Provider Enrollment Boot Camp
On-Demand eLearning Course
New to provider enrollment? Our on-demand eLearning course, Provider Enrollment Boot Camp, breaks down the key steps of enrolling practitioners—it’s a can’t-miss addition for those new to the field or looking to brush up on the fundamentals.
The Provider Enrollment Boot Camp outlines the important steps involved in enrolling suppliers and providers with payers. Additionally, registrants will learn the ins and outs of the Medicare Provider Enrollment, Chain, and Ownership System (PECOS), the Identity & Access Management System, and the National Plan & Provider Enumeration System (NPPES)—all of which are key to electronically enrolling practitioners and facilities with Medicare. Furthermore, take advantage of this opportunity to receive expert guidance and tips for completing some of the most popular CMS-855 forms for enrollment.
After participating in this course, learners will be able to:
- Outline the steps of the provider enrollment process
- Describe the roles of PECOS, I&A, and NPPES in enrollment and how to access their respective sites
- Explain how to complete various CMS-855 forms to successfully enroll suppliers and providers
Master the basics and expand your skill set with the Provider Enrollment Boot Camp!
Additional learning you might be interested in:
Provider Enrollment Boot Camp
Agenda
Introduction to Provider Enrollment
Terri Lynn Davis, BS-HCA
Join Terri Lynn Davis for a foundational session on provider enrollment, perfect for anyone new to the field or looking to brush up on the basics. Davis defines key industry terminology, outlines the purposes of various CMS enrollment forms, and explains in simple steps how to successfully enroll providers.
Exploring PECOS, Identity & Access, and Surrogacy
David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP, CMHP
Join David Zetter for an introduction to the Provider Enrollment, Chain, and Ownership System (PECOS). Learn the key functions of the Identity & Access Management System (I&A), the National Plan & Provider Enumeration System (NPPES), and National Provider Identifiers (NPI).
Understanding the Relationship Between Credentialing and Provider Enrollment
Terri Lynn Davis, BS-HCA
Credentialing and provider enrollment have more in common than many realize, and in this session, Davis explains where these overlaps and shared skills exist. She also describes the primary functions of both departments, including primary source verification and the enrollment process.
Successfully Completing CMS Forms: 855A, 855B, and 855R
Lauren Hulls, JD
Receive comprehensive instruction on how to submit the CMS-855A and CMS-855B to enroll and revalidate suppliers and providers with Medicare and the CMS-855R to reassign practitioners’ Medicare benefits.
Successfully Completing CMS Forms: 855I and 855O
Trudie L. Kuka
Receive comprehensive instruction on how to submit the CMS-855O to enroll ordering and certifying physicians and non-physician practitioners and the CMS-855I to enroll physicians and non-physician practitioners.
Successfully Completing CMS Forms: 855 S
Trudie L. Kuka
Receive comprehensive instruction on how to submit the CMS-855S to enroll Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers.
*Note: Introduction to Provider Enrollment; Exploring PECOS, Identity & Access, and Surrogacy; and Understanding the Relationship Between Credentialing and Provider Enrollment were originally broadcasted as part of the Provider Enrollment Virtual Summit.
Provider Enrollment Boot Camp
Your Presenters
David J. Zetter
David Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP, CMHP is founder and president of Zetter HealthCare LLC. He and his firm have provided practice management consulting services to medical and dental practices, facilities, and organizations for more than 25 years. Zetter is a nationally recognized enrollment expert and speaker, and CMS regularly solicits his feedback in their PECOS and compliance user focus groups. He is the current President of the National Society of Certified Healthcare Business Consultants and is a Certified Healthcare Business Consultant (CHBC). He is also a Certified Professional Coder (CPC) for physician practices, hospitals, and facilities, and a Certified Healthcare Compliance Consultant (CHCC). Zetter is a member of the American Health Lawyers Association, the Medical Group Management Association, and the Healthcare Financial Management Association. His firm supports client practices and facilities in all 50 states. You may find out more about Zetter and his firm at https://zetter.com.
Lauren Hulls, JD
Lauren Hulls, JD, practices in the areas of regulatory compliance, reimbursement, billing, enrollment, and payment practices. She provides counsel in developing strategies and policies for healthcare entities to ensure compliance with the Medicare and Medicaid programs, including provider-based issues, provider enrollment, evaluation of payment, disclosure, and compliance issues. Lauren advises a variety of healthcare clients including hospitals, health systems, home health agencies, hospice agencies, and physician practices. With the changes in Medicare reimbursement in recent years, Lauren has assisted clients with expanding service lines into freestanding payment models, with a focus on compliance with a number of different Medicare supplier types, including Independent Diagnostic Testing Facilities, Independent Laboratories, Durable Medical Equipment, Federally Qualified Health Centers, and Rural Health Centers. In her free time, Lauren enjoys spending time with her husband and three kids.
Terri Lynn Davis, BS-HCA
Terri Lynn Davis, BS-HCA, is a credentialing expert in payer enrollment and primary source verification services. Currently the credentialing director for 1st Credentialing, she provides nationwide services for healthcare providers, suppliers, and facilities in numerous specialties. With over 15 years of experience in credentialing, she knows how to take the complex task of credentialing and make it a smooth and seamless process for 1st Credentialing clients. She is never satisfied with the status quo but instead reaches for higher levels of excellence by simplifying processes, improving standards, and providing educational opportunities whenever possible. Customer service is her top priority, and her proactive expertise resonates with her clients. Davis also shares her knowledge and experience through a variety of webinars and conference presentations. Participants in her classes benefit from her practical credentialing tips that help drive improved payer enrollment outcomes. Davis holds a Bachelor of Science in healthcare administration with a minor in business management from Western Kentucky University.
Trudie L. Kuka
Trudie L. Kuka works with healthcare providers and provider enrollment professionals nationwide and provides personalized training to practices and health systems to assist with navigating the nuances of payer enrollment and contracting. Areas of expertise include enrollment with Medicare, Medicaid, commercial networks, credentialing/CAQH maintenance, and payer review by market. Kuka has served the healthcare industry for 20 years in various sales, marketing, management, and staff development roles.
Provider Enrollment Boot Camp
Pricing
Provider Enrollment Boot Camp: $399
*Please call Customer Service at 1-800-650-6787 x4005 to receive discounts for Group Pricing.
Provider Enrollment Boot Camp
Continuing Education
AAPC
This program has the prior approval of AAPC for 6.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
Ability to claim credits for this virtual program expires on: 8/31/2023
How to receive your continuing education certificate
To obtain a continuing education certificate, you must watch the full training and get an 80% on the post-test. Once you pass the test, you’ll be provided a link to take an evaluation. Once you complete the evaluation, a certificate will be emailed to you. Please retain the email for future reference. Note: The automated certificates are sometimes mistaken for spam. We suggest you use a personal email address and check your junk mail folder after completing the evaluation.
Customer Service Contact Information
If you have questions regarding this product or activity, please contact customer service department for further assistance:
Phone: 800-650-6787
Email: customer@decisionhealth.com
Provider Enrollment Boot Camp
Information
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, Firefox, Chrome, or Safari, with JavaScript enabled
Internet: Internet connection (high-speed connection recommended)
Streaming: for audio/video streaming, use any web browser listed above or Safari browser on iOS devices
Note: Once you have completed checkout you will receive an order confirmation email from Do-Not-Reply-TrainingToday@lmsnotification.com within 1 business day. This email will include your password and login information. Upon logging in you will gain access to all course material. The course material is to be used solely by the purchaser. Any sharing of this documentation is prohibited.
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