The Longest Lead Time: Government Payer Credentialing

Some of the most rigorous applications required for onboarding new providers, maintaining existing providers or adding new practice locations are with government payers. Getting paid for this growing patient population (Medicare, Medicaid, Tricare and TriWest) is contingent upon the successful completion of laborious applications. Our upcoming webinar will feature tactical advice from seasoned credentialer Kellie Edwards, who has managed countless Medicare, Medicaid and other government payer credentialing applications for varying provider types. This webinar will help you gain the understanding necessary to get the job done correctly the first time around with each government intermediary.

After this webinar, you will be able to:
  • Gain an appreciation for the application options, processing timelines and database configuration when applying to a government payer.
  • Avoid the pitfalls common in credentialing through awareness of the specific challenges associated with government credentialing.
  • Learn the dangers of CMS Revalidation and how to escape deactivation.

    About the speaker:
    Kellie Edwards is a Credentialing Manager. With over 23 years of experience in the healthcare industry, Kellie shares her extensive background in credentialing and all aspects of the routine functions of a medical office with our clients. With her broad understanding of private practice, she is enthusiastic to use her knowledge to support our clients and their credentialing needs. Kellie is well versed with many provider specialty types to include Physicians, Physician Assistants, Nurse Practitioners, Physical Therapists, Optometrists, and Chiropractic providers, among others. Kellie’s familiarity with Medicare, many state Medicaid systems, commercial payors and facility credentialing, combined with her focus on accuracy and time sensitivity, make her a great asset to our clients.
We are so pleased to have found TriZetto Provider Solutions and would highly recommend them. All of their service representatives are helpful and professional.

Subscribe to our Monthly Newsletter

Stay current the changing healthcare landscape and get valuable resources for your organization.

first name is required
last name is required
invalid email address

TriZetto Provider Solutions® Powered by Cognizant

We help physicians, hospitals and health systems simplify business processes and get accurate payments quickly. We will always look for new ways to help you improve revenue and increase cash flow. We will stay ahead of regulatory changes so your office will never struggle to keep up. All so you can focus on the one thing that really matters: doing what is best for your patients.

Learn More