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The 2021 National Provider Enrollment Forum is bursting with innovative speakers, fresh insights, and brand-new sessions!

National Provider Enrollment Forum 2021

September 20–21, 2021 | Nashville, TN

DecisionHealth is happy to announce the return of our much-loved National Provider Enrollment Forum, to be held September 20–21, 2021 in Music City: Nashville, Tennessee.

The 2021 National Provider Enrollment Forum delivers two days of engaging education and training to provider enrollment professionals, enrollment managers, and credentialing specialists. 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!

After attending this conference, learners will be able to:

  • Understand how to enroll practitioners and facilities with both government and private payers
  • Explain the importance of a thorough credentialing process
  • Describe key considerations for peer review
  • List opportunities for professional development and career growth


What’s new for 2021?

New this year: We recognize that your time is valuable, and this year, in an effort to provide you with the education that’s most relevant to your career, we’re offering a credentialing track dedicated to the most important topics in credentialing and privileging.

As a result, the 2021 National Provider Enrollment Forum will deliver fresh and valuable content for nearly every title and function in the medical staff professional and provider enrollment industries.

Hot topics for 2021 include:

  • Enrolling with government and commercial payers
  • Exploring the benefits of aligning credentialing and enrollment
  • Utilizing the Medicare Provider Enrollment, Chain, and Ownership System (PECOS)
  • Employing best practices for credentialing and privileging
  • Engaging in successful peer review
  • Exploring professional development and career advancement for enrollment and medical staff professionals


Other features:

  • Expanded speaker lineup featuring both new names and familiar faces
  • Dedicated Q&A opportunity at the end of every session
  • Measures to keep you safe—this year’s Forum is a limited-touch event with no printed materials


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!

The 2021 National Provider Enrollment Forum is bursting with innovative speakers, fresh insights, and brand-new sessions!

DecisionHealth anticipates a wonderful, responsible, in-person reunion in September. Please know we will continue to closely monitor the guidance and advisements for meetings as outlined by the CDC and the WHO, as well as state and local mandates. Details regarding our safety measures will be shared as we get closer to the event date. We hope you will plan to join us.

As always, the National Provider Enrollment Forum provides breakfast, lunch, food, and beverages during the breaks, and a networking cocktail reception, all included with registration. Attendees will also have access to an app that includes all session materials, a session planner, and unparalleled networking with your peers.

We hope to see you face-to-face once again in Nashville!

National Provider Enrollment Forum 2021

Agenda

Main Conference Day 1 — Monday, September 20, 2021

Track A — Provider Enrollment

7:00 a.m. – 8:00 a.m.
Registration & Continental Breakfast
Welcome / Opening Remarks

8:00 a.m. – 9:00 a.m.
Provider Enrollment
Terri Lynn Davis, BS-HCA, Credentialing Director - 1st Credentialing

9:10 a.m. – 10:10 a.m.
The Enrollment Process With PECOS, I&A, and NPPES
David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP, CMHP, Senior Healthcare Consultant - Zetter Healthcare Management Consultants

Join David Zetter as he explains how the Provider Enrollment, Chain, and Ownership System (PECOS) works in tandem with the Identity & Access Management System (I&A) as well as the National Plan and Provider Enumeration System (NPPES) during the provider enrollment process. Zetter will also detail the multifactor authentication process and the different roles of delegated officials, authorized officials, and surrogates.

10:10 a.m. – 10:40 a.m.
Networking & Refreshment Break

10:40 a.m. – 11:40 p.m.
Payer Credentialing & Provider Enrollment: Two Sides of the Same Coin
Amy Niehaus, MBA, CPMSM, CPCS, Healthcare Consultant

Timely provider enrollment with payers is a critical function to enable provision of care and business success. This session will look at both sides of the credentialing process in the commercial payer world. Understanding a health plan’s requirements under NCQA and CMS can help a provider organization develop an efficient enrollment process for its employed or contracted healthcare practitioners, including the potential for achieving delegation status.

11:40 a.m. – 12:40 p.m.
Networking Lunch—Provided

12:40 p.m. – 1:40 p.m.
Increase Revenue With Improved New Provider Onboarding
David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP, CMHP, Senior Healthcare Consultant - Zetter Healthcare Management Consultants

Avoid losing money and productivity by guaranteeing that you collect payments for all your practitioners’ services from the day they start. Having a strong new provider onboarding process ensures practitioners can begin receiving reimbursement immediately upon starting. In this session, David Zetter will offer suggestions and actionable guidance to improve your onboarding process.

