Transcript
James Donachie (00:00) hey, Becky. How are you?
BeckyLewis (00:03) Hey, good. How’s it going?
James Donachie (00:05) Good.
BeckyLewis (00:08) Debbie should be jumping on shortly.
Adam Pollick (02:14) Bye, James. Bye guys.
James Donachie (02:18) Hey, Debbie. Hi, Adam. How are you?
Adam Pollick (02:21) Oh, doing? Okay. Sorry, a little bit late.
James Donachie (02:26) Oh, that’s all right… Debbie. How are you doing?
Debbie Argentine (02:31) Okay. Glad it’s Wednesday ready for Friday?
James Donachie (02:36) Yeah.
Adam Pollick (02:36) This is officially when it starts the Friday anticipation, it starts about 11 o’clock Wednesday, no.
Debbie Argentine (02:43) Adam, mine starts eight o’clock on Monday.
James Donachie (02:48) Debbie, do you have, you must have a lot of spring breakers, kind of coming down to your neck of the woods right now, huh?
Debbie Argentine (02:55) So, it’s spring break for us right now. I don’t know if it’s spring break for the northerners yet, but yeah, we usually get, you know, yeah, families with kids and then all the partiers hit like Panama city beach and panhandle and baycona.
BeckyLewis (03:10) yeah, we just don’t even go.
Debbie Argentine (03:11) Near the beaches. We stay away. We just stay away.
James Donachie (03:17) I, yeah, it’s.
Adam Pollick (03:19) not a local beach week, okay?
Debbie Argentine (03:23) I.
James Donachie (03:23) would imagine it’s probably crazy for from like now until like Easter, right? Of just like the different groups of, cause I feel like spring break is like spread out like the carolinas have it different and then like you go to Maryland, and then like New York and so, it’s like a solid month, yeah.
BeckyLewis (03:45) It’s between March and April, and then we get like a small tiny break and then everybody’s off for summer.
James Donachie (03:53) So, there.
BeckyLewis (03:54) Really is no break. So, the snowbirds go back home, thank God for Easter.
Adam Pollick (04:00) Snowbirds. Fly north. We get a,
BeckyLewis (04:02) tiny little break and then all the tourists come. So, yeah, it just never ends.
Debbie Argentine (04:08) Our best time is probably September when all the northerners are back in school. It’s still nice. Oh, it is. Go to the beach, yeah.
James Donachie (04:16) Okay.
Adam Pollick (04:17) I have some buddies that live down in the New Jersey shore down Long Beach island and stuff like that, and they always call September quote unquote local summer, you know? So they encourage us to visit. They’re like, no, don’t come in July and August, wait till local summer come after Labor Day, like the first couple of weeks because this water is still warm and all that stuff. But everybody’s gone.
BeckyLewis (04:38) Oh, yeah. It’s still hot here in September. Yeah.
James Donachie (04:41) Yeah. Well, we are supposed to be having a bunch of spring breakers in Colorado for skiing but there is no snow on our mountains here. So they’re talking about closing it up early. It’s going to be… we’re going to hit 80 this weekend in Denver and up in the mountains, it’s going to be 60 degrees.
James Donachie (05:06) So you’re going to be skiing on some mud. So I saw on the news like they said reservations and stuff like that for the month of March are year over year down 30 percent here for their tourism, which is pretty significant. That’s a.
Adam Pollick (05:25) Third almost. Yeah, yeah.
James Donachie (05:29) But well, I had just really two things on my agenda. I had Debbie, I saw your email about the individual verifications… and I don’t know why, like I said to you, I don’t know why that person said that. So. Okay… I have a, we have like a weekly meeting with like the support like director. And so I was just gonna bring that up because, there’s no button in the platform for you to like be able to like click on that line and then just simply like report it in, which would be great because then it’s like then you don’t even need to do an email we have on our like P, like our enrollment product, like on the actual line. If you have a question, there’s like a like get support button, you like click it. And then it fills out all the information from the line in the ticket. And then you can like ask your question and then the person will respond to you and it’s like that’s exactly basically like what I’m like it’s not there. It’s ridiculous that you have to like go like send individual emails. So I will follow up on that one. Okay? And that.
Debbie Argentine (06:48) One just for Adam and Becky that’s we had a lot of providers that we’re over the 90 day mark for their primary source verification. There’s a deadline for some of them. Once they go over 90 days, we have to rerun those and we probably had about 10. I want to say about 10 of them. And so we put a list together for James and the support team just to say here’s all 10. And then the support came back and said we need an email for each one.
