NAMSS PE Webinar: Managing Payor Enrollment, Roster Submissions and Audit - 9/10/2024

Join Cheri Lipps-Brindle and Heather Wright on Tuesday, September 10, 2024 at 3:00 pm ET for their presentation, "Managing Payor Enrollment, Roster Submissions and Audit."

Date/Time:

• Tuesday, September 10, 2024. 3:00 - 4:00 pm ET

Speakers: 

• Cheri Lipps-Brindle
• Heather Wright

Description: 

• Payer enrollment is a complex process that requires attention to data detail, multiple processes, and sometimes several sub-teams. Our comprehensive software streamlines both the credentialing and payor enrollment process to manage this information between the sub-teams. Credentialing handles the PSV and data entry for each file, and Payer Enrollments utilizes this data to begin submission to the various payors. To aid in streamlining the payor enrollment process, we are delegated with multiple health plans, and utilize an ACT Form (add, changes, terms) that is sent out twice monthly to our payers. 

  Learning Objectives: 

• Understanding the process-Familiarize yourself with the enrollment guidelines for each type of payer. 
• Utilizing software to streamline processes
• File Audits/Payer Audit
• Beginning to end processes from my team to get to an ACT Form and/or government submissions 

CEs:

• This webinar has been approved for 1.0 CE credit.

Cost:

• NAMSS members: Free
• Non-NAMSS members: $75

This webinar covers the following  Core Functional Area(s) and Tomorrow's MSP Skillsets: 

Core Functional Area(s)

• Manages Provider Enrollment Process
• Analyzes and Manages Data Verification 
• Conducts, Participates In, and Maintains Credentialing and Privileging 
• Complies with Accreditation Standards and Regulatory Standards 
• Conducts, Participates In, and Maintains Primary Source Verification 

Skillsets:

• Database Management
• Managed Care