Credentialing 101: A Step-by-Step Guide for New Providers

Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT

Duration: 60 minutes

Presenter:  Amber Price, CPC, CPB, CPMA

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Course Description

Every month a provider sits uncredentialed, your practice loses between $30,000 and $100,000 in potential revenue. Your practice can’t afford to wait on "payer time." This webinar provides a tactical "battle plan" for beating the bureaucracy. We’ll show you the exact checklists and digital tools successful practices are using to bypass common bottlenecks and get providers seeing patients in record time.

Learning Outcomes:

• Overview of payer credentialing
• Types of Providers that payers will credential and contract
• Getting started
• Best practices for timely and efficient completion of the credentialing process
• Credentialing complexities – RED FLAGS!
• Ongoing maintenance – CAQH, Revalidations, etc.

Areas Covered in the Session:

• What Is Provider Credentialing?
• Why Credentialing Matters
• Key Players in Credentialing
• Key Terms & Entities You Should Know
• The Credentialing Lifecycle: Step by Step
• What Documents Are Required?
• Wrapping Up: Credentialing with Confidence
• Live Q&A Sessions

Recommended participants:

• Credentialing Specialists & Managers
• Medical Coders
• Medical Billers
• Practice Administrators
• Revenue Cycle Managers
• Chief Medical Officers (CMOs)
• Provider Enrollment Specialists
• Healthcare Operations Managers
• Practice Owners and Physician Group Leaders
• Healthcare Consultants and Advisors
• Hospital and Clinic Administrators

About the Presenter

Amber Price, CPC, CPB, CPMA is a highly accomplished Medical Policy and Coding Specialist with over 28 years of expertise spanning clinical environments, payer-side operations, and national consulting. Throughout her extensive career, she has established a proven track record in revenue cycle optimization, clinical documentation improvement, and rigorous compliance auditing.

Currently serving as a Medical Policy Analyst for the Utah Department of Health and Human Services (Medicaid), Amber specializes in the analysis of payment policies, regulatory changes, and fraud, waste, and abuse detection. Her work is instrumental in maintaining the integrity of state healthcare policy, where she writes and updates billing and coding guidelines for official Utah Medicaid publications.

Additional Information:

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to hear clearly

For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com

Attendee’s Reviews from the Previous Session