Credentialing and Provider Enrollment 102

Live Webinar 60 Minutes
May 16, 2025 01 : 00 PM EST 7 Days Left

This is the second session of our Credentialing and Enrollment series. Yesenia presents this detailed, comprehensive webinar, teaching you to successfully credential your providers and mid-level providers. This webinar features a complete step-by-step guide to provider credentialing, including customizable forms for payer/application cover letters, provider documentation requirements, Verification of Documentation, CV requirements, application submission, payer linkage, provider revalidation, employment history, and much more! You will be provided tracking tools to aid in the tracking/verification of provider documents and payer application tracking.

  • Provider Documentation Requirements
  • Verification/Validation of Provider Documents
  • Provider Document Tracking
  • Setup/Maintenance of Provider File
  • Setup/Maintenance of CAQH, PECOS, NPPES, I/A
  • Provider Portals & Profiles
  • Payer application requirements
  • Payer application prep/submission
  • Payer-specific enrollment information
  • Payer application tracking
  • Medicare/Medicaid Enrollment
  • Provider Linkage to Payer
  • Efficient and Timely Communication
  • Steps to complete once the provider is approved by the payer
  • Multiple Printable/Customizable Forms, Letters, Tracking Tools
  • Live Q&A Session.

Learning Objectives:-

  • Setup/Maintenance/Attestation of CAQH, PECOS, NPPES, I&A
  • How to complete the payer enrollment applications
  • Follow-up process for provider enrollment applications
  • Payer-specific requirements for applications and submission
  • Payer-specific contact and submission information
  • Tracking of payer enrollment application packages.

Areas Covered in the Session:-

  • CMS PECOS
  • Medicare application
  • Medicare revalidation
  • Medicare
  • DME
  • Ordering & Prescribing
  • Mental Health Providers
  • LCPC, LMFT
  • RHC, RHE, Hospitals 
  • MACs
  • CHOW
  • Organization ownership data 
  • NPI Profile
  • CAQH
  • Workflow
  • Provider Enrollment
  • Credentialing
  • EFT.

Who will Benefit? 

  • Practice Managers
  • PESC
  • CPMSM
  • Revenue Cycle
  • Directors
  • CFO
  • Credentialing
  • Provider Enrollment
  • EFT Enrollment
  • Operations.

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* For personalized assistance and special considerations for group bookings with 6 or more attendees, we invite you to get in touch with us. Our dedicated team is ready to address your specific needs and provide tailored solutions. Feel free to give us a call at +1(855) 718-3101 or reach out to us via email at cs@Profeducations.com. Your satisfaction is our priority, and we look forward to ensuring a seamless experience for you and your group. Thank you for considering Profeducations for your educational needs!


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