National Provider Enrollment Virtual – On-Demand

Bookmark and Share

National Provider Enrollment Virtual – On-Demand

Product Code: NPEV11012023

Availability: In stock

Your Price:
Add Items to Cart

National Provider Enrollment Virtual – On-Demand

Now Available On-Demand.

The National Provider Enrollment Virtual Event – On Demand is a one-of-a-kind online event 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 event delves into the complex processes of enrolling practitioners and facilities with both government and private payers. Attendees will receive expert guidance and best practices for developing and sustaining successful enrollment processes.

Attendees have access to all sessions for 60 days, giving them the opportunity to listen to all 5 sessions in one day or in small chunks. Attendees can also earn AAPC CEUs from this program. 

Attendees will learn how to:

  • Explain the elements of a typical behavioral health provider enrollment checklist
  • Identify five primary provider types and services
  • Explain payer caveats that allow for post-service enrollment
  • Describe five steps to ensure timely payment
  • Explain the types of information required by payers
  • Describe best practices for communicating with providers
  • Identify and avoid common missteps in the integration of credentialing and enrollment functions

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

National Provider Enrollment Virtual – On-Demand


1 hour
Provider Enrollment Basics: What to Do Day 1, Week 1, Month 1, and Year 1

Mathieu Gaulin, CPMSM, CPCS, Jenny Jackson, EdD, MBA, CPMSM, CPCS, FMSP
Congratulations, you’re a provider enrollment professional! Now what? This presentation will walk you through some tips for getting you through Day 1, Week 1, Month 1, and Year 1. Leave better prepared to tackle the most common enrollment challenges and questions.

  • Learn the 5 W’s of an enrollment checklist
  • Learn common challenges and opportunities for new provider enrollment professionals
  • Learn how to use skills learned as an MSP to succeed as a provider enrollment professional

1 hour
Going the Distance: Out-of-State Payer Enrollment
Larry DeHoyos, CPCS Yesenia Servin, CPMSM
When an insured patient from out of state receives emergency services, payment can fall through the cracks. Learn efficient processes for enrolling a provider after services have been rendered and get tips on communicating with payers.

  • Explain payer caveats that allow for post-service enrollment
  • Identify efficient processes for post-service enrollment
  • Describe five steps to ensure timely payment

1 hour
Integrating Medical Staff Credentialing and Provider Enrollment: Is This the Best Choice for Your Organization?
Janet Wilson, BS, FMSP, CPMSM, CPCS
As healthcare organizations look to make operations more efficient, many have started to combine provider enrollment and medical staff services functions. However, rushing to do so can cause the collaboration to fail. This session will explore the benefits and challenges of combining enrollment and credentialing, how to determine whether doing so is the right choice for your organization, and how to start if you decide to integrate departments.

  • Describe the benefits of integrating credentialing and enrollment
  • Identify ways to confirm whether integrating credentialing or maintaining the status quo is the best choice for your organization
  • Define other options for consideration that will provide cost-effective processes

1 hour
Smooth Sailing: Payer Enrollment for Behavioral Health

Larry DeHoyos, CPCS Yesenia Servin, CPMSM
The demand for mental health services has never been greater, yet enrolling behavioral health providers poses unique challenges. Commercial insurance plans may have separate networks for behavioral health providers, and requirements for Medicaid enrollment vary by state. Discover how to dismantle the roadblocks to successful payer enrollment for behavioral health providers.

  • Explain the elements of a typical behavioral health provider enrollment checklist
  • Identify five primary provider types and services
  • Describe the appeals process for denials

1 hour
Credentialing and Enrollment After COVID
LaShawna Brown, CPMSM, CPCS
With healthcare seeing so many changes during the COVID-19 pandemic, what enrollment and credentialing processes were affected? Did anything actually change? This session will explore lessons learned and which ones should be carried forward post-pandemic.

