Description:

In a world where competence, trust, and quality are paramount, credentialing is the guardian of excellence. Whether you are a healthcare professional aiming to provide the best care to your patients, an educator nurturing the minds of the future, or an organization committed to maintaining the highest standards, the process of credentialing is the key to validation.

Credentialing is pivotal plays in a landscape where the line between expertise and inexperience can be razor-thin. Credentialing is verifying and assessing the qualifications and background of individuals or organizations, such as healthcare providers, to ensure they meet specific standards and requirements.

Credentialing isn’t just about paperwork and procedures; it’s about trust, accountability, and delivering the best service. Join Catti Harris for a comprehensive step-by-step guide to providing credentialing, including printable and customizable forms for payer/application cover letters, provider documentation requirements, Verification of Documentation, CV requirements, application submission, payer linkage, provider revalidation, employment history, and to set up CAQH, PECOS, NPPES, and Identity & Management, and much more. The webinar will explain tracking tools that will aid in the tracking/verification of provider documents and payer application tracking.

Successful Provider Credentialing is critical to the financial health of your provider's business. Building a solid foundation for your credentialing process will result in less frustration, minimal financial impact, and faster processing/approvals.

A Guide to Provider Credentialing Success:

• Research
• Preparation
• Tracking
• Communication

Webinar Highlights:

• When to start credentialing.
• Setup and Maintenance of NPPES, I&A Management System, CAQH, and PECOS.
• How to review, validate, and track provider documents.
• How to Prepare, Review, Submit, and Track Payer Applications.
• Items to be completed once the provider is credentialed/contracted.
• Linking of a previously credentialed provider with payers to your tax id/contracts.
• Brief overview of Provider Revalidations. 
• Focuses on the provider credentialing process's preparation, submission, and completion.
• Improve the provider enrollment process's tracking, accuracy, timeliness, and compliance. 
• Steps to Minimize Financial Impact.
• Linking with Provider and Mid-Level. 
• Effective, Timely Communication for updating application status with providers.
• Define the Expectations of the Provider/Provider Support Staff for the return of
• documents and communication.
• Payer-Specific Enrollment and Application Information.
• Organizing Preparation into two sections – Provider Document Preparation Payer Document Preparation. 
• All Payers require re-credentialing/re-validation once the provider is credentialed.
• Document Tracking Tools – Provider Document Checklist, Excel Tracking Spreadsheet.

Why Should You Attend:

Credentialing can improve knowledge, enhance professional skills, provide a comprehensive overview of the credentialing process, and contribute to healthcare operations' overall quality and efficiency. It also minimizes the financial impact on your practice, provider, and patient by implementing procedures that will ensure an efficient, timely, and effective process.

Who Should Attend:

• Credentialing and Enrollment Specialists
• Credentialing and Enrollment Support Staff
• Credentialing and Enrollment Experts
• Credentialing and Enrollment Leaders
• Healthcare Administrative Teams, Personnel
• Practice and Clinic Managers
• Healthcare Billing Specialist
• Staff Providing NPI Support, NPPES Support
• PESC, CPMSM, CPCS, MSPs
• Staff Providing CAQH Support
• Staff Providing PECOS Support
• Allied Health Providers
• Advance Health Practitioner
• Providers (MD, DO, NP, PA)
• Office Managers and Coders
• Revenue Cycle Managers
• Billing Specialist and Claims Teams

Presenter Information:

Name: Cati Harris

Cati Harris, CBCS is a nationally certified credentialing, billing, and coding specialist, with over 20 years of experience in the healthcare industry. Cati is the Director of Provider Credentialing and Contracting with Solor, Inc., a third-party billing company providing physicians across all specialties full-service revenue cycle management, billing, and credentialing. Cati’s expertise extends through managing credentialing services, implementing successful enrollment programs, and contract/fee schedule negotiations for providers with all major payers