NPE and CRC Virtual Experience: A Provider Enrollment, Credentialing, and Privileging Online Conference - On-Demand

Now Available On-Demand

For 2021, the Credentialing Resource Center Symposium and the National Provider Enrollment Forum have teamed up to provide you the best of two incredible virtual conferences, and we invite you to join us for this one-of-a-kind online event focused on medical staff services, provider enrollment, and physician leadership.

Perfect for those new to the field or with years of experience, this four-day event delves into the complex processes involved in credentialing, privileging, peer review, and enrollment. Receive expert guidance and best practices to ensure your practitioners are properly vetted and reimbursed for their services.

All from the comfort and safety of your home or workplace!

Event features:

  • Four half-days filled with education allow attendees to participate and network in real time or listen as their schedule allows
  • Live Q&A sessions at the end of each day with speakers
  • Interactive thought exchanges within our event platform


After attending this event, learners will be able to:

  • Explain the differences and similarities in the credentialing process across different settings, including hospitals and credentials verification organizations
  • Understand how to utilize PECOS, NPPES, and I&A to successfully enroll providers with Medicare
  • Describe strategies for effectively onboarding providers so that no revenue is lost
  • Discover ways to use credentialing, privileging, and peer review to keep problematic practitioners out of your organization
  • Develop policies and best practices for supporting and vetting aging physicians
  • Ensure your privileging forms are up-to-date and reflect industry best practices
  • Learn tips and tricks for managing a remote team


Registration includes a 60-day access period to the platform.

NPE and CRC Virtual Experience: A Provider Enrollment, Credentialing, and Privileging Online Conference - On-Demand

Agenda

1 hour
Credentialing Across the Continuum
Rachelle Silva, BBM, CPMSM, CPCS
This session provides a broad overview of the regulatory and accreditation standards required throughout the healthcare industry. Industry veteran Rachelle Silva discusses primary source verification requirements as well as how to develop clear and concise policies.

1 hour
Developing and Maintaining Delineation of Privileges in Your Organization
Janet Wilson, CPMSM, CPCS
Not only do accrediting and regulatory bodies require current privilege forms and criteria, organizations have an obligation to their patients to ensure practitioners are only providing care and services that they are qualified to perform. This session will help you develop a collaborative, ongoing, systematic approach to updating and maintaining privilege forms for your organization. Speaker Janet Wilson will also discuss the roles and responsibilities that key players have in the privileging process.

1 hour
Maintaining Provider Enrollment and Performing Medicare Revalidations
Terri Lynn Davis, BS-HCA
Keeping your information updated and accurate with payers is crucial to a successful practice. This session provides tips for remaining organized, staying informed, and keeping payers up to date with your practitioners’ and group’s information. These best practices will help you ensure that no recredentialing or Medicare revalidations are ever missed.

1 hour
Creating an Effective Medical Staff Confidentiality Policy and Process
Janet Wilson, CPMSM, CPCS
This program will help attendees understand the importance and need for confidentiality in the medical staff and credentialing industry. Speaker Janet Wilson will identify key components of a comprehensive confidentiality policy and demonstrate how to establish internal guidelines and processes based on an effective and accountable confidentiality policy.

30 minutes
Q&A Session
Janet Wilson
Rachelle Silva
Terri Lynn Davis

1 hour
Improve New Provider Onboarding to Increase Revenue
David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP
Would you like to guarantee payment for all services conducted by your practitioners from the day they start, without losing any money or productivity? In this session, Zetter offers suggestions and actionable guidance to improve your new provider onboarding process so that practitioners can begin receiving reimbursement immediately upon starting.

1 hour
Aging Practitioners: The Medical Staff’s Responsibility to Patients and Late-Career Practitioners
Jonathan Goldner, DO, MMM, FCCP, FCCM
Learn the latest developments in the conundrum of how to cope with aging providers and gain tips for developing an aging practitioner policy at your organization. Physician Jonathan Goldner discusses how aging affects both medical and surgical specialists, what the medical staff’s responsibilities are both to aging practitioners and patients, and how to develop a systematic approach to the late-career practitioner.

1 hour
PECOS/I&A and NPPES Updates & Multifactor Authentication
David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP
Master the PECOS Identity & Access Management System to request surrogacy on behalf of providers. Plus, David Zetter clarifies how Delegated Officials and Authorized Officials take on different meanings when performing enrollment vs. acting as a surrogate.

