Skillacquire

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Format:	On-Demand Webinar
Presenter:	Yesenia Servin, CPMSM, PESC
Time:	You can access the webinar anytime
Duration:	60 minutes

There are a lot of misconceptions among medical providers as to what exactly CAQH is and what it will do for a provider. CAQH stands for The Council for Affordable Quality Healthcare and is a nonprofit alliance of health plans and trade associations, working to simplify healthcare administration through industry collaboration on public-private initiatives. CAQH aims to reduce the administrative burden for providers and health plans.

This all sounds good, but what does it actually do and how does it reduce this burden? Well anyone who has done credentialing in any form for a provider knows that the credentialing process is not easy. Each insurance carrier has their own forms and their own process that a provider must follow to join the network for that carrier. During this webinar, participants will learn how to identify and comply with all the implemented CAQH updates to avoid negative revenue impacts; and also know how to reduce payer claims holds and rejections due to inaccurate profile details.

Learning Objectives:

Year in Review: CAQH updates
CAQH – what is next, what to expect, how to advocate
Implement the updates – best practices
Implement a solid process for maintaining your CAQH provider accounts and Practice Manager CAQH account.
Review attestation requirements to speed your re-credentialing turnaround time and create an internal process to more easily track CAQH attestations and maintenance

Areas Covered in the Session

CAQH Updates
CAQH – what is next, what to expect, how to advocate
Best Practices for Implementation
CAQH Proview – Provider Profile
CAQH Practice Manager – Organization Profile
CAQH Proview for Groups
Validate Locations for Errors and Suggested Changes
Limit TIN to One for Existing Practice Locations Currently
Streamlined credentialing process
Demographic and professional provider data administration processes
Real-time system validation
Provider specialties
Healthcare Organizations using CAQH
Avoid application delays
Impact the CAQH accounts have on your revenue cycle
Required professional documentation

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Suggested Attendees

Credentialing and Enrollment Specialists
Credentialing and Enrollment Experts
Credentialing and Enrollment Leaders
Healthcare Administrative Teams, Personnel
Practice Managers
Healthcare Billing Specialist
Staff Providing NPI support, NPPES Support
PESC, CPMSM, CPCS
Staff Providing CAQH Support
Clinic Managers
Allied Health Providers
Advance Health Practitioner
Credentialing
Enrollment
Office Managers
Operations
Revenue Cycle
Coders
Clinical Directors
Practice Owners
Claims Teams
MSPs
CAQH specialist

About the Presenter

Yesenia Servin is an expert in credentialing and provider/payer enrollment with 22 years of experience in the healthcare industry. Yesenia has a deep understanding of Medicare & Medicaid enrollment and is a nationally certified credentialing manager and provider enrollment specialist. Through, YS Credentialing PLLC, Yesenia

Helps organizations develop and implement best practices guidelines and processes
Analyzes revenue cycle management
Guides the credentialing and payer enrollment structure

Yesenia is the payer enrollment lead with TeamMed Global. She manages payer enrollment, keeps team members up to date on industry trends, and is a liaison to all departments that impact payer-enrollment processes. In previous positions, Yesenia has worked with durable medical equipment, hospital and health systems, community mental health organizations, and global managed care organizations as well as providing revenue cycle consulting services to various healthcare providers and organizations.

Yesenia is a current Team Med Global Lead Collaborator, Team Med Global University Faculty, NAMSS member, and is a current and past NAMSS Educational Conference Guest Speaker, a current member of the NAHRI Leadership Council, current trainer for The Chicago School of Professional Psychology and industry trainer. Yesenia studied microeconomics and communications at NEIU and is currently studying healthcare administration at Concordia University Chicago.