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Description
- Discuss credentialing & enrollment processes that impact your revenue cycle
- Recognize billing processes including service entry, claim submission, and revenue cycle management
- Explore Medicare enrollment and the benefits of participating.
Learning Objectives
- How do I know that a CMS 855I application is needed if I use PECOS for Medicare?
- When is an 855R application required?
- What is the correspondence/mailing address that should be listed on the 855I application?
- Understanding CMS Medicare’s use of the term "provider(s)."
- How to obtain compliant access to your provider’s Medicare applications.
- The designated contact person on every Medicare application should only be.
- Adverse actions must be reported on an 855I application.
- Medicare allows corrections to be responded to within a specified timeframe.
- The process for completing and mailing out Medicare paper applications.
- The CMS-compliant process to connect with healthcare providers, whether individuals or organizations.
- Medicare revalidations are urgent, and the timeline is.
- When you receive a request to correct the address(es) on your application, which section(s) should you check?
- Key requirements for completing the 855R application.
- Consistency in language from MAC representatives when requesting corrections or providing rejection letters.
- When completing the banking information section, the address listed must match the address on the Medicare application.
Speaker
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.