June 6, 2020 | 9 a.m. – noon
This seminar will help give you all the tools to obtain an NPI, find an OPCA and understand what materials a practitioner needs to finish the OPCA. You will also learn about deciding the best commercial insurers for you. You will leave with an understanding of the whole credentialing process, rules of top insurers, the difference between Medicaid open card and CCO’s, learn the reason for obtaining a CAQH ID and more.
After this workshop, participants will need access to a fax machine as some insurers only accept via fax.
Attendees of this workshop will be able to:
Create a hospital admit plan
- Obtain a NPI (if needed)
- Find and complete an OPCA
- Determine which commercial insurers you wish to credential and contract with, and designate as PCP or Specialist
- Complete and save an OPCA without signature and date for future use
- Send a completed OPCA and additional required documentation to start credentialing
- Find OHP paperwork required to credential
- Create a hospital admit plan
- Obtain a NPI (if needed)
- Create a web portal application for OneHealthPort.com (as needed)
- Register for CAQH ProView
Presenter Bio
Julia Puckett has worked in the medical field for over ten years, with the last 6 years in administration. Over the years, Julia has gained experience in several medical practices serving a wide range of functions from front desk duties to back office and administration. Julia’s primary focus today is to verify that the credentials of health care professionals are in compliance with state and federal standards, and processes re-credentialing paperwork while maintaining a database of practitioners’ training, education, licensing, and experience information. This experience has allowed her to develop strong relationships with many insurance companies.