Medicare revalidation can be a challenging and evolving process, even for experienced practice managers. A single mistake can jeopardize your provider's ability to receive payment and continue treating Medicare patients. Rejected Medicare revalidations can lead to a loss of Medicare billing privileges (PAR vs. NON-PAR status), which could significantly impact your practice’s revenue, particularly if a large percentage of your patients are Medicare beneficiaries.

Yesenia Servin, an expert in Medicare enrollment and revalidation, will guide you through the complexities of the latest Medicare revalidation regulations. This session offers valuable, step-by-step instructions that you can use to streamline your Medicare revalidations, keep providers in good standing with Medicare, and maintain your income stream. Yesenia will provide actionable strategies to help ensure that your practice avoids unnecessary revalidation rejections, keeping revenue uninterrupted.

Learning Objectives:-

• Monitor CMS Medicare Deadlines: Learn how to establish an effective tracking system to ensure that your revalidation submissions consistently meet CMS deadlines, preventing disruptions in your Medicare payments.
• Medicare Surrogacy Designation: Gain insight into how to comply with Medicare’s surrogacy designation rules, which are essential for timely validations and maintaining Medicare participation.
• Master Revalidation Screening Criteria: Understand how to navigate the CMS screening criteria, which can help expedite approvals and reduce the risk of delays.
• Prevent Application Delays: Recognize which fields in the revalidation application are most prone to causing delays and how to avoid them.
• Identify & Resolve Issues: Use proactive methods to identify and correct potential issues before CMS imposes unnecessary fees, ensuring that your practice remains in compliance.
• Medicare’s Revalidation Lookup Tool: Learn to effectively use this tool to spot and address potential problems before they escalate into costly mistakes.
• Submit Accurate Applications: Discover best practices for making precise, error-free submissions, reducing the chances of revalidation rejections.
• Submit Changes Without Impacting Revenue: Gain strategies for making necessary changes during the revalidation process without interrupting income flow.
• Efficiently Manage PECOS: Master the use of the Provider, Enrollment, Chain, and Ownership System (PECOS) to manage both organizational and individual revalidations with ease.
• Set Up a Secure I&A Account: Understand how to set up your Identity & Access Management (I&A) account properly to streamline your use of PECOS and the National Plan and Provider Enumeration System (NPPES).
• Understand Revalidation Denials: Learn the common reasons why Medicare revalidations are denied or rejected and how to avoid these pitfalls.
• Create Your Own PECOS Login: Ensure that your PECOS login system is properly set up to avoid costly penalties and enhance the efficiency of your Medicare revalidations.

Areas Covered:-

• Medicare Application Process: Get familiar with the key aspects of the Medicare application and revalidation procedures.
• Medicare Revalidation Rules: Understand the latest rules governing Medicare revalidations, helping you stay up-to-date with current requirements.
• CMS Deadlines and Timelines: Learn the critical deadlines and submission timelines required by CMS to avoid revalidation delays.
• Medicare Revalidation Lookup Tool: Become proficient in using Medicare’s Revalidation Lookup Tool to monitor your revalidation status and avoid costly errors.
• PAR vs. Non-PAR Status: Understand the differences between PAR (participating) and NON-PAR (non-participating) status and how they affect your practice’s ability to treat Medicare patients.
• PECOS Management: Gain insights into effectively managing both organizational and individual revalidations within PECOS.
• CMS PECOS Updates: Stay informed about the latest updates on PECOS from CMS to ensure smooth revalidation processes.
• Creating a PECOS Login System: Learn how to set up a secure and efficient PECOS login system for yourself and your practice.
• NPPES & I&A Account Setup: Understand how to safely and correctly set up your NPPES and I&A accounts to avoid revalidation issues.

Why Should You Attend?

This session is designed for healthcare practice managers, billing professionals, and providers involved in Medicare revalidation processes who want to ensure compliance with CMS requirements and avoid costly rejections or delays. Join us to master the Medicare revalidation process and secure your practice’s financial health.

Who will Benefit?

• Credentialing Specialist
• Revenue Cycle Managers
• Enrollment Specialist
• Hospitals
• Mental Health Providers
• Practice and Clinic Owners
• Hospital Leadership
• Authorized Officials
• Delegated Officials
• Revenue Cycle Directors
• Office Manager
• Revenue Cycle Staff
• Operations Staff
• Billing Team
• In and Out of Network Providers
• Medical Billing Companies
• Providers Office Staff
• Physicians
• Hospitals and Facilities
• Insurance Companies
• Healthcare Attorneys
• Executive and Administrators
• Front Desk
• Authorizations Staff
• Medical Assistants
• Certified Nursing Assistants.