Transcript
Vanessa Persha (00:00) ahem, hello?
Isbath Ligali (00:05) Hey,
Vanessa Persha (00:06) Bri, how are you?
Brianna Koretski (00:07) I’m good. How are you?
Vanessa Persha (00:09) Good. I,
Brianna Koretski (00:11) do well, I have you real quick because it’s probably not as important. Did you get to a chance? I haven’t looked at the three nine, the ones that I added on three nine.
Brianna Koretski (00:23) it’s just like license requests that need like cancellations and stuff. I think.
Vanessa Persha (00:26) I am so sorry. You know, what? I was out on Monday sick and I had planned on doing some catch up and I didn’t get to it. I am so sorry, no.
Brianna Koretski (00:35) You were totally fine. I just wanted to put that in because I know we went a little past it, so, I just wanted to put that in here for you. Yep, thank you.
Vanessa Persha (00:43) I will get to that for you. Of course. Hi, isbath. How are you?
Brianna Koretski (00:53) Isbath, you’re on mute?
Isbath Ligali (00:57) Technical difficulties, lady, my camera also is not working.
Vanessa Persha (01:02) Oh, you’re fine. Your picture looks beautiful. Thank.
Isbath Ligali (01:05) you so much. Stephen wanted me to let you guys know that he is running five minutes late, but we can start without him.
Vanessa Persha (01:14) Okay. I was going to say, I have a presentation pulled together that I wanted to share with you guys today just to kind of go over your PE metrics. I know we had talked in the past about kind of like dedicating at least one call a month to these or scheduling a separate call, but I just wanted to get some, like initial feedback on what I’ve put together and then also to hopefully, this will help like drive down you having to add items to our agenda because you can see that it’s something that’s already being monitored. Do you want me to go ahead and start, or do you want to wait until Steven joins?
Isbath Ligali (01:53) Let’s wait until Steven joins. Okay? If you don’t mind, can we hop in until he joins? Can we just cover some of these lines?
Vanessa Persha (02:03) Absolutely. Let me go ahead and share my screen… okay?
Isbath Ligali (02:10) Okay. We could hop into number two.
Isbath Ligali (02:21) Did they close the line yet? Did they note that and close the line yet?
Vanessa Persha (02:25) I don’t have that open. Let me go look text?
Isbath Ligali (02:31) As well?
Vanessa Persha (02:31) Honey.
Vanessa Persha (02:43) Wellpoint, oops, I’m taping wellpoint in the customer name instead of cambridge? Oh, goodness. Come on.
Vanessa Persha (03:03) If it’s still open, I’m just going to put the notes in there and stop it now.
Isbath Ligali (03:09) Yeah, they’re still processing it. The notes, the lines are still processing email address items discussed received the roster on email, but there was no recredentialing date mentioned in the roster. So I have sent an email to follow up. I’m so confused the.
Vanessa Persha (03:25) Note before.
Isbath Ligali (03:27) That says that it was completed. And now, I mean, maybe I’m not understanding the note that’s left the note on the second on March second says looks like that we’re in network and we’re linked to the tax id. But then the 317 says still processed, what are we still processing? If the note before says it was completed? Yeah.
Vanessa Persha (03:49) They’re they’re just not leaving quality notes here. Let me just change this line.
Vanessa Persha (04:01) So, technically, I don’t know if I should mark this complete or if I should mark it stopped because technically we didn’t do anything. What is your preference here?
Isbath Ligali (04:14) I mean, I honestly, I don’t even what you’re telling me and what’s being, I don’t know if it’s even true. I don’t feel confident in what’s being told to me because why, what are they still following up on? If you’re telling me that there is no, I just don’t feel confident in what’s being told to me all.
Vanessa Persha (04:29) That they’re following up on is to get written confirmation from the payer that they don’t do group revalidations?
Isbath Ligali (04:38) So we’re just in network for life?
Vanessa Persha (04:40) Yes, for, at the group level, if you guys were a facility group, then you got well, you’re in network until your contract ends. But if you were a facility, they do revalidations on facilities, but you guys are not a facility?
Isbath Ligali (04:54) Yeah, we can just like market complete or market stop with that note saying that. And also then would we be charged for the line if you’re saying that nothing was done?
Vanessa Persha (05:05) Yeah, you still would be because it cleared intake. So the team still like they attempted to do a revalidation on it, but the payer came back and said it wasn’t required.
Isbath Ligali (05:16) Yeah. Can we close the line now and leave a note? I think marking it complete and then stating that would be better instead of stop.
Vanessa Persha (05:24) Okay, complete. Okay. Give me one second, okay?
Isbath Ligali (05:29) And I’ll mark it complete on the agenda. So we can, okay.
Isbath Ligali (05:54) Was just letting me edit it. And now… Vanessa, are you able to go over today if needed?
