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On-Demand Webinar

3-Part Training: Credentialing Basics, Payer Enrollment & Payer Delegation

$591.00 $491.00

On-Demand Webinar

3-Part Training: Credentialing Basics, Payer Enrollment & Payer Delegation

$591.00 $491.00

  • Whether you like it or not, credentialing and payer enrollment are evil necessities. But depending on your practice size, there are a variety of strategies you can implement that will help you improve your processes, get you paid faster and get rid of your credentialing and enrollment headaches.

    During an immediately available online training session by credentialing expert Tracey Tokheim, she will walk you through the most important aspects of provider credentialing, and help you ensure everything sails through the approval process. Then, during her two must-have online training sessions, enrollment and credentialing expert Amy M. Niehaus, CPMSM, CPCS, MBA will show you how to improve your payer enrollment process, as well as how to set up and successfully maintain becoming a payer credentialing delegate (if you are a mid to large practice).

    Instant Savings!
    Order the entire Credentialing 3-Part Payer Enrollment and Delegation series within the next 5 days, and you'll save an additional $100 off the total cost. Or, if you prefer, you can order each session individually at the regular rate.

  • 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.

    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…

    Unlike hospitals that enlist full time credential professionals, most medical practices put this process on an existing staff member and just expect you to be able to do it. Well, you are not alone. By signing up for this online training, you’ll get the insider information you need to file more accurate applications, and avoid delayed or lost reimbursement due to credentialing errors.

    PART 2: Improve Provider Payer Enrollment Approvals 

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


    A simple credentialing or provider enrollment application mistake can quickly turn into a nightmare. Your claims can be held, your payments delayed, your A/R write-offs increased, and you can even be denied payment altogether.  

    You would think that accurately completing credentialing forms and enrollment applications would be quick and easy. Unfortunately, there are numerous missteps that can easily trip you up (even if you have years of experience) - unless you know how to identify and rectify them.

    That’s where credentialing and enrollment expert, Amy M. Niehaus, CPMSM, CPCS, MBA, can help. Amy will provide you with exactly what you need to do to more accurately, efficiently and effectively get your providers credentialed with the top payers. After listening, you’ll be able to get your providers credentialed and enrolled with payers quicker and easier to avoid any loss or delay to your reimbursement. 

    Here are just a few of the proven, plain-English tactics you’ll receive by taking advantage of this 60-minute online training:    

      • Speed up approval of your enrollment applications to get paid faster
      • Head off re-credentialing errors that freeze up your reimbursement
      • Utilize NCQA credentialing tactics to avoid enrollment denials
      • Avoid provider work-history gaps from delaying provider approval
      • Prevent outdated attestations from holding up your enrollments
      • Improve your onboarding processes to speed up your approvals
      • Incorporate follow up systems that significantly reduce verification delays
      • And so much more… 

    WHO THIS IS FOR: Any provider practice regardless of specialty or practice size that must manage new and existing payer enrollment applications. 

    Getting and keeping your providers enrolled in the most popular payer networks is the only way to ensure the success of your practice. However, it can be complicated and time consuming, but it doesn’t have to be. You can significantly improve your payer enrollment accuracy and approval ratings by investing just 60 minutes of your time. Don’t wait, register for this online training session today!

    REQUIREMENT: You must have a good understanding of credentialing and enrollment activities within a healthcare or physician organization to maximize your benefit from this presentation.

    PART 3: Master Payer Delegation to Speed Enrollment and Payments

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

    Getting your mid-sized to large practice designated as a credentialing delegate with commercial payers means you can eliminate payer plan enrollment delays, get paid faster, and avoid re-enrollment disasters. 

    Payers want to hand off provider credentialing and re-credentialing to you, but you must have specific processes in place to qualify. Being a delegate gives you control to enroll new providers into your payer plans almost immediately (so you get paid right away), and ensures that your current providers maintain enrollment without interruption.

    The key is knowing how to set up and maintain your delegation process. This is where credentialing expert, Amy M. Niehaus, CPMSM, CPCS, MBA, can help. During her 60-minute online training, Amy will walk you through how to set up your own delegation program and provide you with proven strategies to manage it seamlessly and successfully.

