Non-Physician Practitioners Credentialing and Enrollment Process

Conference Materials (Password Required)

Course Description

In this credentialing/enrollment session, we will review the requirements for enrolling non-physician providers with the various government payers and network insurance payers. NPP Enrolment and Credentialing are totally different than Physicians. Even small mistakes can lead to claim rejection. You need to understand the rules and requirements for provider enrolment and credentialing. Understanding State regulations for NPP and NPP Enrollment process is very crucial. During this live webinar, we will define the non-physician practitioner (NPP) and also review the government payer applications, private, and commercial payer applications for NPPs.

Credentialing and Payer Enrollment Expert, Yesenia Servin, will help you to learn what needs to be included in your NPP enrollment processes.   

Learning Objective

• Identify regulation differences with enrolling non-physician providers with government payers 
• Identify regulation differences with enrolling non-physician providers with private commercial payers
• Examine the provider enrollment process for all your non-physicians. 
• Define non-physician practitioner (NPP)
• Review enrollment strategies for the non-physician practitioner
• Dive into government payer applications for the NPP
• Discuss state regulations for the NPP
• Learn what needs to be included in our NPP enrollment processes

Areas Covered in the Session

• Non-physician providers Overview
• Reimbursement Issues with NPPs
• Allied health providers
• Advanced practice practitioners
• Government Payer
• Medicare
• Medicaid
• Tricare
• Out of State
• Commercial and private insurance networks
• Licensing
• Enrollment
• Credentialing
• Government apps 
• CAQH 
• Other payers
• State regulations for the NPPs

Suggested Attendees

• Authorized officials 
• Delegated officials 
• Revenue cycle directors 
• Credentialing
• Enrollment
• Office Manager
• Revenue Cycle
• Operations
• Billing Team
• In and Out of Network Providers
• Medical Billing Companies
• Providers’ Office Staff
• Physician
• Hospitals and Facilities
• Insurance Companies
• Healthcare Attorneys
• Executive and Administrators
• Front Desk
• Scheduling
• Authorizations Staff
• Medical Assistants
• CNA’s

About the Presenter

Yesenia Servin 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. Guides the credentialing and payer enrollment structure.  Thrives on training and growing administrative, credentialing and enrollment healthcare professionals.

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.

Yesenia enjoys spending time with her family and pugs. She finds great joy in visiting and trekking the great US states and regions.  

Additional Information

System Requirement:

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

For more information you can reach out to the below contact: Toll-Free No: 1-302-444-0162 Email: care@skillacquire.com 

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