Description

• Importance of enrollment accuracy in complex healthcare organizations
• Government Payers & Compliance Requirements Multiple TINs and NPIs
• Multi-Specialty Organizations Enrolling and credentialing providers across different specialties
• Payer directory accuracy and specialty designation challenges
• Coordinating with credentialing, enrollment, and billing teams
• Case Studies & Scenarios
• Best Practices & Tools

Areas Covered in the Session:-

• NPI
• NPPES
• Medicare
• Medicaid
• Credentialing
• Enrollment
• Locums
• Enrollment Process
• Provider Rosters
• Timeline tracking
• Reporting
• Turn Around Time
• CAQH
• PECOS and Medicare enrollment pathways
• Medicaid variations by state
• Supervised providers (residents, fellows, advanced practice providers)
• Common pitfalls and audit risks

Learning Objectives:-

• Analyze and apply payer-specific requirements for government programs (Medicare/Medicaid) and supervised provider arrangements to ensure compliant and timely enrollments.
• Manage complex organizational structures by accurately enrolling and maintaining providers across multiple TINs, NPIs, and specialties.
• Develop strategies to prevent delays and revenue loss through proactive tracking, compliance monitoring, and coordination between credentialing, enrollment, and billing teams.

Build on the credentialing and enrollment processes you have already learned and implemented.

Who Will Benefit? 

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