National Provider Enrollment Forum 2020

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National Provider Enrollment Forum 2020

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National Provider Enrollment Forum 2020

April 19-22, 2020 | New Orleans

Master the enrollment process at the 2020 National Provider Enrollment Forum, the leading professional event for provider enrollment specialists!

The 2020 National Provider Enrollment Forum delivers two and a half days of engaging education and training to credentialing specialists, provider enrollment professionals, and enrollment managers. Experienced veterans in the field as well as top industry experts offer best practices and tips for developing and sustaining successful enrollment processes. Whether a newly minted professional or an experienced enrollment specialist, you won’t want to miss this opportunity to get step-by-step training and answers to your most pressing questions!

Co-located with the Credentialing Resource Center Symposium in the incredible city of New Orleans, the 2020 National Provider Enrollment Forum is bursting with innovative speakers, fresh insights, and brand-new sessions!

Hot topics for 2020 include:

  • Enrolling with government and commercial payers
  • Understanding the relationship between credentialing and enrollment
  • Utilizing the Medicare Provider Enrollment, Chain, and Ownership System (PECOS)
  • Filling out CMS forms for Medicare enrollment
  • Using CAQH solutions
  • Professional development and career advancement for enrollment professionals

Whether you work at a physician office, home health agency, hospital, rural health clinic or any other setting, this is the only training event that will help you master the enrollment process and ensure timely reimbursement!

Who should attend?

  • Provider enrollment leads professionals
  • Credentialing specialists
  • Enrollment specialists
  • Payer credentialing Managers
  • Provider enrollment managers and supervisor
  • Practice administrators
  • Practice enrollment managers

Learning Objectives:

  • Successfully enroll your physicians with commercial and government payers 
  • Incorporate technology into traditional provider enrollment processes 
  • Discuss the similarities and differences between credentialing and provider enrollment

Tip: Enrollment professionals who are new to the field or veterans looking to brush up on the basics should be sure to register for our Provider Enrollment 101 preconference on April 19!

Full Agenda

Preconference

12:00 p.m.–1:00 p.m.  

Registration

1:00 p.m.–2:10 p.m.    

Provider Enrollment 101

Terri Lynn Davis, BS

Industry veteran Terri Lynn Davis kicks off the preconference with an essential session on the foundations of provider enrollment. Learn important terminology, the steps in the enrollment process, and the difference between commercial and government payers.

2:10 p.m.–2:40 p.m.

Refreshment break

2:40 p.m.–3:50 p.m.    

Introduction to PECOS/I&A and Surrogacy

David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP

Experienced healthcare consultant David Zetter breaks down the Provider Enrollment, Chain, and Ownership System (PECOS), the Identity & Access Management System, and the National Plan & Provider Enumeration System (NPPES) into easy-to-understand pieces in this session. Zetter also introduces surrogacy and explains its importance.

4:00 p.m.–5:15 p.m.

What Is the Difference Between Credentialing and Payer Enrollment?

Terri Lynn Davis, BS

Join Terri Lynn Davis as she outlines the essential tasks involved in credentialing and payer enrollment. Learn the overlaps and differences between the two functions. In this session, Davis also explains the process of primary source verification and the processes for enrolling both new and existing practitioners and facilities.

 

Day 1 (Monday, April 20, 2020)

 

7:00 a.m.–8:00 a.m.

Registration and continental breakfast

8:00 a.m.–9:00 a.m.    

Navigating the Provider Enrollment Process

Sierra Farleman

Sierra Farleman from the Medicare Administrative Contractor (MAC) Novitas kicks off the conference with a session introducing the enrollment process and highlighting the roles of MACs. This session provides an overview of the various CMS forms you may need to enroll your practitioner or provider, touches on the application and revalidation processes, and details the top reasons why applications may require further development upon submission to a MAC.

9:10 a.m.–10:10 a.m.  

2020 Enrollment Regulations Updates

Abigail Kaericher

Get up to date on all new and upcoming regulatory changes, particularly regarding CMS and Medicare. Plus, get clarity on recent and upcoming changes to enrollment processes.

