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Non-Physician Practitioners Credentialing and Enrollment Process

Conference Materials (Password Required)

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 Objectives:
  • 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
Presenter Biography:

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.

Snippet From Our Previous Session

Frequently Asked Questions:

HOW MUCH TIME DOES IT TAKE TO RECEIVE THE DVDs/ FLASH DRIVE? +

For DVDs/ FLASH DRIVE – It will take around 7 working days.

CAN I PLACE AN ORDER ON CALL? +

Yes, you can call our toll-free number 302-444-0162 and ask our representative for the enrollment. Alternatively, you can also mail us at care@skillacquire.com .

CAN I PURCHASE ANY OF YOUR TRAINING FORMATS, AT ANY TIME? +

For DVDs/ FLASH DRIVE – Yes, you can place the order at care@skillacquire.com using the order brochure or can call us at our toll-free number 302-444-0162.

DO I REQUIRE A COMPUTER FOR ATTENDING A LIVE COURSE? +

The system requirements are quite basic: OS: Windows any version preferably above Windows Vista & Mac any version above OS X 10.6 Internet Speed: Preferably above 1 MBPS Headset: Any decent headset and microphone which can be used to talk and hear clearly, in case of live course you can raise questions using a microphone.

HOW CAN I BECOME FACULTY AT SKILLACQUIRE? +

Please share your detailed CV with us and our team will screen the best faculty for the specific field.

HOW CAN I GET ACCESS TO THE LIVE TRAINING? +

You can access the live training using Joining Link or Dial-In Number. To get the joining link, you can click on the conference materials on the product description page, and enter your email address and password that you received in your email.

We will also send you the joining link or dial-in number to the registered email address 2-3 days prior to the live training. You can simply click the joining link to join the live training.

HOW CAN I MAKE A BULK PURCHASE? +

You can call our customer service department at 302-444-0162 and may also avail some discounts on the bulk orders.

WHAT’S THIS DIFFERENT FORMAT? +
  • Live (One Attendee) – Only 1 person will be able to join the webinar
  • Live (2 to 4 Attendees) – Upto 4 persons are allowed to join the webinar
  • Live (5 to 10 Attendees) – Upto 10 persons are allowed to join the webinar
  • On-Demand Recording (One Attendee) – Webinar recording link will be provided for a single attendee
  • On-Demand Recording (Multiple Attendees) – Webinar recording link will be provided that can access by more than one person
  • DVD – DVD will be shipped physically to the address provided
  • Flash Drive – Flash drive will be shipped physically to the address provided
  • Live + DVD – This allows you to attend live webinar plus you also get DVD shipped to the address provided
  • Replay + FLASH DRIVE – Allows you to get webinar recording link plus you also get DVD shipped to the address provided
  • Live + REPLAY + DVD – This allows you to attend live webinar plus you also get webinar recording to your email and DVD shipped to the address provided
WHAT CERTIFICATION DO I GET POST THE TRAINING? +

After successful completion of the training, you will be awarded the course completion certificate (on request). The certifications/ recertifications should be mentioned under the description of every course.

TESTIMONIALS

“Jim Sheldon-Dean’s insights on privacy and security were very much helpful to our team, it was great to learn from an instructor like him. Appreciate!”
–CHRISTINE JACOB MD, CDI SPECIALIST

“This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course.”
–MELISSA PRESTON, HEALTH INFORMATION MANAGEMENT STAFF

“The workshop was very insightful and made absolute sense in terms of the regulations and their compliance. I am thankful for having the opportunity to attend.”
–BARBARA CAPRIOTTY, REHABILITATION DIRECTOR