- Direct links to payer enrollment websites
- Key contact information, including Provider Services phone numbers and emails
- Turnaround time estimates for applications
- Special notes to help shorten processing times
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Simplify Provider Enrollment with TMG’s National Payer Directory TMG’s National Payer Directory is your go-to resource for locating enrollment information for payers across all 50 states. Tailored specifically for Provider Enrollment Specialists and updated in real time, this online tool provides easy-to-navigate details that streamline your workflow. Organized by region and state, the directory offers: -
Personal & Professional Development On Demand
Revitalize & Thrive: The MSP Well-Being Summit TMG’s 2024 MSP Well-Being Survey provides a comprehensive analysis of the current state of well-being among Medical Services Professionals. Join TMG to explore the challenges faced by MSPs in our demanding roles and actionable strategies to enhance our professional and personal well-being. Presented by Nicole Keller and Melodie Stairs. Recorded 10/23/24. 1 Hour. TMG University Open House Whether you're just beginning your career or aiming to advance to new heights, TMGU offers the tools and expertise to help you thrive. Join TMGU and dive into a world of professional development. Explore TMGU’s dynamic courses, certificates, and certifications tailored for MSPs. Unlock your potential and discover the path to professional excellence with TMG University. Presented by Donna Goestenkors and Maggie Wilkerson. 1 Hour. Recorded 10/16/24. Emotional Intelligence in Leadership + Working with APPs Two fantastic webinars back-to-back for 3-1/2 hours of educational excellence: "Emotional Intelligence in Leadership: Why it Matters" + "Tame the Confusion: Working with the Non-Physician Practitioner." Presented by Donna Goestenkors & Yesenia Servin. 3.5 Hours. Recorded 10/16/20 Career Catalyst: Develop Your LinkedIn Profile LinkedIn is more than a social network. It’s a career catalyst. Yet many MSPs aren’t leveraging the power of LinkedIn to grow their networks and advance their professional goals. This hands-on webinar will jumpstart your LinkedIn profile. By the end of the webinar, you’ll have the tools you need to launch or strengthen your profile and understand how to connect with MSPs and other professionals on the platform. Presented by Donna Goestenkors & Sally Smith. 1 Hour. Recorded 6/24/20 Rebound Stronger: Recovering from Your Certification Exam If you took your certification exam and didn’t achieve the results you hoped for, you’re not alone. Learn how to reframe your experience, highlight the insights you gained, and develop your future plans. Understand what may have tripped you up and how to create a clear path forward. Presented by Donna Goestenkors & Jennifer Froemel. 1 Hour. Recorded 2/23/21 Sowing Seeds: Blossom in Your Workplace The myriad hurdles and pressures that MSPs face can create a survival mindset. Discover steps that enable you to move from surviving to thriving in the workplace. From self-care and on-the-job communication strategies to mastering emotions and cultivating compassion, this roadmap will guide you toward achieving the career fulfillment you deserve. Presented by Donna Goestenkors & Stephanie Russell. 1 Hour. Recorded 8/12/20 Scaling the Summit: Conquering Test Anxiety Everyone has a case of nerves when preparing for your certification exam. But it’s important not to let test anxiety paralyze you and jeopardize your success. Discover a roadmap for conquering test anxiety and proven techniques to reach the finish line. Presented by Donna Goestenkors and Tami West. 1 Hour. Recorded 3/29/21 Recorded Webinars: $35 each Within 24 hours after purchase, you will receive an email with a link to the recorded webinar. You will have access to the recorded webinar for 3 months. Scroll down for objectives and additional information. -
This 45-minute video recording prepares you to sit for Decision Health's Provider Enrollment Specialist Certificate exam. Because CMS guidelines and regulations represent the minimum requirements for enrollment in any health plan, the PESC exam covers only CMS. This course drills down to specific provider enrollment information that you need to know to pass the exam, as well as wellness and study tips. PLUS! When you purchase the PESC Certificate Exam Preparation, you'll also receive a 15-question practice exam. Please note that TMG does not issue the PESC Specialist Certificate. You can find Decision Health's certificate here: https://www.codingbooks.com/pesc Have questions? Email tmgu (at) teammedglobal (dot) com to talk with TMG University Director Maggie Wilkerson. -
