SPPM Upcoming Courses
May 22, 2019 11:00 AM CST 1.5 Category 1 AMA PRA Credit
Presented by Stephanie Thomas CANPC
Can’t Attend the Live Presentation? The Recording is available to purchase.
- Appealing Denied application
- Online Portals for credentialing
- How to organize information
- Proper follow up techniques
We will take a step by step of credentialing do’s and don’t’s. There are 10 key steps in the credentialing process to ensure success and prevent costly delays. Learn payer tricks and what to ask to move your credentialing and contracting through the process as smooth as possible. There are so many pieces of information, websites, requirements and confusion when it comes to credentialing a lot of practices just give up and don’t ever get contracted. If you want to be contracted with a payer there is always a way, you just need to organize your data and follow a few key steps to minimize frustration. Also, learn how to appeal a denied application and what things to include with your appeal.
You will learn … How to work with payers during the credentialing and contracting phase. The top reasons for denial or credentialing to be suspended/stopped. How to organize all the information and what is needed from providers to begin the credentialing process. We will go over a few of the online websites for credentialing (CAQH, PECOS etc) and review the important parts of these platforms to be sure you enter all pertinent info.
You will be able to … Become aware of how to understand insurance credentialing and contracting, and gain experience of how decipher hidden meanings and tricks up the payers sleeves. Discover tips and tricks of getting contracts even when out of network prior. Follow up of applications with ease as you will learn how to be extra aggressive with payers to get the results you need. You will also be comfortable with appealing decisions and proving necessity for in network status.
ABA’s Maintenance of Certification in Anesthesiology Program® (MOCA®)
SPPM is now certified to provide the Self-Assessment requirement for Part II of the ABA’s Maintenance of Certification in Anesthesiology Program® (MOCA®).
Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology®.