Provider Enrollment Learning
New! Provider Enrollment Glossary
The Provider Enrollment Glossary is a powerful tool developed by NAMSS to enhance your understanding of key terms related to provider enrollment practice. As defined in the Tomorrow’s MSP®: The Future of the Medical Services Profession report, provider enrollment has been identified as a core function of the profession and necessary for the role of gatekeepers of patient safety.
Provider enrollment encompasses a wide range of tasks, including completing applications, submitting necessary documentation, and navigating intricate credentialing processes. In this intricate ecosystem, understanding the terminology associated with provider enrollment is critical for healthcare professionals, administrators, and organizations alike. However, the healthcare industry is rife with jargon, acronyms, and ever-changing regulations, making it challenging to keep up with the ever-expanding vocabulary.
NAMSS’ Provider Enrollment Glossary can bridge that gap by offering a comprehensive collection of industry-specific terms, definitions, and explanations. The Glossary creates a unified language for provider enrollment and acts as a valuable reference tool, bringing clarity and consistency to the terminology used throughout the provider enrollment process. Together, let's build a stronger foundation for the future of healthcare.
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Contains 2 Component(s)
The Provider Enrollment Glossary is a powerful tool developed by NAMSS to enhance your understanding of key terms related to provider enrollment practice. As defined in the Tomorrow’s MSP®: The Future of the Medical Services Profession report, provider enrollment has been identified as a core function of the profession and necessary for the role of gatekeepers of patient safety. Provider enrollment encompasses a wide range of tasks, including completing applications, submitting necessary documentation, and navigating intricate credentialing processes. In this intricate ecosystem, understanding the terminology associated with provider enrollment is critical for healthcare professionals, administrators, and organizations alike. However, the healthcare industry is rife with jargon, acronyms, and ever-changing regulations, making it challenging to keep up with the ever-expanding vocabulary. NAMSS’ Provider Enrollment Glossary can bridge that gap by offering a comprehensive collection of industry-specific terms, definitions, and explanations. The Glossary creates a unified language for provider enrollment and acts as a valuable reference tool, bringing clarity and consistency to the terminology used throughout the provider enrollment process. Together, let's build a stronger foundation for the future of healthcare.
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- Non-member - $105
- Member - $85
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2023 Provider Enrollment Series
For the fourth year in a row, NAMSS recognizes the importance of bringing quality Provider Enrollment education to our members! Purchase the session recordings which focus on topics and skills MSPs need to tackle new provider enrollment opportunities. 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!
Purchase 2023 Provider Enrollment Series Session Recordings below:
This Bundle includes access to recordings of four interactive presentations focused on topics and skills MSPs need to tackle new provider enrollment opportunities. 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!
2023 PROVIDER ENROLLMENT SERIES SESSION RECORDINGS
Sessions included:
- Session I: Mastering Provider Enrollment 101
- Session II: Enhancing Healthcare Efficiency: Unraveling the Link between Provider Enrollment and Credentialing
- Session III: Elevating Provider Enrollment and Credentialing: Navigating a Career Transition and Overseeing Combined Functions
- Session IV: Streamlining Provider Enrollment: Maximizing Efficiency with CAQH
CEs Credits:
- This bundle is eligible for 4.0 CE credits
Provider Enrollment Building Blocks Bundle
Are you brand new to Provider Enrollment or need a refresher on the basics? Our three-part Provider Enrollment Building Blocks Online Bundle is comprised of three recorded sessions* taught by industry professionals to help build your Provider Enrollment skills before you dive in to the full 2022 virtual course. These sessions answer the “who, what, when, where and why” of Provider Enrollment. More than just educational videos, this series also offers quizzes to test your knowledge as you go from session to session. Access to the “NAMSS Provider Enrollment Building Blocks” three session bundle includes immediate access to the session recordings and quizzes in the NAMSS Online Education Center. Get started with these overview courses today as you gear up for our more advanced 2022 Provider Enrollment Live Course Series!
Purchase the Provider Enrollment Building Blocks Bundle Here
Sessions included:
- PE Building Blocks: Provider Enrollment Session 1: The Basics
- PE Building Blocks: Provider Enrollment Roles and Responsibilities- PE and Medical Staff Integration: Working Together to Deliver Best Outcomes
- PE Building Blocks: Provider Enrollment 101 for Medical Staff and Credentialing Professionals (Standards and Regulations)
CEs Credits:
- This bundle is eligible for 3.75 CE credits
2022 Provider Enrollment Virtual Course Series
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.
