Transcript
Vanessa Persha (00:00) I’m Indy. Good afternoon… hello?
Vanessa Persha (00:31) Hi, Leslie. Good afternoon.
Leslie Canale (00:35) Hey, Vanessa. How are you? I’m.
Vanessa Persha (00:37) doing well. Thanks. How about yourself?
Leslie Canale (00:39) Oh, it’s been a crazy day. I’m here.
Vanessa Persha (00:43) It’s been a crazy 20 26 so far. But like the last three weeks, especially, I think I’ve cried like every day after work.
Leslie Canale (00:53) I hear you. I hear you. Yes, I’m about there myself. Yeah, I,
Vanessa Persha (01:00) remember when I was like contemplating leaving optum and I said I just can’t work somewhere anymore where I cry because I just can’t catch a break. I hear you and it’s everywhere.
Leslie Canale (01:13) Yeah, it’s always something, right?
Vanessa Persha (01:16) Yes, I know Stacey is out today. Do we have anybody else joining or can we go ahead and get started?
Leslie Canale (01:26) Is Carrie on this call? No, she spoke about it on the executive call that we had. I think yesterday. Yeah, she mentioned it. So I’m not sure if she’s going to be joining. Let me… see.
Vanessa Persha (01:43) She didn’t respond to the invite. So I’m not sure. Okay. Yeah. But if we want to go ahead and get started at least from a cred perspective, Leslie, if you have anything for me, you need me to take a look at, I do have a few updates in terms of a few emails you had sent me last week.
Leslie Canale (02:08) Yeah. Maybe your emails will help me with my, because I do have two issues. So they may answer them. So, yeah, you want to start? Yeah?
Vanessa Persha (02:21) So I did confirm and I think I sent you an email about this, that the caqh login credentials are not a blocker to completing credentialing requests. And I have also submitted a request to configure the platform so that is not a requirement at all for any of your providers on their profiles. So it won’t reduce the profile completion percentage if we don’t have it.
Leslie Canale (02:52) Perfect. Thanks for updating that. Yeah, no problem. Yeah, you can send me that, and that’s definitely huge because we’re no lot. We only, it’s a compliance issue.
Vanessa Persha (03:03) Absolutely. Okay. I need to circle back just to see if they’ve actually pushed that configuration through, but I know that they were working on it last week.
Leslie Canale (03:12) Okay. I don’t have anybody that’s stalled that I am aware of right now for that particular issue. So I’ll definitely let you know if somebody does. But right now, all good, okay.
Vanessa Persha (03:23) Perfect. And I think that was the only thing I had that I needed to follow up on from you. Okay? So.
Leslie Canale (03:29) I’m waiting for Yancey to respond back to me, but so yesterday, we had an issue. So we have a meeting today actually that we’re trying to send files through and.
Vanessa Persha (03:43) Yancey.
Leslie Canale (03:45) And Catalina cannot move providers from ready to committee. He’s getting an error and he sent the ticket to support but has not, nobody’s responded. Oh,
Vanessa Persha (04:02) Carrie’s trying to join. Let me add her here. Do you have that ticket number by chance? I can log into our let?
Leslie Canale (04:10) Me see.
Vanessa Persha (04:10) Platform. Hi, Carrie. Good afternoon.
Leslie Canale (04:27) Let me see. Let me see if I can find it also outside of that, there is, we have, we do have a workaround. So it’s not like it’s hindering us but to complete these files for today because Beth is able to move files over. So she is doing it for them, okay? But I do want to get that situated.
Vanessa Persha (04:49) Yeah. And I know Yancy had an issue before too like approving files. So I don’t know what if this is a bug related issue, but I definitely want to escalate that ticket, especially if he hasn’t heard back. So as soon as you have that ticket number, yep I.
Leslie Canale (05:05) will I’ll get it to you? So another one is, let me get you the exact name because I can’t even pronounce it. There. Is… there we go. It’s Sarah S, a LIB, she’s a reappointment. This was stalled because the provider did not authorize us as a optum didn’t authorize us on their caqh, but it’s been corrected. Beth sent that communication to support to have it resynced or have it written in it, and it has not yet been, so it’s all updated. Caqh has been reattested updated authorized. There should be no other issues with it. So we just need to move that person. That person is now outside of my 30 day reappointment. I’d like to stay 30 days ahead for those. So if we can potentially get that person resynced or let us know if there’s still something missing.
Vanessa Persha (06:21) Can you just spell that last name for me again? Yeah.
Leslie Canale (06:24) It’s S a LIB Sarah, let me tell you S a R a this.
Vanessa Persha (06:32) Name sounds familiar. And I thought this was one that I just resynced the profile for, but I could be mistaken. So let me just pull it up.
Vanessa Persha (08:00) Okay. It’s syncing right now.
