Credentialing 103 - A Detailed Guide to Provider Enrollment 2025

 Available : All Days  Presented By : Yesenia Servin
 Category : Healthcare  Event Type : Recorded Webinar

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Recording $199
Transcript $199
DVD $209
Recording & Transcript $369

Description

CMS Identity & Access Step-by-Step Walk-through

NPPES Step by Step

The NPPES interface is complex and confusing. Your organization and providers' CMS National Plan and Provider Enumeration System (NPPES) account is about so much more than just acquiring a National Provider Identifier (NPI), but maintaining it accurately and compliantly can be confusing and frustrating. Whether you have just one or 50 accounts to manage, you can improve your results with expert guidance from nationally certified credentialing specialist, Yesenia Servin, CPMSM, PESC.

  • Review that the taxonomy details are accurate.
  • What if your application gets denied or rejected?
  • What if your claims are being labeled as out of Network, but you have an in-network approval?

Learning Objectives:-

  • Setup/Maintenance/Attestation of NPPES, I&A
  • How to complete the payer enrollment applications
  • Follow-up process for provider enrollment applications
  • Payer-specific requirements for applications and submission
  • Payer-specific contact and submission information
  • Tracking of payer enrollment application packages
    • Create a strong I & A to securely access CMS systems such as NPPES & PECOS
    • Utilize the surrogacy program to easily manage multiple NPPES accounts within your own account
    • Accurately and efficiently complete an NPPES registration on the first try
    • Manage multiple NPI profiles within your own account
    • Understand specialties and taxonomies

Who Will Benefit? 

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

Presented By : Yesenia Servin

Yesenia Servin CPMSM, PESC is an expert in credentialing and provider/payer enrollment with over 23 years of experience in the healthcare industry. Yesenia has a deep understanding of Medicare & Medicaid enrollment and is a nationally certified credentialing manager and provider enrollment specialist. Through, YS Credentialing PLLC, Yesenia helps organizations develop and implement best practices guidelines, and processes. Guides the credentialing and payer enrollment structure. Thrives on training and growing administrative, credentialing, and enrollment healthcare professionals.

Yesenia manages payer enrollment, keeps team members and colleagues up to date on industry trends, and is a liaison to all departments that impact payer-enrollment processes. Yesenia works with durable medical equipment, hospitals and health systems, and community mental health organizations, global managed care organizations as well as providing revenue cycle consulting services to various healthcare providers and organizations.

Yesenia is a current CharterOak University Faculty, a NAMSS member, and is a past NAMSS Educational Conference Guest Speaker, a current member of the NAHRI Leadership Council, a current trainer for The Chicago School of Professional Psychology trainer, and a TMG Collaborator. Yesenia studied microeconomics and communications at NEIU and healthcare administration at Concordia University Chicago.


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