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Payer Enrollment Prime: Season 2 On Demand
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. 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. 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. 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. 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. 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. 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. Recorded Webinars: $35 each or 6-part series for $175 Within 24 hours after purchase, you will receive an email with a link to the recorded webinar. You will have access to the recorded webinar for 3 months. Scroll down for objectives and additional information -
Next class starts June 4, 2024. Classes held Tuesdays from 2:00 - 3:00 p.m. CT.
Start your journey to the National Association Medical Staff Services CPCS® and CPMSM® certification success with TMG's virtual in-person course. TMG's 11-week (CPCS®) or 13-week (CPMSM®) virtual live preparation course provides you with an immersive experience, expert faculty, and hands-on guidance. TMG Preparation Courses for CPCS® & CPMSM®- Lesson 1: Develop Your Study Plan
- Lesson 2: Healthcare Framework
- Lessons 3 & 4: Accreditation Wizard
- Lesson 5 & 6: Credentialing & Re-Credentialing
- Lesson 7: Clinical Privileging
- Lesson 8: Performance Improvement
- Lesson 9: Ongoing Monitoring
- Lesson 10: Departmental Operations
- Lesson 11: CPCS Final & Confidence Assessment
- Lesson 11: Departmental Operations
- Lesson 12: Healthcare Law
- Lesson 13: MSP Leadership, CPMSM Final & Confidence Assessment
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Doctor FBI Season 8 On Demand
Built to Last: Effective Team Structures in Medical Staff Services The responsibilities and expectations of medical staff services are ever-evolving, making it crucial to adapt to today’s healthcare environment. Explore how to refresh your team to meet accessibility and productivity demands, all while staying connected. Presented by Donna Goestenkors and Nicole Keller. 1 Hour. Recorded 10/21/22. Deadline Driven: Due Process and Fair Hearing When a problem surfaces that could impact a practitioner’s membership or privileges, MSPs play a crucial role in the notification and due process steps. Develop a roadmap for ensuring due process, tracking fair hearing progression, and working in tandem with legal teams. Presented by Donna Goestenkors and Brian Betner. 1 Hour. Recorded 9/15/22. Meeting Madness: Effective Meeting Management Hospitals and other healthcare organizations create an ever-increasing number of standing committees, ad-hoc committees, and task forces, which is why stellar meeting management can improve department performance by increasing efficiencies. Receive an outline of the principles of effective meeting management and then delve into tips and tricks to streamline meeting agendas, roles and responsibilities, and minutes. Presented by Donna Goestenkors and Maggie Wilkerson. 1 Hour. Recorded 8/18/22. The Pursuit of Excellence: Physician Quality Evaluations MSPs are the gatekeepers of patient safety. Privileging is based in part on tools such as the Focused Professional Practice Evaluation and the Ongoing Professional Practice Evaluation. Learn how to simplify collaborative processes that collect meaningful data, ensure compliance, and contribute to patient safety. Presented by Donna Goestenkors and Nicole Keller. 1 Hour. Recorded 7/21/22. Level Up! Add Polish to Your Career Practices While we all take pride in our work, we may have knowledge gaps about career basics or need to polish our career practices. Apply lessons learned from the field that will elevate our professionalism. We’ll discuss everything from workplace conflicts of interest and career portfolios to salary negotiations and professional development plans. Presented by Donna Goestenkors. 1 Hour. Recorded 6/30/22. Tapping the Brakes: Recognizing Credentialing Red Flags When a credentialing specialist discovers an anomaly in a provider’s application – such as time gaps, malpractice issues, and reporting inconsistencies – it sends up a red flag. Learn how to handle areas of concern that surface in applications for membership and privileges. Presented by Donna Goestenkors and Maya Royal. 1 Hour. Recorded 5/19/22. Recorded Webinars: $35 each or 6-part series $175 Scroll down for objectives and additional information. -
Connecting the Dots to Simplify, Streamline & Succeed
Intentional Productivity: Caring for Yourself While Working Remotely Working remotely poses a host of personal and professional challenges that can leave us feeling less productive and more adrift. Map out strategies designed to help you thrive while working from home. Discover how self-care translates to increased effectiveness in every aspect of your life. Presented by Donna Goestenkors & Stephanie Russell. 2 Hours. Recorded 12/16/20 Peak Performance: The Future of Credentialing Credentialing is the cornerstone of patient safety. It’s also an ever-evolving field. Join in on a credentialing journey that begins with the basics and ends with the cutting-edge challenges destined to chart the future course of the industry. It’s a trek you won’t want to miss. Presented by Donna Goestenkors, Nicole Keller & Stephanie Russell. 2 Hours. Recorded 1/26/21 Stronger Together: Unifying 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. Explore this exciting frontier! Presented by Donna Goestenkors, Nicole Keller & Stephanie Russell. 2 Hours. Recorded 2/16/21 Recorded Webinars: $35 each or $90 for 3-part series Within 24 hours after purchase, you will receive an email with a link to the recorded webinar. You will have access to the recorded webinar for 3 months. Scroll down for objectives and additional information. -