Leslie Canale (08:05) Oh, okay. Great. I guess I’ll just keep an eye and see if it picks up.
Vanessa Persha (08:10) Yeah, I’ll check back again too throughout the day and just see if there’s any, if it fails at all. Okay?
Leslie Canale (08:19) And anc is not responding to me about the ticket number.
Vanessa Persha (08:24) That’s okay. If you want to reach out to me with the ticket number, then I’ll escalate it internally. Okay?
Leslie Canale (08:30) Thank you, Vanessa. No.
Vanessa Persha (08:32) Problem that’s all.
Leslie Canale (08:32) That I had. Okay. Awesome.
Vanessa Persha (08:35) Thanks, Leslie. I appreciate it. Yep. Alrighty. So, Mandy, we have some work to do on the, our analysis and.
Vanessa Persha (08:54) Transfer lines this?
Mnorwoo8 (08:56) Is the one that I sent to you on 313? Yep.
Vanessa Persha (09:00) Okay. So I’m gonna share my screen here.
Vanessa Persha (09:08) Actually, let me stop sharing. Give me one second. I need to pull up… another screen.
Leslie Canale (09:22) Vanessa, I just found it. I just forwarded to you.
Vanessa Persha (09:25) Oh, perfect. Thank you. All right. So, we’ll first look at Io two, six, one, five. There are most of these are now centered around the practice location where there’s mismatches. So, this first one… comprehensive med, psych systems of Florida. If I look at that in your groups… there’s two different ways that you have it there’s, the wellmed, and then the one without wellmed. And it looks like you have different billing or mailing addresses for each of these. So we couldn’t determine which one is supposed to be on that line. We can go back here… for these two.
Vanessa Persha (10:30) What line is that? This is? Lines eight and nine, the top two.
Vanessa Persha (10:42) Lucet, Florida.
Mnorwoo8 (10:58) Okay. I mean, I’ll have to, if you can just tell me what needs what you’re seeing mismatches on, I’ll highlight them and look at them because I’m not going to be able to tell you no.
Vanessa Persha (11:10) That’s okay. I was going to say like I think because of the download issues, like I’m concerned with the conditional formatting like not working again. And I don’t want you guys to work on things that you don’t need to work on. So I can go through this like live with you guys. It’s not very many lines. And if you notice like a lot of them are bucketed by like the same group name. So if we can resolve them now, we can probably get them done in just a few minutes.
Mnorwoo8 (11:39) Okay. I mean, it’s just, it’s hard for me to know because there’s no provider name on here. So, I’m not sure who it is to be able to tell you what the address should be.
Vanessa Persha (11:47) Okay. I think the address part is fine. It’s the actual group name. So we have comprehensive. Yeah.
Mnorwoo8 (11:58) I don’t know what well meant in parentheses would be. Let me take a.
Vanessa Persha (12:04) Look, let’s highlight, let’s see this one is the mailing address on this one is four seven, four, zero, exploration avenue. The npi and tax id and billing address match all the same. It’s just a different mailing address. And then the mailing address for the other line is 10 90 tamiami, trail, which also happens to match a practice location that’s listed for that particular line.
Vanessa Persha (12:43) So,
Mnorwoo8 (12:43) it, is this just mailing addresses that were, that are an issue or is it practice locations because the.
Vanessa Persha (12:50) group name, the?
Mnorwoo8 (12:52) Group name? Okay. So it should be the comprehensive med psych systems of Florida.
Vanessa Persha (12:57) Okay. Without, wellmed. Yes. Okay. All right. So then I’m going to take that from here.
Vanessa Persha (13:14) And does that, do you think that applies to these ones down here as well? These ones have a different practice location. These are all on 20 first avenue, west and wiles road.
Mnorwoo8 (13:29) Yeah, they should all be comprehensive med psych systems of Florida. Okay? Resolve those lines.
Vanessa Persha (13:51) These po box mismatches, I should be able to fix because I think it’s just a case, it’s case sensitive, so I can go in here and fix these. Yeah.
Vanessa Persha (14:10) Okay. And then behavioral solutions of Massachusetts. That one we don’t have listed as a group name at all in medallion. So we weren’t able to find… something to match it to unless there’s another name you know of in this list that I can use.
Mnorwoo8 (14:37) It wasn’t under optum. Yeah, like that. Nope. Let me look one on.
Vanessa Persha (14:46) One cambridge. Okay. It looks like you have it as a practice name… but no, it’s might not be associated to a group… behavioral solutions of Massachusetts. Let me look it up in the platform. Give me one second.
Vanessa Persha (15:25) Thank you… solutions of Massachusetts.
Vanessa Persha (15:41) Okay. It looks like that location is not affiliated with a group in medallion.
Mnorwoo8 (15:49) How many lines are there?