1 hour
Reimbursement Jumpstart: Fast-Tracking Medicaid Payer Enrollment
Larry DeHoyos, CPCS, PESC, and Yesenia Servin, CPMSM, PESC
Payer enrollment accelerates an organization’s revenue cycle, but Medicaid turnaround times, retroactive physician enrollment, and out-of-state physician enrollment can put the brakes on timely reimbursements. Join Team Med Global’s DeHoyos and Yesenia Servin as they discuss best practices for jumpstarting Medicaid enrollments to achieve organizational goals and prevent stalled reimbursements.

30 minutes
Q&A Session
David Zetter
Jonathan Goldner
Yesenia Servin
Larry DeHoyos

1 hour
Creating KPIs for Credentialing Data Management
Christine Bergeron and Jennifer Cloud, CPMSM, CPCS
Provider credentialing is rightfully getting its due as the essential starting point of both the revenue cycle process and the provision of safe care. Still, the medical staff office/CVO must demonstrate to its internal and external customers it can succeed using “lean” operation principles. Speakers Christine Bergeron and Jennifer Cloud will empower audience members to learn and speak metrics—the language of administrators. Walk away with a better understanding of using measurable productivity benchmarks and key performance indicators (KPI) to track and share for maximum impact.

1 hour
Lessons Learned: Reflections on Disaster Privileging & Enrollment
Donna Goestenkors, CPMSM, EMSP, and Larry DeHoyos, CPCS, PESC
The COVID-19 pandemic unleashed a flood of challenges for credentialing and payer enrollment specialists. Although CMS and states granted waivers for credentialing, payers typically didn't have a process to handle provider enrollment. Join Team Med Global’s Donna Goestenkors and Larry DeHoyos as they reflect on the lessons learned during disaster privileging and enrollment and how they can inform process improvements moving forward.

1 hour
Considerations for Telestaffing Your CVO
Christine Bergeron and Jennifer Cloud, CPMSM, CPCS
Healthcare organizations and managed care organizations increasingly are aligning the medical staff services and payer enrollment functions. At the same time, the use of CVOs and delegated credentialing arrangements is rising. The primary goals: eliminate duplicate work and save on costs. Staffing a CVO with remote specialists is attractive operationally and financially, but there are key considerations for those with little exposure to enrollment or to running a virtual workforce. This session walks participants through the decision-making steps before telestaffing an office.

1 hour
Eliminate Enrollment Delays Through Delegated Credentialing
Amy Niehaus, MBA, CPMSM, CPCS
An efficient enrollment process is critical for any healthcare organization's revenue cycle but waiting for payers to complete their credentialing process takes time, and this can come at a significant cost to the organization in terms of lost or delayed revenue. Attaining delegated status with commercial payers provides the opportunity for organizations to enroll new providers faster and eliminate enrollment delays. This session will provide attendees with the steps to achieve delegation status, including determining eligibility and approaches to establishing a compliant credentialing program.

30 minutes
Q&A Session
Amy Niehaus
Chris Bergeron
Jennifer Cloud
Donna Goestenkors
Larry DeHoyos

1 hour
Peer Review 2021: A Practical Strategy for Navigating Murky Waters
Jeffrey Sanfield, MD, FACPE, CDE
Walk away from this session with a practical way to incorporate effective peer review in your organization. Attendees will learn the challenges of objectively managing peer review, several ways to manage conflicts of interest and barriers to success, how to find a balance between support and discipline, and how to create an objective algorithm and policy on medical staff professional practice evaluation.

1 hour
Upping the Happiness Quotient: How to Contribute to a Positive Workplace Culture
Donna Goestenkors, CPMSM, EMSP, and Nicole Keller, MSHM, CPHQ, CPHIT
Creating workplace positivity is the linchpin to productivity and fulfillment. When each person commits to clear communication, shared objectives, and healthy conflict resolution, team members and departments can thrive. Join Team Med Global’s Donna Goestenkors  and Nicole Keller as they identify work-related behaviors and strategies that create happier and healthier work environments.

1 hour
Overcoming Privileging Conflicts and Turf Battles
Jeffrey Sanfield, MD, FACPE, CDE
Although turf battles have been around for years, new ways of delivering care are creating new hot button areas for these disputes between practitioners. During this session, learn best practices for working through issues such as exclusive contracts, advanced practice professionals, robot privileges, and new provider privileges.