TMG's project management webinar series is designed to guide you through the essential stages of healthcare project management. Gain valuable insights on initiating, planning, and executing projects while ensuring compliance and efficiency. Equip yourself with the skills to navigate complex projects, manage risks, and achieve organizational goals. Setting Sail: Foundations of Project Management for MSPs Project management is essential for MSPs to effectively handle healthcare initiatives from inception to completion. Join TMG as we introduce the fundamental concepts and techniques of project management, emphasizing their application in healthcare settings. Discover how to initiate and plan projects that comply with healthcare regulations and advance institutional goals. Presented by Donna Goestenkors and Heidi Thompson. 1 Hour. Recorded 10/22/24. Registration Fee: $35 each or $85 for 3-part series. Scroll down for topics and objectives -
TMG's project management webinar series is designed to guide you through the essential stages of healthcare project management. Gain valuable insights on initiating, planning, and executing projects while ensuring compliance and efficiency. Equip yourself with the skills to navigate complex projects, manage risks, and achieve organizational goals. October: Setting Sail: Foundations of Project Management for MSPs January: Conquering the Currents: Advanced Project Management for MSPs February: Crossing the Finish Line: Closing Healthcare Projects with Precision Webinars are held from 12:00 - 1:00 p.m. Central. Registration Fee: $35 for live or on-demand webinar Scroll down for dates and topics. -
Payer Enrollment Prime Season 1 On Demand
Joining Forces: Merging Credentialing and Payer Enrollment Increasingly, healthcare organizations are combining payer 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. TMG outlines the functions of this new frontier, which include credentialing, billing, and contracting. Then, take a deep dive into TMG’s payer enrollment model, which provides you with a step-by-step guide to enrolling practitioners in federal, state, and commercial plans. Presented by Larry DeHoyos. Recorded 1/11/22 Keeping Revenue Streams Flowing: Why Payer Enrollment Matters Seamless payer enrollment is critical to the viability of your organization because reimbursements hang in the balance. Discover how successful payer enrollment supports your organization’s overarching goals. Presented by Donna Goestenkors and Yesenia Servin. 1 Hour. Recorded 12/7/21 Solving the Puzzle: Payer Enrollment Pointers Payer enrollment can be a jumble of processes, exceptions, and stakeholder challenges. Discover pain points and solutions to streamlining processes that enable you to fill in the puzzle pieces and achieve the big picture of revenue generation. Presented by Donna Goestenkors and Larry DeHoyos. Recorded 11/2/21 APP-Avalanche: Payer Enrollment for Non-Physician Practitioners Payer 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. Discover mechanisms to streamline payer enrollment for non-physician practitioners and achieve optimal revenue recovery. Presened by Donna Goestenkors and Yesenia Servin. 1 Hour. Recorded 10/5/21 Tech-Tastic! Streamlining CAQH Applications The Council for Affordable Quality Healthcare database is the cornerstone of payer enrollment, with nine out of ten private insurers using CAQH for certain provider types. Yet, incomplete CAQH applications delay enrollment and have an immediate impact on an organization’s bottom line. Discover processes designed to increase CAQH efficiencies and utilization, and to fast-track reimbursements. Presented by Donna Goestenkors and Larry DeHoyos. 1 Hour. Recorded 9/7/21 Apples, Oranges, and Bananas: Defining Payer Enrollment Competency Many of us consider ourselves to be payer enrollment specialists, but what does payer enrollment competency really mean? TMG provides an overview of Executive Payer Enrollment Competency Model, and outlines TMG's Executive Payer Enrollment Professional education program. Presented by Donna Goestenkors and Yesenia Servin. 1 Hour. Recorded 8/3/21 Recorded Webinars: $35 each or series of 6 for $175 Within 24 hours after purchase, you will receive an email with a link to the recorded webinar. You will have access to the recorded webinar for 3 months. Scroll down for objectives and additional information. -