Vanessa Persha (06:11) Let me take a look, yes.
Isbath Ligali (06:14) Okay. Just in case.
Vanessa Persha (06:29) Something is happening and it’s not letting me mark this line complete… which has normally never been a problem.
Vanessa Persha (06:51) Let me just.
Vanessa Persha (06:57) Tag the specialist… really quickly.
Vanessa Persha (07:56) I just asked her if she can go in there and close it. I don’t know why it’s not letting me do it. Normally. It does. Okay. Next one you want to take a look at?
Isbath Ligali (08:04) We could jump to 12 and mark complete for the Florida medicaid lines being that they’re followed up on weekend weekly. I’m just going to mark that one complete. Okay. If it pops back up, then we’ll bring it back up. Okay? Line 13. I did want to discuss some of these because I did see that you responded to the email and some of them, you said that, well, you said, and then the note you reflected what the note said, that the background screening was rejected, what that was an issue that we were experiencing before, and I thought we got that resolved. Why are they rejecting again? No?
Vanessa Persha (08:38) The background screenings weren’t being rejected before the background screenings just weren’t being attached. Yep. So these were actual like the status on the portal says they were rejected. I can’t see why, but I did flag ops to have the agents call directly and find out why they’re being rejected. Do?
Isbath Ligali (08:58) You know, if they got, I know that you reached out to earlier today. Did you know if they responded back to you yet?
Vanessa Persha (09:04) See, I can go double check. Give me one second. I.
Isbath Ligali (09:07) Appreciate it.
Vanessa Persha (09:43) No response yet. Okay?
Isbath Ligali (09:47) I guess we’ll just wait, I’ll.
Vanessa Persha (09:50) follow up, Steven’s trying to join here. Okay?
Isbath Ligali (09:53) We can hop to your presentation then. Okay?
Vanessa Persha (09:59) Hi, Steven. How are you? I’m.
Steven Shterenberg (10:02) well, how are you, Vanessa? I’m.
Vanessa Persha (10:04) doing well. Thanks, great. Thanks for joining. We quickly pivoted away from our weekly tracker just to kind of share a deck that I put together kind of reviewing high level some of your PE metrics and just to get some initial feedback on how I can make some tweaks or anything like that moving forward not.
Isbath Ligali (10:27) Yet, Steven, I’m waiting, I was waiting for this presentation, and then we can, you can ask before the presentation or after Steven, but I was waiting for you to hop on the call.
Steven Shterenberg (10:34) Yeah, Vanessa, do you mind if we just do one quick topic? Yeah.
Vanessa Persha (10:37) Absolutely. Go ahead awesome.
Steven Shterenberg (10:38) So, we have a request from one of our health plans that we’re launching with Molina Ohio. And in tradition of health plans having archaic processes, they want us to complete a caqh form for every provider, you know, on a PDF. Yeah, you know, entries and such. We don’t want to do that. Obviously, we have over… and probably a medicaid as well that we would be operating in that state. And so, the question is, can we do a bulk data pull from caqh or in your database? Do you have a way to create a custom poll that will have each of the fields of this caqh form? So.
Vanessa Persha (11:27) Yeah. In caqh itself, you can generate an application that’s state specific. So, if you log in as the provider… gosh, it’s been a minute since I’ve been logged into the caqh portal, but there is a download provider data option or something of that sort. And you can share your screen if you have, if you want me to walk through it. But in a sense, let me.
Isbath Ligali (11:58) that’s at the provider level, Vanessa, like we’ve had to go in for each provider and pull that information.
Vanessa Persha (12:03) Yes. Yeah. For Melina, yeah.
Steven Shterenberg (12:06) Yeah, because I would want an excel that has every field here as a column since you guys already pull caqh into your database, right?
Vanessa Persha (12:15) Yep. Can.
Steven Shterenberg (12:17) you just now, obviously, some of this like already exists, in medallion as well, but the idea is like, can you make each of these into a column? And then just give us a list of providers, and then we just have an excel because otherwise, it’s very painful for.
Vanessa Persha (12:35) Us to hold.
Steven Shterenberg (12:36) Cvh for each person. Yeah.
Vanessa Persha (12:39) Let me just look at this so far. It’s looking like we probably can do this… yeah.
Steven Shterenberg (12:51) Because I agree. Like most of this is already in the raw data that I download from you already. You know, something like SSN number, not usually, but that’s fast enough. Specialty? Yes, board certified. Yes. Are you registered with cqh? I think that’s like universally, yes, yeah.
Vanessa Persha (13:08) Cqh?
Steven Shterenberg (13:09) Provider id, is that just their npi or is that like a unique? No?
Isbath Ligali (13:12) That’s it’s.
Vanessa Persha (13:12) a unique? Yeah.