1 hour
Making the Case for Integrating Credentialing and Enrollment
Amy Niehaus, MBA, CPMSM, CPCS, and Carrie Bradford, MHA, RHIA, CPMSM, CPCS
Hospitals continually seek opportunities to improve efficiency, eliminate redundancies, and increase quality. Integrating credentialing and enrollment provides the opportunity to achieve these goals, as there is significant overlap with the two processes. This session will demonstrate how integrating these functions can achieve greater operational efficiency and enhance revenue for your organization.

30 minutes
Q&A Session
Jeffery Sanfield
Amy Niehaus
Carrie Bradford
Donna Goestenkors
Nicole Keller

NPE and CRC Virtual Experience: A Provider Enrollment, Credentialing, and Privileging Online Conference - On-Demand

Presenters

Christine Bergeron Christine Bergeron is the CVO client liaison and operations director at symplr CVO, the NCQA-certified credentials verification organization that works with hospitals, health systems, health plans, payers, accountable care organizations, managed care organizations, and other facility types to provide fast, expert provider credentialing, payer enrollment, and licensure services. She joined the company in November 2010 as provider enrollment team lead, managing the activities of a telecommuting enrollment team, and established key productivity metrics that helped the CVO lead the market. Previously, Christine was as a senior analyst at Cambron Credentials from 2007 to 2010, where she provided primary source verification and payer enrollment services. Christine studied accounting at Champlain College in Burlington, VT. She enjoys using her skills and vast experience interacting with prospective and current customers to guide them in all stages of projects.
Carrie L. Bradford Carrie L. Bradford is the assistant vice president for physician services and the central verification office for NorthShore University HealthSystem. Bradford is responsible for all professional staff governance matters as well as systemwide credentialing encompassing hospital, managed care, and provider enrollment. Prior to joining NorthShore, Carrie spent seven years with Advocate Health Care as manager of medical staff services at Advocate Lutheran General Hospital and 10 years at Mercy Hospital and Medical Center in both health information management and medical staff services. Bradford is a past president of the Illinois Association of Medical Staff Services, (IAMSS) and served as a board member of IAMSS for 10 years. She is also past member of the NAMSS (National Association of Medical Staff Services) Education Committee and Membership Committee. Bradford has a master’s degree in healthcare administration and a Bachelor of Science in health information management. She is certified as an RHIA from AHIMA and is dual certified as a CPMSM and CPCS by NAMSS.
Jennifer Cloud Jennifer Cloud, CPMSM, CPCS, is the director of provider credentialing services at symplr CVO, the NCQA-certified credentials verification organization that works with hospitals, health systems, health plans, accountable care organizations, managed care organizations, and other facility types to provide fast, expert provider credentialing, payer enrollment, and licensure services. She oversees a team of payer enrollment specialists, CVO credentialing specialists, and managers in the division. She joined the company in October 2016 as a provider enrollment specialist and was quickly promoted to manager of provider enrollment in November 2017. She and her team work collaboratively with the operations, sales, and marketing teams, as well as the executive staff, to exceed symplr CVO customers’ needs and expectations. Previously, Jennifer was manager of medical staff services for LRG Healthcare from October 2012 to October 2016.
Terri Lynn Davis Terri Lynn Davis, BS-HCA, is a credentialing expert in payer enrollment and primary source verification services. Currently the credentialing director for 1st Credentialing, she provides nationwide services for healthcare providers, suppliers, and facilities in numerous specialties. With over 15 years of experience in credentialing, she knows how to take the complex task of credentialing and make it a smooth and seamless process for 1st Credentialing clients. She is never satisfied with the status quo but instead reaches for higher levels of excellence by simplifying processes, improving standards, and providing educational opportunities whenever possible. Customer service is her top priority, and her proactive expertise resonates with her clients. Davis also shares her knowledge and experience through a variety of webinars and conference presentations. Participants in her classes benefit from her practical credentialing tips that help drive improved payer enrollment outcomes. Davis holds a Bachelor of Science in healthcare administration with a minor in business management from Western Kentucky University.
Larry DeHoyos Larry DeHoyos, CPCS, PESC, is a member of TMG’s payer enrollment institute and practice management alliance. DeHoyos has been working as a medical staff services professional for over 22 years and currently oversees payer enrollment and credentialing functions for a national revenue cycle management company as the director of credentialing. His expertise includes centralizing systems and workflows with an emphasis on team collaboration to help mitigate enrollment challenges and ultimately revenue leaks. DeHoyos has worked in provider credentialing and enrollment within managed care organizations, health systems, and single-specialty/multi-specialty medical groups supporting accrediting bodies such as The Joint Commission, NCQA, URAC, AAAHC, and CMS. He is a trained transformational healthcare champion whose expertise includes Lean workflow assessments for a paperless office environment, data governance, and effective provider directory management.
