Transcript
Jason Zednick (00:00) hello? Hello. How are you?
Illeen Becker (00:07) I am good. How are you?
Jason Zednick (00:09) Doing good, doing okay?
Jason Zednick (00:17) Add some more people. Let me have some double.
Jason Zednick (00:26) All right.
Jason Zednick (00:31) So let’s jump into it. Okay? Thelma I have my team right now as we speak, sort of organizing… what they need around the fqhc stuff… around the mpis, they are aiming to wrap up like their, let me say like their planning stage, their research stage like right now today. And then they’re going to structure like the documentation internally and then sort of take it from there. So my leads on your account, seem to have a very good understanding of it much better than I personally do. And once they are done, I want to sort of take what they’ve packaged for themselves and just review it with you to make sure that like, yeah. So this is what they’re going to be doing. This makes sense. This checks out to what you need. They did have some questions they wanted me to ask you about the dental payers specifically. So let me just pull those up real quick and ask them. Okay?
Illeen Becker (02:01) So,
Jason Zednick (02:01) for Etta dental anthem, blue cross, blue shield dental, and dentamax, these… are the questions and I think, I know the answer to some of these already, but I just want to like ask… it anyway to confirm. So for those dental payers, should providers be enrolled and affiliated to each practice location in pi based on the locations requested on the line? Or should… providers be enrolled and affiliated to the organization on mpi, ending zero zero seven six?
Illeen Becker (02:43) It’s the same as medical. So they should be enrolled with the group mpi number for the facility. Is that what you’re asking me?
Jason Zednick (02:56) Yeah. So, for the facility, so like in medallion terms, the location?
Illeen Becker (03:03) Yes, yes, by the locations because each of our locations have an mpi number, but we only have one tets id number because we’re fqhc so each facility has to be, each provider has to be enrolled in that facility or location. Sorry?
Jason Zednick (03:21) Okay. Yeah, that’s what I thought. So, it would be, you know… well, I was trying to think of an example but not all zero zero seven six. It’s the individual mpi. Yeah. Okay.
Illeen Becker (03:38) Yeah. So the zero zero seven six is only for the 38 one dr Martin Luther king boulevard address that’s.
Jason Zednick (03:44) it, yeah, that is exactly what I thought. Okay, great. That makes sense… for those dental payers?
Jason Zednick (03:57) Are there any other additional instructions that you were provided by them for enrollments other than just aside… from the mpi piece, but like knowing that’s different, were there any other special instructions for enrolling with them, other forms or anything like that?
Illeen Becker (04:17) For which one?
Jason Zednick (04:18) For, at the dental anthem, dental and dentamax?
Illeen Becker (04:24) No, because so, honestly, prior to a year and a half, maybe two years ago, our billing department myself, we were not over provider enrollment at all. It was all done in, the HR department, and then we split up to where we’re doing it now.
Illeen Becker (04:44) So, a lot of instructions I do not have. So Aetna dental is one of them. The only thing I have is what I sent you, and that was by me doing the research on it. Got.
Jason Zednick (04:56) It. Got it. Okay. Great. That answers that question. And last question, which again, I think I already know the answer to. Do you have an assigned, like network manager or direct contact that they gave you, at those organizations specifically for your company?
Illeen Becker (05:19) Are you referring to the provider reps, or the insurance carriers,
Jason Zednick (05:22) Yeah, yeah. Like, is there someone overseeing, swope, at the dental that you were instructed to reach out to for?
Illeen Becker (05:32) Questions, I think, did I send you that email? Cause I think her name or the email address is on there, the one that I sent you?
Jason Zednick (05:40) Let me look.
Illeen Becker (05:50) And while you’re looking at that blue cross and blue shield did reach out to me, they would like a meeting, to discuss the errors and they want someone from medallion on the phone as well. So, can you send me some times when you’re available?
Jason Zednick (06:07) Yes.
Jason Zednick (06:14) Making a note here. Did they indicate to you? Like what specifically… they wanted to discuss?
Illeen Becker (06:25) All the errors that I sent to you?