10:10 a.m.–10:40 a.m.

Networking break—Exhibit Hall

10:40 a.m.–11:40 a.m.

PECOS/I&A and NPPES Updates & Multifactor Authentication

David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP

Master the PECOS Identity & Access Management System to request surrogacy on behalf of providers. Plus, David Zetter clarifies how Delegated Officials and Authorized Officials take on different meanings when performing enrollment vs. acting as a surrogate.

11:40 a.m.–12:40 p.m.

Lunch provided—Exhibit Hall

12:40 p.m.–1:40 p.m.  

How to Complete the CMS-855I

Sierra Farleman

Sierra Farleman from the MAC Novitas explains in detail how to complete the CMS-855I form to enroll physician and nonphysician practitioners with Medicare. This session provides attendees with the unique opportunity to receive guidance directly from a MAC regarding how to complete a CMS-855 form.

1:50 p.m.–2:50 p.m.    

Maintaining Provider Enrollment and Performing Medicare Revalidations

Terri Lynn Davis, BS

Keeping your information updated and accurate with payers is crucial to a successful practice. This session provides tips for remaining organized, staying informed, and keeping payers up to date with your practitioners’ and group’s information. These best practices will help you ensure that no recredentialing or Medicare revalidations are ever missed.

2:50 p.m.–3:20 p.m.

Networking break—Exhibit Hall

3:20 p.m.–4:20 p.m.    

Contracting With Commercial Payers

David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP

Join David Zetter for an introduction to enrolling, contracting, and credentialing with commercial payers. Learn what to expect from the overall process, the vendors, and your staff when enrolling with commercial payers. Zetter also provides best practices for successful enrollment with these payers.

4:30 p.m.–5:30 p.m.

Introduction to CAQH Solutions

Jammal Dorsey, MBA, CSP, CSM, CSPO, and Christopher Swartz

Join industry experts Jammal Dorsey and Christopher Swartz as they discuss benefits healthcare organizations are achieving through the usage of CAQH services. Specifically, the representatives showcase real-world examples of how those solutions have improved provider data management and credentialing processes for health plans.  

5:30 p.m.–6:30 p.m.    

Networking reception—Exhibit Hall

 

 

Day 2 (Tuesday, April 21, 2020)

 

7:00 a.m.–8:00 a.m.    

Continental breakfast—Exhibit Hall

8:00 a.m.–9:00 a.m.

Credentialing Across the Continuum

Rachelle Silva, BBM, CPMSM, CPCS

This session provides a broad overview of the regulatory and accreditation standards required throughout the healthcare industry. Industry veteran Rachelle Silva discusses primary source verification requirements as well as how to develop clear and concise policies.

CHOW Down: Understanding How Changes of Ownership Can Impact a Healthcare Transaction

Brian Jent

In recent years, there has been a lot of consolidation and acquisition activity in the healthcare industry. Knowing what types of transactions trigger a change of ownership and what notices must be filed is critical to avoid a lapse in reimbursement or a closing of the transaction. This session provides guidance on specific change-of-ownership situations through real-life examples.

9:10 a.m.–10:10 a.m.  

Improve New Provider Onboarding to Increase Revenue

David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP

Would you like to guarantee payment for all services conducted by your practitioners from the day they start, without losing any money or productivity? In this session, David Zetter offers suggestions and actionable guidance to improve your new provider onboarding process so that practitioners can begin receiving reimbursement immediately upon starting.

10:10 a.m.–10:40 a.m.

Networking break with PECOS station—Exhibit Hall

10:40 a.m.–11:40 a.m.

Streamlining Data Exchange in Delegated Credentialing Relationships

Jammal Dorsey, MBA, CSP, CSM, CSPO, and Christopher Swartz

Health plans and provider groups across the country are beginning to adopt a data standard for exchanging delegated rosters to support reporting in delegated credentialing relationships. CAQH has built a portal called CAQH ProView for Groups that aligns with this standard and allows provider groups to submit rosters in a one-stop shop for multiple health plans. Learn how the standard is helping both provider groups and health plans streamline data exchange and other processes, and how this improves transparency between health plan and provider groups in provider enrollment and other use cases.