1:50 p.m. – 2:50 p.m.
Optimize Revenue With Unification of Provider Enrollment, Credentialing, and Privileging
Lisa Velasco, MSM, LPTA, CPMSM, CPCS, Director, Professional Services, The Hardenbergh Group, Inc.

Organizations strive to hire quality physicians who have a positive impact on revenue and patient satisfaction. However, organizations risk losing revenue if physicians have to wait to get credentialed—and unfortunately, many hospitals and health plans have a credentialing process that is complex, time-consuming, or duplicative. This session will provide specific tips and tools to remove the hassle factors for physicians by streamlining processes. Attendees will learn how to gain operational efficiencies and speed up turn-around times, resulting in cost savings, positive impact on revenue, and physician and patient satisfaction.

2:50 p.m. – 3:20 p.m.
Networking & Refreshment Break

3:20 p.m. – 4:20 p.m.
An Introduction to Contracting With Commercial Payers
David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP, CMHP, Senior Healthcare Consultant - Zetter Healthcare Management Consultants

New to enrolling, contracting, and credentialing with commercial payers? Join David Zetter as he provides an introduction and explains what you can expect from the overall process, the vendors, and your staff during commercial payer enrollment. You’ll walk away with best practices you can use to ensure success.

4:30 p.m. – 5:30 p.m.
Developing a Practitioner Health and Wellness Committee
Lisa Velasco, MSM, LPTA, CPMSM, CPCS, Director, Professional Services, The Hardenbergh Group, Inc.

Practitioners face increasing challenges and demands from employers, patients, and daily life. MSPs, medical staff, and hospital leadership play a significant role in practitioner health and wellness, and they should be committed to prioritizing physicians’ well-being. This session will provide guidance and targeted solutions to support your organization in the development of a Practitioner Health and Wellness Committee.

5:50 p.m.
Conference Adjourns

Track B — Credentialing

7:00 a.m. – 8:00 a.m.
Registration & Continental Breakfast

8:00 a.m. – 9:00 a.m.
Achieving NCQA Recognition in Credentialing
Amy Niehaus, MBA, CPMSM, CPCS, Healthcare Consultant

Attaining NCQA recognition as a credentialing organization demonstrates compliance with specific industry credentialing requirements and provides opportunities for significant efficiencies and marketability, including delegation status with payers and streamlined enrollment. This session will outline the NCQA requirements for CR accreditation and CVO certification to help organizations determine eligibility and achieve success through proven survey management tools and techniques.

9:10 a.m. – 10:10 a.m.
Verify & Comply: Part 1
Janet Wilson, BS, FMSP, CPMSM, CPCS, Central Texas Division Director of Medical Staff Affairs and CVO - Baylor Scott & White Health

This session begins our two-part examination of the biggest pain points in CMS regulations and accreditors’ medical staff and credentialing standards. During this pair of sessions, attendees will learn each accreditor’s requirements, their similarities and differences, and compliance best practices. Speaker Janet Wilson will provide strategies for successful standards compliance.

10:10 a.m. – 10:40 a.m.
Networking & Refreshment Break

10:40 a.m. – 11:40 p.m.
Verify & Comply: Part 2
Janet Wilson, BS, FMSP, CPMSM, CPCS, Central Texas Division Director of Medical Staff Affairs and CVO - Baylor Scott & White Health

This session continues our two-part examination of the biggest pain points in CMS regulations and accreditors’ medical staff and credentialing standards. Speaker Janet Wilson will continue her explanation of the similarities and differences between each accreditor’s requirements and provide strategies for standards compliance.

11:40 a.m. – 12:40 p.m.
Networking Lunch—Provided

12:40 p.m. – 1:40 p.m.
Use Delegated Credentialing to Eliminate Enrollment Delays
Amy Niehaus, MBA, CPMSM, CPCS, Healthcare Consultant

Waiting for payers to complete their credentialing process takes time and can result in lost or delayed revenue. An efficient enrollment process is critical to a healthcare organization's revenue cycle, and attaining delegated status with commercial payers allows organizations to enroll new providers faster and eliminate enrollment delays. Attendees of this session will learn the steps to achieve delegation status, including determining eligibility and establishing a compliant credentialing program.

