National Provider Enrollment Virtual - On-Demand

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National Provider Enrollment Virtual - On-Demand

Product Code: NPEV11082022

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National Provider Enrollment Virtual - On-Demand

Now Available On-Demand.

The National Provider Enrollment Virtual - On-Demand is a one-of-a-kind on-demand virtual focused on education for provider enrollment professionals, enrollment managers, and credentialing specialists.

Perfect for those new to the field or with years of experience, this on-demand virtual delves into the complex processes of enrolling practitioners and facilities with both government and private payers. Receive expert guidance and best practices for developing and sustaining successful enrollment processes.

Don’t miss your chance to receive expert guidance and best practices to ensure your organization and its practitioners are reimbursed for their services.

After attending this on-demand virtual, learners will be able to:

  • Explain the types of information required by payers
  • Identify solutions to common enrollment challenges for nonphysician practitioners
  • Describe best practices for communicating with providers
  • Explain the Office of Inspector General’s exclusion authority and processes
  • Identify and avoid common missteps in the integration of credentialing and enrollment functions
  • Set role expectations when leading a provider enrollment team

Who should attend:

  • Setting: Healthcare industry
  • Titles: Provider enrollment leads professionals, credentialing specialists, enrollment specialists, payer credentialing managers, provider enrollment managers and supervisors, practice administrators, practice enrollment managers
  • Primary Market: Medical facilities, hospitals, healthcare professionals, health insurance companies, physician practices, acute care providers/facilities
  • Sub Market: Administration, enrollment, provider enrollment

National Provider Enrollment Virtual - On-Demand


Day 1

1 hour
All Aboard! Streamlining Payer Enrollment
Donna Goestenkors, CPMSM, EMSP, and Dina Solis, PESC
The key to timely payer enrollment and reimbursement is gathering a complete package of information from the provider. The challenge is that different payers have diverse enrollment requirements. Join Team Med Global to discover the ideal road map for streamlined provider onboarding.

  • Explain the types of information required by payers
  • Identify the elements of the ideal provider packet
  • Describe the research needed for successful onboarding

1 hour
APP-Avalanche: Payer Enrollment for Nonphysician Practitioners
Donna Goestenkors, CPMSM, EMSP, and Yesenia Servin, CPMSM, PESC
Payer enrollment specialists are adept at juggling and tracking multiple providers. However, advanced practice professionals, or APPs—such as nurse practitioners, physician assistants, and registered nurse anesthetists—can pose an avalanche of challenges to an industry once geared to physicians. Join Team Med Global for a discussion of mechanisms to streamline payer enrollment for nonphysician practitioners and achieve optimal revenue recovery.

  • Pinpoint credentialing and payer enrollment differences between physicians and APPs
  • Describe strategies to streamline APP applications for commercial health plans
  • Identify solutions to common enrollment challenges for APPs

1 hour
Tech-Tastic! Streamlining CAQH Applications
Donna Goestenkors, CPMSM, EMSP, and Larry DeHoyos, CPCS, PESC
The Council for Affordable Quality Healthcare (CAQH) database is the cornerstone of payer enrollment, with nine out of 10 private insurers using CAQH for certain provider types. Yet incomplete CAQH applications delay enrollment and have an immediate impact on an organization’s bottom line. Join Team Med Global’s payer enrollment team as they reveal processes designed to increase CAQH efficiencies and utilization, and to fast-track reimbursements.

  • Identify three processes that expedite CAQH configuration and setup
  • Describe best practices for communicating with providers
  • Contrast the strategies for the CAQH Practice Manager module and the CAQH Provider module

30 minutes
Recorded Q&A With Day 1 Speakers
Donna Goestenkors, CPMSM, EMSP, Larry DeHoyos, CPCS, PESC, and Yesenia Servin, CPMSM, PESC, and Dina Solis, PESC
Our speakers will answer questions from the day’s sessions during a recorded Q&A.