Isbath Ligali (13:13) It’s a unique?
Steven Shterenberg (13:14) Yes, that, that’d be, the one painful one probably.
Isbath Ligali (13:17) I think, but it should be able to pull as well? Okay, okay. Please complete.
Vanessa Persha (13:23) This, let me just, I want to read the top here because sometimes you can bypass this form to begin the credentialing process. Please believe this below. If you are not participating, please complete this form and return it once an online provider application. Do you know what the volume of providers you’re looking at for this?
Steven Shterenberg (13:53) A moment is.
Isbath Ligali (13:55) it for our east only east providers, Stephen, or our licensed Ohio providers? Yeah.
Steven Shterenberg (14:00) Let me, let me do. I’ll do east for now?
Vanessa Persha (14:08) And I’m only asking because I have had success with Melina in the past getting them to agree to a template of this information in a spreadsheet. As long as it included the caqh id number.
Steven Shterenberg (14:21) Yeah, we would have, we speak directly to the plan leadership. So we’re going to get them to say yes to that. It was more so, can you pull that spreadsheet for us?
Vanessa Persha (14:29) Yeah, yep.
Steven Shterenberg (14:31) Yeah, 44 is what I have right now. And then if we expand it to central and west and we move managers, PRN… 85. So somewhere between 44 and 85, I’d estimate 60 if you include a rampers. So 60 people basically is the answer.
Vanessa Persha (14:55) Okay. Yeah. That should be… easy to pull. Isbath. Have you looked at pulling this in the custom reports?
Isbath Ligali (15:07) Not yet. We were thinking of just pulling it from ceqa, but now that I’m looking at this further, maybe we can just, are you able to pull this from just directly from medallion? Does most of this information already live in medallion? Yeah.
Vanessa Persha (15:21) I was going to say like the caq or even like the social security number? Like once you export, if it does export the socials in full, you can do like a split, you know, split the column so that it parses out the last four in its own column, date of birth, you can separate like do a delimiter.
Isbath Ligali (15:42) Is it also called the caqh id? Yeah, yeah.
Vanessa Persha (15:46) As long as the caqh id is a field in medallion, you can pull that out. Let me go, look. Yeah, yeah, we have their caqh id numbers, but it looks like.
Vanessa Persha (16:05) RNS?
Steven Shterenberg (16:06) I can get John to try this.
Isbath Ligali (16:08) Are you in report builder? Vanessa?
Vanessa Persha (16:11) No, I was just looking at your provider directory. I’m looking to see how many of your providers actually have caqh? Ids?
Vanessa Persha (16:27) We do caqh management for you guys now. So we should have it for almost all of them. Yeah, it looks like we’re just missing it for your RNS which don’t have the caqh. Yeah.
Isbath Ligali (16:36) MPS should be all of our MPS should have it there. Yeah.
Vanessa Persha (16:39) Let me see. I think on the first page, there was one that doesn’t a few that don’t have it yet, maybe not. Oh, yeah. Some of your brand new MPS… are not in there just yet, but you just invited them to the platform last week?
Isbath Ligali (16:59) Yeah, those are new hires. So that would make sense. Yeah.
Vanessa Persha (17:02) So, if we go into your report builder under providers, caqh number is a field under providers.
Steven Shterenberg (17:12) Cool. All right. Let’s… go back to the PE metrics, and then isbath, I can have John take a pass at this.
Isbath Ligali (17:23) Okay.
Steven Shterenberg (17:25) Awesome. Thanks.
Vanessa Persha (17:26) Yeah, no problem. Sorry. I thought you were asking about like the actual CA, like the custom caqh application that they sometimes require that you can definitely get out of the platform out of caqh itself.
Steven Shterenberg (17:39) Yeah, no, that makes sense. And I think isbath, you said the same thing. I would have said now that I’ve looked at this form closely. I realize that all the.
Isbath Ligali (17:46) fields, yeah, Stephen, I think what we saw is caqh and we automatically thought that.
Vanessa Persha (17:51) That information, you were like, no?
Steven Shterenberg (17:54) Yeah. And it’s hilarious because Melina asked us for three forms that all have overlapping information. Yep. And so, what we said basically because we know how this works, it’s like some person at Melina who has some office somewhere who does things a certain way. And so, we speak to the executive leadership and we’re like this is silly. We’re going to give you a spreadsheet of all this information rather than them opening up 55 PDFS. They can open up one spreadsheet and enter this into anything that they want to enter it into.
Vanessa Persha (18:20) Absolutely. And they can use macros to like auto, update it into their platform. And yeah.
Steven Shterenberg (18:26) Well, then you’ll just scare them if you say the word macros, but yes.
