Please note: NAMSS-approved CE credit was provided to those who attended the webinar live. To receive Enduring NAMSS-approved CE credit, please watch the on-demand recording and register below for access to the required quiz. You can view the slide deck here.
Presented by Dawn Anderson, CPMSM, CPCS and Holly Virden, CPMSM, this webinar titled Payor Enrollment: The Front Door to Reimbursement provides a comprehensive, operations-focused exploration of payor enrollment as a critical revenue cycle function. Participants will examine the full enrollment lifecycle — from application through approval and effective date loading — and learn how delays, missing documentation, and internal communication gaps directly impact reimbursement. Using real-world examples, the presentation highlights how common pitfalls contribute to preventable denials and revenue loss.
The session emphasizes cross‑functional accountability and outlines best practices including standardized onboarding packets, payor‑specific requirement libraries, structured follow‑up schedules, and centralized tracking systems. Attendees will leave with actionable strategies to strengthen their organization’s enrollment processes, reduce turnaround times, and protect revenue by ensuring clean, timely approvals.
After watching this presentation, learners should be able to:
- Define payer enrollment and distinguish it from credentialing, contracting, and revalidation.
- Explain the revenue impact of delayed or incomplete enrollment.
- Identify common enrollment pitfalls such as missing documentation, CAQH issues, incorrect NPI/TIN combinations, and internal communication breakdowns.
- Describe the full enrollment lifecycle and typical processing timelines to set realistic organizational expectations.
- Apply best practices for clean, timely enrollment submissions, including standardized onboarding packets, tracking tools, and payer‑specific requirement libraries.
- Recognize high‑risk operational scenarios (new providers, mergers, tax ID changes, address updates) that require proactive enrollment management.
Presented live on March 25, 2026, by: Dawn Anderson, CPMSM, CPCS and Holly Virden, CPMSM.
Enduring credit available through March 25, 2028
To receive Enduring NAMSS-approved CE credit after watching the on-demand recording, please register below to access the required quiz.
- An 8/10 passing score is required for successful completion.
- Upon successful completion, you will receive an email with access to your NAMSS-approved Certificate.
