National Provider Enrollment Forum 2019 | Las Vegas February 25-28, 2019

Agenda Day 2

Tuesday, April 21

7:00 a.m. – 8:00 a.m.

Continental Breakfast - Exhibit Hall

8:00 a.m. – 9:00 a.m.

Credentialing Across The Continuum: Hospital, Managed Care, CVO

Rachelle Silva, BBM, CPMSM, CPCS

This session provides a broad overview of the regulatory and accreditation standards required throughout the healthcare industry. Industry veteran Rachelle Silva discusses primary source verification requirements as well as how to develop clear and concise policies.

CHOW Down: Understanding How Changes of Ownership Can Impact a Healthcare Transaction

Brian Jent

In recent years, there has been a lot of consolidation and acquisition activity in the healthcare industry. Knowing what types of transactions trigger a change of ownership and what notices must be filed is critical to avoid a lapse in reimbursement or a closing of the transaction. This session provides guidance on specific change-of-ownership situations through real-life examples.

9:10 a.m. – 10:10 a.m.

New Provider Onboarding: Resolving the Hidden Cash Flow Drain

David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP

Would you like to guarantee payment for all services conducted by your practitioners from the day they start, without losing any money or productivity? In this session, David Zetter offers suggestions and actionable guidance to improve your new provider onboarding process so that practitioners can begin receiving reimbursement immediately upon starting.

10:10 a.m. – 10:40 a.m.

Networking Break with PECOS Station — Exhibit Hall

10:40 a.m. – 11:40 a.m.

Streamlining Data Exchange in Delegated Credentialing Relationships

Jammal Dorsey, MBA, CSP, CSM, CSPO

Health plans and provider groups across the country are beginning to adopt a data standard for exchanging delegated rosters to support reporting in delegated credentialing relationships. CAQH has built a portal called CAQH ProView for Groups that aligns with this standard and allows provider groups to submit rosters in a one-stop shop for multiple health plans. Learn how the standard is helping both provider groups and health plans streamline data exchange and other processes, and how this improves transparency between health plan and provider groups in provider enrollment and other use cases.

11:40 a.m. – 12:40 a.m.

Lunch provided — Exhibit Hall

12:40 a.m. - 1:40 p.m.

How to Complete the CMS-855 Forms, Part 1

Lauren Hulls, JD

Learn how to successfully complete the CMS-855A, CMS-855B, and CMS-855R to enroll or revalidate providers and suppliers with Medicare and to reassign a practitioner’s Medicare benefits. Attendees will also have the opportunity to ask questions regarding the forms.

1:50 p.m. - 2:50 p.m.

How to Complete the CMS-855 Forms, Part 2

Lauren Hulls, JD

Learn how to successfully complete the CMS-855A, CMS-855B, and CMS-855R to enroll or revalidate providers and suppliers with Medicare and to reassign a practitioner’s Medicare benefits. Attendees will also have the opportunity to ask questions regarding the forms. Note: This session is a continuation of How to Complete the CMS-855 Forms, Part 1.

2:50 p.m. – 3:20 p.m.

Networking Break with PECOS Station—Exhibit Hall

3:20 p.m. – 4:20 p.m.

Drowning in Duplication: Let’s Explore the Benefits of Delegation

Rachelle Silva, BBM, CPMSM, CPCS

This session evaluates the duplication in the credentialing process and explores the benefits of entering into delegated credentialing agreements to improve the timeliness of beginning the revenue cycle. Speaker Rachelle Silva also discusses professional development for provider enrollment specialists.

Payer Enrollment Challenges: Advanced Practice Professionals

Donna Goestenkors, CPMSM, and Yesenia Servin, CPMSM

Payer enrollment specialists are adept at juggling and tracking multiple providers. However, advanced practice professionals—such as nurse practitioners, physician assistants, and registered nurse anesthetists—can pose specific challenges to an industry once geared to physicians. Join Team Med Global’s Donna Goestenkors and Yesenia Servin as they discuss mechanisms to streamline payer enrollment for nonphysician practitioners and achieve optimal revenue recovery.

**Agenda and Speakers Subject to Change**

Who should attend?
  • Provider enrollment leads professionals
  • Credentialing specialists
  • Enrollment specialists
  • Payer credentialing Managers
  • Provider enrollment managers and supervisor
  • Practice administrators
  • Practice enrollment managers

CEUs

Dedicated Q&A
at the end of each session

Take advantage of opportunities to get your challenges solved with direct access to top enrollment experts

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