Vanessa Persha (18:30) I am not very tech savvy, but when I worked at unitedhealthcare, I used macros any chance I could to bulk import data. I was like nope not doing that by hand. Oh, goodness. All right.
Vanessa Persha (18:44) So we’ll go ahead and jump into these metrics here. High level. We’re just going to go over your completed lines in process, aging, follow up some Florida medicaid. And then I’ll leave the end open for some Q a. So in terms of your completed lines, what I really wanted to call out here is the increase in completions that we’ve seen month over month since we’ve made those operational changes. We’ve done some restructuring. We’ve allocated additional resources. I couldn’t fit the graph in here of like going back, you know, further, but it just trending in the right direction here in terms of the number of completions we’re getting done in a month for you. And then on top of these completion volumes that we’re completing, we’ve also reduced your turnaround time from requested to completed down to 88 days which was historically prior to November when we rolled out those changes. Was at 100 days turnaround time for all your payers. So we are seeing things trending in the right direction. Turnaround times, decreasing completion volume is increasing. Any questions here before I go on to the next slide?
Steven Shterenberg (20:02) I’m not sure how to interpret the chart. So these are the volume access is the line, the blue bars are turnaround time… no?
Vanessa Persha (20:16) So these are just your completions in terms of the volume completed. So the turnaround time was just an add on. It’s not depicted in the graph here.
Vanessa Persha (20:30) And this is just the trend line showing where we’re trending in a positive direction.
Steven Shterenberg (20:37) And certainly, we had more than two completions or 20 completions in November and December?
Vanessa Persha (20:44) No, that’s actually where you guys were in November and December.
Steven Shterenberg (20:50) We had two payer enrollment completions in all of November.
Vanessa Persha (20:54) That’s what the data was showing me.
Steven Shterenberg (21:04) I’m not sure how that could be possible… or 20 in December. And I’m not sure that January is good because I’m not sure if November and December are unacceptably bad.
Vanessa Persha (21:17) Sure. So, and this also removes any providers that have since termed from your organization. So that could be skewing the numbers.
Steven Shterenberg (21:26) Not by an order of magnitude of four. Okay. I.
Vanessa Persha (21:31) can take a look deeper, Steven and confirm with you just kind of what I’m seeing these, this data is pulled from your analytics tab in the platform. So, if you want to take a look as well, it would be under your, where is it? Analytics pay your enrollment? Yeah.
Steven Shterenberg (21:52) I mean, maybe the most important bullet on this page is the second bullet on the bottom, which is turn, our time completed, went down from 100 to 88. And over what time period, was it 100? And when did it end? When is it 88? Like was it 100 over the last six months and 88 in February? Like, how do I think about that? Yeah.
Vanessa Persha (22:10) So, it was 100 for any of your enrollments that were completed prior to November first of 20 25. And then since then, to date, it’s gone down to 88.
Steven Shterenberg (22:24) I see. And that’s the average.
Vanessa Persha (22:27) Correct?
Steven Shterenberg (22:29) So, 88 would suggest, that things submitted, in… December should have been completed on average in, February, end of February, correct?
Vanessa Persha (22:47) Okay.
Steven Shterenberg (22:47) So, one thing we will keep an eye out for, I imagine is on things that are well above this, the 88 is the idea. Okay. Yep. All right.
Vanessa Persha (23:00) In process lines. So, I put together a chart here just so you can see or, a table rather, the volume of enrollments that are in process by payer. So the top few that, the highest volume that I’ve called out Texas medicaid. I have been working with our operations team. Texas medicaid is in a backlog, but isbath, you should have received an email you are copied on today that we’ve escalated that. I believe it’s the Texas department of public health is who they escalated it to. But we called them, earlier this week or last week. They refused to accept our one by one escalations. They just said, hey, you know, what? We’re in a backlog, there’s really nothing we can do. And then we found this other point of escalation. And so the team has gone through that channel. And from what we have been told, typically, once the escalation reaches the desk of this department, we start to see things moving pretty quickly. And then your Florida medicaid lines, we know we’re monitoring those weekly and we’re providing updates on those. I am flagging anytime I see lines that are going outside of that five day follow up period, and just staying on top of our ops team to make sure they get those, updated timely. And then Kansas medicaid. There was a brief delay due to some portal errors that were on the payer side. The payer has since resolved and submissions are going out now. So, we should start to see some movement on those Kansas medicaid lines.
Isbath Ligali (24:47) Vanessa, quick question. The analytics tab for the completed enrollment. Does it only show us the last 60 days?
Vanessa Persha (24:54) Analytics tab uncompleted. Let me go. Take a look. Yes. Okay.
Isbath Ligali (25:06) Sorry, I just, I was trying to see information but never mind, it only shows the 60 days.
Vanessa Persha (25:11) No worries. If there’s there may be some things that I can dig a little bit deeper into. So, if there’s anything you particularly want me to look into, let me know and I can see if I can dig out anything older? Okay? Any questions with this one?