Jason Zednick (06:28) That’s all that. They said it was just.
Illeen Becker (06:29) Yeah, yeah, but they want someone from medallion on the phone as well. Yeah, I mean, you don’t have it’s optional. You don’t have to be, I could just be the only one on the phone and I can just let you know which I do let you know when you have errors. Yeah.
Jason Zednick (06:42) Well, no, no, I, I’m very happy to join. It’s just the sort of thing where it’s probably me, and no, if I had a better idea of what they were asking, that might, help me prepare better. But, like, I’m very happy to like hop on. Okay, hear them out, take it back. Like, yeah.
Illeen Becker (06:59) Okay. No, no, but it’s probably once you get this fixed, that will probably fix the issues with blue cross and blue shield. Yeah.
Jason Zednick (07:05) Yeah, yeah. And, and it might be good for me to like hear from them because that… sometimes it just helps hearing it in different ways, you know, Aetna dental here’s, the Aetna dental email… I believe.
Illeen Becker (07:20) I put the, email address for Aetna dental on there and you can be able to email them with all your questions.
Illeen Becker (07:35) If not, then I’ll send it to you.
Jason Zednick (07:38) It’s not on this email. So, maybe this one?
Jason Zednick (07:53) I don’t see it in the emails I’m looking at here. That doesn’t mean you didn’t send it to me? It just means I’m not finding it.
Illeen Becker (08:01) Okay. I find it and send it to you. Yeah.
Jason Zednick (08:03) If you do that, that’s helpful and I’ll share that. Okay. So that’s great that those are the questions that they had.
Jason Zednick (08:12) It was just for the dental providers. They’re sort of documenting… all the other ones. They’re there’s they’re like researching, they’re calling them and being like clarifying so that they know exactly what they need to do. And I wanted to, if… I could,
Jason Zednick (08:36) Look at an example with you, of one, I believe we did incorrect that we’re going to have to fix. Okay, I just want to make sure we’re on the same page on because.
Illeen Becker (08:47) I sent you the one from medicare yesterday, and I believe they reworked it, because I received a, a paycos, email for a signature.
Jason Zednick (08:59) Good, good. So this is the one and only that we submitted for retina dental, because we stopped all the others. But I think this one went through just before we did.
Illeen Becker (09:12) Okay. And,
Jason Zednick (09:13) so, I was, look, I pulled it up to look at the application and I saw, here on the information we have, that wrong mpi here in the group, this should be the facility, mpi, right? Okay.
Illeen Becker (09:31) So, do, you know, when I did the request, how many locations did I put on there? Oh, never mind. I can see it right here. So, the two, oh four east north avenue. Yes, that is the wrong mpi number.
Jason Zednick (09:50) Is that the only one, two, oh four east that’s.
Illeen Becker (09:52) the one that was on that application, that you just?
Jason Zednick (09:56) Showed us. Yeah. Okay, great. Yeah. Okay. Then, that’s what I thought, right? Like that’s that should be the other mpi. Okay?
Illeen Becker (10:01) That should be Belton, great.
Illeen Becker (10:06) okay. Yeah.
Jason Zednick (10:07) So, those are my questions on that. That sort of confirms what I thought to be the case. I will, my sort of lead on this, is, trying to work on, if not completing their documentation tomorrow, like getting it, as complete as they can. And so I will follow up, real soon with more. Okay. And then we, we’ve already sort of talked about it like we’re gonna have to, we’re clear that we need to assess the ones that were submitted, If they were done incorrectly, like we need to fix it. Like if we get that, yeah.
Illeen Becker (10:56) And that would be with no charge to swope, right?
Jason Zednick (11:00) Yeah. Yeah. Are you sure that’s correct? Yes, I’m, sure. That’s a conversation I need to have, but like, if we did it wrong, we’re gonna fix it, yes.
Illeen Becker (11:11) Okay. So, when you, get the confirmation, can you send that to us in the email? Yes, because we don’t know why this wasn’t implemented before we went live with medallion, because we talked about it with Naomi and we have several emails with her stating that we’re fqac and how we’re supposed to be enrolled in insurance carriers.
