Enrollment Solutions: Improving Payer Approvals - On-Demand

Product Code: YMHA081319D

Quick Overview

Join Amy M. Niehaus, MBA, CPMSM, CPCS, to gain an understanding of the payer credentialing process and requirements under Centers for Medicare & Medicaid Services (CMS) and National Committee for Quality Assurance (NCQA) standards.

Price: $199.00

Enrollment Solutions: Improving Payer Approvals - On-Demand

Enrollment Solutions: Improving Payer Approvals

Available ON-DEMAND

Presented on:
August 13, 2019

Presented by: Amy M. Niehaus, MBA, CPMSM, CPCS

Lengthy enrollment turnaround times with commercial payers can hurt an organization’s bottom line with delayed or lost revenue.  Provider enrollment specialists have traditionally performed this function, but a growing contingent of MSPs are managing enrollment duties in addition to their existing medical staff credentialing obligations.

During this 90-minute webinar, Amy M. Niehaus, MBA, CPMSM, CPCS, will give attendees an understanding of the payer credentialing process and requirements under Centers for Medicare & Medicaid Services (CMS) and National Committee for Quality Assurance (NCQA) standards. Attendees will also learn methods to reduce lost revenue due to payer credentialing delays and implement efficient enrollment processes.

At the conclusion of this program, participants will be able to:

  • State the difference between enrollment and credentialing
  • Describe payer credentialing requirements
  • Discuss the impact of payer credentialing processes on enrollment
  • Identify solutions to enrollment challenges


  • Overview of payer credentialing vs. enrollment
  • Identifying today’s enrollment challenges
  • Understanding payer requirements and their impact on the enrollment process
    • Payer workflows and time frames
    • Required NCQA verifications
    • Additional CMS requirements
    • Approval options
    • Ongoing payer requirements
  • Enrollment solutions
    • Payer repository
    • Application submission and completeness
    • Use of technology
    • Onboarding team
    • Contract management
    • Revenue monitoring
    • Integration with medical staff services


  • Sample payer repository

Who Should Listen?

  • Medical staff professionals
  • Medical staff coordinators
  • Medical staff services directors
  • Medical staff services managers
  • Credentials coordinators
  • Credentials specialists
  • Provider enrollment specialists

Meet the Speaker

Amy M. Niehaus

Amy M. Niehaus, MBA, CPMSM, CPCS, is an independent healthcare consultant with more than 25 years of experience in the medical services and credentialing profession. In her current role, she advises clients in the areas of accreditation, regulatory compliance, credentialing, process simplification and redesign, credentialing technology, credentials verification organization (CVO) development, enrollment and delegation. Niehaus has worked in multiple environments throughout her career, including acute care hospitals, CVOs, managed care organizations (MCO), health plans, and consulting firms. She has been a member of the National Association Medical Staff Services (NAMSS) since 1991. She is currently a NAMSS instructor and previously served as chair of the association’s MCO Task Force, as well as chair and member of the NAMSS Education Committee. She is a former president of the Missouri Association Medical Staff Services and its Greater St. Louis Area chapter. Niehaus has been a speaker and educator since 2000, developing and presenting various programs to state and national audiences on credentialing and privileging processes; TJC, NCQA, and URAC accreditation standards and survey preparation; CVO certification and CR accreditation; enrollment; and delegation. She has authored and contributed to a variety of industry-related publications, including NAMSS Synergy, The Greeley Company, Credentialing Resource Center, AHLA MedStaff News, and Becker's Hospital Review. She is the author of Credentialing for Managed Care: Compliant Processes for Health Plans and Delegated Entities (HCPro, 2016).


Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

No problem. The On-Demand version is also available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $199 value! 

Participation in the webinar is just $199 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 855-225-5341 or email  if you have questions.