Steven Shterenberg (25:34) Maybe two questions. One is, do we think we need to have this call be a little longer moving forward? Or is 30 minutes? Usually enough? I know I don’t always join. Yeah.
Vanessa Persha (25:44) So, I think the last couple of calls we’ve had we’ve gone over a little bit, I’m happy to extend it out to 45 minutes if we feel like we need it. And then Steven, I know we’ve talked about maybe scheduling like a separate call to go over the metrics monthly. So I’m happy to do that too. I think this is just kind of our baseline reporting, seeing where we need to fix some things. And then we can schedule a separate call for this.
Isbath Ligali (26:10) I agree. I asked before you hopped on Steven. I did actually ask Vanessa if she had time to go over. We’ve been having to go over for the last couple of weeks. So I think extending it to 45 to maybe probably possibly an hour would be really helpful. Yeah, yep.
Vanessa Persha (26:24) And this typically, this time slot works well for me to extend out. So if you’re good with the same time, I can just add another 30 minutes.
Isbath Ligali (26:32) Okay. Thank you. No problem. We.
Steven Shterenberg (26:35) Could do the metrics one separately. But yes, I do want to schedule that. I think one question I would have on the right side. And this is where I thought we had moved to like standardized naming convention. And so, for example, I see Virginia medicaid as a row and I don’t know the difference between those two versus the medicaid Virginia. I see kmap as a role. I don’t know what the difference between that and medicaid Kansas is like. Is it the same thing? Yes?
Vanessa Persha (27:03) So these lines were submitted prior to us switching over to the standardized payer names. And so these names won’t change until you submit a new service request, then the system will prompt you to select a standard payer name.
Steven Shterenberg (27:17) Okay. Yeah. So just a little hard to interpret the page then.
Isbath Ligali (27:21) Yeah. For existing enrollment request, there’s no way for or I guess on the medallion side for you guys to update the names?
Vanessa Persha (27:30) Not once it’s already in process. Okay. Yeah, once it’s completed, if it’s not a group revalidation or a revalidation period. Once the line is completed, we can edit the names, but when it’s in process, we can’t yeah.
Isbath Ligali (27:46) When I’ve got, I’ve noticed that when I have to submit for a provider revalidation, or let’s say when it was previously named kmap, this system does prompt me to change it to Kansas medicaid.
Vanessa Persha (27:58) Yep. Yeah. So we can keep an eye on these and what I can do, Stephen, if it’s helpful, I can, before we do these calls, I can do a find and replace on some of these and just switch them to the correct payer name. So it’s easier to see visually.
Steven Shterenberg (28:14) Yeah, exactly. Just to make it just to make this all a little cleaner and faster, yeah.
Vanessa Persha (28:17) Absolutely. Okay.
Steven Shterenberg (28:19) Awesome. We can continue.
Vanessa Persha (28:20) All right. Perfect. Aging lines that are over 90 days. So, I had shared previously on March ninth that we had 26 aging lines that were under review as part of our kind of corrective action plan. We’re doing internally looks like three of those lines have been moved to completed. And so this is where it stands right now with your total volume of aging lines greater than 90 days. And we know Texas and Florida, we are actively working through those, and then Iowa, Tennessee and Indiana from my understanding on some of those line items, I don’t have the notes in front of me directly, but action has been taken on these to do a full review and ensure that everything that was intended or that is required by the payer has been sent to the payer. So we shouldn’t see any continued delays related to documentation on any of those lines.
Isbath Ligali (29:21) New Jersey should also be up here. There are a couple of lines that we flagged in our agenda that we’ll cover after we finish this presentation, we added it about a week or two ago. We did notice that a couple of New Jersey lines have been pending for over definitely over 90 days.
Vanessa Persha (29:36) Interesting. I wonder why they didn’t come through. I can take a look after this call isbath and find out why those New Jersey lines aren’t coming through. Yeah.
Steven Shterenberg (29:53) Yeah. I mean, we just want to make sure that we’re reviewing the right data, no.
Vanessa Persha (29:59) I’m thinking, I’m curious if there was any level like resubmission, but that still shouldn’t have affected like this should be based on the original app submission date, not any resubmission dates, but I’ll dig in and take a look.
Isbath Ligali (30:11) And Vanessa, if you want reference, it’s line 38 on our agenda.
Vanessa Persha (30:15) Okay, perfect. Thank you. No.
Isbath Ligali (30:17) Worries… all.
