Provider Enrollment Virtual Summit - On-Demand

Now Available On-Demand

Connect with industry experts and provider enrollment specialists around the country at the Provider Enrollment Virtual Summit!

Join us for an innovative virtual on-demand event featuring engaging education and training for provider enrollment professionals, enrollment managers, and credentialing specialists. Ideal for both new and experienced enrollment professionals, this event is your opportunity to get step-by-step training and answers to your most pressing questions as you master the enrollment process.

You can listen to the programs or choose to play the sessions at a later date that works best with your schedule: Once registered, you’ll have access to all educational sessions for 60 days.

Our expert speakers are industry veterans and offer best practices for developing and sustaining successful enrollment processes. Join us to earn valuable CEUs, listen to educational sessions, hear answers to industry questions from our speakers, and more!

Provider Enrollment Virtual Summit - On-Demand

*Times listed are Eastern.

Now Available On-Demand

The Future Is Now: Best Practices in Payer Enrollment
Donna Goestenkors, CPMSM, EMSP, and Nicole Keller, MSHM, CPHQ, CPHIT
It’s difficult to stay abreast of the rapidly evolving payer enrollment field, yet doing so is crucial to avoid reimbursement delays. Join Team Med Global’s Donna Goestenkors and Nicole Keller and discover the latest payer enrollment trends that will increase your effectiveness as a payer enrollment specialist or team leader.

I&A, PECOS, and NPPES: Setting Up Providers and Suppliers
David J. Zetter, PHR, SHRM-CP, CHC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP, CMHP
In this session, Zetter outlines who can act as a surrogate, how someone applies for surrogacy, and the different responsibilities of Delegated Officials and Authorized Officials. He also breaks down how to use PECOS to efficiently enroll your providers and provides information on important updates to NPPES and I&A.

Mastering Provider Enrollment Maintenance, Medicare Revalidations, and Recredentialing
Terri Lynn Davis, BS-HCA
Never miss a recredentialing or Medicare revalidation deadline again with the help of these tips from Davis. Learn how to keep your provider and facility information up to date with payers, how to determine a provider’s Medicare revalidation date, and what ramifications your organization could face if enrollment with payers lapse.

Onboarding New Providers: How to Get Paid 
David J. Zetter, PHR, SHRM-CP, CHC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP, CMHP
Resolve the hidden cash flow drain at your organization with Zetter as he explains how to onboard new providers quickly and effectively. Additionally, gain best practices and tips for your onboarding process to ensure there are no gaps in reimbursement when a new provider starts.

Successfully Completing and Submitting CMS-855 Forms
Lauren Hulls, JD
Receive comprehensive instruction on how to submit the CMS-855A and CMS-855B to enroll and revalidate suppliers and providers with Medicare and the CMS-855R to reassign practitioners’ Medicare benefits. 

How to Approach a Denial of a CMS-855 Form
Todd Selby, JD
Through real-life examples, healthcare consultant Todd Selby sheds light on why different CMS-855 forms may be rejected and explains how your organization can appeal rejections. Selby also provides guidance for how to avoid rejections in the first place.

How Healthcare Transactions and Changes of Ownership Affect Reimbursement
Brian Jent, JD
Brian Jent takes a deep dive into changes of ownership, explaining the process at a federal and state level and detailing when changes of ownership must be filed in order to avoid gaps in reimbursement. Additionally, learn which transactions count as changes of ownership for Medicare purposes as well as tips for performing due diligence.

Enrolling With Private Payers
David J. Zetter, PHR, SHRM-CP, CHC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP, CMHP
Learn how to successfully enroll and contract your providers with private/commercial payers. Zetter provides an overview of the process and vendors involved as well as discussing the role credentialing plays in enrolling with private payers.

Exploring CAQH Solutions 
Christopher Swartz and Jammal Dorsey, MBA, CSP, CSM, CSPO
Through real-world examples, Christopher Swartz and Jammal Dorsey explain how a variety of healthcare organizations are utilizing CAQH services to streamline their enrollment processes. Learn which solutions may work for your organization as well as how to implement them.

Improved Data Sharing for Delegated Credentialing
Jammal Dorsey, MBA, CSP, CSM, CSPO
Join Dorsey as he discusses how CAQH ProView for Groups streamlines data exchange, particularly delegated rosters, for provider groups and health plans. Dorsey explains how to determine whether your organization is currently engaging in delegated credentialing and demonstrates how ProView for Groups allows groups to submit rosters to numerous health plans with ease.

Rising to the Challenge: Enrolling Nonphysician Practitioners
Larry DeHoyos, CPCS, PESC, and Yesenia Servin, CPMSM, PESC
Enrolling and tracking multiple providers is just another day at the office for payer enrollment specialists. However, nonphysician practitioners—such as physician assistants, nurse practitioners, and registered nurse anesthetists—can present new challenges and require a fresh knowledge base. Join Team Med Global’s Larry DeHoyos and Yesenia Servin as they introduce efficiencies for maximizing revenue when enrolling advanced practice professionals.