For the third year in a row, NAMSS recognizes the importance of bringing quality Provider Enrollment education to our members! This Bundle includes registration to all six live interactive presentations focused on topics and skills MSPs need to tackle new provider enrollment opportunities, as well as all session recordings. 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!
Purchase the 2022 Provider Enrollment Virtual Course Series Bundle Here
Sessions included:
- Session #1: Provider Enrollment 101
- Session #2: Facility and Group Enrollment
- Session #3: The Billing Life Cycle
- Session #4: Hot Topics in PE + Regulatory Updates
- Session #5: Challenging Case Studies and PE Issues Keeping You Up at Night
- Session #6: Contracting & Credentialing: Holding the Payor Accountable
CE Credits:
- This bundle is eligible for 9.0 CE Credits.
Provider Enrollment Webinar Recordings
Check out the Provider Enrollment related webinar recordings below in order to gain access to the information you need to succeed in the ever-changing field of medical staff services! 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.
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Contains 5 Component(s), Includes Credits Recorded On: 12/12/2023
Watch the recording of "I Am New to PE: What Do I Need to Know? What Resources are Available?" by Amanda Pierce. Then, complete the quiz and earn 80% or higher to receive CE credit.
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- Non-member - $75
- Member - $55
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Contains 4 Component(s), Includes Credits
Watch the webinar recording of "What, Why, and How of Delegated Credentialing " by Linda Waldorf, BS, CPMSM, CPCS. Then, complete the associated webinar quiz and earn 80% or higher to receive CE credit.
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- Non-member - $75
- Member - $55
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Contains 4 Component(s), Includes Credits
The 2022 NAMSS Provider Enrollment series will close with another presentation from David Zetter, PHR, SHRM-CP, CHC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, CMAPA, CMMP, CMHP. David will share how to properly communicate your interest of participation with each payor, how to properly track your communications and process, but also how state regulations can help you hold the payor accountable to get the work done when it is supposed to be done. You will also walk away with more information on how to perfect your enrollment and credentialing and how to trim time off your process to allow your providers to be productive sooner. Purchase of this session includes access to the live session as well as the the session recording through the NAMSS Online Education center.
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- Non-member - $75
- Member - $55
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Contains 4 Component(s), Includes Credits
We all always hope our jobs go smoothly, but what happens when things go off the walls?! How do you respond to the “horror story” level situations, like fraud, or if you/your facility gets sued for not getting enrollments done in a timely manner? Our panelists will share some of their past horror stories but more importantly, how they got through them—and how you can too. Purchase of this session includes access to the live session as well as the the session recording through the NAMSS Online Education center.
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- Non-member - $75
- Member - $55
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Contains 4 Component(s), Includes Credits
This session will tackle “hot topics” in the Provider Enrollment world right now. Join our panelists as they dive into the new NCQA standards and how they impact credentialing from payer audits, as well as what the ending of COVID-19/Disaster policies might look like in the coming months/year. Purchase of this session includes access to the live session as well as the the session recording through the NAMSS Online Education center.
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- Non-member - $75
- Member - $55
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Contains 4 Component(s), Includes Credits
This session will trace the entire Provider Enrollment Billing Life Cycle and get to the bottom of why enrollment is important to your bottom line. Our panelists will discuss the differences and types of billing, how they're enrolled and review what a claim form looks like. This session will also highlight maintenance needs after enrollment. Purchase of this session includes access to the live session as well as the the session recording through the NAMSS Online Education center.
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- Non-member - $75
- Member - $55
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Contains 4 Component(s), Includes Credits
This session is focused on identifying best practices in Facility and Group enrollment. Our experienced group of panelists will offer their hard earned tips and tricks to facilitate this process. The panel will specifically discuss PECOS, Medicare Enrollment. Purchase of this session includes access to the live session as well as the the session recording through the NAMSS Online Education center.
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- Non-member - $75
- Member - $55
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Contains 4 Component(s), Includes Credits
This session will introduce you to provider enrollment, credentialing and contracting, but it will also communicate how to create a proactive enrollment process, how to setup systems and processes to onboard new providers properly and timely to ensure they are productive from the date they start seeing patients. You will be provided with copies of checklists and documents that will help you improve your processes. Purchase of this session includes access to the live session as well as the the session recording through the NAMSS Online Education center.
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- Non-member - $75
- Member - $55
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Contains 3 Component(s), Includes Credits
Watch the webinar recording of "It Just Makes Cents: Integrating Enrollment and Credentialing" by Amy M Niehaus, CPMSM, CPCS, M.B.A.. Then, complete the associated webinar quiz and earn 80% or higher to receive CE credit.
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- Non-member - $75
- Member - $55
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