Gaining Optimum Enrollment Efficiency through Delegation

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Gaining Optimum Enrollment Efficiency through Delegation

Product Code: YMHA091719A

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Gaining Optimum Enrollment Efficiency through Delegation

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Presented on: Tuesday, September 17, 2019 | 1:00–2:30 p.m. ET

Presented by: Amy M. Niehaus, MBA, CPMSM, CPCS

An efficient enrollment process is key to enhancing your organization’s revenue stream, but efficient processes can only take you so far. Payers still have to credential your practitioners which may take 30-90 days or longer, and time is money. 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 M. Niehaus, MBA, CPMSM, CPCS, will help listeners identify the benefits of attaining delegation with payers. Attendees will be able to evaluate their organization's eligibility for delegation and identify the appropriate steps to attain delegation with payers and optimize their enrollment process.

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

  • Identify key components of an NCQA-compliant credentialing process
  • Describe the delegation assessment process
  • Evaluate your organization’s eligibility for delegation
  • List critical steps to achieve delegation status with payers

Agenda

  • Overview of delegation
  • Overview of NCQA and CMS credentialing requirements
    • Policies and procedures
    • Verifications and time frames
    • Additional CMS requirements
  • Steps to achieve delegation
    • Pre-delegation assessment
    • Delegation agreement
    • Annual oversight audit
  • Delegation Case study
    • Steps to delegation success
  • Live Q&A

Who Should Listen?

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

Meet the Speaker

Amy M. Niehaus

Amy M. Niehaus, MBA, CPMSM, CPCS, 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, enrollment 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 and CR accreditation; enrollment; and delegation. She has authored and contributed to a variety of industry-related publications and publishers, including NAMSS Synergy, The Greeley Company, Credentialing Resource Center, AHLA MedStaff News, and Becker's Hospital Review. She is the author of Credentialing for Managed Care: Compliant Processes for Health Plans and Delegated Entities (HCPro, 2016).

Instructions

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. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version will be 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! 

PLEASE NOTE 
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 customerservice@hcpro.com if you have questions.