    Here are a just a few of the step-by-step delegation program set up and maintenance strategies you’ll receive by taking advantage of this 60-minute online training:

      • Pin down what payer contract delegation clauses really give you control of
      • Determine which NCQA rules you need to implement to comply
      • Reduce time to conduct primary source verifications
      • Uncover hidden terms in your delegate contract that can cause you problems 
      • Pinpoint who to include in your credentialing committee, and what they really do
      • Master what constitutes as a clean file, and why it’s so important
      • Set up re-credentialing cycles that keep your providers enrolled, and you compliant
      • Identify key documentation points that help you master a program audit
      • Illustrate your quality with payer notifications and appeal processes
      • Decide on the best method to manage your roster files to ensure top quality
      • And so much more…

    IMPORTANT: This is NOT a “how to” on credentialing providers. This session is a how-to on setting up and maintaining a delegation program. You must have a good understanding of credentialing activities within a healthcare or physician organization to gain the biggest benefit from this session.

    Implementing a successful delegate program doesn’t have to be a headache. With a little help, you can take control over your payer activation dates, your new providers get enrolled sooner, re-enrollment is managed more accurately, and your claim payments stop getting delayed for credentialing problems. 

    • Tracey Tokheim

      Tracey Tokheim 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.

      Amy M. Niehaus, CPMSM, CPCS, MBA

      Amy M. Niehaus, CPMSM, CPCS, MBAAmy Niehaus is a credentialing, enrollment and medical staff services consultant with over 25 years’ experience in the areas of accreditation, regulatory compliance, credentialing, process simplification/re-design, credentialing technology, CVO development/certification and delegation. Ms. Niehaus has developed and presented various programs on credentialing and privileging processes, TJC, NCQA and URAC accreditation standards, and delegation and is the author of the recently published book, “Credentialing for Managed Care: Compliant Processes for Health Plans and Delegated Entities.”

      Ms. Niehaus has been a National Association Medical Staff Services (NAMSS) member since 1991, became CPMSM certified in 1992 and received her CPCS certification in 2002. She is a NAMSS instructor and previously served as Chair of its MCO Task Force and Education Committee. Ms. Niehaus is a former President of the Missouri Association Medical Staff Services and its Greater St. Louis Area Chapter. She holds a Bachelor’s of Science degree from the University of Missouri and a Master’s degree in Business Administration from Maryville University in St. Louis.



    • AAPC:
      This entire series meets AAPC guidelines for 2.0 CEU's. On Demand product requires successful completion of a PostTest for Core A and all specialties except CIRCC for continuing education units.

    • Past Webinar Reviews:

      It was very informational and she explained everything very well.”
      - Tina Leberte, Medical Coder/Biller, Diagnostic Referral Community, DRC, Huntsville, AL

      I liked the commercial payer workflow and timeline information. The sample payer repository is very helpful.”
      - Toni DeZorzi, Credentialing Director, Clin-Path Associates, DRC, Tempe, AZ

      The webinar went great. The information was very clear and clean.”
      - Rebecca Pontaski, Administrator, Midland Memorial Hospital, Midland, TX

      Tools are always useful. Will start my own repository. Recommendations were very good too. Sticking to the time and starting on time are very helpful and appreciated. The webinar was good.”
      - Daisy Vazquez, Administrator, Urban Health, Clermont, FL

      The speaker was knowledgeable and easy to follow and understand. Concise information needed to understand the process from start to finish.”
      - Deanna Williams, Administrator, Advanced Urology Medical, Los Angeles, CA

      Everything was broken down well and was easy to understand.”
      - Kimberly Taylor, Credentialing Specialist, Family Care Partners of Northeast Florida, LLC, Jacksonville, FL

      It was great.” 
      - Dorothee Bennett,Provider Enrollment Manager, Shriners Hospitals for Children, Tampa, Fl

      The speaker was very knowledgeable about the subject matter and did not ramble. Very informative and easy to follow along and understand.”
      - Chloe Castillo,Credentialing Specialist,The San Antonio Orthopaedic Group, San Antonio, TX