Navigating Provider Enrollment: Denied, Delayed or Paid - Webinar Recording

Watch the recording of "Navigating Provider Enrollment: Denied, Delayed or Paid" by Nyleen Flores, BA, FMSP, CPMSM, CPCS, CPES, CPCO, CASC. Then, complete the quiz and earn 80% or higher to receive CE credit.

Originally presented 12/10/2025

Speakers: 

• Nyleen Flores, BA, FMSP, CPMSM, CPCS, CPES, CPCO, CASC 

Description: 

• Provider enrollment may seem like paperwork, but in reality it is the lifeline that connects credentialed providers to payers, patients, and payments. When done right, it ensures smooth billing and strong compliance; when done wrong, it can mean months of denied claims, patient access issues, and lost revenue. In this session, we’ll pull back the curtain on the complexities highlighting real-world examples of pitfalls and payer quirks. We’ll also dive into the role of credentialing and recredentialing, and show how regular auditing can prevent costly mistakes. Participants will walk away with practical strategies to streamline their enrollment processes, improve financial stability, and keep providers practicing without interruption.

  Learning Objectives: 

• Explain the differences between credentialing, enrollment, and recredentialing—and why all three are critical to compliance and reimbursement.
• Identify the most common enrollment pitfalls across Medicare, Medicaid, and major commercial payers, including errors, delays, and shifting requirements.
• Apply proactive auditing and process-management strategies to reduce denials, accelerate reimbursement, and safeguard organizational revenue.

CEs:

• This webinar has been approved for 1.0 CE credit.

Cost:

• NAMSS members: $55
• Non-NAMSS members: $75

This webinar covers the following  Core Functional Area(s) and Tomorrow's MSP Skillsets: 

Core Functional Area(s)

• Manages Provider Enrollment Process
• Analyzes and Manages Data Verification
• Manages Compliance with State and Federal Accreditation Standards and Regulatory Requirements
• Manages Departmental Operations

Skillsets:

• Contracting
• Managed Care