1:50 p.m. – 2:50 p.m.
Medical Staff Unification
Todd Sagin, MD, JD - Sagin Healthcare

CMS revised its Conditions of Participation in 2014 to allow multihospital systems to have one unified medical staff. Medical staffs must decide if the best option for all involved is consolidating governing documents and creating a single process for credentialing, privileging, and peer review. Todd Sagin will cover current medical staff unification trends and lay out legal and cultural considerations to help attendees decide whether their health system could benefit from having a unified medical staff.

2:50 p.m. – 3:20 p.m.
Networking & Refreshment Break

3:20 p.m. – 4:20 p.m.
Is an Aging Physicians Policy Necessary? 
Todd Sagin, MD, JD - Sagin Healthcare

Medical staff leaders must assess each practitioner’s capacity to perform all requested privileges, but telling a colleague that their age may be affecting their ability to care for patients can be difficult. To avoid singling out older practitioners, some medical staffs have begun implementing policies that spell out stricter vetting and monitoring processes for practitioners of a certain age. Other medical staffs worry that those very policies are what single out practitioners. Attendees of this session will receive guidance to determine if an age-related policy is right for their organization. Todd Sagin will also identify resources for fitness-for-duty screenings and discuss legal issues that could arise from over-vetting or under-vetting late-career practitioners.

4:30 p.m. – 5:30 p.m.
Maintain Your Organization's Delineation of Privileges
Janet Wilson, BS, FMSP, CPMSM, CPCS, Central Texas Division Director of Medical Staff Affairs and CVO - Baylor Scott & White Health

Organizations have an obligation to their patients to ensure practitioners are only providing care and services that they are qualified to perform. This is in addition to accreditor and regulatory requirements for current privilege forms and criteria. Speaker Janet Wilson will discuss the roles and responsibilities that key players have in the privileging process and will provide attendees with guidance to develop collaborative, ongoing, and systematic approaches to privilege form updates and maintenance.

5:50 p.m.
Conference Adjourns


 

Main Conference Day 2 — Tuesday, September 21, 2021

Track A — Provider Enrollment

7:00 a.m. – 8:00 a.m. 
Registration & Continental Breakfast

8:00 a.m. – 9:00 a.m.
Provider Enrollment

9:10 a.m. – 10:10 a.m.
How Changes of Ownership Impact Healthcare Transactions
Brian Jent, JD, Shareholder - Hall, Render, Killian, Heath & Lyman, P.C.

As consolidations and acquisitions continue 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. Brian Jent will use real-life examples to address specific change of ownership situations, providing attendees with practical guidance should they ever encounter those circumstances.

10:10 a.m. – 10:40 a.m.
Networking & Refreshment Break

10:40 a.m. – 11:40 p.m.
Stepping Up Your Game: Payer Enrollment Best Practices
Larry DeHoyos, CPCS, PESC, Speakers’ Team - Team Med Global Healthcare Consulting
Yesenia Servin, CPMSM, PESC, Speakers’ Team - Team Med Global Healthcare Consulting

Payer enrollment is an ever-evolving field—one where an overlooked data point can cause reimbursement delays. Join Team Med Global’s Larry DeHoyos and Yesenia Servin 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.

11:50 a.m. – 12:50 p.m.
How to Avoid a Denial of a CMS-855 Form
Todd Selby, JD, Shareholder - Hall, Render, Killian, Heath & Lyman, P.C.

Learn best practices for avoiding rejection of a CMS-855 form, as well as what to do when appealing rejections. During this session, healthcare consultant Todd Selby will use case law examples of rejections to explain why they happened and demonstrate how attendees can apply his guidance to real-life scenarios.

12:50 p.m. – 1:50 p.m.
Networking Lunch—Provided

1:50 p.m. – 2:50 p.m.
Building Your Provider Enrollment Toolbox
Jenny Jackson, EdD, MBA, CPMSM, CPCS, FMSP, Senior Director, Provider Enrollment & Onboarding, Community Health Systems, Inc.
Mathieu Gaulin, Director of Health Affairs, Boston Children’s Hospital

Do you have all of the provider enrollment tools you need to be effective? Or do you only have a hammer? This session will provide real-world tools that provider enrollment professionals can use to address a multitude of functions. The presentation materials double as checklists that can be used in daily work.

