What is managed care Medicaid and how is it different from traditional Medicaid. Knowing current Medicaid rules is crucial to bill and be reimbursed by Medicaid for services provided. Provider agencies should be enrolled in Medicaid and must have a National Provider Identification (NPI) number to ensure proper reimbursement. This webinar will take you through the process of obtaining NPI and the complete enrollment and credentialing process for Medicaid and Medicare. How do Medicare Advantage plans work and how are they different from traditional Medicare? How do I manage all of these plans and products as a credentialing and enrollment professional? How do I educate myself and all the stakeholder in my organization about the process?

In this session you will learn the definition of each of these plans, the requirements and the process you have to take to enroll your organization and individual providers successfully to these plans.

Learning Objectives:

• Understand & define medicaid managed care plans
• Understand medicare advantage plans and it’s rules and requirements
• Learn the enrollment process for these plans/ products for your organization
• Discuss and review the enrollment process for these plans/ products for your individual providers
• Know credentialing and enrollment process for Medicaid and Medicare Plans

Areas Covered in the Session:

• Medicaid Managed Care Plans
• Medicare Advantage Plans
• Traditional Medicaid
• Traditional Medicare
• Credentialing
• Enrollment
• Application Process
• Revenue Cycle
• CMS Current Rules and Regulations
• Federal and State Medicaid Rules
• Live Q&A session

Suggested Attendees:

• Healthcare CEOs
• Healthcare CFOs
• Healthcare COOs
• Credentialing Specialist
• Revenue Cycle Managers
• Enrollment Specialist
• Hospitals
• Mental Health Providers
• LCPC
• LMFT
• Practice, Clinic Owners
• Hospital Leadership
• Authorized Officials
• Delegated Officials
• Revenue Cycle Directors
• Credentialing
• Office Manager
• Revenue Cycle
• Operations
• Billing Team
• In and Out of Network Providers
• Medical Billing Companies
• Providers Office Staff
• Physician
• Hospitals and Facilities
• Insurance Companies
• Healthcare Attorneys
• Executive and Administrators
• Front Desk
• Scheduling
• Authorizations Staff
• Medical Assistants
• Certified Nursing Assistants