TMG Resource Center

Payer Enrollment Prime

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

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

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.