Provider-Specific Enrollment

Description

Equipped for Success: Provider Enrollment for DME Providers

Provider enrollment processes for DME providers are substantially different than for practitioners. Discover payer challenges and solutions for DME providers, including enrollment requirements, processing times, and technology options. In addition, they’ll cover closed or narrow payer panels, required screenings, and licensing requirements.

Objectives:
Identify 5 common challenges when enrolling DME providers
Explain the steps involved in screening DME providers
Describe the licensing requirements for each type of DME provider

Dismantling Roadblocks: Provider Enrollment for Behavioral Health

The demand for mental health services has never been greater, yet enrolling behavioral health providers poses unique challenges. Commercial insurance plans may have separate networks for behavioral health providers and requirements for Medicaid enrollment vary by state. Discover how to dismantle the roadblocks to successful provider enrollment for behavioral health providers.

Objectives:
Explain the elements of a typical behavioral health provider enrollment checklist
Identify 5 primary provider types and services
Describe the appeals process for denials

APP-Avalanche: Provider Enrollment for Non-Physician Practitioners

Provider enrollment specialists are adept at juggling and tracking multiple providers. However, advanced practice professionals – such as nurse practitioners, physician assistants, and registered nurse anesthetists – can pose an avalanche of challenges to an industry once geared to physicians. Join TMG’s provider enrollment team as they discuss mechanisms to streamline provider enrollment for non-physician practitioners and achieve optimal revenue recovery.

Objectives:
Pinpoint credentialing and provider enrollment differences between physicians and APPs
Describe strategies to streamline APP applications for commercial health plans
Identify solutions to common enrollment challenges for APPs