Agenda Day 1

Monday, April 24

7:00 a.m. – 8:00 a.m.

Registration, Continental Breakfast

8:00 a.m. – 10:00 a.m.

Enrollment Risks and Consequences — Steps in the Enrollment Process, Filing and Effective Date Considerations, Deactivation & More

The Medicare enrollment process is more than completing some boxes on a form or in electronic data fields in the national PECOS database. This session highlights the compliance risks associated with completing the forms, the organizational structure of the provider or supplier, the disclosure requirements initially and ongoing, the impact on billing and cash flow, what resources are available to assist you through the process, the penalties for falsifying information and certification statements being attested to, just to name a few, so you avoid mistakes that can freeze payments for services you've already performed and succeed the first time you file your initial enrollment. Topics covered in this session include:

  • Timeframes for submission of 855 forms
  • Reimbursement effective date dependencies for certified providers/suppliers
  • Effective date of billing privileges for physician/groups/NPPs

10:00 a.m. – 10:15 a.m.

Your Questions Answered

10:15 a.m. – 10:45 a.m.

Morning Break

10:45 a.m. – 11:15 a.m.

Medicare Revalidations (Cycle 2): What Has Changed and How to Monitor

Medicare Cycle 2 revalidations have begun. Learn what changes CMS has made to the process, including deactivations, timelines for submissions and see live interactive resources created by CMS to help you monitor your revalidation due dates.

BONUS Air-tight check list of compliance revalidation steps.

11:15 a.m. – 12:45 p.m.

Enrollment & Billing — Compliance Risks within the Medicare Billing Privilege Process

Enrollment and billing are more closely connected than you might think! Dennis explains exactly how the two are related and offers best-practice sleuthing tips that will keep your practice safe from surprising and costly vulnerabilities and liabilities and ensure you remain 100% in compliance. Areas of risks covered in the session include: Reassignment rules, "Incident to" rule, Carrier Jurisdiction rules, Site-of-Service rules, Three Day Payment Window rules.

12:45 p.m. – 1:45 p.m.

Networking Lunch

1:45 p.m. – 3:45 p.m.

PECOS Updates - I & A Breakdown, Requesting Surrogacy

Master the Identity & Access management system to request surrogacy on behalf of providers. Plus, we’ll clarify how Delegated Officials and Authorized Officials take on different meaning in performing enrollment vs. acting as a surrogate. This session will offer attendees the opportunity to experience the presentation in tandem with the expert. A link will be provided that allow real time interaction.

3:45 p.m. – 4:00 p.m.

Your Questions Answered

4:00 p.m. – 4:30 p.m.

Afternoon Break

4:30 p.m. – 5:30p.m.

What's New with CAQH ProView

With direct access to CAQH experts you will learn about the industry’s standard and trusted source for self-reported provider data. CAQH ProView continues to be the premier tool for submitting credentialing information and is increasingly being used by health plans to update network directories. You will leave with answers to the most frequently asked questions, including how to prepare for new attestation requirements, as well as how to avoid common errors when completing a CAQH ProView application. The session will conclude with a preview of how CAQH ProView is positioned to reshape the healthcare industry’s approach to provider data.

5:30 p.m.

Day 1 Adjourns

CEUs

Approved for up to
22 CEUs

This program is pre-approved by the American Academy of Professional Coders (AAPC), the National Association of Medical Staff Services (NAMSS) and the Board of Medical Specialty Coding & Compliance (BMSC) for up to 22 CEUs.

Who should attend?
  • Enrollment Managers
  • Credentialing Specialists
  • Billing Department Managers
  • Payer Relations Managers
  • Office Managers
  • Administrators

CEUs

More than 3 hours
of dedicated Q&A

Look for the QA icon for opportunities to get your challenges solved with direct access to CMS, experts from CAQH and the top enrollment and credentialing consultants in the country!

3+ hours of dedicated Q&A
directly with experts,
CMS and CAQH

Step-by-step
beginning to end

Online PECOS vs. print
enrollment demonstration
side-by-side

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