Day 2

1 hour
Credentialing and Enrollment: The Integration Opportunity
Amy M. Niehaus, MBA, CPMSM, CPCS
As healthcare organizations continue to search for ways to reduce costs while maintaining quality, the credentialing and enrollment departments are coming to the forefront as ideal
candidates for integration. While credentialing and enrollment are unique and distinct functions, there is significant overlap with the practitioner data and skill sets required to perform them. Attendees of this session will learn how to achieve greater efficiency and enhance revenue by successfully integrating these two functions.

  • State the similarities and differences between credentialing and enrollment
  • Describe the benefits of integrating credentialing and enrollment
  • Identify various approaches to integration and alignment
  • Discuss common missteps in the integration process and how to avoid them

1 hour
Exclusion 101
Sean J. Fahey, JD
Join attorney Sean Fahey, JD, as he provides information on the Office of Inspector General’s (OIG) exclusion authority and processes. This session will review the OIG’s guidance on screening for excluded individuals and entities, examine the effect of exclusion, and discuss the self-disclosure of the employment of excluded individuals.

  • Explain the OIG’s exclusion authority and processes
  • Apply best practices when screening for excluded individuals
  • Manage the self-disclosure of the employment of an excluded individual

1 hour
Five Steps to Run a Provider Enrollment Team
LaShawna Brown, CPMSM, CPCS
Often, when credentialing specialists and provider enrollment specialists are excellent at their job, they get promoted or step into a team leadership role. The transition often happens without any additional training, and suddenly everyone is looking to the new leaders for answers they may not have. This presentation will guide your new leaders through the basics they need to research and know to thrive in their new role.

  • Identify the members of the new leader’s overall team
  • Outline the necessary conversations with leadership to define the new leader’s role and its expectations
  • Evaluate and recognize opportunities for self-development and staff development

30 minutes
Recorded Q&A With Day 2 Speakers
LaShawna Brown, CPMSM, CPCS,
Sean J. Fahey, JD, and
Amy M. Niehaus, MBA, CPMSM, CPCS
Our speakers will answer questions from the day’s sessions during a recorded Q&A.

National Provider Enrollment Virtual - On-Demand


LaShawna Brown

LaShawna Brown, CPMSM, CPCS
Credentialing Manager, CommunityCare Managed Healthcare Plans of Oklahoma; and Founder, On A Mission Credentialing

LaShawna Brown, CPMSM, CPCS, is the credentialing manager for CommunityCare Managed Healthcare Plans of Oklahoma and founder of On A Mission Credentialing. Brown started her career in 2001 as a medical staff office receptionist. In 2013, she became the director of medical staff services and centralized credentialing for a six-hospital health system and served in that role for nearly seven years. In 2019, she joined an Oklahoma health insurance company and quickly began learning the managed care side of credentialing. Realizing the significant misnomers regarding the managed care process, she launched her blog, On A Mission Credentialing, in 2021 to provide knowledge gleaned from her 20 years of experience in the credentialing realm.

Larry DeHoyos, CPCS, PESC

Larry DeHoyos, CPCS, PESC
Team Member, Team Med Global Healthcare Consulting

Larry DeHoyos has been involved in the medical staff services, quality management, credentialing, provider enrollment and revenue cycle industries for over 22 years. His experience extends through medical groups, hospital systems, managed care plans and CVO environments. He is currently based in the Boston, Massachusetts area where he is the director of credentialing for a nurse staffing platform for post-acute care facilities. DeHoyos is a subject matter expert in provider enrollment, practice management and acquisitions & integrations. He also serves as an associate faculty and member of the speaker team with Team Med Global where he has developed and facilitated several webinars and educational workshops on lean workplace efficiencies, provider enrollment, provider credentialing, CVOs, accreditation preparedness and practice management.

