Medicare and Medicaid Managed Care Enrollments
| Available : All Days | Presented By : Toni Elhoms |
| Category : Healthcare | Event Type : Recorded Webinar |
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Navigating Medicare and Medicaid Managed Care Enrollments in 2024
The process of enrolling with Medicare and Medicaid Managed Care as a provider/organization can be incredibly tedious and time-consuming. The number of new Medicare and Medicaid enrollment applications continues to decline due to the enormous complexities surrounding enrollment application requirements. The cost of getting these enrollment application submissions wrong can have systemic consequences on an organization, including cash flow delays, credentialing issues, coding issues, claims backlogs, denial management issues, patient satisfaction, and even impact quality scores.
In 2024, Medicare opened the enrollment gates for new mental health providers (MFTs and MHCs) that had previously been excluded from providing services to Medicare beneficiaries. In today’s webinar, we discuss the submission options, which providers are eligible for Medicare and Medicaid enrollment, each enrollment type, how to navigate the enrollment process, key terminology, what ancillary documentation is needed with enrollment submission, applicable fees, linkage issues with PTAN numbers, most common errors, and best practice tips for successfully completing the Medicare and Medicaid enrollments in 2024.
All healthcare providers and suppliers are required to complete Medicare and Medicaid enrollment prior to rendering and billing for services. The cost of getting enrollment and participation agreements wrong or missing a deadline can have systemic consequences on an organization, including credentialing issues, coding issues, denial issues, patient satisfaction, and even impact quality scores.
Medicare and Medicaid enrollment applications are tedious, time-consuming, and confusing. Without the proper guidance, a provider can miss important details like application type, NPI type, PECOS requirements, PTAN linkage, taxonomy designations, surrogacy designations, and PAR vs. NON-PAR status.
Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer, is an internationally known speaker and recognized subject matter expert on medical coding, reimbursement, compliance, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC (ACE). She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). Toni's expertise extends to inpatient and outpatient coding, compliance, billing, and reimbursement. She serves as ACE’s Senior Consultant and conducts training and educational seminars across the country. With over a decade of industry experience, Ms. Elhoms has led and supported hospital systems, universities, physician practices, payers, law firms, government agencies, and other entities on coding, billing, and compliance initiatives.
Toni is a frequent contributor to various media outlets, a highly sought-after conference speaker, and a regular guest on industry podcasts. She is frequently an expert and consulting witness in civil and criminal litigation matters. Ms. Elhoms was appointed as an editorial advisory board (EAB) member for The Coding Institute (TCI) in 2020. She created and regularly hosted the Alpha Coding Podcast series (rated a top industry podcast) to share her industry Pro-Tips. She is a regular volunteer and mentors a network of Revenue Cycle Management (RCM) and Health Information Management (HIM) professionals across the United States.