Head Off Provider Credentialing Headaches with Proven Tracking Tools

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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. Physician credentialing

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.

Meet Your Expert

David J. Zetter
PHR, SHRM-CP, CHC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP, CMHPFounder & President, Zetter Healthcare Management Consultants

David Zetter is the founder and President of Zetter HealthCare, LLC in Mechanicsburg, PA and has over 30 years of operational and healthcare experience.

Many recognize David nationally for his presentations and expertise. He excels in revenue cycle management, credentialing and contracting, compliance, coding and documentation. People see David as 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, use of ancillary services and financial considerations; developing strategic plans to improve profitability and productivity. David Zetter’s activities in management and compliance include physician practices, IDTFs, hospitals, ASCs, pharmacy, DME and other facility types. This includes 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. This gave David the knowledge of what the expectations are from the payers.

David’s firm works with healthcare professional clients and facilities coast to coast. Zetter’s specialties include all areas of practice and facility management including start‐ups, buy‐ins, compensation, exit strategies, reimbursement enhancement, practice financial modeling, and governance documentation. Zetter’s firm may also assist you in policies and procedures, credentialing and contracting, HR management, compliance, chart reviews, and more.

David has helped to maximize both profitability and reimbursement of physician practices, facility, and ambulatory practices. He also re‐engineered operational and human resources, addressing coding and billing issues for providers to curtail fraud, OIG, and IRS issues.

 Engagements and Associations

He is also an original member of CMS’ PECOS Power User Group, CMS Compliance Focus Group and MIPS Design Lean Work Group. This group provides feedback to Medicare’s Center for Program Integrity and Provider Enrollment Operations Group on design and improvements to the PECOS enrollment environment. It also provides feedback for NPPES and MIPS and beta tests the EHR/HITECH user interfaces. 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, HR, coding, and compliance education and seminars in many states over the past twenty‐five years. He speaks often on a variety of practice management subjects at hospital residency programs. This includes the NSCHBC, MGMA, AAPC, AHIMA, Florida Institute of Certified Public Accountants, Florida Medical Society, and many other venues. David Zetter works with MGMA, HFMA, Decision Health, Part B News, and Part B Insider to conduct audio conferences and webinars. He is published in Medical Economics and interviewed in publications including Report on Patient Privacy and Report on Medicare Compliance.

David is the current President and Executive Board Member of the National Society of Certified Healthcare Business Consultants. He has served on the Education Committee for more than fifteen years and is a Certified Healthcare Business Consultant. David is a member of the Society for Human Resource Management and former Professional Development Chair/ Vice President of Human Resource Professionals of Central PA. David is a former board member of the Central PA affiliate chapter of the AAPC and is certified as a Professional Coder for physician practices, hospitals and facilities. Additionally, he is also a Certified Compliance Consultant and Officer. Zetter is a member of the AHLA, the MGMA and the HFMA.