Navigating provider credentialing in 2026 requires staying current with updated verification expectations, documentation standards, and payer requirements.
Credentialing is undergoing rapid transformation this year, driven by increased regulatory scrutiny, stricter payer demands, and heightened expectations for documentation quality and data accuracy. At the same time, organizations are adopting automation, digital tools, and real-time verification workflows to manage rising complexity—making manual or outdated processes increasingly risky and prone to delays. This webinar is designed to help credentialing professionals, administrators, billing teams, auditors, and healthcare leaders strengthen their understanding of credentialing requirements for 2026. We will cover key updates, common challenges, verification best practices, and practical workflow improvements that support cleaner files, consistent provider data, and smoother turnaround times. Whether you manage credentialing daily or oversee operational compliance, this session will offer clear, actionable guidance to help you stay organized, accurate, and efficient in today’s evolving credentialing environment.
Webinar Objectives
Credentialing remains a detailed and time-sensitive process. Teams continue to encounter challenges such as documentation inconsistencies, evolving payer requirements, verification delays, and communication gaps. This session helps participants:
- Understand the most relevant 2026 updates that influence credentialing and enrollment
- Strengthen foundational knowledge of verification, compliance, and data accuracy
- Improve provider documentation consistency across all credentialing platforms
- Navigate verification expectations, including PSV timelines and monitoring practices
- Recognize common issues that cause delays and learn how to prevent them
- Support ongoing compliance through organized recredentialing and revalidation processes
- Apply practical workflow strategies to enhance efficiency and turnaround time
Webinar Agenda
During this session, participants will learn how to:
- Understand the latest updates, trends, and regulatory shifts impacting provider credentialing in 2026
- Identify appropriate and compliant primary source verification methods to strengthen verification accuracy
- Leverage automation, digital tools, and workflow optimization strategies to support faster, more organized credentialing
- Strengthen compliance practices to mitigate risks, support audit readiness, and ensure regulatory adherence
- Apply practical, expert-backed tips to improve credentialing efficiency, communication, and turnaround time
- Recognize the key components of the credentialing lifecycle, including documentation management, verification expectations, and ongoing monitoring
- Understand how payer expectations and enrollment requirements influence credentialing timelines across Medicare, Medicaid, commercial plans, and Medicare Advantage
- Anticipate and prevent common credentialing delays such as data inconsistencies, outdated information, verification gaps, and missed deadlines
- Enhance internal workflow accuracy through better documentation organization, data consistency, and communication processes
- Utilize essential platforms and resources such as CAQH, NPPES, PECOS, and NPDB self-query, and ensure that both provider and institutional credentialing workflows remain aligned with current accreditation and accreditation-readiness expectations
- Support continuous compliance through recredentialing cycles and updated provider data maintenance
Webinar Highlights
- A clear overview of current credentialing expectations for 2026
- Updated verification and documentation best practices
- Time-saving strategies to reduce processing delays
- Techniques to maintain accurate provider information across systems
- Tips for improving communication between providers, staff, and payers
- Guidance for ensuring clean files and timely recredentialing
- Actionable steps you can apply immediately within existing workflows
Who Should Attend
- Credentialing Manager/Specialist
- Medical Coding & Billing Specialists
- Medical Auditing Specialists
- Private Practice Physicians
- Managed Care Professionals
- Operations Leaders
- Practice Administrators
- Office Managers
- Compliance Officers & Committees
- Chief Medical Officers