11:40 a.m.–12:40 p.m.

Lunch provided—Exhibit Hall

12:40 p.m.–1:40 p.m.  

How to Complete the CMS-855 Forms, Part 1

Lauren Hulls

Learn how to successfully complete the CMS-855A, CMS-855B, and CMS-855R to enroll or revalidate providers and suppliers with Medicare and to reassign a practitioner’s Medicare benefits. Attendees will also have the opportunity to ask questions regarding the forms.

1:50 p.m.–2:50 p.m.    

How to Complete the CMS-855 Forms, Part 2

Lauren Hulls

Learn how to successfully complete the CMS-855A, CMS-855B, and CMS-855R to enroll or revalidate providers and suppliers with Medicare and to reassign a practitioner’s Medicare benefits. Attendees will also have the opportunity to ask questions regarding the forms. Note: This session is a continuation of How to Complete the CMS-855 Forms, Part 1.

2:50 p.m.–3:20 p.m.    

Networking break with PECOS station—Exhibit Hall

3:20 p.m.–4:20 p.m.

Drowning in Duplication: Let’s Explore the Benefits of Delegation

Rachelle Silva, BBM, CPMSM, CPCS

This session evaluates the duplication in the credentialing process and explores the benefits of entering into delegated credentialing agreements to improve the timeliness of beginning the revenue cycle. Speaker Rachelle Silva also discusses professional development for provider enrollment specialists.

Payer Enrollment Challenges: Advanced Practice Professionals

Donna Goestenkors, CPMSM, and Yesenia Servin, CPMSM

Payer enrollment specialists are adept at juggling and tracking multiple providers. However, advanced practice professionals—such as nurse practitioners, physician assistants, and registered nurse anesthetists—can pose specific challenges to an industry once geared to physicians. Join Team Med Global’s Donna Goestenkors and Yesenia Servin as they discuss mechanisms to streamline payer enrollment for nonphysician practitioners and achieve optimal revenue recovery.

  

Day 3 (Wednesday, April 22, 2020)

 

7:00 a.m.–8:00 a.m.    

Continental breakfast

8:00 a.m.–9:10 a.m.

Beyond the Basics: Payer Enrollment Best Practices

Donna Goestenkors, CPMSM, and Nicole Keller, BS, MSHM, CPHQ, CPHIT, CSM

Payer enrollment is an ever-evolving field, one where an overlooked data point can cause reimbursement delays. Join Team Med Global’s Donna Goestenkors and Nicole Keller as they provide insights into the latest trends in payer enrollment and actionable information to increase the effectiveness of experienced payer enrollment specialists and team leaders.

9:20 a.m.–10:30 a.m.  

How to Cope With and Respond to Denials of CMS-855 Forms

Todd Selby, JD

Gain insight into why CMS-855 forms may be rejected and learn best practices for appealing rejections as well as avoiding them altogether. Healthcare consultant Todd Selby also provides case law examples of rejections to demonstrate how to apply this guidance to real-life scenarios.

10:30 a.m.–11:00 a.m.

Refreshment break

11:00 a.m.–12:00 p.m.

Jumpstarting Reimbursement: Mastering Medicaid Payer Enrollment

Donna Goestenkors, CPMSM, and Larry DeHoyos, CPCS, PESC

Payer enrollment accelerates an organization’s revenue cycle, but Medicaid turnaround times, retroactive physician enrollment, and out-of-state physician enrollment can put the brakes on timely reimbursements. To reverse delayed enrollment and streamline the payer process, join Team Med Global’s Donna Goestenkors and Larry DeHoyos as they discuss best practices for handling Medicaid enrollments to achieve your enrollment goals and circumvent stalled reimbursements.


