Payer enrollment is a time-consuming process that creates barriers to practitioner onboarding and revenue generation. Payer enrollment can delay the onboarding process for months, especially with commercial payers. These delays create issues with provider satisfaction, patient satisfaction, revenue generation, access to care, and, ultimately, patient safety.
This presentation will define payer enrollment, discuss government and commercial payers in detail, review the process and timelines for enrollment with government and commercial payers, and discuss the most common reasons for delays in payer enrollment and steps to take to avoid those delays.
Areas Covered in the Session:-
- Define payer enrollment
- Discuss payer types and specifics
- Review process and timelines for enrollment with government and commercial payers
- Discuss the most common reasons for delays in payer enrollment and steps to take to avoid delays.
Who Will Benefit?
- Payer Enrollment Specialists
- Revenue Cycle Managers
- Credentialing Specialists
- Medical Staff Coordinators
- Credentialing Managers.
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Tammy is the Senior Director of CVO Operations and Regulatory Compliance with The Hardenbergh Group. She brings 25 years of experience in healthcare administration and 18 years in Medical Staff Services. She specializes in CVO operations, provider credentialing, provider enrollment, quality analysis, quality improvement, quality auditing, delegation audits, and policy and procedure creation and implementation. She has extensive experience with CMS, TJC, and NCQA requirements for provider credentialing and medical staff services.
Tammy leverages her vast professional experience to help clients assess and improve operational efficiency, prepare for regulatory surveys and audits, pursue NCQA accreditation and certification, and more.
Tammy has a master’s in healthcare administration with a minor in Education and a BS in Human Services Management. She is a member of the North Carolina Association Medical Staff Services and the National Association of Medical Staff Services.
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