Payer Delegation: Speed Up Enrollment and Get Paid Faster

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Payer Delegation: Speed Up Enrollment and Get Paid Faster

Product Code: YMHA042618

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Payer Delegation: Speed Up Enrollment and Get Paid Faster

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Presented on:
Thursday, April 26, 2018
1:00-2:30 p.m. Eastern

Presented by:
Amy Niehaus, CPMSM, CPCS, MBA

Level of Program:

Attaining delegation status with commercial payers is the ultimate way to improve enrollment turnaround time and reduce lost revenue and credentialing delays.

During this 90-minute webinar, expert speaker Amy Niehaus, CPMSM, CPCS, MBA, will help listeners identify the benefits of attaining delegation with payers. Participants will learn about the critical steps involved for achieving delegation, as well as the requirements that must be met under National Committee for Quality Assurance (NCQA) credentialing standards.

At the conclusion of this program, participants will be able to: 

  • Identify the benefits of attaining delegation with payers
  • Describe NCQA credentialing standards required under delegation
  • List critical steps to achieve delegation

Who Should Listen? 

  • Medical staff professionals
  • Medical staff coordinators
  • Medical staff services directors
  • Medical staff services managers
  • Credentials coordinators
  • Credentials specialists
  • Provider enrollment specialists


  • Overview of the benefits of delegated credentialing
  • Minimum requirements to be considered for delegation
  • Review of NCQA and CMS credentialing requirements
    • Policies and procedures
    • Application and attestation
    • Verifications and time frames
    • Review and approval process
    • Practitioner notifications
    • Recredentialing
    • Ongoing monitoring
    • Appeal process
    • CMS considerations
  • Steps to achieve delegation
    • Pre-delegation assessment
    • Delegation agreement
    • Annual oversight audit
  • Termination of delegation
  • Case study
    • Steps to achieve delegation success
  • Live Q&A


  • Delegation analysis worksheet

Continuing Education 

National Association of Medical Staff Services (NAMSS)
This program is pending approval by the National Association Medical Staff Services for continuing education unit(s). Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS.

Meet the Speaker

Amy M. Niehaus

Amy M. Niehaus, CPMSM, CPCS, MBA, is an independent healthcare consultant with more than 25 years of experience in the medical services and credentialing profession. In her current role, she advises clients in the areas of accreditation, regulatory compliance, credentialing, process simplification and redesign, credentialing technology, credentials verification organization (CVO) development, and delegation. Niehaus has worked in multiple environments throughout her career, including acute care hospitals, CVOs, managed care organizations (MCO), health plans, and consulting firms. She has been a member of the National Association Medical Staff Services (NAMSS) since 1991. She is currently a NAMSS instructor and previously served as chair of the association’s MCO Task Force, as well as chair and member of the NAMSS Education Committee. She is a former president of the Missouri Association Medical Staff Services and its Greater St. Louis Area chapter. Niehaus has been a speaker and educator since 2000, developing and presenting various programs to state and national audiences on credentialing and privileging processes, TJC, NCQA and URAC accreditation standards and survey preparation, CVO certification, provider enrollment, and delegation. She has authored and contributed to a variety of industry-related publications, including NAMSS Synergy, The Greeley Company, Credentialing Resource Center, AHLA MedStaff News, and Becker's Hospital Review. She is the author of the HCPro book Credentialing for Managed Care: Compliant Processes for Health Plans and Delegated Entities.

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

No problem. The On-Demand version is also available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $199 value! 

Participation in the webinar is just $199 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email if you have questions.