This class allows Licensed Mental Health Professionals to understand what they need to know about individual and group credentialing, how to maximize insurance reimbursement, and why today, group formation is more beneficial than maintaining a solo practice.
CLASS OBJECTIVES – WHAT WILL YOU LEARN?
Upon completing this course, you will be able to understand
1. What is required to get on insurance panels?
2. What is the difference between individual and group credentialing?
3. How does a licensed clinician obtain the most reimbursement?
4. What are the benefits of forming a group?
5. How is a group formed?
Licensed Mental Health Professionals who want to learn about:
- Credentialing and licensing
- Starting a group
- Best ways to maximize reimbursement
This course is made up of 1 class that has 7 modules. Each module focuses on the questions being asked in Class Objectives.
|About this Workshop||FREE||00:00:45|
|Important Terms, Definitions, and Key Points|
|What is an Insurance Panel?||00:00:24|
|Examples of Insurance Panels||00:00:20|
|What is the difference between Medicare, Medicaid & Commercial Insurance Payors?||00:05:03|
|What is Required to get on Insurance Panels?|
|Open Panels Explained||00:01:12|
|Brand & Niche||00:00:27|
|Insurance Panel Requirements Review||00:00:37|
|What is the Difference Between Individual and Group Credentialing?|
|What is Credentialing?||00:01:00|
|What Are The Types of Credentialing?||00:00:16|
|What is the Difference Between Credentialing and Provider Enrollment?||00:00:47|
|How does a licensed clinician obtain the most reimbursement?|
|How to Maximize Reimbursement||00:00:22|
|What is the Reimbursement Range?||00:00:45|
|What are the benefits of forming a group?|
|Benefits of Group Formation – Part I||00:03:02|
|Benefits of Group Formation – Part II||00:01:03|
|Challenges, Cons, and Disadvantages of Group Formation||00:02:50|
|How is a Group Formed?|
|Step 1 – Build a Team & Set Strategic Plan||00:00:38|
|Step 2 – Form A Company & Set Governance Structure||00:02:09|
|Step 3 – Gather Documentation||00:01:02|
|Step 4 – License Verification||00:00:27|
|Step 4 – Licensure Examples||00:00:39|
|Step 5: Credentialing & Contracting||00:00:38|
|3 Credentialing Phases||00:00:31|
|Step 6 – EHR/EMR||00:02:12|
|Conclusion & Review|
|What to Expect Once Credentialing and Contracting is Finalized?||00:03:31|
|How Does Impact Affect Your Practice?||00:01:05|
|What Should You Consider When Joining or Forming a Group?||00:00:44|