Credentialing and Re-credentialing is hard work. And it is getting more difficult with changes in rules and regulations set by payers. Medical practices spend endless hours on the phone struggling to accomplish getting contracts, effective dates, even to find a representative to speak with There is much to be learned about this topic that only a seasoned credentialing staff member would know from painful experience, let us help you! From creating a valuable CV (Curriculum Vitae) to filling out applications, submission of those applications, follow up, credentialing process, follow up, contracting, more follow up, and finally the effective date Stephanie will walk you through the process, step by step to show you what NOT to do and how to be successful in your quests to become participating with insurances you desire. We will also discuss contract review, prior to accepting rates given by payers.
Please join us for this extremely thorough and what will be jam packed with tips session on credentialing speaker while she helps you get credentialed and become an expert yourself. Our speaker has 20 years’ experience with credentialing and will bring secrets of her success in this space.
Webinar Objectives
In depth look at credentialing and contracting process. Commercial and Government payers will be covered in this session. Speaker will review the step-by-step process of filling out applications, with tips along the way of what to watch for, how to be successful in your process to get your contract as fast as possible.
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Are you tired of the confusion and frustration that comes with navigating Payer denials? Is your practice leaving money on the table because of the ever-evolving regulations? Look no further! Our exclusive Denials Masterclass is your golden ticket to unlocking the secrets of this complex process.
Speaker will discuss about Front End Denials Like Demographic Info, Internal Coverage Dates, Authorization Info, NDC & Quantity, Referral, Referring API, ICD 10 Verification. We will also discuss Clearing House Edits like Coerage/Eligibility, Subscriber Info (DOB,Address,ID#), Payer Examples like CIGNA, Provide Credentialing, MSP. Including EOB Denials like Coverage & COB, Global Period, Medical Necessity, Non-covered Benefits, Medical Records Requirement, Lack of information on a claim.
Understand when do you need to send an appeal and when it is not necessary.
There are several payer denial trends that our speaker will cover, please join us for this very informative session that will be sure to bring several tips to even the most seasoned billing teams.
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Who Should Attend
Date | Conferences | Duration | Price | |
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Apr 15, 2021 | Out of Network-how to get pre authorizations or referrals to protect your bottom line | 60 Mins | $199.00 | |
May 06, 2021 | Modifier Review, Be Sure You Are Not Setting Yourself Up for Audits | 60 Mins | $199.00 | |
Jun 22, 2021 | Demystify Pre-Auth Approvals, Denials Management & Maximize Reimbursements | 180 Mins | $399.00 | |
Jun 22, 2021 | How To Get Payors To Approve Authorization Requests Quick! | 60 Mins | $199.00 | |
Jul 15, 2021 | Auditing Records With New 2021 Evaluation And Management Rules | 60 Mins | $199.00 | |
Aug 19, 2021 | How to write an effective appeal letter and follow up for success | 60 Mins | $199.00 | |
Sep 14, 2021 | Submit a claim that does not get Denied | 60 Mins | $199.00 |