2025 Digital Experience Recording: The Business of Provider Enrollment: Maximizing Revenue, Compliance, and Efficiency

Watch the recording of "The Business of Provider Enrollment: Maximizing Revenue, Compliance, and Efficiency" by Amanda D. Pierce, MBA, CPCS, CPMSM, PESC and Tina Turner, MBA, CPMSM, CPCS, CPM. Then, complete the quiz and earn 80% or higher to receive CE credit. 

Title: 

• The Business of Provider Enrollment: Maximizing Revenue, Compliance, and Efficiency

Speaker(s): 

• Amanda D. Pierce, MBA, CPCS, CPMSM, PESC
• Tina Turner, MBA, CPMSM, CPCS, CPM

Description: 

• Provider enrollment is often viewed as a back-office administrative function, yet it has a direct impact on an organization’s revenue, compliance risk, and operational efficiency. Delays in enrollment can result in millions in lost revenue, increased payer scrutiny, and unnecessary administrative burdens.
  This session will equip healthcare executives and senior leaders with the knowledge needed to elevate provider enrollment as a strategic priority. Attendees will learn how to:
  - Quantify the financial impact of provider enrollment delays and develop strategies to mitigate revenue loss.
  - Reduce compliance and payer audit risks by implementing proactive enrollment oversight.
  - Leverage delegated credentialing for operational efficiency and faster payer approvals.
  - Invest in optimal workforce and technology solutions to streamline enrollment processes.
  - Establish key performance indicators to monitor and improve provider enrollment outcomes.
  Through real-world data, and executive-level strategies, attendees will gain actionable insights to integrate provider enrollment into their organization's financial and operational priorities.

Learning objectives: 

• Understand the Financial and Compliance Impact of Provider Enrollment Identify how provider enrollment delays contribute to lost revenue and reimbursement issues. Recognize payer compliance and strategies to prevent audit failures.
• Evaluate Provider Enrollment Models & Delegation Opportunities Assess whether a centralized, decentralized, or outsourced model is best for their organization. Determine if delegated credentialing is a viable strategy with payers. 
• Implement Executive Oversight & Performance Metrics Define key enrollment performance metrics and reporting structures for leadership. Establish executive dashboards & KPIs to monitor success and drive improvement.

This course covers the following Tomorrow's MSP® Skillsets: 

• Analytical Thinking
• Risk Management
• Performance Improvement

CE Credits: 

• This conference recording is eligible for 1.0 CE