The Credentialing Process

• What Credentialing is & how it works • How to complete enrollment applications correctly •  The ethical implications of not maintaining control of your provider data • Ethical considerations in selecting payors and accepting insurance

Step-by-Step Enrollment

• Pre-Enrollment Preparation • CAQH completion • Medicare enrollment (individual + group) • Re-assignment of benefits • Determining your practice business and tax structure

Contracting with Payors

• Selecting Insurances • Red Flags to Look Out For • Ethical Fee Negotiations • Maintaining Compliance After Contracting

This course includes a full credentialing resource bundle:

Video Walkthroughs

•  CAQH Provider Data Walkthrough  •  Individual enrollment video •  Group enrollment video

Written Step-by-Step Guidance

•  Step-by-Step guidance on important provider data systems •  Step-by-step instructions for group and individual Medicare Enrollment • Key Credentialing and Compliance Considerations • Safeguarding Group Practice Operations and Clinical Oversight • Data Control, Billing Integrity, and Audit Preparedness

Operational Credentialing Tools

•  Credentialing Data & Documentation Checklist •  Payor Spreadsheet (data + links for 50+ payers and clearinghouses) •  Contract Terms Every Provider Should Know • Provider-Owned Practice Models

Get the support you need to get in-network independently.

Self-paced online course available starting April 11, 2026 Includes 3 ethics continuing education credits

$200.00

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Course Instructor

Maureen Kane, LMHC is a licensed mental health counselor in private practice in Bellingham, Washington. She specializes in helping individuals navigate stress, anxiety, life transitions, illness, caregiving, trauma, and career challenges. Maureen is a Washington State approved clinical supervisor who provides guidance and mentorship to associate therapists working toward licensure and building sustainable private practices. She is also an EMDRIA Certified EMDR Therapist and EMDRIA Approved Consultant, supporting clinicians in developing advanced trauma treatment skills. She is the author of A Guide Back to You: A Workbook for Exploring Who You Are and Staying True to Yourself, a practical resource designed to help individuals reconnect with their values and personal direction. Before becoming a therapist, Maureen served as a director and manager in social service organizations and corporate programs focused on literacy, health care access, aging services, homeless youth, and disability support. This experience informs her clinical work and her commitment to accessible, client-centered care. Learn more about her practice at www.maureenkanecounseling.com.

Course Instructor

Susie Rigas-Morozowich, LMSW, LCSW, is Co-Founder and CEO of TelebehavioralHealth.US, a multi-state telebehavioral health group practice operating across 11 states and contracted with over 40 payers. With over two decades of experience as a clinician, she has built and led a practice model focused on sustainable operations, clinical integrity, and provider support. Her work centers on developing and managing the operational systems required to run and scale a group practice, including workflows, provider onboarding, administrative structure, and day-to-day practice management. She has direct experience navigating the complexities of multi-state operations, supporting both individual clinicians and a growing network of providers. In addition to her role at TelebehavioralHealth.US, she helped co-found the Mental Health Professionals Equity Alliance (MHPEA), where she contributes to broader efforts addressing systemic challenges in the mental health field.

Course Contents

9 Chapters · 29 Lessons

  1. 1

    Introductions & Course Expectations | 11 minutes

    1. (Included in full purchase)

      Course Expectations & CE Requirements

    2. (Included in full purchase)

      Course Introduction

  2. 2

    Module 1: The Decision to Work with Insurance | 16 minutes

    1. (Included in full purchase)

      Video | Module 1: The Decision to Work with Insurance

    2. (Included in full purchase)

      Knowledge Check | Module 1: The Decision to Work with Insurance

  3. 3

    Module 2: The Credentialing Process | 15 minutes

    1. (Included in full purchase)

      Video | Module 2: The Credentialing Process

    2. (Included in full purchase)

      Knowledge Check | Module 2: The Credentialing Process

    3. (Included in full purchase)

      Brief | Independent Practice Ownership: Key Credentialing and Compliance Considerations

  4. 4

    Module 3: Understanding Your Provider Data | 21 minutes

    1. (Included in full purchase)

      Video | Module 3: Understanding Your Provider Data

    2. (Included in full purchase)

      Tool | Provider Data Checklist

    3. (Included in full purchase)

