- Identify the organization’s affiliates and provider enrollment goals/expectations
- Understand the importance of pre-screening and building a relationship with practitioners
- Learn about the various elements of the enrollment process as well as what is required and practitioner rights
This session will delve into the importance of streamlining the provider enrollment process, and how creating an efficient and effective process is crucial to getting revenue into your organization as quickly as possible. Continuous changes to Medicare, Medicaid, and private insurance plans result in new challenges to enrolling both practitioners and practices into health plans. Fiscally speaking, provider enrollment is essential to developing any organization’s revenue projects.
If you’re looking for faster reimbursements and a reduction in rejected claims, join Dilsa to learn more about effective ways to streamline your provider enrollment process. This program will help you gain a better understanding of all the various elements of the provider enrollment process.
Upon completion, send a request to email@example.com for NAMSS Certificate granting .5 CEUs through December 14, 2018.
THE RIGHT CREDENTIALS NETWORK, LLC
Dilsa S. Bailey, CPMSM is a Medical Services and Credentialing Consultant and Trainer. Her experience in hospital, medical services, and managed care credentialing spans over twenty years. Her expertise in these fields have helped her employers and clients meet and maintain accreditation as well as the regulatory requirements for Joint Commission, NCQA, URAC, CARF, CMS, and various states. In addition to ensuring compliance and managing departments to a level of excellence, Dilsa has sat on both sides of the auditing table for delegation oversight.
Dilsa shares her knowledge regularly with peers through one on one coaching, webinars, and presentations for related professional organizations. Her training experience has included presentations at the 2009 National Association of Medical Staff Services Conference, the 2013 Annual Tennessee Association of Medical Staff Services Conference, and numerous presentations at quarterly Georgia Association of Medical Staff Services meetings. She has lead and facilitated educational seminars for her employers and clients. Her quest to empower credentialing professionals is evident in her creation of the popular Managed Care Credentialing Group on LinkedIn and her most recent book, “A Comprehensive Guide to Finding the Right Doctor: Tips from a Healthcare Credentialing Expert.”
Dilsa continuously maintains knowledge of the credentialing world and its effectiveness in the delivery of quality patient care. In that spirit, she has established long-term working relationships with talented and dedicated professionals across the healthcare organizational spectrum.