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Description
Changes to the NPPES Portal are significant, modifying many key elements, from the application process for new NPIs to the management of provider credentials. This training provides an in-depth overview of the recent, significant updates to the National Plan and Provider Enumeration System (NPPES) Portal. Participants will learn how the new interface and process changes impact the full lifecycle of National Provider Identifier (NPI) management. The session covers updates to the application workflow for new NPIs, enhanced validation and verification requirements, and revised steps for maintaining and updating existing provider information. Special attention is given to changes in user roles, access management, and the handling of supporting documentation.
Learning Objectives
- Identify and understand the major updates to the NPPES Portal, including changes to the NPI application workflow and provider information management processes.
- Demonstrate the ability to navigate and utilize the revised portal features, such as updated user roles, access controls, and documentation requirements.
- Apply the new NPPES standards to accurately complete, update, and maintain provider credentialing information in compliance with current federal guidelines.
Speaker
Yesenia Servin is a nationally certified credentialing manager and provider enrollment specialist with over 27 years of experience in the healthcare industry. As an expert in credentialing and provider/payer enrollment, she has a deep understanding of Medicare & Medicaid enrollment.
Currently, Yesenia is the Director of Contracting, Credentialing & Provider Enrollment at United Vein & Vascular Centers. Through YS Credentialing PLLC, she assists organizations in developing and implementing best practices, guidelines, and processes, and guides the credentialing and payer enrollment structure.
Yesenia excels at training and mentoring administrative, credentialing, and enrollment healthcare professionals.
Her responsibilities include managing payer enrollment, keeping colleagues informed on industry trends, and serving as a liaison to all departments affecting payer-enrollment processes. She provides revenue cycle consulting services to various healthcare providers and organizations, including those focused on durable medical equipment, hospital and health systems, community mental health organizations, and global managed care organizations.
Yesenia is actively involved in professional and academic roles:
- Current Charter Oak University Faculty
- NAMSS member (and past NAMSS Educational Conference Guest Speaker)
- Current member of the NAHRI Leadership Council
- Current trainer for The Chicago School of Professional Psychology
- TMG Collaborator
She holds academic training in microeconomics and communications from NEIU and healthcare administration from Concordia University Chicago. In her personal time, Yesenia enjoys spending time with her family and pugs, and finds joy in trekking across the US states and regions.