2024 Payer Enrollment Rules: Complete Guide to New Provider Enrollment



The key to timely payer enrollment and reimbursement is gathering a complete package of information from the practitioner or provider. The challenge is that different payers have diverse enrollment requirements. You need to discover the ideal roadmap for streamlined provider onboarding. Payer enrollment is an ever-evolving field. It’s crucial to discover today’s payer enrollment landscape and pressing issues for the future. Then, learn the skills needed to excel as a payer enrollment specialist.

Expert Donna Goestenkors, CPMSM, EMSP, will help you to map the enrollment process and will guide to understand the big picture of payer enrollment and then drill down to actionable steps involved in pre-enrollment and post-enrollment success.

Learning Outcomes:
  • Know the types of information required by payers
  • Identify the elements of the ideal provider packet
  • Learn the research needed for successful onboarding
  • Describe the crucial payer enrollment processes
  • Identify ways to make process improvements in payer enrollment workflow
  • Understand technology features that can enhance your payer enrollment system
  • Learn the metrics and measures that aid in leadership communication of team effectiveness
Areas Covered in the Session:
  • What is included in a Payer Enrollment Package
  • Elements of a Payer Enrollment Application
  • Attachments required on an enrollment app
  • Different methods of submission payers use
  • Different processing time frames by payers
  • How YOU can impact the process
  • Knowledge required for enrollment varies by payer
  • Payer Enrollment Vs. Credentialing
  • Live Q&A session
Recommended participants:
  • New MSP’s
  • Seasoned MSP’s
  • Provider Enrollment Specialists
  • Medical Staff Services Professionals
  • Hospitals
  • Credentials Verification Organizations
  • Managed Care Companies
  • Practice Management
  • Medical Staff Leaders
  • Healthcare Administrators
  • Credentialing Specialists
  • Credentialing Coordinators
  • Medical Staff Manger
  • Medical Staff Director
  • Payer Enrollment Specialists
Presenter Biography:

Donna Goestenkors, CPMSM, EMSP is a healthcare consultant, speaker, author, educator, and mentor with over 44 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. Donna is the founder and president of Team Med Global, and is an industry thought leader who serves professionals by delivering educational products, services, and resources. Donna is also a past president of the National Association Medical Staff Services (NAMSS), and has been actively engaged in several domestic and international credentialing think tanks. Her diverse expertise is relevant to all healthcare l environments, including coast to coast, system, academic, community and critical access hospitals, credentials verification organizations, payer enrollment, managed care organizations, and group and solo practice settings. Her talent in leading medical services professionals (MSPs) to their greatest level of competence garners Donna great respect among her colleagues within the industry.

Donna has authored, co-authored, and contributed to numerous articles and books. In addition, Donna speaks frequently on healthcare issues at in-person and virtual conferences and symposia. Donna earned her associate degree in Medical Services from Kansas City Business College, holds certification in Medical Staff Services Management (CPMSM) through NAMSS, and achieved her Executive MSP (EMSP) credential through TMG University. She graduated from an intensive training program at the Speaker’s Academy presented through Brian Tracy International and recently completed a nine-month virtual leadership course, Platinum Series, through Nightingale Conant Corporation.

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
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: +1 800-757-9502
Email: cs@waymoreeducation.com