Boost your skills as an MSP! The MAMSS Educational Series, "Blue Skies Ahead," offers MSPs new skillsets, thought leadership, and hot takes on trending topics. On-demand recorded webinars are available for these topics: Racing to the Finish Line: How to Win at Delegated Credentialing Down to Earth: Real Talk About Credentialing Systems New Horizons: Linking Healthcare Quality to Physician Competence Making Connections: Telemedicine & Credentialing by Proxy Gold Star Credentialing: Best Practices for Achieving Compliance Better Together: Merging Credentialing and Payer Enrollment Registration: $35 each or $175 for 6-part series Scroll down for descriptions and objectives. -
Reflection & Momentum
Threading the Needle: Merging Credentialing and Payer Enrollment The trend toward integrating payer enrollment and credentialing functions continues to gain momentum, leaving many MSPs in the dark. Discover this new frontier and the implications for the Medical Staff Services Professional. Then, follow the industry’s only Payer Enrollment Process Model to begin to build or validate the efficiency of your practice when enrolling practitioners in federal, state, and commercial plans. Presented by Donna Goestenkors and Yesenia Servin. 1 Hour. Recorded 4/7/21 Compliance: Oh, That’s What You Mean! Credentialing practices and operational functions vary by environment, and it can be hard to sort out the alphabet soup of accreditation bodies. Decipher credentialing terminology and reveal credentialing differences in hospitals, managed care, practice management, and credentials verification organizations. Presented by Donna Goestenkors and Rachelle Silva. 1 Hour. Recorded 4/14/21 Looking Deeper: Quality Data Matters Practitioner performance is increasingly tied to healthcare quality data and both impact an organization’s revenue streams. This means that physician performance metrics are more than a credentialing tool. Explore how the management of performance information is being used to advance patient care and increase reimbursements. Presented by Donna Goestenkors and Nicole Keller. 1 Hour. Recorded 4/21/21 Emotional Intelligence in Leadership: Why it Matters Great leadership is built on a foundation of authenticity, compassion, and strong boundaries. Navigating your emotional landscape is fundamental to your leadership success. Learn to develop the skills that help you connect with others, improve your communication, and maintain your resilience. Presented by Donna Goestenkors and Stephanie Russell. 1 Hour. Recorded 4/28/21 Recorded Webinars: $35 each; $120 for 4-part series Within 24 hours after purchase, you will receive an email with a link to the recorded webinar. You will have access to the recorded webinar for 3 months. Scroll down for objectives and additional information. -
Boost your skills as an MSP! The Doctor FBI webinar series offers MSPs new skillsets, thought leadership, and hot takes on trending topics. New Frontiers: Unveiling Integrated Credentialing As the healthcare landscape continues to evolve, integrated credentialing is on the horizon for Medical Staff Services. Join Team Med Global to define integrated credentialing, discuss the implications for MSPs, and outline how to design processes to ease the transition. Presented by Donna Goestenkors and Ivonne Oladunni. 1 Hour. Recorded 7/20/23. Feeling the Squeeze: MSP Challenges in Mergers & Acquisitions The push for cost containment and increased efficiency has fueled an uptick in healthcare mergers and acquisitions. Faced with consolidating practitioner-related data and concerned about their futures, MSPs are feeling the squeeze. Join Team Med Global for actionable solutions to common M&A challenges. Presented by Donna Goestenkors. 1 Hour. Recorded 6/15/23. Great Expectations: The Future of Credentialing While technology has done much to streamline the credentialing process over the past 20 years, challenges persist. Join Team Med Global in envisioning the future of credentialing, the changing role of the MSP, and the tools needed to create a single source of credentialing truth. Presented by Ivonne Oladunni and Rachelle Silva. 1 Hour. Recorded 5/18/23. Sentinels of Safety: Peer References & Review Because peer references are crucial in gauging a provider’s clinical competency, accreditation bodies and medical staff bylaws have stringent standards. Join Team Med Global to discuss compliance and best practices for peer references and the review process. Presented by Donna Goestenkors. 1 Hour. Recorded 4/20/23. Roadmap to Success: Guiding Medical Staff Leadership Physicians may be excellent clinicians, but excellence in medical staff leadership isn’t taught in medical school. MSPs are uniquely positioned to introduce MSLs to Medical Staff Services. Join Team Med Global for a blueprint to support the growth and success of MSLs. Presented by Donna Goestenkors and Sara Collins. 1 Hour. Recorded 3/16/23. Information Overload? Mastering Data Retention Guidelines Even when it’s stored in the cloud, old data can get cumbersome. Yet it’s not always clear when to hit delete and when to hit pause. Join Team Med Global to review the drivers for data retention programs and best practices for Medical Staff Services. Presented by Donna Goestenkors. 1 Hour. Recorded 2/16/23. Registration Fee: $35 each or $175 for series of 6 Scroll down for information and objectives -