Vanessa Persha (15:52) Let’s take a look.
Vanessa Persha (15:59) Looks like 21 on this… 21 on this tab. Okay. Do you know which group we should associate it with? Because I can do it in the platform and then change it on this sheet.
Mnorwoo8 (16:18) That would be the group name, behavioral solutions of.
Vanessa Persha (16:22) Massachusetts. Oh, okay. So you guys have to create it as a group? Yeah. Okay. Do you want us to move forward with these and wait for you to create the group? Or do you want me to take them out?
Mnorwoo8 (16:35) Can you take them out? Yeah.
Vanessa Persha (16:53) Next one is comprehensive med, psych systems of Alabama.
Mnorwoo8 (17:00) And that’s what it should be. Comprehensive med, psych systems of Alabama. Okay. So it’s this one here.
Vanessa Persha (17:31) Let me just make sure three six, seven, four, eight… three, six, seven, four, eight. Okay. I can fix the formatting on the po box that’s not a problem.
Vanessa Persha (17:50) Springfield behavioral of Pennsylvania.
Mnorwoo8 (17:59) Should be springfield behavioral of Pennsylvania, okay?
Vanessa Persha (18:13) For your six five eight, four? OK, I can fix the formatting there. Now, we have these ones, I think actually, Greg might have accidentally.
Vanessa Persha (18:37) Services of New York. These are practices.
Vanessa Persha (19:00) What just happened? Oh, I’m in there. Okay. I’m gonna go ahead and take this one. This was the only practice name that came back for that one.
Vanessa Persha (19:20) These out, that should fix these.
Vanessa Persha (19:27) Optum, ricb, Rhode Island.
Vanessa Persha (19:35) So, you have a couple different ones here?
Mnorwoo8 (19:43) It should be ricbt Rhode Island.
Vanessa Persha (19:46) Okay. So you guys have these practice? This is how you have the practice name listed in medallion?
Mnorwoo8 (19:59) How many lines?
Vanessa Persha (20:01) I can fix it. It’s just five or six lines. Let me see. Okay. Yeah, that fixes it. I’m assuming this is the correct practice name, because the address matches what you put in the address line. It’s the ricbt Rhode Island. I.
Mnorwoo8 (20:21) mean, the name of the group is just ricbt Rhode Island.
Vanessa Persha (20:24) Okay. I think so. Molly had mentioned some kind of data imports work we’re going to do or we can talk about next week, but we’ll call that out in like your group, your practice names and your group names, if there’s different formatting that you guys want to utilize for these, we can talk about that… and then optum… behavioral of Pennsylvania.
Vanessa Persha (20:57) So, this one, you have several group naming conventions for this practice as well. Yeah.
Mnorwoo8 (21:05) That one should just be the springfield behavioral of Pennsylvania.
Vanessa Persha (21:08) So, this one is… I’m assuming it’s this one here since the address matches. Yeah, I.
Mnorwoo8 (21:21) know.
Vanessa Persha (21:29) Okay.
Vanessa Persha (21:35) Po box on that. All right. And then we have these up here. Practice address line one and two. So, for optum comprehensive?
Vanessa Persha (22:01) Bye. So, for this practice name, we don’t have 10 90 Tammy. Ami trail. Looks like we do have it here under cmps. Sarasota. Can I go ahead and change your group name to this one?
Mnorwoo8 (22:27) Yeah, the group or practice name should just be comprehensive med, psych systems of Florida. I mean, we’ve got multiple locations, multiple addresses, but the name of the group itself is just comprehensive med, psych systems of Florida, which is how the majority of our centers are. Yeah.
Vanessa Persha (22:46) So, it sounds like you guys probably need to do a data cleanup in medallion, if that’s how you want your practice names to read. Because today, you have that practice listed out nine different ways. You have a specific location naming convention per address?
Vanessa Persha (23:13) All right. So, I’m going to go ahead and take this tamiami trail one here and… put that for both of these. And then optum… life changes group of Massachusetts.
Vanessa Persha (23:33) This is another one, multiple naming conventions, 575, boylston, or… two.
Vanessa Persha (23:48) I’m gonna go ahead and grab this one here. If that’s okay.
Mnorwoo8 (23:52) It’s fine. Same address for.
Vanessa Persha (23:58) Online. And then this one might just be spelling. Yeah, this one’s just spelled out street versus st.
Vanessa Persha (24:14) Okay. So I’ll fix the po boxes on this one and that will flip all of those to green, and then over here on Io two five seven eight.
Vanessa Persha (24:30) At this Carolina behavioral center’s.
Vanessa Persha (24:47) so, it looks like this one here should be the correct match.
Vanessa Persha (25:01) Comprehensive med. We just did that one on the other tab.
