Provider Enrollment has become an essential competency for Medical Service Professionals and our research has demonstrated the core function this expertise plays in the profession to become Tomorrow’s MSPs®. This Fall, NAMSS presented the 2021 Provider Enrollment Virtual Course series, a series of four interactive panel discussions focused on topics and skills MSPs need to tackle new provider enrollment opportunities. You can purchase individual session recordings and watch on-demand or bundle and save when you purchase the full series. Purchase now to learn how to enhance your visibility, value and effectiveness as gatekeepers of patient safety alongside your fellow MSPs and a panel of experts in an interactive virtual setting!

• CE Credits: 5.5 CEUs Awarded for viewing all 2021 Provider Enrollment Series panel sessions
• Cost:
  • Member Price: $199
  • Non-Member Price: $249

Purchase of this bundle includes access to all session recordings. This series is eligible for 5.5 CE credits.

Session Information:

Session#1: PE and HR: Advocating and Partnering for Professional Recognition

• Live Session Date and Time: Wednesday, September 15, 2021 - 1:00 – 2:30 pm ET

• Description: Professional recognition necessitates effective partnership with your HR business professional. This session will provide an overview of topics to consider when advocating for provider enrollment professionals within your organization.

• Learning objectives. This session will:
  • Clarify how to best work hand-in-hand with your colleagues on the HR team.
  • Outline how to write effective job descriptions
  • Exemplify how to advocate for the profession and champion your role internally and externally

• Speakers:
  • Moderator: Jenny Jackson, EdD, MBA, CPMSM, CPCS (Senior Director of CVO, Onboarding, & Provider Enrollment, Community Health Systems and NAMSS Instructor)
  • Megan Button, PHR, SHRM-CP (Human Resources Business Partner, symplr)
  • Brianna Foulkrod, CPCS®, CPMSM® (Director, Credentialing, Texas Health Physicians Group)
  • Mathieu Gaulin (Director, Health Affairs, Boston Children's Hospital)

• CE Credit Information: This session has been approved for 1.5 CE Credits.

Session #2: How to Make CAQH Work for You

• Live Session Date and Time: Thursday, September 23, 2021 - 1:00 - 2:30 pm ET

• Description: This session is focused on easing the process for YOU. Whether you are new to Provider Enrollment or have been doing it for years, you are probably familiar with CAQH. But even if you have been using it for years, you have likely encountered difficulties or issues while using it in your PE processes. Our experienced group of panelists will offer their hard earned tips and tricks for using CAQH and provide a perspective from both the submission AND receiving side

• Learning objectives. This session will:
  • Provide guidance on what CAQH is and does regarding verification centralization, reducing administrative burden, and optimizing provider enrollment.
  • Answer attendees’ questions and provide practical next steps

• Speakers:
  • Deb Draheim, CPCS (Credentialing Manager, Provider Operations, Blue Cross Blue Shield of Massachusetts)
  • Tina Launhardt (Senior Manager, Credentialing at Centene Corporation)
  • Lisa Reid, CPMSM, CPCS (Medical Staff Coordinator, Medical Staff Office, Dana–Farber Cancer Institute)
  • Moderator: Merrilee Severino, CPC, CRC, CMMP (Credentialing and Payer Relations Specialist, OakLeaf Medical Network)

• CE Credit Information:: This session has been approved for 1.5 CE Credits.

Session #3: Creating a Successful Partnership with your Payor MSPs

• Live Session Date and Time: Tuesday, September 28, 2021 - 2:00 - 3:30 pm ET
• Description: Understanding leads to success. Hear from both payors and provider enrollment professionals as they share their perspectives on best practices in order to achieve success. Our payor panelists will share what they want non-payors to know, and vice versa.
• Learning objectives. This session will:
  • Provide insight on the health plan requirements with various payors
  • Give an overview of the delegated and non-delegated processes
  •  Review requirements needed to request delegation
• Speakers:
  • Jennifer Cloud, CPMSM, CPCS (Director of CVO Services, symplr)
  • Carrianne Dockter, CPCS, CPMSM (Director, Delegation Oversight, Molina Healthcare)
  • Deb Draheim, CPCS (Credentialing Manager, Provider Operations, Blue Cross Blue Shield of Massachusetts)
  • Shannon Rochon, CPCS (Manager, Delegation Oversight, Molina Healthcare)
  • Merrilee Severino, CPC, CRC, CMMP (Credentialing and Payer Relations Specialist, OakLeaf Medical Network)
  • Moderator: Brianna Foulkrod, CPCS, CPMSM (Director, Credentialing, Texas Health Physicians Group)
• CE Credit Information: This session has been approved for 1.5 CE Credits.

Session #4: Enhancing your PE Toolkit: Practical Tips and Tricks

• Live Session Date and Time: Thursday, October 7, 2021 - 1:00 - 2:00 pm ET
• Description: In this final session of our 2021 Provider Enrollment series, a Provider Enrollment panel of experts will share their best takeaway tips and tricks. They will also provide several deliverables/resources and tools that will allow attendees to walk away with an enriched PE toolkit and feeling more confident to tackle Provider Enrollment.
• Learning objectives. This session will:
  • Provide practical resources for Provider Enrollment Professionals
  • Provide insights into lessons learned
  • Share best practices in provider enrollment
• Speakers:
  • Moderator: Mathieu Gaulin (Director, Health Affairs, Boston Children's Hospital)
  • Merrilee Severino, CPC, CRC, CMMP (Credentialing and Payer Relations Specialist, OakLeaf Medical Network)
  • Amanda Pierce, MBA, CPCS, CPMSM (Regional Director Medical Staff Services, Baylor Scott & White Medical Center)
  • Kathy Hickey, MHA (Provider Enrollment Manager, Boston Children's Hospital)
• CE Credit Information: This session has been approved for 1.0 CE Credits.