Medicare provider enrollment can feel like venturing into a dense, ever-shifting forest—full of complex regulations, hidden pitfalls, and high-stakes compliance requirements. This webinar is designed to improve understanding of the provider enrollment process for easier navigation. Whether you’re new to Medicare enrollment or a seasoned professional looking to stay current, this session will guide you through the intricacies of PECOS, CMS rules, and the end-to-end provider enrollment process and lifecycle. Participants will gain clarity on common challenges such as application rejections, delayed approvals, revalidations, managing changes of information, and navigating organizational versus individual enrollments. We’ll break down terminology, workflows, and best practices to help you avoid costly missteps and ensure your organization remains compliant and operational.

What You’ll Learn:

• Provider Enrollment Overview
• Who Can Enroll?
• Provider Enrollment Process
  – Obtaining NPI
  –  Submitting CMS 855 Forms
  – PTAN Assigned
• Submitting Application
  – PECOS
  – Paper Applications
• Decision Tree
• Which Application – 855I or 855O or 855I or 855R?
• CMS 460 – Participation Agreement
• CMS 588 – Electronic Funds Transfer
• Documentation
• PECOS and I&A System
• Actions Available in PECOS
• Reassignment – Group Enrollment
• Common Errors
• Provider Enrollment Tips

Who Should Attend:

• Physicians
• Non-Physicians Providers
• Credentialing Staff and Managers
• Enrollment Staff and Managers
• Providers managing their own credentialing profiles
• Office Managers and Administrators
• Medical Billing Specialists and Managers
• Medical Coders and Billers
• Revenue Cycle Manager and Staff
• Practice Managers
• Clinical Operations Staff
• Compliance Officers
• Qualified Healthcare Practitioners
• Healthcare Executives, Directors and Supervisors
• Anyone responsible for Medicare compliance and provider data

Don’t miss this opportunity to master tools needed to successfully traverse the “dark forest” of Medicare provider enrollment/credentialing —and come out on the other side with a clear, reliable roadmap.