Navigating the Contracting and Credentialing Process: What OMSs Need to Know
Includes a Live Web Event on 11/13/2024 at 1:00 PM (CST)
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- Member - $265
- Resident Member - $265
- Allied Staff Member - $265
- Professional Staff Nonmember - $265
- Other Nonmember - $265
Navigating the Contracting and Credentialing Process: What OMSs Need to Know
Deciding whether to become a participating provider for insurance companies is vital to the OMS practice’s patient acquisition strategy. Equally important are validating credentials and selecting the right payer contracts. Additionally, understanding the contracting and credentialing process while avoiding pitfalls reduces administrative frustration. Credentialing is an ongoing process that impacts claims payment, amount paid and profitability, and it must be incorporated into all steps of expansion planning. This 90-minute webinar will focus on recent network participating agreement language and steps for organizing documents for submission in the contracting role. OMS practice owners, administrators and team members will learn how to stay up-to-date with dental insurance industry changes. Important tips for being efficient when credentialing practice doctors will be shared.
Learning Objectives
At the conclusion of this program, participants should be able to:
- Identify factors to consider when deciding on network participation.
- Discuss key words and phrases in contract language that may have an adverse financial impact on the OMS practice.
- Recognize verification vehicles via organizations like the Council for Affordable Quality Healthcare as well as what to consider when outsourcing.
- Examine the steps to successfully credential OMSs to become participating providers with various third-party payers.
Cancellation Policy: Registrants will receive a full refund up until the day before the event. No refund will be given on the day of or after the event.
Patrick J. O'Rourke
Founder/CEO, Practice Quotient, Inc.
Patrick O’Rourke worked at several insurance companies before founding Practice Quotient, a firm specializing in dental PPO network contract analytics and reimbursement guidance for the dental provider community. He has earned professional certifications, including Dental Benefits Associate; Disability Income Associate; Professional, Health Insurance Advanced Studies; HIPAA; Health Information Technology for Economic and Clinical Health Act; and Medicare. He speaks across the country on managed care participation, contract management and how to develop patient acquisition criteria to choose the best carrier business partners.
Disclosures: No relevant financial relationships were disclosed.
Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.
ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
The American Association of Oral and Maxillofacial Surgeons designates this activity for 1.5 continuing education credit(s).
AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680
The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Association of Oral and Maxillofacial Surgeons designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.