Provider Enrollment Prime: Season 2 On Demand
Hidden Treasure: Common Payer Enrollment Oversights When we focus on capturing waterfalls of revenue, the smaller streams can escape our attention. Uncover common oversights that leave money on the table. Learn everything from technical pointers to stakeholder strategies to tools and technologies. Presented by Donna Goestenkors and Yesenia Servin. 1 Hour. Recorded 8/2/22. Going the Extra Mile: Payer Enrollment Across State Lines When an insured patient from out of state receives emergency services, payment can fall through the cracks. Learn efficient processes for enrolling a provider after services have been rendered and provide tips on communicating with payers. Presented by Yesenia Servin and Larry DeHoyos. 1 Hour. Recorded 7/5/22. Talking the Talk: Payer Enrollment Scripts While payer enrollment specialists excel in keeping an organization’s revenue streams flowing, they may be less skilled at communicating with stakeholders. Discover how to develop scripts for working with payers and communicating with leadership. Presented by Donna Goestenkors and Larry DeHoyos. 1 Hour. Recorded 6/7/22. Step-by-Step: Mapping the Payer Enrollment Process Whether you’re new to payer enrollment or a seasoned veteran, it’s important to map the enrollment process. Understand the big picture of payer enrollment and then drill down to actionable steps involved in pre-enrollment and post-enrollment success. Presented by Donna Goestenkors and Dina Solis. 1 Hour. Recorded 5/3/22. Measuring Up: Metrics for Payer Enrollment Success Because payer enrollment professionals are the gatekeepers of revenue, metrics are the key to judging success. Understand the reports needed to determine whether payers are adhering to their contracts and whether internal processes are producing the desired results. Presented by Donna Goestenkors and Larry DeHoyos. 1 Hour. Recorded 4/5/22. All Aboard! Streamlining Payer Enrollment The key to timely payer enrollment and reimbursement is gathering a complete package of information from the provider. The challenge is that different payers have diverse enrollment requirements. Discover the ideal roadmap for streamlined provider onboarding. Presented by Donna Goestenkors and Dina Solis. 1 Hour. Recorded 3/1/22. Mapping the Future: Payer Enrollment Perspectives Payer enrollment is an ever-evolving field. Discover today’s payer enrollment landscape and pressing issues for the future. Then, learn the skills needed to excel as a payer enrollment specialist and the ways that TMG can help ensure your success. Presented by Donna Goestenkors, Larry DeHoyos, and Yesenia Servin. 1 Hour. Recorded 2/16/22. Recorded Webinars: $35 each or 6-part series for $175 Within 24 hours after purchase, you will receive an email with a link to the recorded webinar. You will have access to the recorded webinar for 3 months. Scroll down for objectives and additional information -
Building Foundations: Setting Up NPPES & CAQH NPPES and CAQH are the building blocks of successful payer enrollment, and nine out of ten private insurers use CAQH for certain provider types. Discover challenges and best practices for setting up NPPES and CAQH. Then, discover streamlined processes for keeping provider information up to date. Presented by Larry DeHoyos and Dariana Zamora. 1 Hour. Recorded 3/7/23. Trading Places: Payer Enrollment for Delegated Providers Payer enrollment for delegated providers provides opportunities to create efficiencies within the payer 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. Presented by Yesenia Servin. 1 Hour. Recorded 2/7/23. Equipped for Success: Payer Enrollment for DME Providers Payer 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. Presented by Donna Goestenkors and Dina Solis. 1 Hour. Recorded 1/10/23. Peril Carousel: Payer Enrollment for Multi-Specialty Groups Multi-speciality groups face unique payer enrollment perils, ranging from payments that are sent to a physician’s primary practice to inadvertently changing a new practitioner’s existing CAQH profile. Learn how to build effective relationships with stakeholders to manage a dynamic environment. Then, discover how to create robust internal processes to identify payer enrollment issues. Presented by Larry DeHoyos. 