Debbie Argentine (07:11) So actually there are 16 because Jen colletti did send an email for each one. So, so thank you for that. I’ll tell them going forward, just do it, keep them locked together if we happen to come across that situation again.
James Donachie (07:24) Yeah, I will, I’ll have an update by, I have that meeting tomorrow. I’ll have an update by next week for us. And then, the other thing that I’m waiting on is I am just waiting on our epd team to get back to Jim to talk about… the matching, like if we’re able to do the logic. I just, I know they’re looking at it. My, my… understanding is what we need to like basically we need to figure out is, if the matching, if there’s like a unique instance and like we’re able to like just change it for you guys, then that makes it very easy if we like changes it for like everyone, then it becomes like more complex. And so that was an engineering question. And so I know Jim’s having a conversation this week kind of on that. So I’m going to keep tracking that down.
Debbie Argentine (08:22) So, is this, I was under the impression that this roster ingestion process was unique to us. No other of your clients had requested this at the point in time when we started to inquire about it. So I, that’s.
James Donachie (08:42) my understanding of like how we got here, what I don’t understand about like the ingestion… piece, like is where like if it’s like a unique instance or like a company wide like a client wide thing because we do have other clients that are doing like roster. So… I don’t know if like the roster ingestion part, like the actual like upload portion of this, I don’t think it’s unique. I think there’s workflows that are built up upon it that then like make it more unique to you guys. And so, and to be honest, I have three clients that have some variation of like… roster ingestion. And it doesn’t seem like we’re it’s not a universal. It’s very customized kind of thing which makes sense because of like it totally depends on what systems you’re working in and everything like that.
James Donachie (09:50) So that that’s… where I’m like I need an engineer to dumb it down and explain it to me. So then we can have a conversation. But the question is out there and I will get an update for us shortly. Do you?
Debbie Argentine (10:07) Know about when like an eta we can expect?
James Donachie (10:10) I will give you guys an update by the end of the week. Okay? So I, good. Thanks. Yeah. I think Jim said that he was expecting a response at some point today and then I was just planning on getting with him to kind of figure out, what needed to, what needed to happen. Hopefully, it was good news and I didn’t need to explain anything. But, okay.
Debbie Argentine (10:38) And the most recent update I template update that I have is from Janine. It was from a while ago. I’m assuming the template hasn’t changed the required fields in, it will change. And I say that because I need to start looking at the data. So I’m going to start pulling some of our payers into that template. So it doesn’t take, I mean, I spent so many hours on that. So I want to try to get ahead of that a little bit and we are going to try to work with some of our payers to standardize the addresses at the payer level. So when it comes back to us, they’re already standard. So we have, we don’t have any variations there.
James Donachie (11:15) Okay. Yeah. Let me that I can follow up in short order. I can get you an answer. I’ll triple check. Okay, my understanding, I will be shocked if the template changes… I think you’re spot on the required fields are going to, which is so okay that should be good for the, yeah. For I can imagine that’s a, I was trying to think if there’s like an easy way to standardize, the addresses because, that part’s probably across the payers. I guess it’s however it is in their system. Huh? Yeah. Oh man. Yeah, I’m trying to.
Debbie Argentine (12:00) I mean that’s okay. We had a, we had an old legacy system where we didn’t have the setup that we have in medallion. So, we could have variations in addresses and we did, we could have five, of variations of the same address, payers loaded it that way. So I think this will be good for the payers too. The directories will look better. So it’s really just going through, and just doing a standardized flat file for them, and ship it back to them to upload into their system. So, yeah.
James Donachie (12:28) Okay.
Debbie Argentine (12:30) Payer by payer, we shall conquer it.
James Donachie (12:32) Yeah. I was wondering if like the, if the copilot button on excel would be able to help you like standardize, I’ve been using that more and more.
Debbie Argentine (12:42) That’s good thought. I’ll give that a go.
James Donachie (12:45) Yeah. And so you can, I was trying to think of what it is, but yeah, that might help with a little bit of that like work, but those were the two major updates for me. I will continue, yes, what?
Adam Pollick (13:02) Was the name of the team that Jim is consulting on, that matching issue? You called it the epg team or?
James Donachie (13:09) Something? Oh, epd, like, epd. Okay. Yeah. I think it’s like it’s engineering like product department.
Debbie Argentine (13:17) Or?
James Donachie (13:19) Something like, okay, uncatchy, like that. It’s the, it’s the engine. It’s like our like software engineers. Okay. And like, yeah, there’s we have some unique names for, when I first arrived, like we called our like our credentialing team production, which was very confusing to me. Okay? So they’d be like, oh, that’s a like a prod question. And I’m like, oh, it seems more operational like and they’re like no production not product. Okay. Well, thank.
