The Credentialing Blueprint: Navigating Processes, Compliance, and Fee Negotiations

$249.00 – $255.00

 Original price was: $349.00.Current price is: $249.00.
 Original price was: $399.00.Current price is: $251.00.
 Original price was: $349.00.Current price is: $255.00.
 Original price was: $349.00.Current price is: $254.00.

Credentialing is a critical process in healthcare administration, ensuring providers meet the necessary qualifications to practice and receive reimbursement. However, navigating the credentialing process can be complex, requiring attention to detail, compliance with various regulations, and strategic fee negotiations. In this insightful webinar, expert Michelle Stevens, CPCO, CPPM, CPB, CPC, and AAPC-approved instructor, will guide participants through the essential aspects of credentialing, from initial application to contract execution. Attendees will gain a deep understanding of the key steps involved, common roadblocks, and best practices for streamlining credentialing processes.

Additionally, Michelle will share expert strategies for effective fee negotiations to optimize payer contracts and reimbursement rates. This training is designed for administrators, billers, coders, and credentialing specialists who want to enhance their understanding and efficiency in credentialing. Through real-world case studies and expert insights, attendees will walk away with practical knowledge and actionable strategies to implement immediately.

Learning Outcomes:
  • Understand the importance and impact of credentialing in healthcare
  • Learn the step-by-step credentialing process, including key timelines and responsibilities
  • Identify common challenges in credentialing and how to overcome them
  • Explore best practices for efficient credentialing and compliance
  • Gain insights into fee negotiations and reimbursement strategies
  • Learn how to leverage technology for improved credentialing efficiency
  • Understand compliance requirements from NCQA, CMS, and The Joint Commission
  • Discover strategies for maintaining ongoing compliance and avoiding pitfalls
  • Analyze a real-world case study to see credentialing best practices in action
  • Participate in a Q&A session to address specific credentialing concerns
Areas Covered in the Session:
  • Understanding Credentialing: What and Why
  • The Credentialing Process
    • Initial credentialing vs. re-credentialing, steps, and responsibilities
  • Best Practices for Effective Credentialing
    • Organizing documentation
    • Follow-ups
    • Leveraging technology
  • Common Roadblocks & Solutions: Incomplete applications, delays, credentialing backlogs, and contract review
  • Compliance in Credentialing:
    • NCQA
    • CMS
    • The Joint Commission regulations
  • Fee Negotiations: Strategies for securing better reimbursement rates and key metrics for support
  • Real-World Case Study: Credentialing challenges and solutions in a multi-specialty group
  • Live Q&A Session
Recommended participants:
  • Healthcare Providers
  • Non-Physician Providers
  • Administrators
  • Billers & Coders
  • Entry-Level & Experienced Credentialing Specialists
  • Compliance Officers
  • Revenue Cycle Professionals
  • Practice Managers
  • Medical Office Staff
Presenter Biography:

Michelle Stevens is the founder of Elite Medical, a leading healthcare consulting firm specializing in credentialing and revenue cycle management. With over 30 years of experience in the medical industry and 20 years of expertise in credentialing and fee negotiations, Michelle has assisted start-ups and large multi-specialty practices nationwide. She holds a BS/BA degree in Business Management and Human Resource Management and is a Certified Professional Compliance Officer (CPCO), Certified Physician Practice Manager(CPPM), Certified Professional Biller (CPB), and Certified Professional Coder (CPC). Additionally, Michelle is an AAPC-approved instructor and the author of the eBook Empower Your Practice. Michelle is passionate about helping healthcare professionals streamline their credentialing processes, maximize reimbursement, and ensure compliance.

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