Session 1 - Insurance Credentialing - Your Complete Guide For Ultimate Success

Speaker - Toni Elhoms

Webinar Description

Insurance credentialing is quickly becoming a very time consuming and difficult to manage process within most private provider offices. Getting credentialed and keeping up with all the necessary requirements can be a daunting task. Payers over the years are requiring more of the providers and if you don’t keep up with these things, it could mean costly denials and endless issues with claims.

During this 60 minute webinar our speaker will cover this process in detail and uncover secrets to help this process move more smoothly. She will also provide criteria and documents needed to get credentialed and provide specific information on how to streamline the process and how to avoid common pitfalls.

Join us for this highly informative webinar about insurance credentialing. It will ease your mind and will surely give you the tools to be more confident about this process moving forward.

Webinar Objectives

  • Credentialing overview-review of process in detail
  • Re-credentialing requirements-what this means and how it’s done
  • Common errors and pitfalls during credentialing-how to avoid
  • Documentation requirements-what is needed and how often

Webinar Agenda

  • Credentialing overview
  • Documentation needed
  • Where to start
  • Follow up for success
  • Common pitfalls
  • Re-credentialing
  • Q&A session

Webinar Highlights

  • How to properly credential with insurance
  • Follow up techniques for success
  • Re-credentialing tools to alleviate stress
  • Importance of accuracy of information
  • Specific insurance nuances from our expert

Session 2 - Medicare enrollment revalidation form filling, fees, documentation & pitfalls - Latest Updates

Speaker - Toni Elhoms

Webinar Description

The process of enrolling with Medicare as a provider/organization can be incredibly tedious and time-consuming.  Even though Medicare is the largest insurer in the country, the number of new Medicare enrollment applications continues to decline due to the enormous complexities surrounding enrollment application requirements.  The cost of getting these enrollment application submissions wrong can have systemic consequences on an organization, including cash flow delays, credentialing issues, coding issues, denial management issues, patient satisfaction, and even impact quality scores. 

In this webinar, our expert speaker will discuss the submission options, which providers are eligible for Medicare enrollment, each form type applicable, how to navigate the complicated form sections, key terminology, what ancillary documentation is needed with enrollment submission, applicable fees, most common errors, and best practice tips for successfully completing the CMS 855 forms.

Webinar Objectives

  • Dissect the various Medicare enrollment updates
  • Outline a sample workflow for completing Medicare enrollment
  • Review CMS Form 855A application together
  • Review CMS Form 855B application together
  • Review CMS Form 855I application together
  • Review CMS Form 855O application together
  • Discuss the most challenging 855 form sections
  • Review new process for reassigning benefits to organizations
  • Review the ancillary documentation required with 855 enrollment submission
  • Discuss the most common rejections and errors with 855 form submissions

Webinar Agenda

  • Discuss CMS 855 enrollment submission updates
  • Review CMS 855A, 855B, 855I and 855O Application updates
  • Discuss the most challenging CMS 855 form fields and highlight complicated sections
  • Review strategies to complete the CMS 855 forms accurately
  • Understand the ancillary documentation required to be attached to the CMS 855 application submission
  • Discuss most common rejections with CMS 855 form submissions
  • Discuss best practice tips with CMS 855 form submissions

Webinar Highlights

  • Understand the CMS 855 enrollment submission process
  • Recall CMS 855A, 855B, 855I and 855O Application requirements
  • Recall the most complicated sections on the CMS 855 applications
  • Recall strategies to complete CMS 855 forms accurately
  • Recall ancillary documentation required with CMS 855 enrollment submission
  • Avoid common rejections and errors with CMS 855 form submissions
  • Recall best practice tips for CMS 855 form submissions

Who Should Attend

  • insurance payers
  • Billers
  • administrators
  • credentialing staff
  • Medical Coding Specialists
  • Medical Billing Specialists
  • Medical Auditing Specialists
  • Private Practice Physicians
  • Managed Care Professionals
  • Operations Leadership
  • Practice Administrators
  • Office Managers
  • Compliance Officers/Committees  
  • Chief Medical Officer