The Impact Credentialing & Enrollment has on your Revenue Cycle

The Impact Credentialing & Enrollment has on your Revenue Cycle

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25.00
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*This course is eligible for 1.5 APA CEs for Psychologists or 1.5 BBS California CEUs for Social Workers, Counselors and LMFTs. Please note, once this course is completed an APA Certificate will be automatically generated. If you require a BBS California CEU Certificate it may take up to two weeks to receive via email.*

This presentation will provide training on accurate credentialing and payer enrollment for mental health professionals. The presenter will provide comprehensive review of insurance enrollments and it’s impact on your revenue cycle.

During the workshop, attendees will learn how to assess and complete various insurance network applications and their products. Providers will be given instruction on how to create an efficient credentialing/enrollment process. Attendees will understand CAQH, NPPES, I&A, and Medicare portals.

Meet the Presenter

Yesenia Servin, CPMSM, PESC

Healthcare Business Consultant, YS Credentialing Provider Enrollment Lead, Loyola University Medical Center

Yesenia Servin is a nationally certified credentialing specialist and healthcare management consultant. Yesenia is the payer enrollment lead with Loyola University Health System in Maywood, IL. There, she manages payer enrollment, briefs payer enrollment team members on industry trends, and is the liaison for the multitude of departments impacting payer enrollment processes. She also maintains her own consultancy, where she helps organizations develop and implement best practices guidelines and processes; analyzes a variety of commercial, private, and governmental claim filings; and manages credentialing processes for network participation agreements. With over 21 years in the healthcare industry, her experience includes Durable Medical Equipment, Hospital & Health Systems, and Community Mental Health Organizations, Global Managed Care organization as well as providing payer enrollment and credentialing consulting services to various healthcare providers and organizations. Yesenia is a current NAMSS member, and is a past NAMSS Educational Conference Guest Speaker, Team Med Global Collaborator, webinar presenter, past and current trainer for The Chicago School of Professional and industry trainer. She studied Microeconomics and Communications at NEIU and is currently studying Healthcare Administration at Concordia University Chicago.

Yesenia enjoys spending time with her family and pugs. She finds great joy in jumping in the mini-van for a family road-trip.

Learning Objectives:

After attending this introductory-level workshop, participants will be able to:

1.Describe the importance of managing your CAQH, NPPES & PECOS Accounts

2. Identify best practices for efficient and successful credentialing/enrollment

3. Define fundamental processes of enrollment and its effect on your revenue cycle

Program Standards and Goals

This program meets APA’s continuing education Standard 1.2: Program content focuses on ethical, legal, statutory or regulatory policies, guidelines, and standards that impact psychological practice, education, or research.

This program meets APA’s continuing education Goal 2: Program will enable psychologists to keep pace with the most current scientific evidence regarding assessment, prevention, intervention, and/or education, as well as important relevant legal, statutory, leadership, or regulatory issues.

Registration and Fees:

General Admission: $25

TCSPP Faculty and Staff can find a discount code to access this program for half price by registering here

TCSSPP Alumni can find a discount code to access his program for half price by registering here

Current TCSPP Students, with school email address, can access this program for free by registering here

References:

(1) Nowicki, M. (2011, June 20). Introduction to the Financial Management of Healthcare Organizations, Health Administration Press.

(2) Grisworld,B. (2015, August 25). Navigating the Insurance Maze. Paper Street Press.

(3) CPT 2017 Standard (Cpt / Current Procedural Terminology).American Medical Association

(4) O’Connor,S. The Complete Guide to Medical Billing for Behavioral Health Practices.Retrieved from https://www.adsc.com/blog/the-complete-guide-to-medical-billing-for-behavioral-health-practices5.

Cisneros, S., (2017) History of Provider Enrollment. Beckers Hospital Review. Retrieved from: https://www.beckershospitalreview.com/finance/the-evolution-of-credentialing-and-provider-enrollment.html

Griswold B.,(2018) Navigating the Insurance Maze. Paper Street Press.. retrieved from: https://navigatingtheinsurancemaze.com/

Solis, D. (2017), The Payer Enrollment Model: Pre-Enrollment & Post-Enrollment, Team Med Global. Retrieved from: https://s3.amazonaws.com/intellisoft-group/downloads/PEProcessFundamentals_0319

Target Audience: Healthcare and Mental healthcare professionals, University faculty and students, and the TCSPP community.