Mastering the Money: Credentialing, Contracts & CPT Code 99211

Why Attend?

This 3-Session Bootcamp will designed to give healthcare professionals a comprehensive sprint through credentialing, contract auditing, and CPT coding mastery for 2025.

SESSION 1: Understand & Implement Technology-Driven Solutions To Simplify The Provider Credentialing Process

Live Date - July 01, 2025

Time - 01:00 PM ET | 12:00 PM CT

Duration - 60 Mins

Navigating the complexities of provider credentialing is a more challenging and time-consuming process than ever before, but with the right strategies, healthcare organizations can streamline operations, reduce delays, and ensure compliance. Discover best practices for navigating regulatory requirements, avoiding common pitfalls, and leveraging technology for greater efficiency. Join us for an insightful webinar that explores the latest best practices and strategies for streamlining the credentialing process in 2025.

Session Objectives

• Understand the latest updates and trends impacting provider credentialing in 2025
• Recall appropriate primary source verification methods
• Learn how to optimize technology and automation for seamless credentialing workflows in 2025
• Explore compliance best practices to mitigate risks and ensure regulatory adherence in 2025
• Gain practical tips from industry experts to enhance your credentialing success in 2025

Key Session Highlights

• Unpack the latest updates and trends impacting provider credentialing in 2025
• Discuss time-saving strategies to reduce credentialing delays and denials
• Identify common challenges in healthcare credentialing and how to overcome them
• Review tips for streamlining the application and verification process
• Discuss leveraging automation and technology for faster, more accurate credentialing
• Identify compliance best practices to reduce risk and ensure regulatory adherence
• Outline effective communication strategies for working with payers and providers
• Discuss maintaining continuous compliance through ongoing monitoring and recredentialing

SESSION 2: Auditing payer contracts for payment accuracy

Live Date - July 08, 2025

Time - 01:00 PM ET | 12:00 PM CT

Duration - 60 Mins

In today's rapidly evolving healthcare environment, ensuring payment accuracy is critical to maintaining a strong financial foundation.  Insurance payer contracts are complex and often riddled with ambiguous terms and hidden discrepancies that can lead to underpayments, delayed reimbursements, and revenue leakage. This webinar will explore the strategic importance of auditing healthcare insurance payer contracts and how regular audits can drive significant financial improvements for healthcare providers.  Attendees will walk away with practical insights into best practices for contract review, common pitfalls to watch for, and tools to identify discrepancies in claims and reimbursements.

Session Objectives:

• Understand the financial and operational impacts of inaccurate payer reimbursements
• Identify key components and clauses in payer contracts that require regular auditing
• Utilize data analytics to uncover trends, inconsistencies, and underpayments
• Develop an effective contract audit framework for ongoing payer performance evaluation
• Implement corrective actions and negotiation strategies based on audit findings

Key Session Highlights

• Discuss the hidden costs of inaccurate payments
• Explore common contract clauses that contribute to underpayments and denials
• Discuss real-world examples of successful payer audits and recovered revenue
• Outline the tools and technologies to streamline the contract audit process
• Discuss how to build cross-functional teams for contract performance oversight
• Highlight compliance risks associated with unmanaged payer agreements

SESSION 3: Appropriate use of CPT Code 99211 in 2025

Live Date - July 31, 2025

Time - 01:00 PM ET | 12:00 PM CT

Duration - 60 Mins

CPT Code 99211 is defined (by the American Medical Association’s CPT Manual) as an evaluation and management (E/M) service for an established patient that may not require the presence of a physician or other qualified healthcare professional.  CPT Code 99211 remains one of the most misunderstood and misrepresented services in all of CPT Coding.  One of the key requirements is that the encounter must be directed by a physician/QHCP and include actual evaluation and management.

Session Objectives:

• Understand the appropriate application for CPT Code 99211 in 2025
• Recall the clinical documentation requirements for CPT Code 99211
• Recognize the types of healthcare professionals that can render CPT Code 99211
• Recall various types of services that do justify billing for CPT Code 99211
• Recognize various types of services that do NOT justify billing for CPT Code 99211
• Understand relevant use cases for CPT Code 99211

Key Session Highlights

• Outline the appropriate use and application for CPT Code 99211 in 2025
• Review the clinical documentation requirements for CPT Code 99211 in 2025
• Discuss the types of healthcare professionals that can render CPT Code 99211 in 2025
• Review the supervision requirements for CPT Code 99211 in 2025
• Deconstruct the concept of ‘incident to’ billing as it pertains to CPT Code 99211
• Review relevant case studies that showcase inappropriate use of CPT Code 99211
• Review relevant case studies that showcase appropriate use of CPT Code 99211
• Outline best practices for compliantly supporting CPT Code 99211

Who Should Attend

• Medical Coding Specialists
• Medical Billing Specialists
• Medical Auditing Specialists
• Private Practice Physicians
• Managed Care Professionals
• Operations Leadership
• Practice Administrators
• Office Managers
• Compliance Officers/Committees 
• Chief Medical Officer
• Medical Practices
• Accountable Care Organizations
• Medical Societies
• Medical Associations