Provider Enrollment Prime Season 5 On Demand

Description

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’s provider enrollment team to unravel these intricacies of provider enrollment and streamline your processes.

Objectives:
Identify 5 differences between hospital-based and medical group-based enrollment
Describe how to maximize enrollment efficiency in the medical group context
Explain best practices to minimize potential bottlenecks in each environment

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’s provider enrollment team in exploring strategies and best practices for aligning provider enrollment efforts with billing procedures, while efficiently tackling claim denials stemming from provider enrollment issues.

Objectives:
Describe the fundamental interplay between provider enrollment and billing
Identify key documentation and data-sharing practices to prevent bottlenecks
Explain how to address, appeal, and resolve claim denials based on provider enrollment

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’s provider enrollment team and discover how to leverage your existing expertise while acquiring the tools necessary for effective provider enrollment management.

Objectives:
Describe the differences and similarities between MSS manager and PE manager roles
Identify skills, tools, and software that support efficient provider enrollment
Explain responsibilities, challenges, and regulatory nuances associated with PE management

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’s provider enrollment team and discover how to adapt, streamline, and optimize your provider enrollment processes to ensure compliance, efficiency, and provider satisfaction in the face of change.

Objectives:
Explain 4 common organizational changes and their impact on enrollment
Identify 5 enrollment risks during periods of organizational change
Describe 3 best practices for managing organizational change

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’s provider enrollment team as they demystify the facility enrollment process, offer practical guidance to ensure facilities meet payer standards, and maintain compliance across the healthcare landscape.

Objectives:
Identify documentation and information needed for successful facility enrollment
Explain potential fees and exemptions associated with facility enrollment
Describe how site surveys may vary according to payer requirements