Jason Zednick (11:31) Yeah, absolutely. I, I’m gonna talk to, your account manager, amen, yeah, and, brief her about this and, like… yeah, I do not think you should pay for us, to redo this work. I’m very much, on that page with you. Yes. Okay? Because.
Illeen Becker (11:58) We were, we were told that medallion knew how to, handle fqacs. So, pretty much that you knew what to do. Yeah.
Jason Zednick (12:10) I mean, talking with my team leads like, they, very much more so than I do. They get it. I think this was an issue, of just not like not documenting it, right? For the people doing the processing, and that’s what the leads are doing right now. They’re like, okay, let’s make this explicit and as clear as possible so, that we minimize the opportunity for mistakes. I can’t guarantee there’s no mistakes, but.
Illeen Becker (12:39) That.
Jason Zednick (12:40) that’s what they’re and they showed me some of what they were doing and it like made sense to me and I’m very much, sort of learning, as I go on this piece and what they were showing me is like, okay, that makes sense to me. That makes sense to me. So, I am confident in what they’re putting together.
Illeen Becker (12:59) Okay. Yeah. So, they will, so, when I do the, payr enrollment, it will have, multiple mpi numbers on there that I select. So that, that’s.
Jason Zednick (13:11) probably not going to be the case because of just the way the system is set up, but we’re going to have the resources that we need to.
Illeen Becker (13:21) On the back end exactly.
Jason Zednick (13:23) So, that, like the reference materials for the people doing the work, make it absolutely clear, and what’s on that when you submit it, is not going to be in the way. One thing we might do. I’m not 100 percent sure. We might just take that number out, that group mpi number, we might take it out entirely so they can’t even look at it to reference. They would have to go pull it from the materials. That, that’s an idea that we talked about today. So.
Illeen Becker (13:53) Okay. That’d be fine. So, so then I would just select, no associated group id or something, whatever it says.
Jason Zednick (14:01) Yeah, it would still be like, the group you would select, it would be the one, but, that group wouldn’t have that number there. Okay? So they couldn’t take the shortcut and be like, oh, it’s just that it’s like, no, you need to read the instructions it’ll tell you pull the facility mpi.
Jason Zednick (14:15) Okay. That kind of thing. Yeah. Okay. Yeah. All right. Great. Well, thank you for reviewing that with me. I will, share that information with my leads and, I will keep you, updated, as they sort of, work through that. Okay. Perfect. All right. Great. What other, questions topics did, we have for today? Well, I do.
Illeen Becker (14:51) Have one more question because Janelle C sent an email. She received something from medicare, but I thought you all said that you don’t do paper and that everything was done through pcos, but they’re asking us to drop it to paper and have it signed.
Jason Zednick (15:11) Was this email sent to me? Did I miss this well?
Illeen Becker (15:15) Janelle sent it to Ginger and I, so you haven’t seen it yet? Oh, yeah. My question would be if we’re paying you all, but we need to, fill out the application and send it in then what’s the point of medallion?
Jason Zednick (15:31) Do you know what the web provider this was?
Illeen Becker (15:34) It does not give a provider’s name because it’s medicare. It just gives a tracking number.
Illeen Becker (15:45) That’s that?
Jason Zednick (15:48) Sounds odd to me. Can you form me that? Yes. Yeah, let me look into that. That sounds odd to me. I’ve never heard of everything’s… done through Pecos as far as I know. So, so that would be.
Illeen Becker (15:58) Okay. Yeah. And I’m not sure how they got Janelle’s name, probably because she’s the credentialing or that’s what the information you had for Janelle carpenter when we first went with medallion. So I’m assuming that’s why they have her name on here in her email address… instead of ours? Thank you.
Illeen Becker (16:17) Thelma, I was like, did she say C or Z as in zebra? I wasn’t sure. So I was keeping quiet because I wasn’t sure which one.
Illeen Becker (16:25) But I can send it to you, Jason, I’ll send it to you now.