      Knowledge Check | Module 3: Understanding & Updating Your Provider Data

  5. 5

    Module 4: Updating Your CAQH Data | 15 minutes

    1. (Included in full purchase)

      Video | Module 4: Updating Your CAQH Data

    2. (Included in full purchase)

      Knowledge Check Module 4:Updating Your CAQH Data

  6. 6

    Module 5: Credentialing with Medicare | 1 hour 26 minutes

    1. (Included in full purchase)

      Video | Module 5: Credentialing with Medicare

    2. (Included in full purchase)

      Knowledge Check Module 5: Credentialing with Medicare

    3. (Included in full purchase)

      Video | Medicare Individual Enrollment Application Walkthrough

    4. (Included in full purchase)

      Video | Medicare Group Enrollment Walkthrough

    5. (Included in full purchase)

      Guide | CREDENTIALING WITH MEDICARE: A Guide for Behavioral Health Providers

  7. 7

    Module 6: Contracting with Payors | 20 minutes

    1. (Included in full purchase)

      Video | Module 6: Contracting with Payers

    2. (Included in full purchase)

      Tool | Contracting Terms Every Provider Should Know

    3. (Included in full purchase)

      Knowledge Check Module 6: Contracting with Payors

    4. (Included in full purchase)

      Brief | Independent Practice Ownership: Safeguarding Group Practice Operations and Clinical Oversight

  8. 8

    Module 7: Maintaining Compliance After Contracting | 10 minutes

    1. (Included in full purchase)

      Video | Module 7: Maintaining Compliance After Contracting

    2. (Included in full purchase)

      Tool | Payer Credentialing and Contracting Tracker

    3. (Included in full purchase)

      Knowledge Check Module 7: Maintaining Compliance After Contracting

    4. (Included in full purchase)

      Brief | Independent Practice Ownership: Data Control, Billing Integrity, and Audit Preparedness

  9. 9

    Course Conclusion and Post-Test | 5 minutes

    1. (Included in full purchase)

      Video | Course Conclusion

    2. (Included in full purchase)

      Post-Test: Ethical Insurance Credentialing for Mental Health Providers

    3. (Included in full purchase)

      Course Evaluation: Ethical Insurance Credentialing for Mental Health Providers

    4. (Included in full purchase)

      Course Bibliography

Take control of your practice independence

Includes 3 ethics continuing education credits

$200.00

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Course Learning Objectives

Upon completing this course, participants will be able to: 1. Explain the ethical implications of insurance credentialing for mental health providers, particularly in terms of client access, continuity of care, and social justice. 2. Identify the required systems and documentation (e.g., CAQH, NPPES, Medicare PECOS) involved in the credentialing process and describe their role in ethical practice. 3. Evaluate the impact of contractual terms on client access and care equity, with a focus on obligations to underserved populations. 4. Describe the ethical responsibilities in maintaining up-to-date credentialing information, including compliance with Medicare Administrative Centers (MACs) and maintaining secure, accurate provider data.

Target Audience

• Private practice therapists • Providers leaving agency/W2 roles • Group practice owners • Providers currently on platforms who want clarity • Clinicians preparing to take insurance

Course Format

This course is delivered in a self-paced, asynchronous format, allowing participants to complete the material on their own schedule. All content is accessible online and designed for flexible, independent learning. This course was last updated in March 2026.

Content Level

Intermediate – This course is intended for professionals with some background knowledge in mental health practice, aiming to build upon existing ethical frameworks with specific applications in insurance credentialing.

ACE Provider Statement

TelebehavioralHealth.US, #2020, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 6/28/2025-6/28/2028. Social workers completing this course receive 3 ethics continuing education credits. To earn CE credit, participants must complete all modules, pass the post-test with a score of 80% or higher, and submit a course evaluation. Learners can take the post-test as many times as needed to obtain a passing score.  Certificates of completion are issued automatically upon successful completion of all course requirements.

Refunds & Cancellations

Requests must be emailed to [email protected] within 7 days of purchase, as long as no more than one module has been completed. No refunds will be issued after that point.

ADA Accommodations

To request accommodations, please email [email protected]

Questions or Grievances

For questions or to report a grievance, contact [email protected]