Donna Goestenkors Donna Goestenkors, CPMSM, EMSP, is a healthcare consultant, speaker, author, educator, and mentor who possesses over 45 years of knowledge and experience that she is privileged to share with colleagues, healthcare administrators, and medical staff leaders on issues pertinent to the medical staff services industry. Her expertise is diverse and penetrates all healthcare locations and environments (e.g., health systems; academic, community and critical access hospitals; credentials verification organizations; payer enrollment; managed care organizations; group and solo practice settings). Her talent in leading medical staff services professionals to their greatest level of competence garners Goestenkors great respect among her colleagues within the industry.
Jonathan Goldner Jonathan Goldner, DO, MMM, FCCP, FCCM, is the associate chief medical officer at Lehigh Valley Hospital—Pocono in East Stroudsburg, Pennsylvania, a position he has held since 2012. He has been involved with hospital administration and medical staff leadership there for the past 30 years. Besides his administrative responsibilities, he is a practicing internist that is board certified in internal medicine, critical care, and geriatrics. His faculty appointments include being a clinical assistant professor of medicine at the Philadelphia College of Osteopathic Medicine and the Geisinger Commonwealth School of Medicine. He believes in a multidisciplinary team approach to healthcare to continuously improve quality, prevent readmissions, and decrease adverse events. Goldner obtained his DO degree from the Chicago College of Osteopathic Medicine and completed his internal medicine residency at the Lehigh Valley Hospital Network. He obtained his Masters in Medical Management at Carnegie Mellon University.
Nicole Keller Nicole Keller, MSHM, CPHQ, CPHIT, CSM, is a healthcare executive professional currently working as director, medical staff services department with Seattle’s Children. She provides leadership and oversight in the areas of technical and professional quality assurance as well as improvement, compliance, hospital credentialing and privileging, medical licenses and certification, and payer enrollment. Keller’s additional areas of expertise include human resources, payer and hospital contracting, population health, practice group management, project management, group leadership and facilitation, and building high-functioning teams.
Amy Niehaus Amy Niehaus, MBA, CPMSM, CPCS, is an independent healthcare consultant with more than 30 years of experience in the medical services and credentialing profession. She advises clients in the areas of accreditation, regulatory compliance, credentialing, privileging, operational efficiency, technology, credentialing policies and procedures, enrollment, and delegation. Niehaus has worked in multiple environments throughout her career, including acute care hospitals, CVOs, health plans, and consulting firms. She has been a member of NAMSS since 1991, is currently a NAMSS instructor and subject matter expert, and previously served as chair and member of the association’s Education Committee. She is a former president of the Missouri Association Medical Staff Services and its Greater St. Louis Area chapter. Niehaus is a frequent speaker and educator and has authored and contributed to a variety of industry-related publications. She is the author of Managed Care Credentialing: Compliance Strategies for Health Plans, CVOs, and Delegated Entities (HCPro, 2019).
Jeffrey Sanfield Jeffrey Sanfield, MD, FACP, CDE, is a practicing physician and experienced medical staff leader based in Michigan. He has been chair of the internal medicine department at St. Joseph Mercy Hospital in Ann Arbor Michigan since 1998, chair of the credentials committee at St. Joseph Mercy Health Systems in Ypsilanti, Michigan, since 2007, and chair of the allied health credentials committee since 2007. He has held numerous other medical staff leadership positions throughout his medical career and has consulted and been involved in many quality assurance and peer review activities. Sanfield is the president and founder of Ann Arbor Endocrinology and Metabolism P.C. and is the medical director of the Diabetes and Endocrinology Division of St. Joseph Mercy Hospital. He is board certified in internal medicine, endocrinology and metabolism, and is a certified diabetes educator. Having received many honors and awards over the years, Sanfield has been named “Top Doc” by Hour Magazine more than ten times and voted as a “Top Doctor in America” by Consumer Checkbook, both of which speak to his passion for his patients.
Yesenia Servin Yesenia Servin, CPMSM, PESC, has more than 22 years of experience in payer enrollment and physician credentialing and is currently the payer enrollment lead at Team Med Global. There, she manages payer enrollment projects, briefs payer enrollment team members on industry trends, and is the liaison for the multitude of departments impacting payer enrollment processes. She also maintains her own consultancy, where she helps organizations develop and implement best practices guidelines and processes; analyzes a variety of commercial, private, and governmental claim filings; and manages credentialing processes for network participation agreements. Servin is a current member of the NAHRI Leadership Board. She is also a leading member of TMG’s Payer Enrollment Institute and serves as associate faculty on the Speakers’ Team.
Rachelle Silva Rachelle Silva, BBM, CPMSM, CPCS, is a dual-certified medical services professional with a bachelor’s degree in business management and 24 years of experience in the field. She has worked for MultiPlan, Inc., an NCQA-accredited national PPO network, for 15 years as an auditor in their delegated credentialing department. Her previous experience was as a medical staff coordinator/CME coordinator in a community hospital and manager of medical affairs/meeting management at a large academic facility. She is also a founding partner of Southern Belles and Beau, LLC Speaker’s Bureau, which provides professional development and healthcare industry education across the continuum.