Vanessa Persha (30:19) Right? Aging, follow up. So these are just some tables here that I’m tracking kind of separately outside of platform data… your priority lines and your standard lines, the volumes that are overdue based on these times. And Stephen I’ll show you kind of my dashboard. I’ve put together that helps me pull this information in. But we were at 10 priority lines overdue last week. Now we’re sitting at eight. And then we’ve seen a little bump in your standard lines that are overdue for follow up. They have already been flagged for our ops team and should be resolved by the end of day today. And then if they haven’t already been, because again, this was based on 316. So we’re already on the eighteenth here. And then just a breakdown by payor where those lines sit… is.
Steven Shterenberg (31:15) All of the reporting you’re showing me existing in medallion or are these custom polls that you’re putting into a powerpoint?
Vanessa Persha (31:23) Yeah. So this technically is existing in medallion. I do go in through the back end to pull the information. And then I have some queries that I pull together that pulls this.
Steven Shterenberg (31:37) I’d love to be able to create dashboards that show what you’re showing on this powerpoint.
Vanessa Persha (31:41) Okay. Actually when you guys do a download from medallion on your existing enrollments, does it include the notes column as well… it?
Steven Shterenberg (31:56) May I’d love for the dashboard to exist inside of medallion, I do a lot of raw data manipulation. And part of this is I just want like if we’re reviewing reporting on aging lines or prioritization, I feel like we should all be looking at the same reports. And then when we identify things, we should update those same reports. So like with isbath noticing New Jersey being missing.
Vanessa Persha (32:21) It’s not.
Steven Shterenberg (32:22) Efficient if we download raw data or isbath reviews it as she’s looking, we find a problem and we have it in our spreadsheet, but you don’t actually put it back into the report that you’re looking at.
Vanessa Persha (32:32) Yeah. So this the aging follow up one I do take directly from the platform. The manipulation that I do here is that we don’t have a singular date field for the last time the note was updated, the follow up notes on the line. And so I take the note column and I do a what do you call it? The text to columns? And then I delimit out the first, the date on the note. And so then I filter that by, you know, the 14 day or the five day based on priority or standard. So that will let me know when that last note was made on the line. So it’s a little manipulation but it is available in the platform.
Steven Shterenberg (33:23) Okay. I mean, let’s talk about how we could do a standardized version of because you could code that like search for date in the code. Sure. Yeah, sure. Search for a date in free text box, check whether date equals greater than seven, you know, 14 days from last, you know, known date? Yep.
Vanessa Persha (33:46) Absolutely. Okay. Cool.
Steven Shterenberg (33:49) All right. I do apologize. I have to drop. This is helpful. I think my maybe three comments are one. I’m worried about the data accuracy from what isbath said, and also what I saw on the first complete page. Okay. Two, I’d love for this to be like we to standardize the reporting we think is most important here. And then to be able to like drill down, you know, from that reporting into for example, like greater than nine days is great. But like what’s between 80 and 90? And at risk of, you know, kind of drifting to too late. Sure. I think those are probably my two big ones. Okay? My third big one is, I still want to talk about in that email you had said, there’s a plan, but I didn’t see any mention of resourcing. Yeah. Like I hear the bullet where you’re fixing things. I hear the bullet that there’s automations. I hear those things are all fine. I need to know that we are having aging lines over resourced to move them along. Like I need to know that I need to see it and… that would be helpful. Yeah.
Vanessa Persha (35:09) Absolutely. So we’re pulling in our quality team to do manual scrubs of anything that’s considered aging, which I believe their turnaround time right now is about three to five days where they’re looking at those files and giving that feedback to the team to say, yes, it was submitted fine or there’s corrections that need to be submitted. So the team can action that immediately rather than it sitting out there beyond the 90 day threshold and continuing to age. And that review has been done with everything that we’ve called out as an aging line so far. So, the agents have already worked on either resubmitting anything that was missing or continuing to follow up or escalate with the payers as needed. Okay?
Steven Shterenberg (36:00) Awesome. Thank you, Vanessa. Yeah.
Vanessa Persha (36:02) No problem. Thanks, Stephen. All right. So isbath if you want, we can continue here. I just have, I think this is the last slide I have but it’s just a chart of or a table rather, these are the dates. Oops. Goodness, excuse me. Go back. These are the dates that I pulled the reports to show your Florida medicaid’s like which buckets they were sitting in at that time. So, as of today, it looks like we moved three payers through from the previous week to completed, which was Douglas, Su, Laura, nyendem, and Caitlin Halton. And then I looked through the five that need client attention. Looks like there was maybe one that needs to redo her fingerprinting or needs to complete her fingerprinting, and then a couple other were some login… information that we need… but yeah, that was where we are in Florida medicaid. Any questions about this slide? No?
Isbath Ligali (37:07) Thank you. Perfect.
Vanessa Persha (37:09) And that was all that I had to share in metrics. Any feedback from you, isbath or Brianna on helpful information that you’d like to see on these slides that would prevent having to add them to our agenda. Do you guys want to see licensing information? I mean, it seems like more often than not, it’s licensing questions on here. I.
