Prod ID: 517Gain the skills needed for payer credentialing success. Learn how to stay compliant, avoid mistakes, and keep provider enrollment on track for optimal and timely reimbursement.
1
64 min
$119.00
Are you struggling with the complexities of payer credentialing? Delays and denials can disrupt cash flow and postpone patient care. Learn how to successfully navigate the complexities of the provider credentialing process and ensure your practice is reimbursed for all services provided. Healthcare consultant, Jan Hailey, will provide tips and techniques for reducing processing times and steering clear of credentialing pitfalls.
This instructor breaks down the essential steps for credentialing success, explores common challenges, and highlights best practices in the enrollment process with federal and private payers. Be sure you understand the documentation submission requirements and are informed of current processing timelines. Find out how to efficiently streamline the payer credentialing process and effectively utilize CAQH and other credentialing databases. Understand how to ensure compliance and prevent gaps in billing due to credentialing and enrollment issues.
Highlights
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Jan HaileyMHL, CMC, CMCO, CMIS, CMOM, CMCA E/M |
Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program.
Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.
Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.
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