Sean J. Fahey, JD

Sean J. Fahey, JD
Attorney, Hall, Render, Killian, Heath & Lyman, PC

Sean Fahey, JD, helps skilled nursing facilities, assisted living facilities, home health providers, and hospice providers navigate regulatory and compliance matters. He represents clients in all areas of healthcare compliance, governance, transactions, Medicare enrollment, administrative appeals, agreements, accounts receivable, and reimbursement recovery. Fahey counsels nonprofit clients on charitable operations and governance. He frequently speaks before national and state healthcare providers and associations on assisted living and skilled nursing facility issues.

Donna Goestenkors

Donna Goestenkors, CPMSM, EMSP
President, Team Med Global Healthcare Consulting

Donna Goestenkors, CPMSM, EMSP, is a consultant, speaker, author, educator, and mentor with more than 46 years of knowledge and experience that she is privileged to share with colleagues, healthcare administrators, and medical staff leaders on issues pertinent to the medical staff services industry. Her expertise penetrates all healthcare locations and environments, including health systems; academic, community, and critical access hospitals; credentials verification organizations; payer enrollment; managed care organizations; and group and solo practice settings. Her talent in leading medical staff services professionals to their highest competence garners Goestenkors great respect among her industry colleagues.

Amy M. Niehaus, MBA, CPMSM, CPCS

Amy M. Niehaus, MBA, CPMSM, CPCS
President, AMN Consulting, LLC

Amy M. Niehaus, MBA, CPMSM, CPCS, is an independent healthcare consultant with more than 30 years of experience in the medical services and credentialing profession advising clients in the areas of accreditation, regulatory compliance, credentialing, privileging, operational efficiency, technology, credentialing policies and procedures, enrollment, and delegation. Niehaus has worked in multiple environments throughout her career, including acute care hospitals, CVOs, health plans, and consulting firms. She is dual certified by the National Association Medical Staff Services (NAMSS) and has served in multiple roles including NAMSS instructor, subject matter expert, and chair of the association’s education committee. She is a former president of the Missouri Association Medical Staff Services and the Greater St. Louis Area chapter. Niehaus has been a frequent speaker and educator, and has authored and contributed to a variety of industry-related publications. She is the author of Managed Care Credentialing: Compliance Strategies for Health Plans, CVOs, and Delegated Entities (HCPro, 2019).

Yesenia Servin, CPMSM, PESC

Yesenia Servin, CPMSM, PESC
Payer Enrollment Lead, Team Med Global Healthcare Consulting

Yesenia Servin, CPMSM, PESC, has more than 23 years of experience in payer enrollment and physician credentialing and is currently the payer enrollment lead at Team Med Global (TMG). There, she manages payer enrollment projects, briefs payer enrollment team members on industry trends, and is the liaison for the multitude of departments impacting payer enrollment processes. She also maintains her own consultancy, where she helps organizations develop and implement best practices guidelines and processes; analyzes a variety of commercial, private, and governmental claim filings; and manages credentialing processes for network participation agreements. Servin is a current member of the NAHRI Leadership Board. She is also a leading member of TMG’s Payer Enrollment Institute and serves as associate faculty on the Speakers’ Team.

Dina Solis, PESC

Dina Solis, PESC
Owner/Principal Consultant, Sonoma Credentialing Services

Dina Solis, PESC, is the owner and principal consultant of Sonoma Credentialing Services— a San Francisco Bay Area consulting business that specializes in helping healthcare providers across the U.S. become enrolled, contracted, and credentialed with governmental and commercial health insurance plans.

Committed to sharing her knowledge from having over 20 years of experience in the healthcare industry, Solis is a member of NAMSS and CAMSS, a five-year past NAMSS Educational Conference Guest Speaker, and a founding faculty member of TMG University, at Team Med Global Consulting Inc. She also develops educational content and webinars on the topics of payer enrollment processes and best practices. She studied Human Resource Management in Northern California, holds a Provider Enrollment Specialist Certificate (PESC), and serves as a board member for the non-profit Sending Out An SOS, which raises awareness and funding to support less fortunate victims of limb loss.