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Credentialing 101: A Comprehensive Guide to Provider Credentialing

By - WaveCompliance Experts

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Are you looking to understand the provider credentialing process? Do you need a comprehensive guide to help update your credentialing methods with payer-specific details? Whether you’re building a new process or refining an existing one, this webinar is designed specifically for you!

Join expert speaker, for an in-depth, comprehensive webinar on successfully credentialing providers and mid-level providers. This session provides a detailed, step-by-step guide to provider credentialing, featuring over 10 printable and customizable forms. You’ll learn how to create effective payer/application cover letters, meet provider documentation requirements, verify credentials, handle CV requirements, manage application submissions, and much more. We’ll also supply you with essential tracking tools to streamline the verification of provider documents and monitor payer applications.

In addition, you will discover how to set up and maintain CAQH, PECOS, NPPES, and Identity & Access Management systems, understand credentialing documentation requirements, and navigate payer application processes from preparation to submission. You’ll also gain insight into key steps to take once credentialing is completed and approved.

This information-packed webinar will conclude with a live Q&A session, offering you the chance to clarify any doubts and ask questions.

Learning Objectives:

  • Determine the optimal timing to begin credentialing for providers and mid-level professionals.
  • Identify the critical information needed to start the credentialing process.
  • Understand the required documents for credentialing a provider.
  • Learn how to verify and validate provider documents effectively.
  • Master tracking and managing provider documents.
  • Set up and maintain a comprehensive provider file.
  • Navigate payer-specific enrollment information.
  • Handle setup, maintenance, and attestation of CAQH, PECOS, NPPES, and Identity & Access Management systems.
  • Complete payer enrollment applications accurately.
  • Submit provider enrollment applications successfully.
  • Understand payer-specific requirements for applications and submission.
  • Track submitted payer enrollment application packages.
  • Recognize processing times and how to handle flagged applications.
  • Communicate effectively to update application status with providers.
  • Follow the correct steps once credentialing is approved by the payer.

Areas Covered:

  • Creating a provider welcome package
  • Documenting and verifying provider requirements
  • Tracking and maintaining provider documents
  • Setting up and maintaining CAQH, PECOS, NPPES, and Identity & Access Management
  • Understanding payer application requirements and submission processes
  • Navigating payer-specific enrollment information
  • Tracking and managing payer application submissions
  • Enrolling providers in Medicare/Medicaid
  • Linking providers to payers
  • Communicating efficiently and timely
  • Completing post-approval steps for provider credentialing
  • Utilizing multiple printable and customizable forms, letters, and tracking tools
  • Participating in a live Q&A session

Who Should Attend:

  • Credentialing and Enrollment Specialists, Support Staff, Experts, and Leaders
  • Healthcare Administrative Teams and Personnel
  • Practice Managers
  • Healthcare Billing Specialists
  • Staff involved in NPI, NPPES, CAQH, and PECOS support
  • Clinic Managers
  • Allied Health Providers
  • Advanced Health Practitioners
  • Providers (MD, DO, NP, PA)
  • Office Managers, Operations, Revenue Cycle Managers
  • Practice Owners, Billing Specialists, Coders, Claims Teams
  • Medical Services Professionals (MSPs)

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Choose an option
Recording
$199.00
Recording & Transcript
$299.00
Recording & DVD
$349.00
Recording, DVD & Transcript
$349.00
Transcript
$199.00
DVD
$249.00
Flash Drive
$249.00
DVD & Transcript
$349.00
Flash Drive & Transcript
$349.00

Speaker Detail

WaveCompliance Experts

Join us for an enlightening session led by the industry's veteran subject matter experts. Our esteemed speakers bring a wealth of knowledge and experience, ensuring a comprehensive and engaging webinar.

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