Find the Agenda here.


**Agenda and Speakers Subject to Change**

Your Faculty

Terrilynn Davis Terrilynn Davis, BS – Credentialing Director, 1st Assistant Credentialing Services
Larry DeHoyos

Larry DeHoyos, CPCS, PESC Speakers' Team - Team Med Global Healthcare Consulting

Jammal Dorsey Jammal Dorsey, MBA, CSP, CSM, CSPO – Product Manager, CAQH
Sierra Farleman Sierra Farleman - Provider Outreach and Education Specialist, Novitas Solutions, Inc.
Donna Goestenkors Donna Goestenkors, CPMSM Speakers' Team- Team Med Global Healthcare Consulting
Lauren Hulls Lauren Hulls – Attorney, Hall, Render, Killian, Heath & Lyman, P.C.
Brian Jent Brian Jent – Shareholder, Hall, Render, Killian, Heath & Lyman, P.C.
Abigail Kaericher Abigail Kaericher – Attorney, Hall, Render, Killian, Heath & Lyman, P.C.
Nicole Keller Nicole Keller, BS, MSHM, CPHQ, CPHIT, CSM Speakers' Team- Team Med Global Healthcare Consulting
Todd Selby Todd Selby, JD – Shareholder, Hall, Render, Killian, Heath & Lyman, P.C.
Yesenia Servin Yesenia Servin, CPMSM Speakers' Team - Team Med Global Healthcare Consulting
Rachelle Silva Rachelle Silva, BBM, CPMSM, CPCS – Credentialing Specialist, Multiplan, Inc.
Christopher Swartz Christopher Swartz – Product Manager, CAQH
David Zetter David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP – Senior Healthcare Consultant, Zetter Healthcare Management Consultants

Conference Location

New Orleans

Sheraton HotelWhere: Sheraton New Orleans Hotel
500 Canal Street
New Orleans, LA, 70130

Brimming with style but grounded in substance, Sheraton New Orleans Hotel is a premier downtown New Orleans destination just steps from the buzz of the French Quarter while offering seamless access to notable NOLA points of interest like the Ernest N. Morial Convention Center, Mercedes-Benz Superdome and Smoothie King Center. Relax in the refined guest rooms and suites, which boast plush bedding, spacious work areas, modern technology and floor-to-ceiling windows overlooking the French Quarter and the Mississippi River. For those craving authentic New Orleans cuisine, Roux Bistro fits the bill with creative Cajun cuisine, while Pelican Bar is ground-zero for colorful cocktails.

Amenities

  • Fitness Center
  • Rooftop Pool
  • Complimentary computers & free Wi-Fi
  • Starbucks®
  • Roux Bistro
  • Pelican Bar

Room rate: $220/night
Hotel cut-off date: Monday, March 30, 2020
Toll-Free Reservation Center: (800) 325-3535 and reference DecisionHealth NPE Forum
Hotel Reservations: https://book.passkey.com/event/49973500/owner/111/home

Check-in and Check-out
Check-in: 4:00 PM
Check-out: 11:00 AM

Pricing

Save up to $460 when you register by February 7, 2020!

Main Conference Only
Retail price: $1,499 
Early Bird price: $1,399 (Early bird deadline is February 7, 2020)
Save $100

Preconference Only
Retail price: $495
Early Bird price: $425 (Early bird deadline is February 7, 2020)
Save $70

All-Access Pass – Best Value! (Preconference + Main Conference April 19-22, 2020)
Retail price: $1,994
Early Bird: $1,525 (Early bird deadline is February 7, 2020)
Save $469

Multiple Attendees?
Send your team of three or more and save an additional 10%! Your savings will automatically calculate in your cart when you register. Prefer to register by phone? Contact Megan Ireland at 1-855-225-5341 x6025 or mireland@decisionhealth.com.

Questions?
Call our customer service team at 855-255-5341 or email customer@decisionhealth.com

Cancellation Policy
Click here to view our event registration policy.

**This policy is subject to change.**