Session 1: Credentialing in 2024, Tips For Success
Live Date: September 19, 2024
Time: 1 PM ET
Speaker: Stephanie Thomas
Duration: 60 minutes
Webinar Description
Insurance credentialing is quickly becoming a very time consuming and difficult to manage process within most private provider offices. Getting credentialed and keeping up with all the necessary requirements can be a daunting task. Payers over the years are requiring more of the providers and if you don’t keep up with these things, it could mean costly denials and endless issues with claims.
During this 60 minute webinar our speaker will cover this process in detail and uncover secrets to help this process move more smoothly. She will also provide criteria and documents needed to get credentialed and provide specific information on how to streamline the process and how to avoid common pitfalls.
Join us for this highly informative webinar about insurance credentialing. It will ease your mind and will surely give you the tools to be more confident about this process moving forward.
Webinar Objectives
- Credentialing overview-review of process in detail
- Re-credentialing requirements-what this means and how it’s done
- Common errors and pitfalls during credentialing-how to avoid
- Documentation requirements-what is needed and how often
Webinar Agenda
- Credentialing overview
- Documentation needed
- Where to start
- Follow up for success
- Common pitfalls
- Re-credentialing
- Q&A session
Webinar Highlights
- How to properly credential with insurance
- Follow up techniques for success
- Re-credentialing tools to alleviate stress
- Importance of accuracy of information
- Specific insurance nuances from our expert
Session 2: ICD-10-CM Updates for 2025
Live Date: September 24, 2024
Time: 1 PM ET
Speaker: Jill M. Young
Duration: 60 minutes
Webinar Description
Each year the ICD-10-C Coordination and Maintenance Committee meets twice to consider requests for new codes and clarifications of existing ones. For 2025 the Committee has approved several codes of significance. This includes classifications of Hypoglycemia and then Code Also Notes to use these as additional codes when coding certain Diabetes codes. There are also new codes for presymptomatic Type 1 diabetes mellitus that indicate staging to learn about. There is new Use Additional Code notation for malignant neoplasms of the breast along with new codes in the Estrogen Receptor Status section. New codes in the unspecified synovitis and tenosynovitis in several extremities should help in identifying this disorder. Clarifications in the Code First and Code Also listings for Pneumonia codes ask for additional information not previously required. New SDOH codes for insufficient health insurance coverage expand this section. Overall, for 2025 there are new codes that you should be aware of. Just as important are the sub code notations seeking clarifications that a coder should know of and pass along to their providers to have the specificity in coding required by the ICD-10-CM codes.
Webinar Objectives
The webinar will go through all the major changes to codes. It will also present the new codes with explanations of who requested the code, how it should be used and some limited clinical information on it.
Additions and changes to the coding guidelines are also a part of the webinar. These details are almost as important as new codes in that they show the use just how a specific code should be assigned and any additional information that is required or needed.
Session 3: Medicare enrollment revalidation form filling, fees, documentation & pitfalls
Live Date: September 26, 2024
Time: 1 PM ET
Speaker: Toni Elhoms
Duration: 60 minutes
Webinar Description
The process of enrolling with Medicare as a provider/organization can be incredibly tedious and time-consuming. Even though Medicare is the largest insurer in the country, the number of new Medicare enrollment applications continues to decline due to the enormous complexities surrounding enrollment application requirements. The cost of getting these enrollment application submissions wrong can have systemic consequences on an organization, including cash flow delays, credentialing issues, coding issues, denial management issues, patient satisfaction, and even impact quality scores.
In this webinar, our expert speaker will discuss the submission options, which providers are eligible for Medicare enrollment, each form type applicable in 2024, how to navigate the 2024 complicated form sections, key terminology, what ancillary documentation is needed with enrollment submission, applicable fees, most common errors, and best practice tips for successfully completing the 2024 CMS 855 forms.
Webinar Objectives
- Dissect the various Medicare enrollment updates
- Outline a sample workflow for completing Medicare enrollment in 2024
- Review CMS Form 855A application together
- Review CMS Form 855B application together
- Review CMS Form 855I application together
- Review CMS Form 855O application together
- Discuss the most challenging 855 form sections in 2024
- Review new process for reassigning benefits to organizations in 2024
- Review the ancillary documentation required with 855 enrollment submission
- Discuss the most common rejections and errors with 855 form submissions
Webinar Agenda
- Discuss CMS 855 enrollment submission updates
- Review CMS 855A, 855B, 855I and 855O Application updates
- Discuss the most challenging CMS 855 form fields and highlight complicated sections
- Review strategies to complete the CMS 855 forms accurately in 2024
- Understand the ancillary documentation required to be attached to the CMS 855 application submission in 2024
- Discuss most common rejections with CMS 855 form submissions in 2024
- Discuss best practice tips with CMS 855 form submissions in 2024
Webinar Highlights
- Understand the CMS 855 enrollment submission process in 2024
- Recall CMS 855A, 855B, 855I and 855O Application requirements in 2024
- Recall the most complicated sections on the CMS 855 applications in 2024
- Recall strategies to complete CMS 855 forms accurately in 2024
- Recall ancillary documentation required with CMS 855 enrollment submission in 2024
- Avoid common rejections and errors with CMS 855 form submissions in 2024
- Recall best practice tips for CMS 855 form submissions in 2024
Who Should Attend
- Medical Coding Specialists
- Medical Billing Specialists
- Medical Auditing Specialists
- Private Practice Physicians
- Managed Care Professionals
- Operations Leadership
- Practice Administrators
- Office Managers
- Compliance Officers/Committees
- Chief Medical Officer
- Coder
- Biller
- Auditors
- Office Managers
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