Setting-Specific Enrollment

Description

Facility Enrollment: Blueprint for Success

Whether you’re dealing with Medicare, Medicaid, commercial insurance companies, or other healthcare payers, facility enrollment can be a complex process. Join TMG’s provider enrollment team as they demystify the facility enrollment process, offer practical guidance to ensure facilities meet payer standards, and maintain compliance across the healthcare landscape.

Objectives:
Identify documentation and information needed for successful facility enrollment
Explain potential fees and exemptions associated with facility enrollment
Describe how site surveys may vary according to payer requirements

Solving the Puzzle: Hospital-Based vs. Medical Group Enrollment

There are key distinctions between hospital-based provider enrollment and medical group provider enrollment. Understanding these differences is crucial to navigate the unique challenges and requirements each setting presents. Join TMG’s provider enrollment team to unravel these intricacies of provider enrollment and streamline your processes.

Objectives:
Identify 5 differences between hospital-based and medical group-based enrollment
Describe how to maximize enrollment efficiency in the medical group context
Explain best practices to minimize potential bottlenecks in each environment

Trading Places: Provider Enrollment for Delegated Providers

Provider enrollment for delegated providers provides opportunities to create efficiencies within the provider enrollment process, as well as in other essential business functions. Learn how to enter into delegated agreements with payers, navigate payer reviews, and streamline submission, tracking, and reconciliation.

Objectives:
Explain the advantages of combining delegated providers on a single roster
Identify 3 methods of streamlining tracking and reconciliation
Describe how to ensure provider data accuracy and directory compliance