2:50 p.m. – 3:20 p.m.
Networking & Refreshment Break

3:20 p.m. – 4:20 p.m.
Successfully Manage Provider Enrollment and Medicare Revalidations
Terri Lynn Davis, BS-HCA, Credentialing Director - 1st Credentialing

Never miss recredentialings or Medicare revalidations by keeping your information updated and accurate with payers to ensure a successful practice. This session provides tips and best practices for staying organized and informed, while keeping payers up to date with your practitioners’ and group’s information.

4:20 p.m.
Conference Adjourns

Track B — Credentialing

7:00 a.m. – 8:00 a.m.
Registration & Continental Breakfast

8:00 a.m. – 9:00 a.m.
Master Ongoing Credentialing Monitoring Requirements
Amy Niehaus, MBA, CPMSM, CPCS, Healthcare Consultant

Once practitioners are credentialed, they are immediately subject to ongoing monitoring for continued compliance and potential issues. This function is critical to ensure quality patient care, but also to ensure that the organization is in compliance with accreditation and regulatory requirements and not subject to fines or other corrective action. This session will provide a focused review of the CMS, Joint Commission, and NCQA credentialing requirements for ongoing monitoring, including implementation tips and leading practices to ensure compliance and reduce risk.

9:10 a.m. – 10:10 a.m.
Why You Need an Effective Medical Staff Confidentiality Policy and Process
Janet Wilson, BS, FMSP, CPMSM, CPCS, Central Texas Division Director of Medical Staff Affairs and CVO - Baylor Scott & White Health

Confidentiality is a crucial element of the medical staff and credentialing industry. Speaker Janet Wilson will help attendees identify the key components needed in a comprehensive confidentiality policy. She will also demonstrate how to establish internal guidelines and processes using a confidentiality policy that’s effective and accountable.

10:10 a.m. – 10:40 a.m.
Networking & Refreshment Break

10:40 a.m. – 11:40 p.m.
How Physician Leaders and MSPs Can Ensure Successful Credentialing Integration
Todd Sagin, MD, JD - Sagin Healthcare

In today’s integrated healthcare environment, credentialing has evolved into a mega process with far-reaching implications. That means the MSP’s job is more significant and expansive than ever. Medical staff leaders should understand the vital role MSPs play in the organization and the importance of a solid and efficient credentialing process. Attendees of this session will learn how MSPs can be instrumental in maximizing an organization’s financial position; how the efficiency of credentialing directly affects revenue enhancement and physician satisfaction; and how physician leaders and MSPs can work together to create a credentialing process that protects patients and supports practitioners.

11:50 a.m. – 12:50 p.m.
Boosting the Bottom Line: Linking Healthcare Quality Data and Revenue Management
Nicole Keller, MSHM, CPHQ, CPHIT, CSM, Speakers’ Team - Team Med Global Healthcare Consulting
Stephanie Russell, BS, CPMSM, CPCS, Regional Director , UCHealth in Colorado Springs

Healthcare quality data is increasingly tied to an organization’s revenue streams. This means physician performance metrics are more than a credentialing tool. Join Team Med Global’s Stephanie Russell and Nicole Keller in exploring the connections between credentialing, revenue management, and healthcare quality data.

12:50 p.m. – 1:50 p.m.
NETWORKING LUNCH—Provided

1:50 p.m. – 2:50 p.m.
Lessons Learned: Reflections on Disaster Privileging & Enrollment
Donna Goestenkors, CPMSM, EMSP, Speakers’ Team - Team Med Global Healthcare Consulting
Rachelle Silva, BBM, CPMSM, CPCS, Credentialing Specialist - Multiplan, Inc.

The COVID-19 pandemic unleashed a flood of challenges for credentialing and payer enrollment specialists. Although CMS and states granted waivers for credentialing, payers typically didn't have a process to handle provider enrollment. Join Team Med Global’s Donna Goestenkors and Rachelle Silva as they reflect on the lessons learned during disaster privileging and enrollment, and how these lessons can inform process improvements moving forward.