Silva has served in leadership positions at both the state and national level, including on the Education Committee and the Executive Board of the Louisiana Society of Medical Staff Services; the Certification Commission of the National Association Medical Staff Services (NAMSS) as a volunteer and elected test development chairperson and member of the Executive Board; on the NAMSS board as director at large; and as a NAMSS instructor. Silva is currently working with Team Med Global as faculty, speaker team member and contributor, to the published TMG Accreditation Wizard.
Janet Wilson Janet Wilson, BS, FMSP, CPMSM, CPCS, has been involved in the medical staff services, quality, and credentialing industry for the past 30 years. Her healthcare experience extends to hospitals, quality, managed care, and the CVO environment. Wilson is currently the Central Texas Division Director of Medical Staff Affairs and CVO of Baylor Scott & White Health. Wilson holds a Bachelor of Science in Health Administration and is CPMSM and CPCS certified by NAMSS. Wilson served for three years on the board of directors of NAMSS. Wilson also served on the board of directors of the Texas Society of Medical Staff Services and served as president during her tenure on the board. Wilson has also been an independent educator and consultant for over 14 years in the areas of credentialing, CVO, quality and medical staff services, with a primary focus on bylaws revisions, privilege form development, medical staff leadership education programs, and development and standardization of policies and procedures/documents across multiple hospital settings. Wilson has taught onsite and virtual CPMSM/CPCS certification study groups and professional development courses for over 14 years. In 2012, Wilson developed and launched a Certification Focused Study Program and teaches the Certification Program exclusively for EDGE-U-CATE, LLC., and is member of their faculty. She also assists in teaching EDGE-U-CATE’s Credentialing School.
David J. Zetter David Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP, CMHP is founder and president of Zetter HealthCare LLC. He and his firm have provided practice management consulting services to medical and dental practices, facilities, and organizations for more than 25 years. Zetter is a nationally recognized enrollment expert and speaker, and CMS regularly solicits his feedback in their PECOS and compliance user focus groups. He is the current President of the National Society of Certified Healthcare Business Consultants and is a Certified Healthcare Business Consultant (CHBC). He is also a Certified Professional Coder (CPC) for physician practices, hospitals, and facilities, and a Certified Healthcare Compliance Consultant (CHCC). Zetter is a member of the American Health Lawyers Association, the Medical Group Management Association, and the Healthcare Financial Management Association. His firm supports client practices and facilities in all 50 states. You may find out more about Zetter and his firm at https://zetter.com.

NPE and CRC Virtual Experience: A Provider Enrollment, Credentialing, and Privileging Online Conference - On-Demand

Continuing Education

Accreditation Council for Continuing Medical Education
HCPro is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

HCPro designates this educational activity for a maximum of 18 AMA PRA Category 1 Credits TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AAPC
This program has the prior approval of AAPC for 18 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

Ability to claim credits for this webinar expires on: 03/31/2022

NPE and CRC Virtual Experience: A Provider Enrollment, Credentialing, and Privileging Online Conference - On-Demand

Sponsor

VerityStream
Symplr

RLDatix

NPE and CRC Virtual Experience: A Provider Enrollment, Credentialing, and Privileging Online Conference - On-Demand

Product Code: PECV04192021

Quick Overview

The Credentialing Resource Center Symposium and National Provider Enrollment Forum have teamed up for a one-of-a-kind online event focused on medical staff services, provider enrollment, and physician leadership.

Price: $399.00

NPE and CRC Virtual Experience: A Provider Enrollment, Credentialing, and Privileging Online Conference - On-Demand