Debbie Argentine (13:56) You, I had a couple things on my agenda. Okay? Did you see that email that I sent over to you on that, Jane muniak? So he was the provider, that was, he’s in the platform. He’s linked to vantage medical associates. But when I pull a provider summary report out, he’s not pulling out as part of that group and I don’t know if it’s I don’t know why.
James Donachie (14:20) Okay. So, John muniak… okay. Yeah, I see it right here. All right. And I gave.
Debbie Argentine (14:28) you an example of the provider summary report that I pulled out this morning… but don’t see him on there. But I do see him linked. Okay? So if you could just take a look at that one, that would be great.
James Donachie (14:42) Okay. I will look at that. I can’t get, I… might go into our system. I don’t know why, on… that one. All right?
Debbie Argentine (14:59) Yeah, it should pull, regardless, right? It doesn’t matter if they’re expired if they don’t have a good profile, like it should be there. I just can’t figure out what’s causing it not to show up.
James Donachie (15:06) Yeah, that’s my understanding of the, of it as well, all right. And.
Debbie Argentine (15:11) Then a couple follow ups from one of our last meetings, the team manager access. We were talking about removing the functionality for those team managers to be able to invite providers, deactivate providers and reactivate providers. And you were looking at to see if, how configurable that was. Yes.
James Donachie (15:30) I still have a support ticket out, for that. That’s… one of those kind… of our tech support team. I can push that. Again. They’re just to be honest, they’re not, the quickest to respond.
Debbie Argentine (15:53) Do.
BeckyLewis (15:53) we have a like an eta on the revamping of the team manager process… that was in the works by that one specific team that was just working on that issue. Oh, yep.
James Donachie (16:10) Yeah, I can get with them. I know they’ve been working with Steph on that like your guys’ like account manager, just for like some of, that legacy information. So, I can get with her to find out exactly what, what’s going on there. And I can give an update when I write like the summary email.
BeckyLewis (16:37) Okay, perfect. Yeah, because, we definitely need, to be able to use that here. Actually, you know, now would be great. But we haven’t I haven’t heard anything new from them in a while. So we really need to know where it stands because giving, you know, these groups that access with, you know, no information about other groups that are also in the ipa is extremely important especially when we implement the ingestion of the par roster from the payers, they need to be able to go in there and see every everybody who is par and with who, without having to go through us.
Debbie Argentine (17:15) Becky, was that advanced derm?
BeckyLewis (17:19) What do you mean?
Debbie Argentine (17:21) That they were working on? Weren’t they working on one tin where they were working on wasn’t it advanced derm that was inviting and.
BeckyLewis (17:27) Deactivating. Yeah, it was, yeah, and we about had a heart attack… because they turned or deactivated a provider that was tied to another tin. So of course, it deactivated, you know, everything.
Debbie Argentine (17:42) Right. All right. The scroll functionality. Still, it’s trivial, I know, but it still doesn’t seem to be working for me. Like I just can’t scroll, I got to tap. It goes all the way to the bottom. And then I got to tap to make it go to the top and then tap. So it’s just more of a nuisance than anything else.
James Donachie (18:02) Okay. What? I’m going to get asked these questions? Because I think… what browser are you in is?
Debbie Argentine (18:11) It a Chrome. I think I’m in edge. Okay?
James Donachie (18:14) You’re in edge, but the.
Debbie Argentine (18:16) functionality, was there, it used to be there? Yeah, I.
James Donachie (18:20) know, I there, I,
BeckyLewis (18:22) don’t have that issue. Debbie, I was going.
James Donachie (18:24) To say, I don’t either, but I’m, I use Google Chrome. Yeah.
BeckyLewis (18:30) I don’t use Chrome. I just use, yeah, I’ll show.
Debbie Argentine (18:34) you Becky like we, when we, we’re trying to, we’re trying to look at like certain screens like when we’re updating malpractice, yeah, I can’t scroll down. I got to tab down.
BeckyLewis (18:45) Oh, yeah. I’m on edge too, and it seems okay for me. But yeah, show me when.
