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Mastering Provider Credentialing: Enrollments, Updates, and Revalidations Simplified

By - WaveCompliance Experts

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Provider Credentialing Mastery: Keep Your Enrollments, Updates, and Revalidations Up to Date

Are you looking to enhance your credentialing expertise? Do you manage provider enrollments and ensure their CAQH profiles and credentials are current with all payers? Is it time for your provider’s revalidation?

If you answered yes to any of these questions, this webinar is perfect for you!

Join credentialing expert Cati Harris, CBCS, for an in-depth session designed to equip you with the essential steps to manage your provider’s CAQH profiles, PECOS registrations, payer enrollments, and revalidation processes. This comprehensive webinar covers all aspects of provider credentialing, from enrollment maintenance to completing revalidations, and provides valuable resources such as customizable forms for payer applications, documentation checklists, verification procedures, CV requirements, submission protocols, and much more.

By the end of this informative credentialing webinar, you’ll have the chance to participate in a live Q&A session to address any lingering questions.

Key Learning Objectives:

  • Essential steps to maintain provider enrollment with various payers
  • Effective setup and maintenance of the provider file
  • How to manage CAQH, PECOS, and NPPES profiles
  • Required documentation for provider credentialing
  • Techniques for verifying and validating provider documents
  • Best practices for tracking provider documentation
  • Payer-specific enrollment guidelines
  • Linking providers to group contracts
  • Completing provider revalidations efficiently
  • Advanced credentialing skills and tips
  • Monitoring and maintaining submitted payer revalidations
  • Identifying and addressing flagged applications
  • Strategies for effective communication with providers about their status\

Topics Covered:

  • Comprehensive provider documentation requirements
  • Verification and validation of provider documents
  • Strategies for tracking provider documents
  • Setting up and maintaining provider files
  • Managing CAQH, PECOS, NPPES, and other key systems
  • Maintaining up-to-date provider enrollments
  • Navigating the provider revalidation process
  • Tracking payer enrollments and revalidations
  • Medicare and Medicaid enrollment maintenance
  • Linking providers to payers and managing relationships
  • Streamlining communication for timely updates
  • Access to multiple customizable forms, letters, and tracking tools
  • Interactive live Q&A session

Who Should Attend:

  • Credentialing and Enrollment Specialists and Support Staff
  • Healthcare Administrators and Office Managers
  • Practice Managers and Healthcare Billing Specialists
  • Revenue Cycle Managers and Teams
  • Coders and Claims Teams
  • Providers, including MDs, DOs, NPs, and PAs
  • Allied Health Professionals and Advanced Practice Providers
  • Staff involved in NPI, CAQH, PECOS, and NPPES support
  • Clinic Managers and Practice Owners

Don’t miss this opportunity to enhance your credentialing skills and ensure your providers’ credentials are always up to date!

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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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