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Description

Rules for Medicare enrollment—as well as the Provider Enrollment, Chain, and Ownership System (PECOS), the National Plan and Provider Enumeration System (NPPES), revalidation, and so on—change from year to year, and providers and their staff who are tasked with handling enrollment scramble to keep up. Just one undetected change in procedure can delay enrollment processes enough to put providers out of commission for extended periods, resulting in reduced earnings and administrative headaches. Even when they are detected, enrollment changes can be subtle and easy to overlook unless they’re reviewed systematically.

Join expert speaker David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, as he shows participants how to navigate the NPPES with all its latest changes. He will also help attendees understand the coming Medicare PECOS changes that will affect enrollment, activation, revalidation, and other processes. Following that, he will highlight the CAQH practice administrator module to enter common information for multiple providers.

Learning Objectives:

At the conclusion of this on-demand program, participants will be able to:
• Navigate the NPPES with all its latest changes
• Understand the PECOS 2.0 changes
• Perform enrollment surrogacy to the latest standards
• Use the CAQH practice administrator module to enter common information for multiple providers

Areas Covered in the Session
:

• NPPES 3.0: The recent switchover from NPPES 2.0 has left some people confused. Get up to speed on
the new system.
• PECOS: Review of possible future updates and the forthcoming PECOS 2.0 rebuild
• Surrogate program: Changes that have already been implemented in I&A and how they affect the work of
enrollment and credentialing specialists
• CAQH—ProView: A review of key features in the practice administrator module that make life easy for
enrollment and credentialing specialists

Target Audience:

• All medical facilities that handle physician enrollment for Medicare (practices, hospitals)
• Practice owners and managers
• Enrollment and credentialing specialists and managers
• Enrollee surrogates
• Providers who want to better understand the enrollment process

Instructor Profile:

David Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, is a consultant with Zetter Health Care Management Consultants. He has provided practice management, coding, and compliance training to medical organizations for more than 25 years. He is also a nationally recognized enrollment expert, and CMS regularly solicits his feedback in PECOS user focus groups. Zetter is a member of the board of directors for 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.