Debbie Argentine (18:50) when you have a minute. All right. So there’s that and then I don’t know if we can do anything about this one but we have where we have the revoked. So when a provider doesn’t go through their recred process at the end of the month, they automatically flip into an archived status, I call it revoked, but it’s archived. Yeah, those providers, while they, we can go in and add a cred date into the provider’s profile. It still shows up in the platform as revoked or archived and it pulls out on provider summary reports that way the last. And there are some providers where it wasn’t even our fault. Like we didn’t miss the deadline. It was medallion for whatever reason pushed them into this archived status. I think once they go into an archived status, they drop to, they might even drop to rosters to term because they move into an uncredentialed status. But I think you were looking in, you were looking to see if there’s a way. And I know Janine had mentioned it’s hard coded, that field and we can’t get them out of an archived status once they’re in an archived status. The only way we can do that is if we go through and we initiate cred again and go through the process again. But I didn’t know if you had, any new insight to share there?
James Donachie (20:08) No, that… one is one of the ones that, I looked at and I know that what Janine said, is the same response, that I’m getting it’s our compliance team is the ones who have decided are like they’re, if you miss the time like, the recredential time, then you have to go into, you go into an archive state because you should be there. And then from a compliance standpoint, if you miss your recredential, you do need to have an initial credential as part of like to get back into good standing. And so they’re pretty firm on not.
Debbie Argentine (20:58) Adjusting.
James Donachie (21:00) Or like tinkering with like what they’ve set up. So, what?
Debbie Argentine (21:04) Happens on the ones where medallion archived them?
Debbie Argentine (21:07) But the provider was actually recred, we have a provider like providers that were credentialed on one 31, but they got pushed to archive. So it’s not, we didn’t miss them. They just, and I don’t know if this was a, as a result of scripting in the platform where ncqa allowed us to, allowed us to decide if we wanted our recredentialing date to be the last day of that month that the providers do for recredentialing or if we wanted to keep it on this specific day throughout the month and we decided to move it to the end of the month. So I don’t know if that caused some of those, but we can try to get a list together of ones that are showing archive, but it’s not because they missed it. It’s because medallion flipped them to archive and I don’t know why. Okay. So.
James Donachie (21:53) It moved them over. Is it because they’re in? So… they’re in the ready tab. And then at the end of the month, they, since you guys didn’t move them out of that ready bucket, they got moved or I don’t know they were.
Debbie Argentine (22:11) approved. I mean, they were approved. So they were approved by us. So they would have had to go through to the committee and get approved. So they’re showing a credit approval date. But then they’re showing as archived. Okay. Yeah.
James Donachie (22:25) And so Janine’s, and what was, what did Janine, what was her explanation for that one? Yeah, for that, because that’s different than if you miss a date, then you go like then you have to go like then you’re archived because you’re no longer credentialed and then you have to go and get recredentialed to get back into good standing before you can. Yeah.
Debbie Argentine (22:51) I don’t know if we, I don’t know if we brought that up with her or not. I’d have to go back and look at my emails.
James Donachie (22:54) Okay. Yeah. I was just curious because I was like that. That sounds a little bit.
Debbie Argentine (23:00) That.
James Donachie (23:03) sounds a little bit and it only happened in January. Yeah.
Debbie Argentine (23:07) No, we, I have some examples from January, where we had providers that were committee approved by us, but they’re still archived. I think I have an example. I don’t know Tova, let me see… Tova, zarchi. I can resurface the email back over to you.
James Donachie (23:27) Okay. Tova, zarchi?
Debbie Argentine (23:36) T o V a T o?
James Donachie (23:39) V a, okay. And I’m just looking. I just wanted to take a peek to see if.
Debbie Argentine (23:49) Yeah. So, I see Tova, zarchi. I’m looking in the closed bucket, make sure she’s not a duplicate, but I see app completed on the 20 eighth outcome date, one 31, 20 26, and it’s archived.
Debbie Argentine (24:06) So that means, we approved it before the end of the month. Let me see if there’s one. Let me see if there’s an, let me see if there’s a duplicate because Janine, we worked through another one like that too. And she’s like, I see a duplicate out there. So… so that’s an example. And then.
James Donachie (24:41) I’m just looking at one other place. So.
Debbie Argentine (24:47) Unless there happened to be a note somewhere that a cred date was back and added that, I don’t know.
James Donachie (25:02) That… let’s just take a peek at this one. I can, we don’t have to do this completely live if it’s not.
James Donachie (25:24) Let’s see. How am I going to?
James Donachie (25:37) Okay. Let me, I’m going to look more into this because one of the things it says on here when I hover over the.
James Donachie (25:51) The status was that it was requested to be archived.
Debbie Argentine (26:01) I would have done that well, that’s.
James Donachie (26:03) what I want to find out, I want to find out more about, okay, let’s.
