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PECOS Provider Credentialing 4-Part Training

Available Immediately | 60-90 minutes each Price: $788 $599 |

Incorrect provider credentialing can lead to delayed payments, "new patient" reductions and thousands in lost revenue. But with the help of this 4-part online training series, you will learn how to get your providers credentialed and Medicare-approved without a hitch.

Credentialing and enrollment experts, Tracey Tokheim, Tammy West, MHA/ED, CPMSM, CPCS and Stephanie Thomas, CPC, CANPC and Gretchin S. Heckenlively, CPA, FHFMA, will walk you through the most important aspects of provider credentialing, and help you successfully enroll and reauthorize Medicare providers quickly, efficiently, and with a higher success rate.

Instant Savings Extended! Order this 4-Part Credentialing Training in the next 3 days, and you'll save an additional $189 off the total cost. Or, if you prefer, you can choose each session individually without the discount. REGISTER TODAY!

PART 1: Credentialing Basics: Everything Your Practice Needs

Available Immediately!
Order the downloadable version and listen to it at your convenience.

The consequences of incorrect provider credentialing are extreme. You can be terminated from payer networks, see dramatic reductions in new patients, and ultimately serious reductions in revenue. 

Although correctly credentialing for your providers isn’t rocket science, there are specific nuances that can trip you up and lead to serious backlash. However, with a little guidance, you could avoid delayed payments due to credentialing errors, and ensure that your revenue keeps flowing.

That’s where credentialing expert, Tracey Tokheim, can help. During her 90-minute online training session, she’ll walk you through the most important aspects of provider credentialing, and help you ensure everything sails through the approval process. 

Credentialing Basics

Here are just a few of the step-by-step strategies you’ll receive by taking advantage of this 90-minute online training:

      • Proven process to overcome the top barriers to successful enrollment
      • Identify application red flags fast and stop them from hurting your revenue
      • Avoid missed deadlines with proven provider enrollment activity tracking
      • Master electronic database application processes
      • Pin down clear hand-offs to avoid details falling through the cracks
      • Implement proven expirables management and stop being dropped
      • Proven Initial Application Process Checklist to head off missed deadlines
      • Head off the most common references errors
      • And so much more…

Order the 4-Part Series for $599 (Save $189)    |    Order Only This Training Session for $197

PART 2: Use PECOS More Easily to Successfully File CMS Forms 855I and 855R

Available Immediately!
Order the downloadable version and listen to it at your convenience.

The only way to get paid from Medicare is to accurately complete PECOS online enrollment and reassignment with forms CMS 855I and 855R – for both existing and new Medicare providers.

Okay, that’s not completely true. You can still submit paper applications to Medicare, but they’re seriously time consuming, and mistakes on paper applications can delay your enrollments by months. In turn, delayed approval means your providers aren’t being paid – not to mention the increased workload for you.

Using the PECOS (provider enrollment, chain and ownership system) online system to submit your Medicare CMS 855I and 855R applications puts an end to manual tracking and significantly decreases your provider enrollment turnaround times. The trick is knowing how to successfully navigate through this useful online system.

This is where credentialing and enrollment expert, Tammy West, MHA/ED, CPMSM, CPCS, can help. During her online training session, Tammy will walk you through how to successfully enroll and reauthorize Medicare providers quickly, efficiently, and with a higher success rate.

Pecos verification and validation

Here are just a few of the practical, must-have PECOS application enrollment tactics you’ll receive by ordering this 90-minute online training:

      • Simplify Medicare reassignment of benefits for existing providers
      • Avoid the most common errors when enrolling a new Medicare provider
      • Overcome enrollment document mistakes and get approved faster
      • Head off the most common PECOS errors when filing CMS forms 855I and 855R
      • Decrease provider enrollment turnaround times with simple online submission tactics
      • Reduce Medicare enrollment denials with easy-to-use tips that make all the difference
      • Easily choose the correct CMS 855 form to improve first time approvals
      • And so much more… 

AAPC: This program meets AAPC guidelines for 1.5 CEUs. Can be split between Core A and all speciallties except CIRCC, CDEO, CPMS and CPEDC for continuing education units.

Order the 4-Part Series for $599 (Save $189)    |    Order Only This Training Session for $197

PART 3: Page-by-Page Assistance for Medicare's Online PECOS System

Available Immediately! 
Order the downloadable version and listen to it at your convenience.

Whether you like it or not, you MUST master CMS’ PECOS (Provider Enrollment, Chain and Ownership System) online credentialing system to be reimbursed by Medicare - and some private payers too. This is true for both your existing and new Medicare providers alike.

CMS has strict guidelines for proper completionand compliance with their PECOS system. Just one simple mistake can have disastrous consequences. Your providers can lose their hospital privileges, get kicked off of insurance panels, and have their reimbursement stopped.

There’s a lot riding on you getting it right, but all too often you are left to figure it out on your own. Well, now you can get the help you need. Billing and credentialing expert, Stephanie Thomas, CPC, CANPC, will take you through the PECOS system PAGE BY PAGE. In just 60 minutes, you’ll receive the completion tactics you need to comply with PECOS - getting it right the first time.

Here are several of the plain-English, easy-to-implement credentialing tactics you’ll receive by watching this, 60-minute training:

      • Avoid top PECOS roadblocks and keep your providers in good standing
      • Accurately utilize I&A, PECOS, NPPES, to improve enrollment approvals
      • Speed up your PECOS enrollment processing time
      • Avoid revalidation deadlines with PECOS’ Medicare Revalidation Lookup Tool
      • Head off deactivation for the most common revalidation errors
      • Meet MAC requests quickly and more accurately
      • Successfully change ownership or control of PECOS accounts
      • Efficiently manage organizational and individual practitioner enrollments
      • Get your new providers seeing patients and getting paid faster and easier
      • Avoid rejections due to incomplete forms with easy double-check process
      • Stop delayed payer payments for out of date NPI number
      • And so much more…

CEUs: This program meets AAPC guidelines for 1.0 CEU. On-Demand product requires successful completion of a Post-Test for Core A and all specialties except CDEO, CPEDC, CPMS and CIRCC for continuing education units.