2:50 p.m. – 3:20 p.m.
NETWORKING & REFRESHMENT BREAK

3:20 p.m. – 4:20 p.m.
Optimize Revenue With Unification of Provider Enrollment, Credentialing, and Privileging (REPEAT)
Lisa Velasco, MSM, LPTA, CPMSM, CPCS, Director, Professional Services, The Hardenbergh Group, Inc.

Organizations strive to hire quality physicians who have a positive impact on revenue and patient satisfaction. However, organizations risk losing revenue if physicians have to wait to get credentialed—and unfortunately, many hospitals and health plans have a credentialing process that is complex, time-consuming, or duplicative. This session will provide specific tips and tools to remove the hassle factors for physicians by streamlining processes. Attendees will learn how to gain operational efficiencies and speed up turn-around times, resulting in cost savings, positive impact on revenue, and physician and patient satisfaction.

4:20 p.m.
Conference Adjourns

National Provider Enrollment Forum 2021

Speakers

Christine Bergeron

Christine Bergeron
CVO , symplrCVO

Christine Bergeron is the CVO client liaison and operations director at symplr CVO, the NCQA-certified credentials verification organization that works with hospitals, health systems, health plans, payers, accountable care organizations, managed care organizations, and other facility types to provide fast, expert provider credentialing, payer enrollment, and licensure services. She joined the company in November 2010 as provider enrollment team lead, managing the activities of a telecommuting enrollment team, and established key productivity metrics that helped the CVO lead the market. Previously, Christine was as a senior analyst at Cambron Credentials from 2007 to 2010, where she provided primary source verification and payer enrollment services. Christine studied accounting at Champlain College in Burlington, VT. She enjoys using her skills and vast experience interacting with prospective and current customers to guide them in all stages of projects.

Jennifer Cloud

Jennifer Cloud, CPMSM, CPCS
Director of Provider Credentialing Services, symplrCVO

Jennifer Cloud, CPMSM, CPCS, is the director of provider credentialing services at symplr CVO, the NCQA-certified credentials verification organization that works with hospitals, health systems, health plans, accountable care organizations, managed care organizations, and other facility types to provide fast, expert provider credentialing, payer enrollment, and licensure services. She oversees a team of payer enrollment specialists, CVO credentialing specialists, and managers in the division. She joined the company in October 2016 as a provider enrollment specialist and was quickly promoted to manager of provider enrollment in November 2017. She and her team work collaboratively with the operations, sales, and marketing teams, as well as the executive staff, to exceed symplr CVO customers’ needs and expectations. Previously, Jennifer was manager of medical staff services for LRG Healthcare from October 2012 to October 2016.

Terri Lynn Davis

Terri Lynn Davis, BS-HCA
Credentialing Director, 1st Credentialing

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.

Larry DeHoyos

Larry DeHoyos, CPCS, PESC
Speakers’ Team, Team Med Global Healthcare Consulting

Larry DeHoyos, CPCS, PESC, is a member of TMG’s payer enrollment institute and practice management alliance. DeHoyos has been working as a medical staff services professional for over 22 years and currently oversees payer enrollment and credentialing functions for a national revenue cycle management company as the director of credentialing. His expertise includes centralizing systems and workflows with an emphasis on team collaboration to help mitigate enrollment challenges and ultimately revenue leaks. DeHoyos has worked in provider credentialing and enrollment within managed care organizations, health systems, and single-specialty/multi-specialty medical groups supporting accrediting bodies such as The Joint Commission, NCQA, URAC, AAAHC, and CMS. He is a trained transformational healthcare champion whose expertise includes Lean workflow assessments for a paperless office environment, data governance, and effective provider directory management.

Mathieu Gaulin

Mathieu Gaulin
Director of Health Affairs,
Boston Children’s Hospital

Mathieu has been at Boston Children’s Hospital since 2006, starting as an agency temporary employee. Mathieu worked in Provider Enrollment for 10 years, during which time he created and managed the centralized Provider Enrollment Team. Currently, he is the Director of Health Affairs with oversight of Medical Staff Services and Provider Enrollment while working with the Medical Staff and its Leaders on their self-governance. To that end, he serves as the Secretary of the Medical Staff Executive Committee and the administrator for the Medical Peer Review Committee, Credentials Committee, Bylaws Review Committee amongst others. He served as the Secretary of the Massachusetts Association of Medical Staff Services (MAMSS) for close to 5 years. He is currently the Vice Chair of the Membership Committee of the National Association for Medical Staff Services (NAMSS) and collaborates with them on other initiatives as a volunteer leader.

