Merging Credentialing and Enrollment

Description

Better Together: Merging Credentialing and Provider Enrollment

Increasingly, healthcare organizations are combining provider enrollment and credentialing. This integration is occurring in environments ranging from hospital systems to managed care, often as a result of organizational mergers and acquisitions or departmental consolidations. Join Team Med Global and discover the functions of this new frontier, which include credentialing, billing, and contracting.

Objectives:
Identify 5 parallels in provider enrollment and credentialing processes
Describe 3 reasons to merge credentialing and provider enrollment functions
Explain the 8 steps of the pre-enrollment process and the four steps of the post-enrollment process

Merge Ahead: Trends in Credentialing and Provider Enrollment

Integrating provider enrollment and credentialing functions continues to gain momentum as consolidation efforts and mergers and acquisitions exponentially increase. Explore the implications of this new frontier, and get up to speed on understanding the big picture and nuances of credentialing and provider enrollment. Presented by Donna Goestenkors and Nicole Keller. Recorded 9/14/21

Objectives:
Describe the 5 essential steps required in a solid credentialing system
Identify 3 strategies for fielding common stakeholder concerns
Explain current solutions associated with various credentialing challenges

Threading the Needle: Merging Credentialing and Provider Enrollment

The trend toward integrating provider enrollment and credentialing functions continues to gain momentum, leaving many MSPs in the dark. Join TMG’s provider enrollment team as they explain this new frontier and the implications for the Provider Lifecycle Professional. Then, follow the industry’s only Provider Enrollment Process Model to begin to build or validate the efficiency of your practice when enrolling practitioners in federal, state, and commercial plans.

Objectives:
Explain the parallels between provider enrollment and credentialing processes
Describe the benefits of provider enrollment and credentialing collaboration
Identify the steps involved in provider enrollment

Temperature Check

It’s critical to evaluate the effectiveness of credentialing and provider enrollment integration. Learn the formula for avoiding duplicative effort, ensuring cost reduction, and maximizing reimbursement. Finally, discover key reporting components for internal stakeholders.

What’s the Plan?

A robust implementation plan is key to merging credentialing, provider enrollment, billing, and contracting. Discover how to integrate Team Med Global’s provider enrollment model into enrollment best practices, as well as benchmarks to include in a transition blueprint.

Challenges & Opportunities

Merging credentialing and provider enrollment presents both challenges and opportunities. Understand potential conflicts and develop actionable strategies that mitigate challenges, then identify advantages to merging functions. Finally, delve into technological solutions that can ease the transition.

What’s the Difference?

Explore the unique functions of credentialing and provider enrollment, along with the parallels. Then, identify ways to collaborate. Finally, pinpoint the skills that are transferable from one area of responsibility to the other.