Order the 4-Part Series for $599 (Save $189)    |    Order Only This Training Session for $197

PART 4: Comply with CMS Rules for PECOS Surrogacy Enrollment

Available Immediately! 
Order the downloadable version and listen to it at your convenience.

If you are using your practitioner’s login to access and manage their PECOS (Provider Enrollment, Chain and Ownership System) records, you are not in compliance with CMS requirements. 

CMS rules specifically prohibit you from using your provider’s login to manage, verify, update or authorize their information in PECOS. Instead, you’re required to use a surrogacy system which allows you to work on their behalf under your own login. There are strict guidelines for proper completion and compliance for this system, which means the accurate set-up of connection requests and surrogacy access can be complex and confusing. 

This is where enrollment expert, Gretchin S. Heckenlively, CPA, FHFMA, can help. During her 90-minute online training session she’ll walk you through how to set up your PECOS connection requests and surrogacy access correctly the first time. You’ll be able to successfully, compliantly and more easily manage multiple practitioners (if needed), and access multiple platforms (PECOS, NPPES, etc.) all from one login. 

Avoid Medicare Deactivation Here are just a few of the easy-to-implement PECOS surrogacy account set-up steps you’ll receive by taking advantage of this 90-minute online training: 

      • Efficiently add, modify and terminate providers from your group login 
      • Comply with access rules for the PECOS Identify & Access (I&A) Management System
      • Correctly choose your designation: Authorized/Delegated Official (AO/DO) or Staff End User 
      • Efficiently manage organizational and individual practitioner enrollments in PECOS 
      • Successfully use your PECOS login to also manage your provider NPI records 
      • More easily and quickly update practitioner information to avoid Medicare deactivation 
      • Easily add, terminate and authorize staff as PECOS users to streamline workflow
      • And so much more…. 

Order the 4-Part Series for $599 (Save $189)    |    Order Only This Training Session for $197

Meet Your Experts:

Tracey Tokheim

Tracey TokheimA recognized leader known for crafting strategic vision to achieve business goals through the development and execution of process efficiency, out-of-the box thinking, and key management partnerships. While serving as a Product Line Senior Director with Aperture Credentialing, LLC, Tracey has achieved a strong customer collaboration to secure customer commitment to efficient provider enrollment/credentialing and the use of our products to get to a very efficient process. Tracey’s career is comprised of over fifteen years management experience and over ten years project management execution while being recognized by staff for exceptional customer focus and employee recognition opportunity as “One of our Best” nominated by employees and leaders. Tracey has dedicated her adult career to health care organizations experiencing process failure and been a part of achieving process success, execution successful implementation of training and process change, and leaves a mark as a leader by example. Tracey holds a Master’s in Business Administration and Project Management and donates time and dollars to help children play sports who otherwise cannot afford it.    

Tammy West, MHA/ED, CPMSM, CPCS 

Tammy West, MHA/ED, CPMSM, CPCSTammy West is a professional healthcare consultant with extensive experience working in CVOs, hospitals and other healthcare facilities. Tammy is dual-certified by the National Association Medical Staff Services (NAMSS) as a Certified Professional Medical Services Management (CPMSM) and Certified Provider Credentialing Specialist (CPCS). Tammy has 23 years healthcare administration experience and 10 years experience in credentials verification and provider enrollment. Prior to becoming a consultant, Tammy managed an NCQA accredited CVO that performed centralized credentials verification, provider enrollment and payer credentialing for a large health system in eastern North Carolina. Tammy has extensive experience with CMS, TJC and NCQA requirements for provider credentialing and medical staff services.  

Stephanie Thomas, CPC, CANPC

Stephanie Thomas CPC CANPCStephanie is the Billing Director for CE Medical Group, a third-party billing and consulting firm. Stephanie is a 20-year healthcare veteran. During that time, she has mastered skills that include: private practice administration, payer enrollment, credentialing, medical billing, practice management, consulting for both physician practices and ASCs.  

In her current role, she works closely with medical practices across the country to help them improve their billing and enrollment accuracy and results throughout the entire billing process.

Gretchin S. Heckenlively, CPA, FHFMA

Gretchin S. HeckenlivelyGretchin is a CPA and Partner in the Health Care Consulting division at Seim Johnson, LLP. Gretchin joined the firm in 1997 in the HealthCare Audit Division providing audit, and Medicare/Medicaid cost reporting services on over 100 engagements.

Gretchin left Seim Johnson in 2006 to pursue an opportunity as the Chief Financial Officer of a critical access hospital. There she gained valuable experience in both the financial and clinical arenas of a hospital.  Gretchin rejoined the firm in 2010, and since that time, she has been able to bring frontline knowledge and understanding of working in a healthcare environment to the consulting division. Her focus is on Medicare and Medicaid provider enrollment, Medicare provider-based issues and reimbursement. 

Gretchin has given many presentations on a wide range of healthcare, and not-for-profit related topics at a local, state and national level and currently serves on the CMS Central Office PECOS Focus Group and the CMS Central Office Provider Compliance Focus Group. Also, she is an active member of Healthcare Financial Management Association (HFMA) and is a past President of their Nebraska Chapter. She also served as the Treasurer of HFMA Region 8. Gretchin graduated from Doane College in May 1997 with a Bachelor of Science Degree in Accounting and Finance.

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