Donna Goestenkors

Donna Goestenkors, CPMSM, EMSP
Speakers’ Team, Team Med Global Healthcare Consulting

Donna Goestenkors, CPMSM, EMSP, is a healthcare consultant, speaker, author, educator, and mentor who possesses over 45 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 is diverse and penetrates all healthcare locations and environments (e.g., health systems; academic, community and critical access hospitals; credentials verification organizations; payer enrollment; managed care organizations; group and solo practice settings). Her talent in leading medical staff services professionals to their greatest level of competence garners Goestenkors great respect among her colleagues within the industry.

Brian Jent

Brian Jent, JD
Shareholder, Hall, Render, Killian, Heath & Lyman, P.C.

Brian Jent works to solve licensing and regulatory issues with hospitals, ambulatory centers, and postacute providers, including nursing facilities, home health agencies, and hospices. He is often asked how providers can expand services under current restrictions and assists clients with compliance and reimbursement issues at the local, state, and federal levels. Jent is also a conduit to CMS, state agencies, and accreditation organizations for his clients. He regularly works with clients regarding provider enrollment and certification issues, specifically Medicare and Medicaid enrollment and participation requirements. A member of the American Health Lawyers Association, Indiana State Bar Association, and the Health Care Compliance Association, Jent maintains his licensure and status as a Registered Respiratory Therapist and Registered Pulmonary Function Technologist. Having worked in the hospital setting for more than 10 years prior to becoming an attorney, he understands the needs of healthcare providers and works with clients to provide practical and efficient solutions.

In his free time, Jent enjoys spending time with his wife and three sons, playing golf, and reading.

Jenny Jackson

Jenny Jackson, MSP
Senior Director, Provider Enrollment & Onboarding
Community Health Systems, Inc.

Dr. Jenny Jackson is a medical service professional (MSP) with 20 years of experience in managed care and provider enrollment.  She is the Senior Director of Provider Enrollment and Onboarding for Community Health Systems in Nashville, Tennessee.

Jenny 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.

Jenny is a Past President of the Kentucky Association of Medical Staff Services and is an instructor for the National Association of Medical Staff Services. 

She is a Certified Professional in Medical Services Management, a Certified Provider Credentialing Specialist, and a Fellow of NAMSS.  She holds a Master of Business Administration and an Educational Doctorate in Organizational Leadership from Western Kentucky University.

Nicole Keller

Nicole Keller, MSHM, CPHQ, CPHIT, CSM
Speakers’ Team, Team Med Global Healthcare Consulting

Nicole Keller, MSHM, CPHQ, CPHIT, CSM is a healthcare executive professional currently working as director, medical staff services department with Seattle’s Children. She provides leadership and oversight in the areas of technical and professional quality assurance as well as improvement, compliance, hospital credentialing and privileging, medical licenses and certification, and payer enrollment. Keller’s additional areas of expertise include human resources, payer and hospital contracting, population health, practice group management, project management, group leadership and facilitation, and building high-functioning teams.

Amy Niehaus

Amy Niehaus, MBA, CPMSM, CPCS
Healthcare Consultant

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. She advises 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 has been a member of NAMSS since 1991, is currently a NAMSS instructor and subject matter expert, and previously served as chair and member of the association’s Education Committee. She is a former president of the Missouri Association Medical Staff Services and its Greater St. Louis Area chapter. Niehaus is 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).

Stephanie Russell

Stephanie Russell, BS, CPMSM, CPCS
Regional Director , UCHealth in Colorado Springs

Stephanie Russell, BS, CPMSM, CPCS, is the regional director of medical staff services and credentialing at UCHealth in Colorado Springs, Colorado where she oversees four facilities with three medical staffs, including a DNV critical access hospital. She has been an Executive Medical Staff Services Professional for over 30 years overseeing medical staff affairs, including medical education, graduate medical education, bylaws, regulatory compliance and accreditation, health system credentialing for both hospital and health plans, credentialing service contracts for outside entities, delegation agreements, and audits.

