Medicare Enrollment 2025 New Updates & CMS 855 New Rules

Event Materials (Key Required)

Course Description

Enrolling in Medicare as a provider or organization can be a very time-consuming and complex process. Due to the immense complexity of enrollment application requirements, Medicare enrollment applications continue to fall, despite the fact that it is the largest insurer in the nation. The expense of submitting these enrollment applications incorrectly can have systemic effects on an organization, such as delays in cash flow, problems with coding, credentialing, rejection management, patient satisfaction, and even quality ratings.

In this webinar, Credentialing and Enrollment Expert Yesenia Servin, CPMSM, PESC will discuss the submission options, which providers are eligible for Medicare enrollment, each application type applicable in 2025, how to navigate the 2025 complicated form sections, key terminology, what ancillary documentation is needed with enrollment submission, applicable fees, most common errors, and best practice tips for successfully completing the 2025 CMS 855 forms and online portals.

Learning Objectives

• To understand the different Medicare enrollment types in 2025
• To outline a sample workflow for completing Medicare enrollment in 2025
• To review and master the CMS Form 855A application
• To review and master the CMS Form 855B application
• To review and master the CMS Form 855I application
• To review and master the CMS Form 855O application
• To review and master online enrollment application – PECOS, CAQH, Identity & Access (I&A) and NPPES
• To learn the payor network rules and policies both government and private/ commercial
• To Identify and discuss the most challenging 855 form sections in 2025
• To learn the new process for reassigning benefits to organizations in 2025
• To know the key documentation requirement for 855 enrollment submission
• To identify and avoid the most common rejections and errors with 855 form submissions

Areas Covered in the Session

• Overview of CMS 855 Forms
• CMS 855A
• CMS 855B
• CMS 855I
• CMS 855O
• Types of Medicare Enrollment
• CMS 855 Forms Requirements and Documentation
• Most Complicated Sections of CMS 855 Forms
• Complete Process - Filling and Submitting CMS 855 Forms Correctly
• Medicare Enrollment Application
• PECOS
• CAQH
• I&A
• NPPES
• 2025 Government and Commercial Payer Rules and Guidelines
• Live Q&A Session

Suggested Attendees

• Healthcare Providers
• Hospitals and Medical Practices
• Practice or Clinic Owners
• Credentialing Specialist
• Enrollment Specialist
• Mental Health Providers
• LCPC and LMFT
• Revenue Cycle Directors
• Revenue Cycle Managers and Staff
• Medical Office Manager
• Billing Manager and Team
• In and Out of Network Providers
• Medical Billing Companies
• Insurance Companies
• Healthcare Attorneys
• Authorizations Staff
• Medical Assistants

About the Presenter

Yesenia Servin, CPMSM, PESC, is an expert in credentialing and provider/payer enrollment with over 23 years of experience in the healthcare industry. Yesenia has a deep understanding of Medicare & Medicaid enrollment and is a nationally certified credentialing manager and provider enrollment specialist. Through, YS Credentialing PLLC, Yesenia helps organizations develop and implement best practices guidelines and processes for credentialing and payer enrollment structure. Yesenia manages payer enrollment, keeps team members and colleagues up to date on industry trends, and is a liaison to all departments that impact payer-enrollment processes. Yesenia works with durable medical equipment, hospital and health systems, and community mental health organizations, global managed care organizations as well as providing revenue cycle consulting services to various healthcare providers and organizations.

Yesenia is a current CharterOak University Faculty, NAMSS member, and is a past NAMSS Educational Conference Guest Speaker, a current member of the NAHRI Leadership Council, current trainer for The Chicago School of Professional Psychology trainer and a TMG Collaborator. Yesenia studied microeconomics and communications at NEIU and healthcare administration at Concordia University Chicago. 

Additional Information

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to talk and hear clearly

Live Course Cancellation Policy: If for any reason Skillacquire need to cancel this program, Skillacquire will notify participants by email of the cancellation no less than 24 hours prior to the expected start time.

Can’t Listen Live? No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience.

For more information, you can reach out to the below contact:

Toll-Free No: 1-302-444-0162

Email: care@skillacquire.com 

This is a Live Virtual session.

A new way of immersive learning that allows you to engage live with our instructor and peers providing you with the flexibility to juggle the new work-life balance.

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