James Donachie (26:15) I’ll just, I have their, I… have, their info now. So I’ll take a peek. I won’t, we won’t bear through me trying to squinty eye, look at this to decipher. I will say, I’m with you guys that sometimes I’m like when I’m in the platform, I’m like our product team’s great. But they don’t know credential, I’m like this isn’t a real update, like what is this note? Or like I’m like, why did we determine this status? I’m like, so I got to go find like a glossary to find out what it means because I’m like it means something else. I’m like I interpret it differently.
Debbie Argentine (26:59) And then I had one more, I don’t know if this is possible or not. So in the platform, if you run a provider summary report, you’ll see we have lots and lots of providers that have a board certification status that says needs attention and it’s a placeholder. So, for some reason, when the provider was data migrated over from our legacy system into the medallion platform, the provider’s not board certified. So it’s marked not board certified, but there’s a placeholder that lives there. This does cause some issues at times because it’ll pull over on a roster as needs attention, but it’s not board certified, which is not a big deal. We remove all of those, but I think we had an issue with credentialing when one of the girls was credentialing the provider.
James Donachie (27:55) They were.
Debbie Argentine (27:55) stumped. They’re like medallion didn’t do anything with this. It says needs attention, the placeholder, but they didn’t do anything. And so I don’t know if a, that makes sense. But if there’s any kind of like script medallion can run, that could delete… all of those.
James Donachie (28:16) Instances.
Debbie Argentine (28:18) Where a provider’s board certification says needs attention slash placeholder.
James Donachie (28:28) So, and the script would be for you guys on, and then we’d run it back into medallion.
Debbie Argentine (28:39) Yeah, I can do that. I can give you a file that’s got all of the providers and their mpi, and you can see where who says needs attention. We’ve been going through them to try to chip away at them when we find them. But the last time I looked there was like 656 rows of data. I don’t think that represents 656 providers, but, it was quite substantial. So I was looking for the easy button, yeah.
James Donachie (29:06) Okay. Let me, I haven’t come across this. I know that the bulk feature in medallion is kind of limited. They are like we are pushing our client to establish like apis for bulk updates, which that doesn’t help us here. So, let me see. I don’t know, I’m not, I can take a peek to see if there’s like a bulk action update… but I’m I have medium level of confidence as to the response I’m going to get.
Debbie Argentine (29:54) That’s that’s all I had.
James Donachie (29:56) Okay. Well, I will, I’ll send a follow up note after this with a couple of these. I’m going to try to get some updates on items as well. I’ll include them in.
Debbie Argentine (30:10) There just.
James Donachie (30:11) So that we can get a, just so we.
Debbie Argentine (30:14) have, some.
James Donachie (30:16) Updates. I’m going to the roster thing is really top of mind for like, working with that team. So I’m going to continue if you guys only knew how annoying I was to our other teams, I’ve been asking a lot of questions, on your guys’s behalf, but I’m more than happy to because they’re good questions, to ask, but I’m like, well, we,
Adam Pollick (30:39) we sure appreciate it, you know, like it may seem like a little thing, but it’s obviously very impactful to how we, you know, do things here. So, yeah, you’re taking up the cause is appreciated. It’s a big deal. Yeah.
James Donachie (30:54) No, absolutely. And it’s also good just to, I mean, it’s like I was talking to someone and I was like just going through and understanding what the fields are and the definitions. I’m like, yeah, I’m like we missed step one and we are like trying to be on step five.
Adam Pollick (31:10) So, yeah, that was a good email when you sent the legend or whatever. All right. So, this maybe field doesn’t do what I thought it did or what? Yeah.
James Donachie (31:18) That like cause there’s so many things in the platform. Like I said, status updates, things like that, everyone has their own term, Debbie, you use revoke, we use archive if someone might think, you know, something is different. Like, so it’s always good to like get an understanding… of those things because like, yeah, like epd, I don’t know. There’s all these different acronyms here. It’s really good to make sure that you guys have a glossary to understand the language that Jim, is speaking to us.
Adam Pollick (31:52) Well, I will have an,
James Donachie (31:54) update to you guys shortly, like I said, I’m going to track down some of that stuff. And then Debbie, I’m going to look at John too. Okay, manuk. Yeah, that provider’s all over me all day.
Adam Pollick (32:08) Every day.
James Donachie (32:08) I get an email, okay?
Adam Pollick (32:11) Sounds like we all have that provider. It’s not very nice not.
James Donachie (32:14) Very nice either. Oh, no. All right. Well, I will give you guys some time back and update you shortly. All right. Appreciate.
Adam Pollick (32:24) you, James. Thanks a lot.
James Donachie (32:25) All right. Bye.