what you need, and 80% you leave – she has made it her goal to carve out the 20% that you need and giving you the take home message that will help you and your practice.
You and your entire team, at all your locations, can attend as many live and view as many recorded trainings as you like for 12 months.
You and your team, in one single location, can attend as many live and view as many recorded trainings as you like for 12 months.
Corporate Access: Select this option to receive online, on-demand access to your training across each of your locations. Setup will be initiated by our account team within 48 hours of your enrollment and can be utilized by your entire team.
Live + On Demand: You attend the training online at a specific date and time along with the expert presenter who will answer your questions. You’ll also have access to a recorded version of the training to access at your convenience.
Live + CD-ROM: You attend the training online at a specific date and time along with the expert presenter who will answer your questions. You’ll also be mailed a recording of the actual live event on CD-ROM.
Live Webinar: You attend the training online at a specific date and time along with the expert presenter who will answer your questions.
On-Demand Recording: Watch a recording of the live event anytime – as often and for as long as you’d like. Access the recording (including Q&A) online within 24 hours of the live training date and time. Simply log into your Healthcare Training Leader account.
CD-ROM: A recording of the actual live event (including the Q&A). Your CD-ROM will be mailed to you via USPS First Class Mail within 48 hours of the live training date.