  • Identify challenges and solutions to working remotely as a team
  • Explain the key elements in obtaining electronic signatures
  • Design solutions for keeping provider information secure in an electronic environment
  • Evaluate which changes to keep and which to stop post-pandemic

30 minute
Recorded Q&A With Speakers

National Provider Enrollment Virtual – On-Demand


LaShawna Brown

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

LaShawna 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 where she served for nearly seven years. In 2019, she joined an Oklahoma health insurance company and has been navigating and learning the managed care side of credentialing. She enjoys helping others grow by sharing the knowledge gleaned from over 20 years of experience in the credentialing realm.

Larry DeHoyos

Larry DeHoyos, CPCS
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 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 and integrations. He also serves as associate faculty and as a 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.

Mathieu Gaulin

Mathieu Gaulin, CPMSM, CPCS
Senior Director, Professional Medical Staff Services, Boston Children’s Hospital

Mathieu Gaulin has been at Boston Children’s Hospital since 2006, starting as an agency temporary employee. He worked in provider enrollment for 10 years, during which time he created and managed the centralized provider enrollment team. Currently, he is the senior director of professional medical staff services; in this role, he oversees medical staff services and provider enrollment while working with the medical staff and its leaders on their self-governance and oversight of patient safety and quality obligations. Gaulin is currently a member of the Board of Advisors of Medallion, Inc. and the Institute of Contemporary Art/Boston. He previously served on the National Association Medical Staff Services Membership Committee and as the secretary of the Massachusetts Association of Medical Staff Services. He is also a national speaker and thought leader in multiple medical staff domains.

Jenny Jackson

Jenny Jackson, EdD, MBA, CPMSM, CPCS, FMSP
Senior Director, Provider Enrollment & Onboarding, Community Health Systems, Inc.

Jenny Jackson is a medical service professional with 22 years of experience in managed care and provider enrollment. She is the senior director of provider enrollment and credentialing verification services for Community Health Systems in Nashville, Tennessee. Jackson is passionate about developing other leaders and specializes in building strong teams through communication, empathy, and trust. She believes that practicing servant leadership and putting people first is fundamental to the success of every organization. Jackson is a past president of the Kentucky Association of Medical Staff Services, a Certified Professional in Medical Services Management, a Certified Provider Credentialing Specialist, and a Fellow of the National Association Medical Staff Services. She holds an MBA and an educational doctorate in organizational leadership from Western Kentucky University.

Yesenia Servin

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

Yesenia Servin has more than 23 years of experience in payer enrollment and physician credentialing and is currently the payer enrollment lead at Team Med Global. 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-practice 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 National Association of Healthcare Revenue Integrity Leadership Board. She is also a leading member of Team Med Global’s Payer Enrollment Institute and serves as associate faculty on the speaker team.

Janet Wilson

Janet Wilson, BS, FMSP, CPMSM, CPCS
President, JLWilson MedStaff Consulting

Janet Wilson has been involved in the medical staff services, quality, and credentialing industry for the past 36 years. Her healthcare experience extends to hospitals, quality, managed care, and the CVO environment. Wilson served for three years on the National Association Medical Staff Services (NAMSS) board of directors and was designated a Fellow by NAMSS in 2019. She also served on the board of directors of the Texas Society of Medical Staff Services and held the office of president during her tenure on the board. Wilson has been an independent consultant for over 15 years in the areas of credentialing/privileging, quality, CVO development, and medical staff services. She has also worked as an independent educator in the healthcare industry for many years, and has spoken at numerous state and national conferences. Wilson recently coauthored the ninth edition of HCPro’s Verify & Comply: Credentialing, Medical Staff, and Ambulatory Care Standards and was a NAMSS instructor for the past 10 years. She is also on the faculty of Edge-U-Cate and teaches CPCS/CPMSM certification–focused study programs and other industry-related programs.

National Provider Enrollment Virtual – On-Demand


Retail price: $399.00

Group pricing is as follows:

  • 4–10 attendees = each attendee receives 10% discount off retail price
  • 11–15 attendees = each attendee receives 15% discount off retail price
  • 16–20 attendees = each attendee receives 20% discount off retail price
  • 21+ attendees = each attendees receive 25% discount off retail price

National Provider Enrollment Virtual – On-Demand

Continuing Education

This program has the prior approval of AAPC for 5.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.