Overlooking even one small detail in PECOS enrollment can be devastating to your practice. Your provider can end up losing patients, getting cut from payor networks and having no Medicare reimbursements. The consequences of this combined revenue loss could be catastrophic.
You know PECOS enrollment has a ton of requirements that are difficult to maneuver and keep straight, any of which can lead to huge reimbursement losses. However, armed with expert guidance and proven monitoring tools, you can keep your practice’s payor dollars flowing and even increase them.
The good news is that there are proven steps you can take to make managing PECOS enrollment easier, faster, and more accurate – if you know how …
Fortunately, help is available from enrollment experts, Tracey Tokheim, Yesenia Servin and Gretchin S. Heckenlively, CPA, FHFMA. During this 3-Part online training series, they will walk you through mastering PECOS enrollment basics along with the nuances of the system to keep your practice’s bottom line healthy.
Take a look at the four parts below.
Part 1: Master Provider Enrollment Basics to Keep Your Revenue Flowing Part 2: Medicare Enrollment: More Accurately Add, Reassign & Terminate Part 3: Stop Payment Losses for Multi-Practice Credentialing Errors
Read below to learn more about each of these can’t miss training sessions.
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Master Provider Enrollment Basics to Keep Your Revenue Flowing Formats Available: On-Demand Recording, CD-ROM, Corporate Access | Order only this session
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 head off 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.
Medicare Enrollment: More Accurately Add, Reassign & Terminate Formats Available: On-Demand Recording, CD-ROM, Corporate Access | Order only this session
Making a mistake when adding, reassigning and/or terminating your Medicare practitioners can have devastating financial and legal consequences on your practice. Your practice is counting on you to keep the reimbursement dollars flowing. PECOS Enrollment basics.
The problem is Medicare enrollment processes are complex and confusing, and there are a million hoops you must jump through to get them right. And the frequent rule changes make it difficult to comply, even if you’ve got years of experience. Terminate Medicare Enrollment. Getting it wrong really isn’t an option…
There is help available, and enrollment and credentialing expert, Gretchin Heckenlively, CPA, FHFMA, is the answer.
During this 60-minute online training session, Gretchin will walk you through how to more accurately add, reassign and terminate practitioners from Medicare. She’ll walk you through how to overcome the most common enrollment mistakes and leave you with checklist you and your team can use to get it right going forward. By taking advantage of this 60-minute online training, you’ll be able to more accurately add, reassign and terminate practitioners from being able to bill Medicare at your practice. PECOS Enrollment basics.
Here are just a few of the expert strategies you’ll receive to be able to terminate Medicare enrollment with ease:
Avoid missed Medicare submission deadlines and get revenue flowing
Speed up the approval of new practitioners and get paid faster
Clearly differentiate between ordering/referring and billing for professional services
Master how to transition an ordering/referring provider to one that can bill Medicare directly
Avoid common enrollment form errors for both adding and terminating practitioners to your group
Determine when to use PECOS online or CMS paper form for enrollment/termination
Create a comprehensive enrollment/termination checklist to get it right every time
Ace the MAC review process and get your practitioners approved more quickly
Avoid lost reimbursement for groups with multiple Provider Transaction Access Numbers (PTANs)
Comply with special considerations when terminating practitioner reassignments
Uncover Physician Assistant Medicare enrollment differences to get approved more quickly
Determine how to correctly handle MAC development requests the first time
Master Medicare Program Integrity Regulatory requirements to avoid rule violations
Stop wasting time enrolling practitioners that are not Medicare qualified
Identify the correct number of reassignments needed for multi-location practices
Comply with PECOS record surrogacy requirements to head off compliance headaches
Choose the correct Medicare enrollment form every time to get paid faster
Sidestep costly mistakes when removing practitioners from your Medicare group
And much more…
There is a lot riding on you when it comes to adding, reassigning, and terminating Medicare practitioners for your practice. The results, both negative and positive, can have a profound impact on your practice’s ability to stay afloat. Don’t wait, sign up today.
Stop Payment Losses for Multi-Practice Credentialing Errors Formats Available: On-Demand Recording, CD-ROM, Corporate Access | Order only this session
Managing the credentialing, enrollment and reassignment for multiple practices increases your chance of error (and revenue loss) exponentially. There are hundreds of hoops you are required to jump through to keep your provider and practice information accurate and up to date. One simple mistake can significantly delay your reimbursement, or make it dry up altogether.
