Overview:

Are you seeking to enhance your expertise in provider credentialing management? Are you responsible for maintaining your providers' CAQH profiles, payer enrollments, and revalidation processes? Have upcoming revalidation deadlines created urgency in your organization?

If you answered affirmatively to any of these questions, this specialized webinar provides the comprehensive solution you need.

Join credentialing expert Cati Harris, CBCS, for this intensive training session that delivers step-by-step methodologies for maintaining provider CAQH databases, PECOS registrations, insurance payer enrollments, and completing provider revalidation requirements. This comprehensive webinar serves as a complete guide to provider credentialing management, enrollment maintenance, and revalidation procedures. Participants will receive multiple printable and customizable resources including payer application cover letters, documentation requirement checklists, verification templates, CV guidelines, application submission trackers, payer linkage documentation, revalidation forms, employment history templates, and numerous additional practical tools.

This information-rich webinar concludes with an interactive live question-and-answer session addressing your specific credentialing challenges.

Learning Objectives:

• Identify requirements for maintaining active provider enrollment with insurance payers

• Establish and maintain comprehensive provider files

• Manage CAQH, PECOS, and NPPES profile updates and maintenance

• Determine essential documentation for provider credentialing

• Implement effective provider document verification and validation processes

• Develop systematic tracking for provider documentation

• Navigate payer-specific enrollment requirements

• Execute provider linkage to group contracts

• Complete provider revalidation procedures accurately

• Apply advanced credentialing techniques and efficiency tips

• Track submitted revalidations and ongoing maintenance requirements

• Understand processing timelines and identify application flags

• Implement effective communication protocols for provider status updates

Areas Covered:

• Provider Documentation Requirements and Checklists

• Verification and Validation Methodologies for Provider Credentials

• Provider Document Tracking Systems and Best Practices

• Provider File Establishment and Maintenance Protocols

• CAQH, PECOS, NPPES, and State Medicaid System Management

• Ongoing Provider Enrollment Maintenance Procedures

• Provider Revalidation Processes and Timelines

• Payer Enrollment Application Tracking

• Medicare/Medicaid Enrollment Maintenance

• Provider-to-Payer Linkage Procedures

• Efficient Provider Communication Strategies

• Printable/Customizable Forms, Letters, and Tracking Tools

• Live Interactive Question and Answer Session

Who Should Attend:

• Credentialing and Enrollment Specialists and Support Staff

• Credentialing Department Leaders and Experts

• Healthcare Administrative Teams and Personnel

• Practice Managers and Clinic Managers

• Healthcare Billing Specialists and Revenue Cycle Staff

• NPI, NPPES, CAQH, and PECOS Support Staff

• Certified Provider Credentialing Specialists (CPCS) and Medical Services Professionals (MSP)

• Allied Health Providers and Advanced Practice Clinicians

• Physicians (MD, DO), Nurse Practitioners, and Physician Assistants

• Office Managers and Operations Personnel

• Practice Owners and Revenue Cycle Managers

• Medical Coders and Claims Processing Teams