Breaking New Ground
Peak Performance: Credentialing Best Practices Credentialing is the cornerstone of patient safety. It’s also an ever-evolving field. Go on a credentialing journey that begins with the basics and ends with the cutting-edge challenges destined to chart the future course of the industry. Construct a foundational understanding of credentialing structures, processes, and outcomes, and build in the nuances of telemedicine, locum tenens, and delegated credentialing. The tools you acquire are sure to boost your effectiveness now and in the future. Presented by Donna Goestenkors. 2 Hours. Recorded 5/13/20 Countdown to Cooperation: Top 10 Payer Enrollment & Credentialing Solutions MSPs are the gatekeepers of patient safety and payer enrollment specialists are the gatekeepers of revenue management. During this introduction to payer enrollment, discover how to create synergy between those responsible for the credentialing process and those responsible for payer enrollment to more effectively achieve organizational goals. Then, gain insight into the top ten payer enrollment challenges and solutions. Presented by Donna Goestenkors. 2 Hours. Recorded 5/13/20 Recorded Webinars: $35 each or $60 for 2-part series Within 24 hours after purchase, you will receive an email with a link to the recorded webinar. You will have access to the recorded webinar for 3 months. Scroll down for objectives and additional information. -
With decades of experience in payer enrollment best practices, TMG's provider enrollment team provides actionable information about provider enrollment topics that will enable you to solve thorny issues and showcase mastery of provider enrollment processes. March: Solving the Puzzle: Hospital-Based vs. Medical Group Enrollment April: Decoding Dental Enrollment: ADA CAQH ProView May: Bridging the Gap: Provider Enrollment & Billing Issues June: Charting a New Course: Moving from Medical Staff Services to Provider Enrollment July: Enrollment Roadmap: Navigating Organizational Change August: Facility Enrollment: Blueprint for Success Provider Enrollment Prime webinars are held from 12:00 - 1:00 p.m. Central. Registration Fee: $35 for live or on-demand webinar Scroll down for dates and topics. -
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. 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. 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. 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. 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. 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 10/4/22. Recorded Webinars: $35 each or series of 6 for $175 Within 24 hours after purchase, you will receive an email with a link to the recorded webinar. You will have access to the recorded webinar for 3 months. Scroll down for objectives and additional information. -
Taming the Frontier: Payer Enrollment Basics For MSPs experienced in credentialing, payer enrollment can feel like the Wild West. The truth is, there is incredible opportunity for career advancement in the payer enrollment field. Join Team Med Global to discover basic payer enrollment frameworks, stakeholders, and career trajectories. Presented by Yesenia Servin and Ivonne Oladunni. 1 Hour. Recorded 9/5/23. The Enrollment Chronicles: Creating Reporting Efficiencies Whether you’re working out of a credentialing database or maintaining information in an Excel tracker, it’s critical to develop meaningful payer enrollment reporting. Join Team Med Global as we discuss what to track and how to frame reports for results-driven payer enrollment. Presented by Sara Collins and Yesenia Servin. 1 Hour. Recorded 8/1/23. Riding the Wave: Recovering from a Backlog At some point in their careers, most payer enrollment specialists will face a backlog that feels like a tidal wave. Instead of drowning, arm yourself with a timeline and an action plan. Join Team Med Global for a primer on turning the tide and recouping pending revenue while maintaining your equilibrium. Presented by Yesenia Servin and Sara Collins. 1 Hour. Recorded 7/11/23. Smooth Landing: Navigating the CAQH ProView Practice Manager Module CAQH tracks more than 2 million practitioners, and the CAQH ProView Practice Manager Module can be leveraged to eliminate the need to duplicate information common to providers. Join Team Med Global for next-level insights into how mid-size and large organizations can create efficiencies with this tool. Presented by Yesenia Servin and Jenna Byrnes. 45 Minutes. Recorded 6/6/23. First Look: What to Know About PECOS 2.0 CMS is expected to launch PECOS 2.0 in June 2023, saying it will “revolutionize Medicare enrollment.” Join Team Med Global as we provide a first look at PECOS 2.0 features that are expected to save time, tailor the application process, and deliver real-time status tracking for submitted applications. Presented by Yesenia Servin and Larry DeHoyos. 1 Hour. Recorded 5/2/23. Cracking the Code: Understanding the Revenue Life Cycle As payer enrollment specialists are increasingly asked to perform functions like billing, it’s important to understand every step of the revenue cycle. Join Team Med Global and learn about each role in revenue cycle management and how to be successful without changing your scope of responsibilities. Presented by Sara Collins. 40 Minutes. Recorded 4/4/23. Recorded Webinars: $35 each or series of 6 for $175 Within 24 hours after purchase, you will receive an email with a link to the recorded webinar. You will have access to the recorded webinar for 3 months. Scroll down for objectives and additional information.