As a past member of the NAMSS Board of Directors and IAMSS Board of Directors, Stephanie has displayed her leadership skills and innovative perspectives and is known for “asking the tough questions”. She is a NAMSS instructor and has made many presentations at state and national education conferences throughout the country on topics related to credentialing, privileging, professional development and regulatory compliance for both NCQA and Joint Commission. She was instrumental in creating the NAMSS Leadership course, teaching it the first two years it was offered.

Stephanie has co-authored Verify and Comply, Credentialing, Medical Staff and Ambulatory Care Standards. She has been a collaborator and coach with Team Med Global since its inception.

Todd Sagin

Todd Sagin, MD, JD
Sagin Healthcare

Todd Sagin, MD, JD, is a physician executive recognized across the nation for his work with hospital boards, medical staffs, and physician organizations. He is the national medical director of Sagin Healthcare Consulting, LLC, and HG Healthcare Consultants, LLC, which provide guidance on a wide range of healthcare issues. He served for more than half a decade as the vice president and national medical director of The Greeley Company. Sagin is a practicing family physician and geriatrician who has held executive positions in academic and community hospitals and in organized medicine. He frequently lectures and facilitates retreats on medical staff affairs, physician leadership skills, relationships between hospitals and doctors, strategic healthcare planning, governance, and related topics.

Todd Selby

Todd Selby, JD
Shareholder, Hall, Render, Killian, Heath & Lyman, P.C.

Todd Selby, JD, focuses on regulatory and compliance issues affecting all healthcare providers with an emphasis on long-term care, home health, and hospice providers. His practice is concentrated in the areas of licensure, certification, compliance, and reimbursement at the local, state, and federal levels. He also assists clients with Medicare and Medicaid enrollment and participation requirements and serves as a liaison between clients and regulatory agencies. Selby has extensive knowledge and experience in these areas and is recognized nationally by long-term care, home health, and hospice clients for his skills and proficiency. In addition to his representation of this unique client base, he frequently speaks before national and state healthcare providers and associations.

Yesenia Servin

Yesenia Servin, CPMSM, PESC
Speakers’ Team, Team Med Global Healthcare Consulting

Yesenia Servin, CPMSM, PESC, has more than 22 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 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.

Rachelle Silva

Rachelle Silva, BBM, CPMSM, CPCS
Credentialing Specialist, Multiplan, Inc.

Rachelle Silva, BBM, CPMSM, CPCS, is a dual-certified medical services professional with a bachelor’s degree in business management and 24 years of experience in the field. She has worked for MultiPlan, Inc., an NCQA-accredited national PPO network, for 15 years as an auditor in their delegated credentialing department. Her previous experience was as a medical staff coordinator/CME coordinator in a community hospital and manager of medical affairs/meeting management at a large academic facility.

She is also a founding partner of Southern Belles and Beau, LLC Speaker’s Bureau, which provides professional development and healthcare industry education across the continuum.

Silva has served in leadership positions at both the state and national level, including on the Education Committee and the Executive Board of the Louisiana Society of Medical Staff Services; the Certification Commission of the National Association Medical Staff Services (NAMSS) as a volunteer and elected test development chairperson and member of the Executive Board; on the NAMSS board as director at large; and as a NAMSS instructor. Silva is currently working with Team Med Global as faculty, speaker team member and contributor, to the published TMG Accreditation Wizard.

Lisa Velasco

Lisa Velasco, MSM, LPTA, CPMSM, CPCS
Director, Professional Services
The Hardenbergh Group, Inc.

Lisa Velasco is Director, Professional Services for The Hardenbergh Group. She brings almost 30 years of experience in hospitals and managed care organizations, accreditation and regulatory standards, knowledge of healthcare law, credentialing and privileging, administration, project management, start-up operations, acquisitions and mergers, graduate medical education, continuing medical education, physician relations, recruitment, and practitioner wellness.

Velasco leverages her vast professional experience to identify and place experienced, qualified MSPs to help clients fill temporary vacancies, supplement existing staff during peak workloads, assess and improve operational efficiency, prepare for regulatory surveys and audits, pursue NCQA accreditation and certification, and more. She is a thought leader, having co-authored numerous articles and spoken frequently on various topics.

