Provider Enrollment 101
A comprehensive, step-by-step how-to of the provider enrollment process.
Watch Promo
Provider Enrollment 101 is the base line for all aspects of provider enrollment. It covers the initial steps of obtaining NPI numbers, setting up CAQH profiles and what to expect when you are just starting the provider enrollment process. We dive into the payor selection process and the various elements of requesting, negotiating and obtaining payor contracts. We will cover an array of application processes and discuss the integration of software platforms in different aspects of provider enrollment. We will provide tips and strategies for successful application submission and efficient management of the overall provider enrollment process. The twenty-six video modules in this course are designed to be a great initial foundation or comprehensive refresher for anyone looking to start or improve their provider enrollment abilities.
Your Instructor
In 2010, Rob co-founded a consulting firm and pursued his passion for entrepreneurship. Rob recognized the growing need in the medical field for provider enrollment and contracting assistance and, in 2011, launched Express Credentialing, a firm dedicated to these services. Rob has worked to integrate emerging technology into the credentialing process with a focus on database development and web applications. Wanting to connect with others and share information and ideas on credentialing, Rob co-founded the Credentialing Collaboration Group to create synergy across the diverse roles in the credentialing profession. Rob specializes in network development, new practice startup and Medicare provider enrollment. Rob serves as Executive Director of Express Credentialing and President of Viden Media, LLC.
Course Curriculum
-
Preview0.0 Introduction (1:34)
-
Start1.1 Identity & Access Management System Overview (1:58)
-
Start1.2 Identity & Access Setup Tutorial (9:38)
-
Start1.3 NPI Overview (9:06)
-
Start1.4 NPI Setup Tutorial (11:16)
-
Start1.5 CAQH Overview (8:49)
-
Start1.6 CAQH Tutorial (26:40)
-
Start1.7 Terminology (8:30)
-
Start2.1 Payor Selection (10:00)
-
Start2.2 Submitting Letters of Interest (3:25)
-
Start2.3 Contracting (3:46)
-
Start2.4 Contract Negotiation Tips (4:40)
-
Start2.5 Closed Panels (7:17)
-
Start3.1 Introduction to Applications (1:11)
-
Start3.2 Online Credentialing Applications (4:07)
-
Start3.3 Paper Credentialing Applications (1:58)
-
Start3.4 Using Adobe Acrobat (14:27)
-
Start3.5 Application Tips & Strategies (5:26)
-
Start3.6 Verifications (2:34)
-
Start4.1 Submitting Applications (3:56)
-
Start4.2 Tracking & Follow-Up Methods (5:49)
-
Start4.3 Credentialing Software (4:20)
-
Start4.4 Making Phone Calls (9:20)
-
Start4.5 Taking Good Notes (6:38)
-
Start5.1 Recredentialing & Directory Validation (8:08)
-
Start5.2 Demographic Updates (4:08)
-
Start6.0 Conclusion (4:02)