Vanessa Persha (25:16) Okay. Next one, North Carolina center for resiliency?
Vanessa Persha (25:30) I think we may not have that one as a practice at all.
Vanessa Persha (25:40) North Carolina center for resiliency. Can you think of any other name you would have that under in medallion?
Mnorwoo8 (25:51) That would be it.
Vanessa Persha (26:17) Address on this one to Walden ridge drive? Actually. Let me try searching for that this way. Okay? So we have two matches here.
Mnorwoo8 (26:32) Yeah, they’re two different centers though in the same location.
Leslie Canale (26:36) And.
Vanessa Persha (26:37) neither of these are the one you wanted on this line. These lines. No. Okay. Do you want me to take these out of here then, or do you want to create it as a practice?
Mnorwoo8 (26:51) I’ve never created a practice in medallion, Stacey or someone else has already done has always done that. What is involved in it? Is it?
Vanessa Persha (26:59) So, let me drag my screen over here. So under the group, which group profile, would this go under?
Mnorwoo8 (27:08) I guess it would be a new one?
Vanessa Persha (27:12) Let’s see in this sheet, you have it linked to optum behavioral care of North Carolina. Yeah.
Mnorwoo8 (27:17) That would be that’s correct?
Vanessa Persha (27:18) Okay.
Vanessa Persha (27:33) Okay. Maybe we don’t have that group. I.
Mnorwoo8 (27:36) don’t think, yeah, just take them off.
Vanessa Persha (27:41) Oh, yeah. You’re right? We don’t have it at all. Okay. So… we’ll take these out… and if you want to go over, have a separate call to go over manual adding. I know we’re going to, I’d like to schedule some time with you guys next week to talk about importing your data. But if you do have one offs that we need to add before we can do an import, I’m happy to help walk you through how to create a group profile and create practice locations. Okay? All right. So, this last one, this is for 3,300 James road, James street. Yes… I’ll go ahead and grab that practice name.
Vanessa Persha (28:38) And then,
Vanessa Persha (28:45) that is not the group name. We have these practices affiliated with. Let me look up this one really quickly in the platform.
Vanessa Persha (29:11) So, we have this location attached to optum Carolina behavioral care centers.
Mnorwoo8 (29:21) Psychiatry services. Nope.
Vanessa Persha (29:25) Optum, Carolina behavioral care services. It’s this one right here.
Kbiscor (29:37) Sorry, I do have to drop.
Vanessa Persha (29:40) No worries. Thanks, Carrie. Sorry.
Kbiscor (29:42) I was late as well. Thank you guys. I appreciate it. Mandy. I think you also have to, but I.
Mnorwoo8 (29:49) do we?
Kbiscor (29:50) Can also try to find time if we need to, if?
Vanessa Persha (29:53) You guys have more time today? I have my three PM Eastern Time. I can squeeze you guys in and we can wrap this up. I do.
Mnorwoo8 (30:04) Not have to, I mean, yeah, I’m booked all afternoon. Okay?
Vanessa Persha (30:09) Okay. I do have a,
Leslie Canale (30:13) quick question. So it’s about, the tracker. I wasn’t on the call. Was that set up? Like can I add to the tracker?
Vanessa Persha (30:25) I think so. I think Carrie said she was looking into like you guys don’t have the correct licenses? Yeah.
Kbiscor (30:33) I don’t have a license to create a smart sheet. So it’s gonna have to go through like, okay?
Leslie Canale (30:38) So, because these meetings are bi weekly, Vanessa, I may have like issues that are more urgent than that, how do you want me to handle that?
Vanessa Persha (30:48) I… really, I mean, until we can have some type of like.
Kbiscor (30:55) An excel spreadsheet and just send it back and forth and mark them as complete. Yeah, I think.
Vanessa Persha (31:02) We can do that. We can make that work. We’ll just do our best not to override and send stuff back and forth like maybe just every Wednesday, we can say, send it to me and then I’ll send it back to you by that following Friday. That way we keep up with or that same Friday, so.
Kbiscor (31:19) Well, if, Leslie, if you’re running it, I mean, if there is something urgent though, that’s gonna.
Leslie Canale (31:25) Yeah, this committee issue is more of an urgent issue because I have a meeting today, so, yeah, we can’t yeah.
Vanessa Persha (31:31) Yeah. So set, continue to send those to me via email if it’s something like if you need an urgent response to me, and I haven’t gotten back to you before the end of the day, like forward it to me again and just say, hey, I need your eyes on. This. Email is not ideal, but I understand we’re in a transition period here and I will. Yeah.
Leslie Canale (31:51) Yep. Okay. I wasn’t sure where the smart sheet landed. So, thank you. Appreciate the update. Yeah.
Vanessa Persha (31:55) No problem. Thanks, Leslie. Take care. Bye.