Managing National Provider Identification (NPI) Accounts for Credentialing/Enrollment

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About Course

Every credentialing & enrollment professional will benefit from this session that goes through every aspect of obtaining, maintaining, and terming an NPI account. You need to review the entity NPI and individual provider NPI. The discussion will include the impact the NPI has on the payer networks, provider profiles, including CAQH, and the revenue cycle. As an enrollment pro, you need to have the knowledge to navigate NPPES accounts and explain their importance to leadership and providers. Install a successful Credentialing/Enrollment process that includes expert NPI account review & maintenance.

Learning Objective:

  • Examine the impact an NPI account has on the revenue cycle
  • Discuss the who, why, when, and where of creating, reviewing, and maintaining an NPI account
  • Review the details to creating, revising, and maintaining an Organization’s NPI process
  • Review the details to creating, revising, and maintaining an Individual’s NPI process

Areas Covered in the Session

  • The CAQH connection to NPPES
  • The revenue cycle connection to NPPES
  • Medicaid enrollments and claims connection to NPPES
  • Review the NPI from a credentialing pro’s POV
  • Review the NPI from an enrollment pro’s POV
  • Process & workflow to create, review and maintain a provider’s NPI account

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

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.

Course Content

You can access all the webinar materials after successful payment

  • Webinar Link + Handouts PDF
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