Jason Zednick (16:29) Okay, great. Let’s see if it comes through real quick.
Jason Zednick (16:47) Okay. It hasn’t come yet, but when it does, I’ll take a look and I’ll get back to you because.
Illeen Becker (16:53) And I told Naomi this as well. So, prior to us giving you medicare, we have always done medicare in the billing department, but we never used Pecos to do medicare. We always sent in the paper forms due to this reason. So, I know Naomi said that you all wouldn’t do the paper applications?
Jason Zednick (17:17) Yeah. Like I’ve never heard of us doing it by paper. So that would be, yeah.
Illeen Becker (17:23) Because the authorized official officer is essence, and as of, to date, she does not have a medicare username and password… because we always had her to actually sign the form, oh.
Jason Zednick (17:39) That might… that might be the reason why if we need the, as signature,
Illeen Becker (17:51) So, one email I get where it tells us to go in there and sign and we go in there and sign and it has her name on there. But this one Janelle received this week and it’s saying we have option a is to print and sign and submit it to CMS or option B is to go into the system and.
Illeen Becker (18:12) Do it approve it, but we don’t.
Illeen Becker (18:15) have a username and password for essence.
Illeen Becker (18:19) Actually, that makes sense because I was like, I don’t know.
Jason Zednick (18:28) Who usually, when you receive the other ones who usually goes in and signs it me?
Illeen Becker (18:36) I sign it for essence, yes.
Jason Zednick (18:43) I wonder because.
Jason Zednick (18:52) I’m just thinking out loud here.
Jason Zednick (19:01) We have essence as the medicare signer here. I wonder if, and,
Illeen Becker (19:07) that’s correct. She is the medicare signer, but on there, you should have my email address.
Illeen Becker (19:13) Yeah.
Illeen Becker (19:18) Oh, we do. We do. Okay. So those, I get this one that I just sent to you, Janelle C received, I have not received this one but it’s given us the option of printing the application and submitting it to CMS as a paper application.
Jason Zednick (19:41) I just got them out now.
Illeen Becker (19:52) So that’s like double work because we’re paying you to do it, but then I will have to submit it, get it signed and then send it off.
Illeen Becker (20:05) This looks.
Jason Zednick (20:06) like is a request for Janelle… to be added as an access manager. Was this something this… might have been? And I don’t know this doesn’t seem like something that we would have submitted. Did this originate within swope?
Illeen Becker (20:32) That would be a Janelle question then?
Illeen Becker (20:34) Yeah. I was gonna say, so, the only thing that I have done in the past week.
Jason Zednick (20:42) It’s only.
Illeen Becker (20:43) Wednesday, right? That I’ve done. I think this week was I did try to get into nppe S to just get. Then we’ve got a couple of the providers that need to have their caqh and their medallion match, but their nppe S is off by one number. And I keep reaching out to the providers and I’m not getting anywhere. So, I do know that acting as a representative of swope, whether it’s Eileen or I, that that’s possible to update it, but I don’t know that triggered this. So maybe.
Illeen Becker (21:25) So, to answer that question because we never, because before essence, it was Namish, so we never… overseeing the provider’s npi numbers, they always have a username and password, swope, never, well, the billing department never had access to their npi numbers. So, it was always the credentialing person and you would use their username and password.
Illeen Becker (21:53) Yep. And I can still get that from HRG if it’s updated, it’s the ones when they aren’t updated that there’s the problem.
Illeen Becker (22:06) So, if it’s not updated, then they will have to reset their password. Yeah. And they will get a token and then they will have to give that password to you.
Illeen Becker (22:15) Yeah, unfortunately, and I did have a meeting with HRG this week, I think or maybe it was last week or Eileen and I did, and it was… for that very reason to try to either they need to just let us know what needs to happen so we can get it done or they’ve been calling the providers and giving that token, putting their number as the backup number, which I was like, I don’t think I’m good with that. I think it needs to be someone in the credentialing department, that is the follow up number, not HRG just because of future endeavors. So, we did just have that conversation but right now, it’s either the provider’s number or it’s HRG’s which is not what I need to have happen right now. So I’m working on that end. Okay?
