Improve Provider Payer Enrollment Approvals

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A simple credentialing or provider enrollment application mistake can quickly turn into a nightmare. Your claims can be held, your payments delayed, your A/R write-offs increased, and you can even be denied payment altogether.

You would think that accurately completing credentialing forms and enrollment applications would be quick and easy. Unfortunately, there are numerous missteps that can easily trip you up (even if you have years of experience) – unless you know how to identify and rectify them.

That’s where credentialing and enrollment expert, Amy M. Niehaus, CPMSM, CPCS, MBA, can help. Amy will provide you with exactly what you need to do to more accurately, efficiently and effectively get your providers credentialed with the top payers. After listening, you’ll be able to get your providers credentialed and enrolled with payers quicker and easier to avoid any loss or delay to your reimbursement.

Here are just a few of the proven, plain-English tactics you’ll receive by taking advantage of this 60-minute online training:

    • Speed up approval of your enrollment applications to get paid faster
    • Head off re-credentialing errors that freeze up your reimbursement
    • Utilize NCQA credentialing tactics to avoid enrollment denials
    • Avoid provider work-history gaps from delaying provider approval
    • Prevent outdated attestations from holding up your enrollments
    • Improve your onboarding processes to speed up your approvals
    • Incorporate follow up systems that significantly reduce verification delays
    • And so much more…

WHO SHOULD WATCH: Any provider practice regardless of specialty or practice size that must manage new and existing payer enrollment applications.

Getting and keeping your providers enrolled in the most popular payer networks is the only way to ensure the success of your practice. However, it can be complicated and time consuming, but it doesn’t have to be. You can significantly improve your payer enrollment accuracy and approval ratings by investing just 60 minutes of your time. Don’t wait, register for this online training session today!

REQUIREMENT: You must have a good understanding of credentialing and enrollment activities within a healthcare or physician organization to maximize your benefit from this presentation.

Meet Your Expert

Amy M. Niehaus
MBA, CPMSM, CPCSCredentialing, Enrollment and Medical Staff Services Consultant

Amy has over 25 years’ experience in the areas of accreditation, regulatory compliance, credentialing, process simplification/re-design, credentialing technology, CVO development/certification and delegation.

She has developed and presented various programs on credentialing and privileging processes, TJC, NCQA and URAC accreditation standards, and delegation and is the author of the recently published book, “Credentialing for Managed Care: Compliant Processes for Health Plans and Delegated Entities.”

Amy has been a National Association Medical Staff Services (NAMSS) member since 1991, became CPMSM certified in 1992 and received her CPCS certification in 2002. She is a NAMSS instructor and previously served as Chair of its MCO Task Force and Education Committee.

She is a former President of the Missouri Association Medical Staff Services and its Greater St. Louis Area Chapter. She holds a Bachelor’s of Science degree from the University of Missouri and a Master’s degree in Business Administration from Maryville University in St. Louis.