WEBINAR WATCH

Payer Enrollment Prime On Demand

For MSPs taking on payer enrollment responsibilities, sound practices and processes can be elusive. Payer Enrollment Prime provides both the big picture and specific processes that empower participants to solve thorny issues and showcase mastery.

Scroll down to browse TMG’s Payer Enrollment Prime on-demand webinars, or tap on a link to jump to your area of interest.

Payer Enrollment Prime Season 3
  • Dismantling Roadblocks: Payer Enrollment for Mental Health
  • Scaling Up! Payer Enrollment for Large Health Systems
  • Peril Carousel: Payer Enrollment for Multi-Specialty Groups
  • Equipped for Success: Payer Enrollment for DME Providers
  • Trading Places: Payer Enrollment for Delegated Providers
  • Building Foundations: Setting Up NPPES & CAQH

$35 each or $175 for 6-part series

Payer Enrollment Prime Season 2
  • Mapping the Future: Payer Enrollment Perspectives
  • All Aboard! Streamlining Payer Enrollment
  • Measuring Up: Metrics for Payer Enrollment Success
  • Step-by-Step: Mapping the Payer Enrollment Process
  • Talking the Talk: Payer Enrollment Scripts
  • Going the Extra Mile: Payer Enrollment Across State Lines
  • Hidden Treasure: Common Payer Enrollment Oversights

$35 each or $175 for 7-part series

Payer Enrollment Prime Season 1
  • Apples, Oranges, and Bananas: Defining Payer Enrollment Competency
  • Tech-Tastic! Streamlining CAQH Applications
  • APP-Avalance: Payer Enrollment for Non-Physician Practitioners
  • Solving the Puzzle: Payer Enrollment Pointers
  • Keeping Revenue Streams Flowing: Why Payer Enrollment Matters
  • Joining Forces: Merging Credentialing and Payer Enrollment

$35 each or $175 for 6-part series

PAYER ENROLLMENT PRIME SEASON 3

Season 3
Episode 6

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.

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Season 3
Episode 5

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.

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Season 3
Episode 4

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.

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Season 3
Episode 3

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.

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Season 3
Episode 2

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.

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Season 3
Episode 1

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 10/11/22.

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PAYER ENROLLMENT PRIME: SEASON 2

Payer Enrollment Prime Season 2
Episode 7

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.

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Payer Enrollment Prime Season 2
Episode 6

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.

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Payer Enrollment Prime Season 2
Episode 5

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.

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Payer Enrollment Prime Season 2
Episode 4

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.

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Payer Enrollment Prime Season 2
Episode 3

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.

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Payer Enrollment Prime Season 2
Episode 2

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.

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Payer Enrollment Prime Season 2
Episode 1

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.

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PAYER ENROLLMENT PRIME SEASON 1

Payer Enrollment Prime 6

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

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Payer Enrollment Prime 5

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

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Payer Enrollment Prime 4

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

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Payer Enrollment Prime 3

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.

Presented by Donna Goestenkors and Yesenia Servin. 1 Hour. Recorded 10/5/21

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Payer Enrollment Prime 2

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

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Payer Enrollment Prime 1

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

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