Brianna Koretski (37:38) Think it’s mostly PE on my end from what I see when I review lines, okay? But I can’t speak for isbath. I.
Isbath Ligali (37:46) Agree. I think our problem child right now is PE. Okay? I,
Brianna Koretski (37:51) do have a quick question after, sorry, isbath. Sorry?
Isbath Ligali (37:54) I think as time goes, maybe licensing, but I think overall… licensing is okay. I mean, we have a few right now, but most of the time it’s just PE. Okay?
Vanessa Persha (38:05) And we can always build this out. This, you know, doesn’t have to stay the way it is as we evolve and things change. We can add, we can layer on things. We can take away things. So, I’m happy to take feedback when we go over this monthly and just kind of see what’s meaningful for you. Thank you. Yeah. All right. Did you want to jump back into this?
Isbath Ligali (38:29) Yes, brie had a question though.
Brianna Koretski (38:31) Yeah, I have a quick question. Sorry. Can you tell me what the difference? I did notice a new request status for the payer enrollments? Can you tell me what the difference? And this could be a dumb question. What is the difference between payer processing and partially complete?
Vanessa Persha (38:48) Okay. So payer processing means that the entire application is still processing with the payer partially complete, means maybe the credentialing part of it is complete, but they’re not contracted yet or it could mean we confirmed some of the addresses we requested are par, but not all are par. Okay. And if you expand out that request, if it is like for example, the locations, it will tell you which ones are par and which ones are still pending.
Brianna Koretski (39:21) Okay. So that would be like an example of a note of like, hey, this is blah blah blah, like these locations are par. Like you said, okay, yeah, I was just noticing that and I was like, wait, what’s the difference? So, thank you for explaining that. Yeah.
Vanessa Persha (39:35) No problem. All right. We could.
Isbath Ligali (39:39) Jump back in line 31.
Vanessa Persha (39:43) 31. Okay. Any update? One zero four one?
Vanessa Persha (40:24) Nine two. So I can.
Vanessa Persha (40:32) So she’s saying recredit, effective date is 11 123. Next reveal date is 11 126. Yeah, we got that.
Vanessa Persha (41:11) It’s her… consisting enrollments still say… out loud.
Isbath Ligali (41:25) Brianna, can… you submit a support ticket for Tammy? Terry’s, medicaid Florida line. It hasn’t been submitted. I mean, it hasn’t been updated since March six and it’s a priority line almost two weeks ago, and.
Brianna Koretski (41:40) We need to ask for an update for Tammy, Terry’s, Florida medicaid Florida.
Isbath Ligali (41:45) Medicaid? Okay?
Isbath Ligali (41:55) And it added to our tracker for the dying tickets.
Isbath Ligali (42:04) I’m on it.
Vanessa Persha (42:21) I just reopened this one because she closed it out as completed. I asked her to update the existing enrollment revalidation date. And then she’s saying that the… line was marked as completed because they couldn’t work the reval. The reval is actually due on November of 20 26.
Vanessa Persha (42:59) I’m sure the notes have been updated in here.
Isbath Ligali (43:04) And she didn’t update that in the existing enrollment. So we didn’t miss that.
Vanessa Persha (43:14) She didn’t fix the damn notes… see you.
Vanessa Persha (43:47) Just can’t… snip it and attach it to the… check it.
Vanessa Persha (44:17) Lord, hold on. Let me fix that. That’s ugly.
Vanessa Persha (46:12) All right. Where was that one at here?
Brianna Koretski (46:18) I’m gonna run to the bathroom really quick. So, I’m just gonna go on mute.
Isbath Ligali (46:21) Oh, you’re fine.
Isbath Ligali (46:28) Okay. All right. Then, line 38, you said you’ll look into… that’s? The New Jersey ones that I mentioned? Yes, yep… line 41. We come back complete. We have been seeing improvement with the daily updates. We do still have some outliers, but overall, we have been seeing priority lines being updated weekly. Awesome. Line 42, please confirm. I think we’re good here, right?
Vanessa Persha (46:58) Let me make sure I… did this before I mark it complete.
Vanessa Persha (47:12) This one. So I did get a response from the licensing team. They attempted to call.
Isbath Ligali (47:20) What line?
Vanessa Persha (47:22) 43? Oh,
Isbath Ligali (47:24) I was on 42.
Vanessa Persha (47:25) Oh, I’m so sorry, it’s.
Isbath Ligali (47:26) okay. Oh, yeah.
Vanessa Persha (47:28) This is the one I said, let’s keep this one open just so I can make sure I resumed everything I was supposed to do.
Isbath Ligali (47:34) Yeah, 43.
Vanessa Persha (47:38) Okay.