Jason Zednick (23:18) Yeah. I think Janelle, what you did to get access to mppes, like this, is that because CMS, IS sorry, I a identity and access it’s the same login across mpez, Pecos, one other.
Illeen Becker (23:40) So that’s.
Jason Zednick (23:42) yeah, that’s what that is.
Illeen Becker (23:45) So,
Illeen Becker (23:45) Pecos, for swope, we only use that for the facilities. We do not use that for the providers.
Illeen Becker (23:53) Is there a reason why? And I’m really asking to understand because?
Illeen Becker (23:58) We never, so we always did paper for the providers.
Illeen Becker (24:04) Should we move to Pecos? Why we shouldn’t medallion?
Illeen Becker (24:10) Is doing medicare now?
Illeen Becker (24:12) Yeah, we.
Jason Zednick (24:13) Use Pecos for providers here?
Illeen Becker (24:15) Yeah, but you wouldn’t medallion, you wouldn’t do Pecos to fix those errors that I’m running into?
Jason Zednick (24:22) No, no. We won’t log into. Yeah, yeah.
Illeen Becker (24:27) Because medicare would deny it for the same reason. Janelle.
Illeen Becker (24:32) So anything that they would deny me having access, is that what you mean? No?
Illeen Becker (24:35) They would deny the medicare application if the taxonomy code is wrong or something is wrong in the provider’s information, medicare would deny it as well. So, I know Charlene… used to work with the providers for their mpi issues. Okay. To my knowledge… this has never been a thing for swope… but I can ask essence if she will, I… don’t know how beneficial it would be for you to have it. I’m not saying, no, I just don’t know if it’d be beneficial for you to fix it on this system?
Illeen Becker (25:17) I got you. All right. As I say, let me know what she says. We’ll continue, Eileen and I, between the two of us, we’ll continue to reach out. I would, I was just trying to figure out, I know Eileen had done some Pecos in the past and then when I was trying to figure out how to fix these and I wasn’t getting a response and was trying to get them through and did my research, it was like, well, you need to have a IE, I a, whatever iea, I don’t know which one it was. And so I was like, all right. So started to go down that path and I didn’t realize that’s what this email was from though. Sorry, Thelma that’s okay?
Jason Zednick (25:57) Yeah, no worries. No worries. I mean, it is the same system. So, it’s like.
Illeen Becker (26:00) Yeah, that.
Jason Zednick (26:02) Makes perfect sense. Okay?
Illeen Becker (26:05) Yes, if you wouldn’t mind asking essence, and if she says no, then we will continue to reach out. Okay? I,
Illeen Becker (26:13) know she’s gone for, she went to another facility. So I will try to, well, I.
Illeen Becker (26:19) just sent her an email. She’s not in our facility today. Yeah, if you heard. Okay. Thank you.
Jason Zednick (26:32) All right. Great. Any other questions concerns?
Illeen Becker (26:39) Top of mind?
Illeen Becker (26:44) Okay. So, and I know you’re going to go, Janelle, I tell you this every week. But so I was, so I will have to tell you, I was so excited that I got the majority. I got responses actually on Monday was getting your stuff done. And then it comes back and there’s all these tasks and I’m like, oh, it just added to my tasks. I’m like, I feel like I never get done. I’m like, oh… anyway, any… recommendations there? I think it was Luca. And by the way, probably, by the time Luca responds to me, he’s going to not be an employee here any longer. I don’t know what his last day is, but I know it’s soon and I know we had him stop by to fill out his, agreements and he was like, well, I don’t get paid by insurance anyway, I get paid by the customer by the patient. So I’m like, which doesn’t even mean anything to me but it meant probably more to Eileen because she was the one who talked to him. So, I know he’s leaving soon, but he was one that had the npi number doesn’t match I’m like, ugh. So anyway, any suggestions of, you… know, like Frank has four more things to do. Devin smith has another one to do. I’m like, and Frank, they want an updated resume. I’m like, seriously?
