Credentialing 102 - A Detailed Guide to Provider Enrollment 2025

Webinar Details

Speaker	Yesenia Servin
Industry	Medical Billing Coding Webinars
Speciality	Medical Billing Coding Webinars
Calendar	May 29, 2025 , 11 : 30 AM EST \| 16 Days Left
Duration	60 Minutes

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Description

This is the second session of our Credentialing and Enrollment series. Yesenia presents this detailed, comprehensive webinar, teaching you to successfully credential your providers and mid-level providers. This webinar features a complete step-by-step guide to provider credentialing, including customizable forms for payer/application cover letters, provider documentation requirements, Verification of Documentation, CV requirements, application submission, payer linkage, provider revalidation, employment history, and much more! You will be provided tracking tools to aid in the tracking/verification of provider documents and payer application tracking.

Provider Documentation Requirements
Verification/Validation of Provider Documents
Provider Document Tracking
Setup/Maintenance of Provider File
Setup/Maintenance of CAQH, PECOS, NPPES, I/A
Provider Portals & Profiles
Payer application requirements
Payer application prep/submission
Payer-specific enrollment information
Payer application tracking
Medicare/Medicaid Enrollment
Provider Linkage to Payer
Efficient and Timely Communication
Steps to complete once the provider is approved by the payer
Multiple Printable/Customizable Forms, Letters, Tracking Tools
Live Q&A Session.

Learning Objectives

Setup/Maintenance/Attestation of CAQH, PECOS, NPPES, I&A
How to complete the payer enrollment applications
Follow-up process for provider enrollment applications
Payer-specific requirements for applications and submission
Payer-specific contact and submission information
Tracking of payer enrollment application packages.

Areas Covered

CMS PECOS
Medicare application
Medicare revalidation
Medicare
DME
Ordering & Prescribing
Mental Health Providers
LCPC, LMFT
RHC, RHE, Hospitals
MACs
CHOW
Organization ownership data
NPI Profile
CAQH
Workflow
Provider Enrollment
Credentialing
EFT.

Who Should Attend

Practice Managers
PESC
CPMSM
Revenue Cycle
Directors
CFO
Credentialing
Provider Enrollment
EFT Enrollment
Operations.

Yesenia Servin

(5667778)

Yesenia Servin CPMSM, PESC is an expert in credentialing and provider/payer enrollment with over 23 years of experience in the healthcare industry. Yesenia Servin has a deep understanding of Medicare & Medicaid enrollment and is a nationally certified credentialing manager and provider enrollment specialist. Through, YS Credentialing PLLC, Yesenia Servin 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.