Up Your Game with the Provider Enrollment Specialist Certificate

Whether your primary responsibilities are in the realm of payer enrollment or your organization is merging credentialing and payer enrollment functions, it may be time to up your game. The Provider Enrollment Specialist Certificate (PESC) demonstrates your mastery of Centers for Medicare & Medicaid Services (CMS) guidelines and regulations – the minimum requirements for enrollment

2021-08-24T23:20:27+00:00|Payer Enrollment|

TMG Unveils Executive Payer Enrollment Professional Competency Model

Team Med Global has unveiled the first-of-its-kind Executive Payer Enrollment Professional Competency Model. According to Team Med Global President Donna Goestenkors, CPMSM, EMSP, the model reflects the skill sets required of payer enrollment specialists who are at the top of their field. “Executive Payer Enrollment Professionals exhibit the expertise, effectiveness, and impact that deliver value

2021-05-05T22:31:05+00:00|Payer Enrollment|

4 Steps to Boost Payer Enrollment Effectiveness

Payer enrollment is the cog that kicks off the revenue cycle. While most revenue cycle graphics indicate that client intake is the first stage in the cycle, the reality is that enrollment is the critical first phase. Payer enrollment is the process of enrolling organizations and providers into payer networks. The process varies by payer,

2020-12-12T18:41:09+00:00|Payer Enrollment|

Payer Enrollment Staffing is Sorely Lacking, Team Med Global Survey Finds

Team Med Global released the results of the organization’s Payer Enrollment Staffing Survey, which was designed to determine the state of payer enrollment staffing in the healthcare industry. The results were sobering, with fully 52% of respondents stating that their organization’s payer enrollment staffing levels were insufficient. According to Team Med Global President Donna Goestenkors,

2020-09-06T03:56:43+00:00|Payer Enrollment|

COVID-19 Payer Enrollment Q & A

On April 2, 2020, Team Med Global provided a complimentary webinar, “Stronger Together: Payer Enrollment COVID-19 FAQs.” During and after the webinar, attendees posed timely questions and shared their teams’ experiences during the pandemic. TMG team members Donna Goestenkors, CPMSM, EMSP, Yesenia Servin, CPMSM, and Larry DeHoyos, CPCS, PESC, respond to attendees’ questions and comments:

2020-08-19T19:10:23+00:00|Payer Enrollment|

Thrown into the Deep End: The Need for Trained Payer Enrollment Professionals

By Yesenia Servin, CPMSM The ever-changing landscape of the medical staff services profession can lead to ill-defined areas of responsibility, additional assigned responsibilities, or both. When you don’t have the training or tools to do the job well, it can feel like you’ve been thrown into the deep end of the pool without knowing how

2020-08-19T19:23:10+00:00|Payer Enrollment|

NAMSS “Payer Enrollment Table Talk”

The Inside Scoop   When NAMSS conference attendees huddle during Team Med Global’s “Payer Enrollment Table Talk” on October 21, they’ll teach as much as they learn. “We’re hoping that MSPs and payer enrollment specialists come prepared to share their experiences,” said Donna Goestenkors, president of TMG. “Whether someone is brand new to the payer

2020-08-19T19:33:40+00:00|Payer Enrollment|

Finding Your Home on Payer Enrollment Island

By Dina Solis, PESC   When I first started in the Payer Enrollment industry almost 20 years ago, I worked for a large, national healthcare provider organization in the San Francisco Bay Area and was charged with my company’s first-ever, official role of managing federal and state enrollments and private payer contracts for 150 provider

2020-08-19T21:39:35+00:00|Payer Enrollment|

Process Improvement: Rising to the Challenge While Preventing MSP Burnout

By Larry DeHoyos, CPCS, PESC   Our nation’s healthcare market has exploded, and it shows no signs of slowing. Over the past decade, we’ve seen a boom in independent practice associations, health plans, larger mergers, and independent medical groups. And the U.S. Bureau of Labor Statistics forecasts four million new healthcare jobs by 2026. That

2020-08-19T21:43:09+00:00|Credentialing, Payer Enrollment|

Team Med Global to Present Payer Enrollment and Locum Tenens Sessions at NAMSS Conference

The knowledge experts at Team Med Global are slated to present two forward-thinking sessions at NAMSS’ 43rd Educational Conference & Exhibition, which will be held October 21-23, 2019, in Philadelphia. According to TMG President Donna Goestenkors, CPMSM, “We’re thrilled to be returning to the NAMSS conference with timely, actionable information.” Team Med Global’s first presentation,

Stepping Up: 4 Payer Enrollment Management Fundamentals

By Yesenia Servin, CPMSM Whether you decided to assume the role of payer enrollment manager on your own or you were voluntold to take charge of the payer enrollment team, there are four fundamentals that you should keep top-of-mind. Payers First things first. Where is the accurate payer list and does it include effective dates?

2020-08-19T21:47:50+00:00|Payer Enrollment|

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