The good news is that there are proven steps you can take to make managing the credentialing, enrollment, and reassignment for multiple practices easier, faster, and more accurate – if you know how …
That’s where nationally certified credentialing specialist Yesenia Servin, CPMSM, PESC, can help. During her online training session, she’ll walk you through the unique rules and systems that apply when you enroll and credential clinicians at multiple locations. Credentialing providers at multiple locations. She’ll provide you with the EXACT processes for handling multiple NPI, Tax ID, and delegated agreements you must put in place to speed up your flow and avoid losing reimbursement. PECOS Enrollment basics.
Here are just a few of the multiple location provider credentialing and enrollment strategies you’ll learn from this 90-minute online training:
Proven process flow successfully tracks every providers’ expiration and revalidation dates
Correctly choose your setup: delegated agreement or individual application
Adhere to CMS multiple NPIs and multi-practice process rules
Speed reimbursements – choose each practice’s correct place of service address
Efficiently enroll and credential multiple providers and multiple locations
Easily get ALL new provider services paid with your exact patient service start date
Stop reimbursement delays from payer detail errors
Decide if and who you should set up as an Authorized Official for all your locations
Cut errors and time with expert credentialing process streamlining tips
Avoid fines by meeting CMSLocations Rule
How to use PECOS and CAQH to streamline your credentialing processes
Derail denials from your out-of-dateprofiles
Halt unauthorized access with employee/employer associations addition and removal
Streamline submission – fill out only the portions of the CMS-855 forms that apply to each provider
And so much more!
Your providers depend on you to have a smooth enrollment and credentialing plan that keeps your reimbursements flowing. Yesenia’s 20 years of experience will show you how to use CAQH, NPPES, and payer networks to manage your providers’ and locations’ benefits much more easily and in much less time.
“Excellent! I loved the examples and grids. Very well done. I look forward to more like this!” – Tracey Thompson, Credentialing, Enrollments & Applications Manager, Eskenazi Health
“I loved it!!! Very detailed, wonderful advice, and love that she gave resources!” – Linde Ashley, Office Specialist, Klamath Basin Behavioral Health, Oregon
“Tracey did well in explaining every detail that needed to be explained. She made sure to hit the process from beginning to end and how a person can do it on their own.” – Marisol Perez, Executive Assistant, CENTA, Indiana
“I only track 4 providers, but I found the organizing tools applied to other aspects of my job. BTW: When you add a new doctor every 4 years a brush up on requirements is needed.” – Connie Cooper, Administrative Support, EyeCare Associates of Texas
“Tracey NEVER disappoints! I’ve done a webinar with a very similar name by another training site; they spent the entire time trying to sell me a software package. I love that samples were provided that I can incorporate into what I am already using! Thank you once again for the fantastic training! I never feel like I’ve wasted my time or the Hospital’s money with Tracey!”
– Wendy Birch, Clinic Supervisor, Yoakum County 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.
Tracey is 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!!!
Gretchin is a CPA and Partner in the Health Care Consulting division at Seim Johnson, LLP. She joined the firm in 1997 in the HealthCare Audit Division providing audit and Medicare/Medicaid cost reporting services on over 100 engagements.
In 2006, Gretchin left Seim Johnson to pursue an opportunity as the Chief Financial Officer of a critical access hospital. There she gained valuable experience in both the financial and clinical arenas of a hospital.
Gretchin rejoined the firm in 2010, and since that time, she has been able to bring frontline knowledge and understanding of working in a healthcare environment to the consulting division. Her focus is on Medicare and Medicaid provider enrollment, Medicare provider-based issues and reimbursement.
Gretchin has given many presentations on a wide range of healthcare, and not-for-profit related topics at a local, state and national level and currently serves on the CMS Central Office PECOS Focus Group and the CMS Central Office Provider Compliance Focus Group.
Also, she is an active member of Healthcare Financial Management Association (HFMA) and is a past President of their Nebraska Chapter. She also served as the Treasurer of HFMA Region 8. Gretchin graduated from Doane College in May 1997 with a Bachelor of Science Degree in Accounting and Finance.
Yesenia Servin is a nationally certified credentialing specialist, with over 20 years of experience in healthcare credentialing, contracting and payer enrollment. Her background includes working with various healthcare organizations, Durable Medical Equipment (DME), Managed Care Organizations (MCO), Community Mental Health Centers (CMHC), and Academic Health Systems.
In addition to her role with Loyola University Medical Center, Yesenia has built her professional consultation business to serve healthcare professionals of all specialties. As a well-rounded credentialing specialist, her expertise extends through managing both provider credentialing and payer credentialing and enrollment.
Yesenia enjoys spending time with her family and jumping into the mini-van with them for a road-trip.
Live Webinar: You attend the training online at a specific date and time along with the expert presenter who will answer your questions.
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.
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.
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 + 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.
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.
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.
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