Our next event is in 251 days!
Provider Enrollment 2018: What’s New That You Need to Know Now
Date and Time: 1:00pm - 2:30pm June 28, 2018
October 2017
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June 28, 2018
  • Provider Enrollment 2018: What’s New That You Need to Know Now
    - Thursday, June 28, 2018 01:00pm - 02:30pm

    Rules for Medicare enrollment—as well as the Provider Enrollment, Chain, and Ownership System (PECOS), the National Plan and Provider Enumeration System (NPPES), revalidation, and so on—change from year to year, and providers and their staff who are tasked with handling enrollment scramble to keep up. Just one undetected change in procedure can delay enrollment processes enough to put providers out of commission for extended periods, resulting in reduced earnings and administrative headaches. Even when they are detected, enrollment changes can be subtle and easy to overlook unless they’re reviewed systematically.

    Join expert speaker David J. Zetter, PHR, SHRM-CP, CHCC, CPCO, CPC, COC, PCS, FCS, CHBC, CMUP, PESC, CMAP, as he shows participants how to navigate the NPPES with all its latest changes. He will also help attendees understand the coming Medicare PECOS changes that will affect enrollment, activation, revalidation, and other processes. Following that, he will highlight the CAQH practice administrator module to enter common information for multiple providers. 

    At the conclusion of this program, participants will be able to: 

    • Navigate the NPPES with all its latest changes 
    • Understand the PECOS 2.0 changes 
    • Perform enrollment surrogacy to the latest standards 
    • Use the CAQH practice administrator module to enter common information for multiple providers 

    Agenda 

    • NPPES 3.0: The recent switchover from NPPES 2.0 has left some people confused. Get up to speed on the new system.
       
    • PECOS: Review of possible future updates and the forthcoming PECOS 2.0 rebuild 
       
    • Surrogate program: Changes that have already been implemented in I&A and how they affect the work of enrollment and credentialing specialists 
       
    • CAQH—ProView: A review of key features in the practice administrator module that make life easy for enrollment and credentialing specialists 

    Who Should Listen? 

    • All medical facilities that handle physician enrollment for Medicare (practices, hospitals) 
    • Practice owners and managers 
    • Enrollment and credentialing specialists and managers 
    • Enrollee surrogates 
    • Providers who want to better understand the enrollment process

October 13, 2017
  • World Congress of Gastroenterology @ ACG 2017
    Orange County Convention Center, Orlando, Florida - Friday, October 13, 2017 - Wednesday, October 18, 2017 08:00am - 05:00pm

    The Circle of Life in Your Practice - Audit Proof Your Practice
     
    Find out more information about David's speaking engagement here.

April 23, 2017
  • DecisionHealth National Provider Enrollment Workshop 2017
    Sheraton Music City Hotel, Nashfille, TN - Sunday, April 23, 2017 - Wednesday, April 26, 2017 08:00am - 05:00pm

    From physician offices, home health agencies, hospitals and  rural health clinics to FQHCs, CORFs, IDTFs and more — no matter what your  setting — walk away with training tailored to your provider setting that will ensure uninterrupted billing. Earn CEUs!
     
    Experts, including David Zetter, will present during this three day annual conference. CMS and CAQH will present and plenty of networking with these experts.
     
    With 3 intensive days of hands-on training, join top CMS and CAQH officials and our nationally-recognized experts to:

    Proposed program integrity enhancements to the provider enrollment process put you at risk of penalties, deactivation, revocation, and denials. Medicare estimates $2.4 billion in cost savings under this proposed rule, which means your payments can be revoked.

    Join us and get unrivaled information directly from CMS about potential pitfalls that will affect your organization’s enrollment. With increased mergers and acquisitions within healthcare, you may be inadvertently committing fraud. Prepare your practice against healthcare providers and suppliers that attempt to circumvent Medicare’s enrollment requirements.

    We’ll also review the most important enrollment changes and give you exclusive networking times with CMS and your MACs. Whether you work at a physician office, home health agency, hospital, rural health clinic or any other setting, this is the only training event that will help you master the enrollment process and ensure uninterrupted billing!


    Get first word on PECOS udpates and next generation UPD changes set to launch in early 2017!
    ·         Pinpoint enrollment process missteps with the support of CMS’s top enrollment official and her team from the Provider Enrollment Operations Group inside CMS. More than a dozen MAC “untruths” debunked at our last conference!
    ·         Learn how to complete the new CMS-855 forms.
    ·         Receive a plain-English walk through of the UPD application and each of the CMS-855 forms (print and PECOS versions covered side-by-side) —More than 200 enrollment & credentialing application questions answered at our last conference!
    ·         Troubleshoot your PECOS account at a work station manned by David Zetter and PECOS contractor CGI.  
    Every attendee receives an Enrollment Resources Toolkit, packed with actual 855 forms you need for a successful enrollment at your fingertips!

    PLUS – network with peers from state and provider settings just like yours to discover their tips and tricks for efficiently managing enrollment & credentialing workloads!
     

December 05, 2016
  • DecisionHealth Billing & Coding Summit
    - Monday, December 05, 2016 - Wednesday, December 07, 2016

    Revenue Cycle Management in he New Healthcare Environment
    You can't keep your same old process in a new healthcare insurance environment.  So what do you do?
     
    The back end of the revenue cycle process is ugly and time comsuming chasing after the revenue... so don't do it any longer.  David Zetter will present proven and successful strategies to ensure you collect the revenue due your practice up front. But, there is more to it than that. 
     