Provider Enrollment Virtual Summit - On-Demand

Speakers

Terri Lynn Davis

Terri Lynn Davis, BS-HCA
Credentialing Director, Assistant Credentialing Services

Terri Lynn Davis, BS, is a credentialing expert in payer enrollment and primary source verification services. Currently the credentialing director for 1st Assistant, she provides nationwide services for healthcare providers, suppliers, and facilities in numerous specialties. With over 15 years of experience in credentialing, she knows how to take the complex task of credentialing and make it a smooth and seamless process for 1st Assistant clients. She is never satisfied with the status quo but instead reaches for higher levels of excellence by simplifying processes, improving standards, and providing educational opportunities whenever possible. Customer service is her top priority, and her proactive expertise resonates with her clients. Davis also shares her knowledge and experience through a variety of webinars and conference presentations. Participants in her classes benefit from her practical credentialing tips that help drive improved payer enrollment outcomes. Davis holds a Bachelor of Science in healthcare administration with a minor in business management from Western Kentucky University.

 

Larry DeHoyos

Larry DeHoyos, CPCS, PESC
Speakers’ Team, Team Med Global Healthcare Consulting

Larry DeHoyos, CPCS, PESC, is a member of TMG’s Payer Enrollment Institute and Practice Management Alliance. As director of credentialing and payer enrollment with U.S. Dermatology Partners in Dallas, he oversees the organization’s health plan enrollment and provider credentialing functions for its 106 sites across the country. His focus includes centralizing systems and workflows and collaborating to help mitigate enrollment claim denials. DeHoyos has worked in provider credentialing and enrollment within managed care organizations, health systems, and single-specialty/multi-specialty medical groups supporting accrediting bodies such as The Joint Commission, NCQA, URAC, AAAHC, and CMS. He is a trained transformational healthcare champion whose expertise includes Lean workflow assessments for a paperless office environment, data governance, and provider directory management.

 

Jammal Dorsey

Jammal Dorsey, MBA, CSP, CSM, CSPO
Product Manager, CAQH

Jammal Dorsey, MBA, CSP, CSM, CSPO, is an energetic healthcare product manager and mentor with more than 15 years of experience in revenue cycle management and provider enrollment. He has spent his career working with federal, state, national, and regional healthcare organizations developing innovative solutions to reduce the complexity of healthcare data management. At CAQH, Dorsey collaborates with provider groups and health plans to streamline data exchange and other processes, aiming to improve the transparency and efficiency of provider enrollment and other use cases. An example of his efforts is ProView for Groups, which simplifies the process of maintaining and sharing delegated provider data used for provider enrollment, delegation oversight, and directory maintenance.

Dorsey holds a Bachelor of Science in medical information technology from the University of West Florida and an MBA in business intelligence and analytics from H. Wayne Huizenga School of Business and Entrepreneurship at Nova Southeastern University.

 

Donna Goestenkors

Donna Goestenkors, CPMSM, EMSP
Speakers’ Team, Team Med Global Healthcare Consulting

Donna Goestenkors, CPMSM, EMSP, is a consultant, speaker, author, educator, and mentor with more than 40 years of knowledge and experience in the medical staff services industry. She has expertise in virtually every type of healthcare organization, including hospital systems, medical staff services departments, CVOs, managed care organizations, group practices, and academic and critical access hospitals. Goestenkors is a past president of the National Association Medical Staff Services and serves as executive faculty for TMG University and the Executive MSP Program.

 

Lauren Hulls

Lauren Hulls, JD
Attorney, Hall, Render, Killian, Heath & Lyman, P.C.

Lauren Hulls, JD, practices in the areas of regulatory compliance, reimbursement, billing, and payment practices. She provides counsel in developing strategies and policies for healthcare entities to ensure compliance with the Medicare and Medicaid programs, including provider-based issues, provider enrollment, evaluation of payment, disclosure, and compliance issues. Lauren advises a variety of healthcare clients including hospitals, health systems, home health agencies, hospice agencies, and physician practices. With the changes in Medicare reimbursement in recent years, Lauren has assisted clients with expanding service lines into freestanding payment models, with a focus on compliance with a number of different Medicare supplier types, including Independent Diagnostic Testing Facilities, Independent Laboratories, Durable Medical Equipment, Federally Qualified Health Centers, and Rural Health Centers.

In her free time, Lauren enjoys spending time with her husband and three kids.

 

Brian Jent

Brian Jent, JD
Shareholder, Hall, Render, Killian, Heath & Lyman, P.C.

