Provider Training & Outreach
Presbyterian is dedicated to building strong relationships with its contracted healthcare providers and practitioners. We offer training programs and information to keep up-to-date with current policies and procedures. Here you will find helpful tools designed to help with day-to-day interactions with members.
If you have any questions, contact your Provider Services representative.
UPCOMING PROVIDER EDUCATION CONFERENCES AND WEBINARS
Presbyterian hosts annual conferences throughout New Mexico for all contracted physical health, behavioral health and long-term care providers for all lines of business, including Commercial, Medicare and Centennial Care. The sessions feature updates on policies, procedures, state and federal regulations, and initiatives of Presbyterian Health Plan.
Please find upcoming conferences and materials below.
THE WILSON CARDIOLOGY LECTURESHIP CONFERENCE
The Presbyterian Heart and Vascular Care is happy to announce the resumption of the Wilson Cardiology Lectureship. Established in 1985, the John N. Wilson, MD Lectureship on Cardiovascular Diseases and Cardiology Updates is an annual conference held in recognition of the medical and humanitarian achievements of John N. Wilson, M.D.
The upcoming conference will be held at Sandia Casino on February 17, 2024. The conference is intended for adult primary care physicians, internists, family practitioners, cardiologists, emergency room physicians, advanced practice professionals, pharmacists, nurses and others involved in the care of patients with cardiac conditions. Continuing education unit (CEU) credits will be available.
More information regarding topics, speakers and agenda will be made available in the coming weeks. If you have any questions, please contact Rohn Sanchez at email@example.com or (505) 463-1203.
PRESBYTERIAN DUAL PLUS (HMO D-SNP) TRAINING
Presbyterian Dual Plus (HMO D-SNP) is a Medicare Advantage plan that seamlessly combines both Medicare (as primary) and Medicaid (as secondary) to improve care and decrease costs for the frail, elderly, and disabled through improved coordination of care.
This is an annual required training for all medical, behavioral health, and long-term care providers (e.g., MDs, physicians, therapists, advanced practice clinicians, etc.) who render services to Presbyterian Dual Plus members.
BEHAVIORAL HEALTH PROVIDER TRAININGS
Depression in Adults: Diagnosis and Treatment Guidelines
View an on-demand training video on treating and diagnosing adults with depression at the link below.
Town Hall Meetings
We are pleased to invite behavioral health providers to attend quarterly town hall meetings. These town halls are designed to present information to all areas of a practice, including administrative, billing, quality and clinical.
Treatment Record Reviews (TRR) Training
View an on-demand training video on the TRR process and how to assist Presbyterian in meeting Clinical Practice Guideline (CPG) documentation standards.
CENTENNIAL CARE TRAINING
Through the myPRES Provider Portal, contracted providers with myPRES access can view a general Centennial Care Training and Centennial Care Cultural Sensitivity training under the Resources Links tab. If you do not have access to myPRES, you can request access by following the link below.
Centennial Home Visiting Program Training
In collaboration with the New Mexico Children, Youth and Families Department, the New Mexico Human Services Department (HSD) is offering an evidence-based home visiting program for eligible pregnant women that focuses on prenatal care, postpartum care and early childhood development services in four HSD-designated counties.
Providers may obtain Centennial Home Visiting Program training materials below.
Long-Term Services & Supports (LTSS) Training
In collaboration with the other Centennial Care managed care organizations and the New Mexico Human Services Department, Presbyterian developed the following training materials for nursing facilities and agency-based providers.
Electronic Visit Verification System
The Electronic Visit Verification (EVV) System is used to track and report home visits by Centennial Care personal care services provider agencies and caregivers. The EVV system allows Presbyterian and the long-term care provider community to better serve our members and ensure they are receiving the services they need.
Nursing Facility Payment Concerns and Resolution Meetings
Please join Presbyterian for upcoming Nursing Facility Payment Concerns and Resolution Meetings. These meetings are intended to answer questions and address concerns regarding nursing facility payments. To view upcoming meeting dates, register and learn more about submitting discussion topics, please use the link below.
Indian Health Services and Tribal Providers Quarterly Conversations
All Indian Health Services and Tribal 638 providers and staff are encouraged to attend the Indian Health Services and Tribal Conversations trainings.
CRITICAL INCIDENT REPORTING TRAINING
Behavioral Health Critical Incident Reporting Training
Each year, Presbyterian hosts four live Critical Incident Reporting (CIR) training webinars that are specific to behavioral health providers. Please join us for any of the four dates at the following link. Please note that providers are contractually required to participate in one of these annual CIR trainings.
Personal Care Services (PCS) Critical Incident Reporting Training
Presbyterian invites Centennial Care providers to attend annual Critical Incident Reporting Training. This training will cover critical incident reporting related to Personal Care Services and Support Broker agencies. This training is collaboratively presented by all Centennial Care Managed Care Organizations (MCOs) and the New Mexico Human Services Department (HSD).
Please note that attendance at this training is required annually for all Centennial Care providers that report in the HSD Critical Incident Reporting Portal.
CULTURAL SENSITIVITY COMPETENCIES OFFERED ONLINE
Presbyterian is pleased to offer our network educational opportunities to become even more culturally competent while earning up to nine hours of free Continuing Education Units (CEU). As you know, being culturally sensitive and competent is extremely important in healthcare – and especially in the state of New Mexico.
Continuing Education courses include:
A Physician’s Practical Guide to Culturally Competent Care
Culturally Competent Nursing Care: A Cornerstone of Caring
Supported by the Office of Minority Health at the United States Department of Health and Human Services, and accredited by Ciné-Med Inc., these online competencies are designed to healthcare professionals deliver culturally competent care to an ever-increasing diverse population of members.
During registration, you will choose an appropriate program in which to earn up to nine free CME credits (Physicians and Physician Assistants) or nine free CEU hours (Nurse Practitioners). Since these competencies are made available via the web, you can earn free CEUs at your convenience.
HEALTH EQUITY TRAINING COURSES
Presbyterian is committed to an inclusive and equitable environment that reflects the diversity of our community. We seek to learn from all perspectives as we provide affordable, accessible and culturally appropriate healthcare and champion health equity for our New Mexico communities.
Join our Health Equity Training Courses to explore related topics, including how to identify health inequities, the importance of cultural sensitivity, effective cross-cultural communication, eliminating racism and other forms of oppression, and trauma-informed care. Courses are open to all providers, Presbyterian employees and community partners, and some courses also offer the opportunity to earn Continuing Education Units (CEUs).
GENERAL MEDICARE COMPLIANCE TRAINING FOR FIRST TIER, DOWNSTREAM AND RELATED ENTITIES (FDRS)
First-Tier, Down Stream, and Related Entities (FDRs) are responsible for training their workforce on fraud, waste and abuse to comply with Medicare expectations and regulations. Presbyterian is providing the following presentation to ensure FDRs have the compliance information they need to provide their staff the appropriate training.
HEALTHCARE PROVIDER COMPLIANCE VIDEOS AND PODCASTS
The Office of Inspector General (OIG) has several short video and audio presentations discussing compliance topics that are important to healthcare providers. The videos from the Health Care Fraud Prevention and Enforcement Action Team (HEAT) webcast are designed to guide healthcare providers in further enhancing their compliance efforts to help prevent fraud, waste, and abuse.