Isbath Ligali (47:39) Go ahead. So.
Vanessa Persha (47:40) The, they did attempt to call on each or they did call on each provider. The board would not give them specific information. They said they can only release that to the specific providers themselves, but confirmed that everything that is needed is on file and they’re just still processing.
Isbath Ligali (48:00) So, it’s normal for our New Jersey applications to go over 90 days?
Vanessa Persha (48:04) Yep. Okay. Do you want me to close that one out ahead of you already? Oh, perfect. Okay. I’m just going to mark that we discussed live. Okay, let’s see.
Vanessa Persha (48:23) I think all of these. They should have already updated the notes on the line that they’ve made phone calls to… try to push these along.
Isbath Ligali (48:37) Okay. That’s fine. I’ll clean it after this call. I’ll look at them and close them out.
Brianna Koretski (48:42) Okay. Emily.
Vanessa Persha (48:46) Martinez, I can check real quick and see where her license is at.
Brianna Koretski (48:57) Rihanna line?
Isbath Ligali (48:59) 50, you entered line… 50, but I think there’s missing information.
Vanessa Persha (49:06) Oh, she updated it. She did it live on the call.
Isbath Ligali (49:10) Oh, okay. Market. Complete.
Vanessa Persha (49:11) Let me see. Let’s make sure they actually put an update on the line?
Vanessa Persha (49:25) What was that on for Emily martinez? Her Massachusetts license looks like her NP license is now under needs client attention for line 49.
Isbath Ligali (49:47) Yeah.
Brianna Koretski (49:48) I’m looking sorry, I’m pulling it up.
Brianna Koretski (49:55) Okay. And then,
Vanessa Persha (50:01) let me take a look at this Angelica.
Brianna Koretski (50:04) Yeah. And as I’m pulling her up as well… this.
Vanessa Persha (50:11) Her Massachusetts license.
Brianna Koretski (50:25) And actually, I do have another question if we can fit in since this has been, it’s listed on there, it’s one of them that I added for three nine. If we can also, get Margarita’s just because it’s regarding ma as well. Margarita Gomez’s RN license to be issued. And then, start on her NP.
Brianna Koretski (51:18) It looks like Angelica’s has been updated though.
Vanessa Persha (51:28) Where do you see that? Margarita Gomez’s RN license has been issued?
Brianna Koretski (51:34) She, stated that it was.
Vanessa Persha (51:36) The provider did.
Brianna Koretski (51:37) Yes, she reached out to her manager.
Vanessa Persha (51:40) Okay. Let me go. Look… sorry.
Brianna Koretski (51:44) I only bring that up because I, that was listed as three nine and I just wanted to see if we could.
Vanessa Persha (51:48) Yeah, no, no, no, you’re fine.
Vanessa Persha (52:06) I.
Brianna Koretski (52:08) can reach out to the provider directly if needed. Yeah.
Vanessa Persha (52:11) I was just going to say because it looks like.
Brianna Koretski (52:16) I don’t know if the licensing team could just confirm that or well.
Vanessa Persha (52:21) It’s going to say, I’m looking at the notes they looked at it today, and it says it’s still pending with the board.
Brianna Koretski (52:28) Okay. I’ll reach out to her, okay?
Vanessa Persha (52:33) I was trying to look through the screenshots to see if I could make heads or tails of it, but yeah, it does look like it’s still pending.
Brianna Koretski (52:42) Okay. I’m reaching out, okay?
Brianna Koretski (52:52) But I’ll get an update before we get off the call.
Vanessa Persha (52:55) All right. Was there another one you wanted to look at? Bree?
Brianna Koretski (53:00) That was just, that was big on my radar. Give me one second because I know these managers have reached out to us directly. Okay? I think they are regarding, give me one second.
Brianna Koretski (53:13) That’s it for me. Yeah, that’s it for me at this time. Okay? It was just that one. Okay?
Vanessa Persha (53:21) And then I just want to make sure you guys are having success with sending emails to the new support email.
Brianna Koretski (53:28) Yes, and isbath said that her computer just dropped. So. Oh,
Vanessa Persha (53:31) no, I just noticed she wasn’t there.
Brianna Koretski (53:33) Yeah, yeah, yeah, but yeah, we’re having success with that. Christina has been very helpful as always. So, yeah.
Vanessa Persha (53:40) Awesome. Okay, great. I will answer anything else that’s outstanding on the tracker here. And then, you guys know, just typical, like questions about notes or status updates or whatever you can reach out to that support email. Okay?
Brianna Koretski (53:54) Great. Awesome.
Vanessa Persha (53:55) Thank you so much. All right. Thanks, take care. Have a great day.
Brianna Koretski (53:58) You too. Bye.
Vanessa Persha (53:58) Thanks. Bye bye.