Brian Jent works to solve licensing and regulatory issues with hospitals, ambulatory centers, and postacute providers, including nursing facilities, home health agencies, and hospices. He is often asked how providers can expand services under current restrictions and assists clients with compliance and reimbursement issues at the local, state, and federal levels. Jent is also a conduit to CMS, state agencies, and accreditation organizations for his clients. He regularly works with clients regarding provider enrollment and certification issues, specifically Medicare and Medicaid enrollment and participation requirements. A member of the American Health Lawyers Association, Indiana State Bar Association, and the Health Care Compliance Association, Jent maintains his licensure and status as a Registered Respiratory Therapist and Registered Pulmonary Function Technologist. Having worked in the hospital setting for more than 10 years prior to becoming an attorney, he understands the needs of healthcare providers and works with clients to provide practical and efficient solutions.

In his free time, Jent enjoys spending time with his wife and three sons, playing golf, and reading.

 

Nicole Keller

Nicole Keller, MSHM, CPHQ, CPHIT, CSM
Speakers’ Team, Team Med Global Healthcare Consulting

Nicole Keller, MSHM, CPHQ, CPHIT, CSM, is a corporate quality assurance officer with Incyte Diagnostics, Inc. She provides leadership and oversight in the areas of technical and professional quality assurance and improvement; compliance; hospital credentialing and privileging; medical licenses and certification; and payer enrollment. Keller possesses the ability to clearly design and implement affordable, patient-centered systems and processes and form organizational collaborations to deliver cost-effective care. She is recognized by supervisors, peers, and staff for the ability to identify and analyze problems, interpret data, and recommend practical, acceptable solutions while developing strong teams and an organizational culture of continuous improvement and innovation. She is also adept at staying abreast of best practices in various healthcare settings needed to improve quality and drive change. Keller received her bachelor’s degree in community health from Western Washington University and her MHA from Champlain College. She is certified in Health Information Technology, Healthcare Quality Improvement, and Agile Project Management (Scrum Master). Family (fur babies included), physical fitness, nutrition, and mentoring/coaching high school and collegiate athletes are important aspects of Nicole’s personal life.

 

Todd Selby

Todd Selby, JD
Shareholder, Hall, Render, Killian, Heath & Lyman, P.C.

Todd Selby, JD, focuses on regulatory and compliance issues affecting all healthcare providers with an emphasis on long-term care, home health, and hospice providers. His practice is concentrated in the areas of licensure, certification, compliance, and reimbursement at the local, state, and federal levels. He also assists clients with Medicare and Medicaid enrollment and participation requirements and serves as a liaison between clients and regulatory agencies. Selby has extensive knowledge and experience in these areas and is recognized nationally by long-term care, home health, and hospice clients for his skills and proficiency. In addition to his representation of this unique client base, he frequently speaks before national and state healthcare providers and associations.

 

Yesenia Servin

Yesenia Servin, CPMSM, EMSP
Speakers’ Team, Team Med Global Healthcare Consulting

Yesenia Servin, CPMSM, has more than 20 years of experience in payer enrollment and physician credentialing and is currently the payer enrollment lead at Loyola University Medical Center in Maywood, Illinois. There, she manages payer enrollment projects, briefs payer enrollment team members on industry trends, and is the liaison for the multitude of departments impacting payer enrollment processes. She also maintains her own consultancy, where she helps organizations develop and implement best practices guidelines and processes; analyzes a variety of commercial, private, and governmental claim filings; and manages credentialing processes for network participation agreements. Servin is a leading member of TMG’s Payer Enrollment Institute and serves as associate faculty on the Speakers’ Team.

 

Christopher Swartz

Christopher Swartz
Senior Product Analyst, CAQH

Christopher Swartz worked extensively at CAQH to improve the quality of provider data made available to healthcare organizations. Prior to joining CAQH, he led consumer engagement efforts for a large electronic health record (EHR) vendor, focusing on outreach and practice portal solutions. He has participated in working groups focusing on leveraging blockchain technology to solve for a variety of use cases within healthcare, and he regularly monitors the adoption of HL7 FHIR within the industry. Having personal connections to those battling advanced cancer, Swartz prefers to work on projects where he can directly impact patients’ ability to access timely and accurate information that they can use to make informed healthcare decisions.

When he’s not working, he spends time with his wife and two children in northern Virginia.

 

David J. Zetter

David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP
Senior Healthcare Consultant, Zetter Healthcare Management Consultants

David Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP, is founder and president of Zetter HealthCare LLC. He and his firm have provided practice management consulting services to medical and dental practices, facilities, and organizations for more than 25 years. Zetter is a nationally recognized enrollment expert and speaker, and CMS regularly solicits his feedback in their PECOS and compliance user focus groups. He is the vice president of the National Society of Certified Healthcare Business Consultants and is a Certified Healthcare Business Consultant (CHBC). He is also a Certified Professional Coder (CPC) for physician practices, hospitals, and facilities, and a Certified Healthcare Compliance Consultant (CHCC). Zetter is a member of the American Health Lawyers Association, the Medical Group Management Association, and the Healthcare Financial Management Association. His firm supports client practices and facilities in all 50 states. You may find out more about Zetter and his firm at https://zetter.com. 

 

Provider Enrollment Virtual Summit - On-Demand

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Provider Enrollment Virtual Summit