1 Hour. Recorded 12/19/22. Scaling Up! Payer Enrollment for Large Health Systems Timely payer enrollment is the cornerstone of revenue management for large health systems, yet payer enrollment specialists can face challenges gathering complete packages of information from providers. Discover how to scale payer enrollment processes to achieve revenue management goals. Presented by Larry DeHoyos and Jenna Sullivan. 1 Hour. Recorded 11/1/22. Dismantling Roadblocks: Payer Enrollment for Mental Health The demand for mental health services has never been greater, yet enrolling mental health providers pose 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 payer enrollment for mental health providers. Presented by Dina Solis and Yesenia Servin. 1 Hour. Recorded 10/4/22. Recorded Webinars: $35 each or series of 6 for $175 Within 24 hours after purchase, you will receive an email with a link to the recorded webinar. You will have access to the recorded webinar for 3 months. Scroll down for objectives and additional information. -
Taming the Frontier: Payer Enrollment Basics For MSPs experienced in credentialing, payer enrollment can feel like the Wild West. The truth is, there is incredible opportunity for career advancement in the payer enrollment field. Join Team Med Global to discover basic payer enrollment frameworks, stakeholders, and career trajectories. Presented by Yesenia Servin and Ivonne Oladunni. 1 Hour. Recorded 9/5/23. The Enrollment Chronicles: Creating Reporting Efficiencies Whether you’re working out of a credentialing database or maintaining information in an Excel tracker, it’s critical to develop meaningful payer enrollment reporting. Join Team Med Global as we discuss what to track and how to frame reports for results-driven payer enrollment. Presented by Sara Collins and Yesenia Servin. 1 Hour. Recorded 8/1/23. Riding the Wave: Recovering from a Backlog At some point in their careers, most payer enrollment specialists will face a backlog that feels like a tidal wave. Instead of drowning, arm yourself with a timeline and an action plan. Join Team Med Global for a primer on turning the tide and recouping pending revenue while maintaining your equilibrium. Presented by Yesenia Servin and Sara Collins. 1 Hour. Recorded 7/11/23. Smooth Landing: Navigating the CAQH ProView Practice Manager Module CAQH tracks more than 2 million practitioners, and the CAQH ProView Practice Manager Module can be leveraged to eliminate the need to duplicate information common to providers. Join Team Med Global for next-level insights into how mid-size and large organizations can create efficiencies with this tool. Presented by Yesenia Servin and Jenna Byrnes. 45 Minutes. Recorded 6/6/23. First Look: What to Know About PECOS 2.0 CMS is expected to launch PECOS 2.0 in June 2023, saying it will “revolutionize Medicare enrollment.” Join Team Med Global as we provide a first look at PECOS 2.0 features that are expected to save time, tailor the application process, and deliver real-time status tracking for submitted applications. Presented by Yesenia Servin and Larry DeHoyos. 1 Hour. Recorded 5/2/23. Cracking the Code: Understanding the Revenue Life Cycle As payer enrollment specialists are increasingly asked to perform functions like billing, it’s important to understand every step of the revenue cycle. Join Team Med Global and learn about each role in revenue cycle management and how to be successful without changing your scope of responsibilities. Presented by Sara Collins. 40 Minutes. Recorded 4/4/23. Recorded Webinars: $35 each or series of 6 for $175 Within 24 hours after purchase, you will receive an email with a link to the recorded webinar. You will have access to the recorded webinar for 3 months. Scroll down for objectives and additional information. -
With decades of experience in payer enrollment best practices, TMG's provider enrollment team provides actionable information about provider enrollment topics that will enable you to solve thorny issues and showcase mastery of provider enrollment processes. 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 to demystify the facility enrollment process, offer practical guidance to ensure facilities meet payer standards, and maintain compliance across the healthcare landscape. Presented by Connie Mota and Heather Blair. 