    Learn:
    • What is wrong with your current processes
    • What you can do to fix them or toss them out!
    • What strategies are already proven and work
    • How you can implement them in your practice
    • How you will be a hero and secure you position for the foreseeable future
    David Zetter will present and  break down the changes and how they will impact your practice. Find out what you need to ensure your practice stays on top of the AR and how to put the money in the bank.

    Head into 2017 with tools to successfully ensure accurate and clean claims all year:
    •  Learn about changes you can make to your RCM process
    •  Get insider tips to make patient collections work for you
    •  Ensure your revenue cycle stands up to scrutiny
    •  Streamline your intake process to keep your revenue flowing
    Join us at the 2016 Billing and Coding Summit as we break down upcoming changes and how they will impact your practice. Find out what you need to ensure your practice gets a pay bump and not a pay cut. This is your final chance to get the guidance you need to make the successful transition to value-based care.

    Head into 2017 with tools to successfully ensure accurate and clean claims all year:
    •  Find out how MIPS and APMs are going to directly impact your billing and coding
    •  Learn about the intricacies of risk adjustment coding
    •  Get insider tips to make contract negotiations work for you
    •  Ensure your revenue cycle stands up to scrutiny
    •  Streamline your intake process to keep your revenue flowing
     
    Procedural (Plus!) Coding Changes Workshop
    Set your practice up for coding success in 2017

    Get coding updates for CPT® and ICD-10 during our interactive preconference workshop. We’ll provide all the in-depth information you need to avoid pitfalls created by incorrect code assignment and keep pace with proper and compliant reimbursement procedures.
     
    Addtional Topics Include:
    • Value-Based Payment
    • Risk Adjustment Coding
    • Revenue Cycle Management
    • Payor Contract Negotiations
     

November 17, 2016
  • CCPA Purchasing Partners LP & Lurie Children's Hospital Practice Management Conference
    Cafe La Cave, Des Plaines, IL - Thursday, November 17, 2016

    Revenue Cycle Management in he New Healthcare Environment
    You can't keep your same old process in a new healthcare insurance environment.  So what do you do?
     
    The back end of the revenue cycle process is ugly and time comsuming chasing after the revenue... so don't do it any longer.  David Zetter will present proven and successful strategies to ensure you collect the revenue due your practice up front. But, there is more to it than that. 
     
    Learn:
    • What is wrong with your current processes
    • What you can do to fix them or toss them out!
    • What strategies are already proven and work
    • How you can implement them in your practice
    • How you will be a hero and secure you position for the foreseeable future
    •  
    MACRA and MIPS: Under the Microscope
    Payment reform is upon us. The Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) will be implemented in 2017, which means your evaluation period starts January 1. Starting next year, your practice’s performance will be under a microscope – and your abiity to manage the changes that are coming are key to your practice revenue

    David Zetter will present and  break down upcoming changes and how they will impact your practice. Find out what you need to ensure your practice gets a pay bump and not a pay cut. This is your final chance to get the guidance you need to make the successful transition to value-based care.

    Head into 2017 with tools to successfully ensure accurate and clean claims all year:
    •  Find out how MIPS and APMs are going to directly impact your billing and coding
    •  Learn about changes you can make to your RCM process
    •  Get insider tips to make patient collections work for you
    •  Ensure your revenue cycle stands up to scrutiny
    •  Streamline your intake process to keep your revenue flowing
     
     


Publishings & Audio Conference CDs

Medicare Enrollment: Get Up To Speed on Your Revalidation Requirements
Recorded September 20, 2011, David J. Zetter, presented by Part B News & DecisionHealth.  Know the critical revalidation rules required before March 23, 2013 to ensure you keep your billing privileges.
How to Survice the PECOS Ordering/Referring Rule
David J. Zetter, presented by Part B News & DecisionHealth. Time is running out. Find out what you must do to avoid disruptions in payments due to CMS's ordering/referring rule.
Physician Practices & Hospitalists: Opportunities for New Business, Plus How to Avoid Common Headaches & Bill Properly
David J. Zetter, presented by Part B News & DecisionHealth.
Bill High-Denial Physical Therapy Codes Correctly
David J. Zetter, presented by Part B News & DecisionHealth.
How to Bullet Proof Your E/M Documentation and Billing
David J. Zetter, presented by Part B News & DecisionHealth.
Learn How to Enroll Medicare Providers Online in PECOS
David J. Zetter, presented by Part B News & DecisionHealth.
Don't Let Medicare Stop Your Payments - Master PECOS Today
David J. Zetter, presented by Part B News & DecisionHealth.
How to Survive the PECOS Ordering/Referring Rule
David J. Zetter, presented by Part B News & DecisionHealth.

OnDemand Webinars

A Step-By-Step Guide to Using PECOS
David J. Zetter, presented by the MGMA. Are you frustrated with PECOS? Attend and learn how to make your life and your providers' lives much easier. Recorded October 19, 2010. Order the CD. Order the On-Demand Webinar.
Physician Practice Compliance Plans
David J. Zetter, presented by ComplianceOnline
HIPAA Compliance & Workforce Training for Medical Practices
David J. Zetter, presented by ComplianceOnline
OSHA Training & Compliance for Medical Practices
 David J. Zetter, presented by ComplianceOnline
Sexual Harassment Awareness & Prevention for Managers
David J. Zetter, presented by ComplianceOnline
Developing an Employee Handbook
David J. Zetter, presented by ComplianceOnline