Janet Wilson

Janet Wilson, BS, FMSP, CPMSM, CPCS
Central Texas Division Director of Medical Staff Affairs and CVO, Baylor Scott & White Health

Janet Wilson, BS, FMSP, CPMSM, CPCS, has been involved in the medical staff services, quality, and credentialing industry for the past 30 years. Her healthcare experience extends to hospitals, quality, managed care, and the CVO environment. Wilson is currently the Central Texas Division Director of Medical Staff Affairs and CVO of Baylor Scott & White Health. Wilson holds a Bachelor of Science in Health Administration and is CPMSM and CPCS certified by NAMSS. Wilson served for three years on the board of directors of NAMSS. Wilson also served on the board of directors of the Texas Society of Medical Staff Services and served as president during her tenure on the board. Wilson has also been an independent educator and consultant for over 14 years in the areas of credentialing, CVO, quality and medical staff services, with a primary focus on bylaws revisions, privilege form development, medical staff leadership education programs, and development and standardization of policies and procedures/documents across multiple hospital settings. Wilson has taught onsite and virtual CPMSM/CPCS certification study groups and professional development courses for over 14 years. In 2012, Wilson developed and launched a Certification Focused Study Program and teaches the Certification Program exclusively for EDGE-U-CATE, LLC., and is member of their faculty. She also assists in teaching EDGE-U-CATE’s Credentialing School.

David J. Zetter

David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP, CMHP
Senior Healthcare Consultant, Zetter Healthcare Management Consultants

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.

National Provider Enrollment Forum 2021

Location

Sheraton Grand Nashville Downtown
623 Union Street
Nashville, TN 37219

Room Rate: $235 +$3 facility fee/night
Hotel cut-off date: Monday, August 30, 2021. Hotel rooms may sell out earlier than the cut-off date, so book early!
Reservation Center: 1-866-447-9825 and reference the National Provider Enrollment Forum
Hotel website: https://www.marriott.com/event-reservations/reservation-link.mi?id=1612214876392&key=GRP&app=resvlink

For room reservations, contact the hotel directly and mention you are attending the DecisionHealth National Provider Enrollment Forum to qualify for the special discounted rates (+$3 facility fee/night). Note: Only a limited block of rooms has been reserved. To receive the discounted rates, reservations must be made by Monday, August 30, 2021, or until the room block is full. Thereafter, reservations will be taken on space and rate availability.

Simplify Compliance/DecisionHealth has no affiliation with any third-party companies or travel assistance providers. Rooms should be booked directly with the event hotel using the official information provided on the website and in the brochure.

National Provider Enrollment Forum 2021

Pricing

Retail price: $1,499
Early Bird price: $1,399 — Deadline June 14, 2021


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 or more attendees = each attendees receive 25% discount off retail price

*Please call Customer Service at 1-800-650-6787 to receive discounts for Group Pricing.

National Provider Enrollment Forum 2021

COVID Safety

Simplify Compliance places the highest priority on the safety of our guests. We will follow safety guidelines and advisements for meetings as outlined by the CDC and the WHO, as well as state and local mandates. In preparation for attendance at our events, we want to share the following measures to promote health and wellbeing.

  • At this time, all hotel guests are required to wear a mask while in public areas of the hotel and anywhere that social distancing measures cannot be met.
  • Meeting rooms will be set to comply with CDC, WHO, and applicable locally recommended social distancing guidelines.
  • Food service will follow the safety guidelines implemented by the hotel. To view all the safety measures that the Sheraton Grand National Downtown has implemented, please see the information listed on their website: https://whattoexpect.marriott.com/bnand.


Simplify Compliance will continue to monitor the COVID-19 environment, the recommended guidelines, and communicate adjustments to the onsite policies and procedures as we approach the live event date.

Exhibitor

Exhibitor and Sponsorship Opportunities
We are pleased to invite you to exhibit at DecisionHealth’s National Provider Enrollment Forum, the only event of its kind dedicated to provider enrollment and credentialing training for healthcare professionals spanning an array of provider settings, where you can showcase your products and services, build relationships, and educate our conference attendees, which not only benefits you, but brings value to our customers.

Exhibitors will reach:
Enrollment Specialists, Credentialing/Licensure Specialists, Revenue Cycle Manager, Billing Department Managers, Payer Relations Managers, Office/Practice Managers, Administrators

For information on exhibit and sponsorship opportunities, please contact Amy Roadman at aroadman@hcpro.com or 615-594-1865.