1 Hour. Recorded 8/6/24. Enrollment Roadmap: Navigating Organizational Change Healthcare organizations often undergo significant changes, such as mergers, acquisitions, restructuring, or system upgrades. These transformations can have a profound impact on provider enrollment processes. Join TMG and discover how to adapt, streamline, and optimize your provider enrollment processes to ensure compliance, efficiency, and provider satisfaction in the face of change. Presented by Yesenia Servin and Heather Blair. 1 Hour. Recorded 7/9/24. Charting a New Course: Moving from Medical Staff Services to Provider Enrollment Moving from medical staff services management to overseeing provider enrollment can be a complex shift, requiring new skills and a deep understanding of provider requirements. Join TMG and discover how to leverage your existing expertise while acquiring the tools necessary for effective provider enrollment management. Presented by Connie Mota and Heather Blair. 1 Hour. Recorded 6/4/24. Bridging the Gap: Provider Enrollment & Billing Issues For optimal revenue cycle management, a seamless connection between provider enrollment, billing processes, and claim denial resolution is paramount. Join TMG in exploring strategies and best practices for aligning provider enrollment efforts with billing procedures, while efficiently tackling claim denials stemming from provider enrollment issues. Presented by Connie Mota and Heather Blair. 1 Hour. Recorded 5/7/24. 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 to unravel these intricacies of provider enrollment and streamline your processes. Presented by Sara Collins and Heather Blair. 1 Hour. Recorded 3/5/24. Registration Fee: $35 each or $150 for the 5-part series Scroll down for topics and objectives. -
With decades of experience in payer enrollment best practices, TMG's provider enrollment team provides actionable information about provider enrollment topics that will enable you to solve thorny issues and showcase mastery of provider enrollment processes. September: Inside the Shift: New CMS Mandates October: Deep Dive: Strategies for Effective Denials Management November: Avoiding Landmines: Navigating Complex Enrollments December: Coding Convergence: Aligning Enrollment and Billing for Optimal Performance January: Enrollment Efficiency: Leveraging Automation in Provider Onboarding February: Collaborative Compliance: Navigating Multi-Agency Regulatory Environments Provider Enrollment Prime webinars are held from 12:00 - 1:00 p.m. Central. Registration Fee: $35 for live or on-demand webinar Scroll down for dates and topics. -
With decades of experience in payer enrollment best practices, TMG's provider enrollment team provides actionable information about provider enrollment topics that will enable you to solve thorny issues and showcase mastery of provider enrollment processes. Coding Convergence: Aligning Enrollment and Billing for Optimal Performance Billing and coding are pivotal to the successful enrollment of providers and the financial health of healthcare organizations. Join TMG to uncover how synchronized efforts among billing, coding, and enrollment teams can enhance operational efficiency and compliance. Gain insights into integrating these functions to ensure a cohesive workflow that maximizes revenue and minimizes errors. Presented by Heather Moffitt and Erin DeHoyos. 50 minutes. Recorded 12/3/24. Avoiding Landmines: Navigating Complex Enrollments Enrollment for providers working across multiple locations - or multiple plans for a single practice - presents unique challenges and heightened risks for unintentional fraud and abuse. Join TMG and delve into best practices that safeguard against billing inaccuracies and compliance breaches, and ensure proper reimbursement. Presented by Heather Moffitt and Erin DeHoyos. 1 Hour. Recorded 11/12/24. Deep Dive: Strategies for Effective Denials Management When you transform your approach to denials management, you ensure a smoother revenue cycle and enhanced compliance with payer requirements. Join TMG to understand the root causes of denials. Then, discover proven methods for analyzing, responding to, and reducing future denials. Presented by Heather Blair and Connie Mota. 1 Hour. Recorded 10/1/24. Inside the Shift: New CMS Mandates The latest CMS federal registry standards impact Medicare provider enrollment. Join TMG for an in-depth exploration of the recent changes, the implications for internal processes, and practical strategies for managing documentation to effectively comply with the new regulations. Presented by Heather Blair and Larry DeHoyos. 1 Hour. Recorded 9/5/24. Registration: $35 each or 6 for $175 Scroll down for topics.