M403 - A Payer Enrollment Case Study: From Outsourced to In-house

Monday, September 11, 2023

3:00 PM - 4:00 PM ET

Location: Regency R

CE: 1 NAMSS CE Credits

Tomorrow's MSP® Skillsets: Analytical Thinking, Relationship Building, Budget/Finance, Managed Care, Team Building, Performance Improvement, Communication, Contracting, Evaluation, Medical Staff Bylaws & Policies/Procedures, Flexibility/Adaptability, Project Management, Remote People Management

Yesenia Servin, CPMSM, PESC (she/her/hers)

Payer Enrollment Leader
YS Credentialing, PLLC
Oak Park, Illinois

PDF Handouts
Heidi J. Martinez, CPCS

Director, Medical Staff Services and Payer Enrollment
Astria Health
Yakima, Washington

Session Description: Deep dive into a hospital systems 2022/2023 decision to bring payer enrollment in house after several years of it being outsourced. This session will include a full year in review of the driving decisions. Explore timelines, processes, policies and conflict that were experienced and conquered during the transition. Explore the details on how each stakeholder navigated the misses and empowering successes!

Learning Objectives:

Review the complete timeline of moving outsourced Payer Enrollment services to in-house acquisition including communication, training, and growing
Explore each step of the transition, the good, the bad and the ugly (on all sides) Detail the learning opportunities, mentorship, and driving decisions
Identify how recruiting “green” MSPs benefits a successful Payer Enrollment process