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