Jason Zednick (28:18) So, let me look at Frank real quick. The group.
Illeen Becker (28:23) Coi, that’s not a big deal. I can, I don’t know why it’s not getting uploaded, but I can add that, he needs to do his consultations and sent forms. Maybe I can’t remember, I thought he had done them but maybe not, I think that’s all he had to do and he just hasn’t responded yet. Devin, I’m going to have to get his transcript… for a diploma. I don’t know. Yeah, they just want.
Illeen Becker (28:57) His diploma or transcripts for medicare. A lot of the insurance carriers are requesting CVS in their degrees or diplomas gotcha.
Illeen Becker (29:08) I was trying to think for some reason, I thought I had his, maybe I have his resume and his driver’s license, and his board certificate. I don’t have his diploma. I’ll have to go back and look all the licenses. He signed it like right away. I was like, oh, thank you. But yeah… so anyway, it might be.
Illeen Becker (29:35) In the other software that you were using to store the provider’s, information, you know, I,
Illeen Becker (29:41) look there, and he’s new enough that it’s not there. So, he’s just gonna have to probably send me a picture of it for the diploma and it’s not in his digital file. I do have Nate’s… scans that I have been going through, but there’s quite a few of them to get through. So, I’m under 5,000 of them. So that’s a good thing. I think I was at seven to begin with. So, between us, we’re trying to get through those and,
Illeen Becker (30:12) Get that because it?
Illeen Becker (30:13) Could be his diploma is in the scan that Nate did? I just need to look back on the date he was hired or that right before he was hired and see if we can find it.
Illeen Becker (30:30) Other than that, I don’t think I have any questions I’m just like,
Illeen Becker (30:32) man, I,
Illeen Becker (30:33) think I get them done and then it’s, more pop up. I’m sure Eileen probably might have some questions too. I do, I,
Illeen Becker (30:42) have one, I have two actually, if you could, would you go into, her last name is Ali a L. I, she’s a new provider. Her first name is B, IF as in Frank TU, and it says that, when I pulled her credential because she’s new, it says that they’re looking for an academy of practical nursing document. In the file, it’s in the file and I’m wondering why that would hold up her credentialing if she’s if it’s already in there, she uploaded a copy. I saw it a few minutes ago. Let me see, but her credentialing’s not finished because of that.
Jason Zednick (31:48) Okay. And what did they say that they were pending?
Illeen Becker (31:52) Well, the,
Illeen Becker (31:53) credentialing over, when I got ready for the summary, it says needs academy of practical nursing information, but it’s in the file. It heard, she’s uploaded the document, her board certification.
Jason Zednick (32:07) Oh, the, American academy of nurse practitioners?
Illeen Becker (32:12) Huh. Yeah, it’s in there, but I was wondering why would that still be held up if it’s in there and it’s valid. She just got it. It’s good till 20 30.
Illeen Becker (32:34) When is her start date?
Illeen Becker (32:37) We’re hoping to start her on the first? But we’re gonna have to push like that’s. Why I’m pushing this through, because she needs to start. Okay, so, she’s not.
Illeen Becker (32:47) On the new hire report that they sent out last week because that’s how, I know when we have new providers and to set them up with insurance carriers. So that’s why I was asking.
Illeen Becker (32:55) Yeah, no.
Illeen Becker (32:56) Not yet. I think we’ve gotten the Eileen. So I, when Devon gets the, form from the hiring manager, Eileen gets it too. So, Devon starts the background stuff, Eileen starts the credentialing, and then probably, Devon would have had her on the first,
Illeen Becker (33:18) As.
Illeen Becker (33:18) tentative, you know, as long as everything went through, but she’s you know, somewhere on a beach in Barbados. So, go figure, oh, okay.
Jason Zednick (33:26) Yeah.
Illeen Becker (33:29) Beats what I’m doing?
Jason Zednick (33:30) This week. So I think, I know what happened here. Okay? Let me show you, and then I’ll sort of go in and fix it. Okay? You don’t need to, but I do want you to like see it. So, what I think happened is, when we went to verify… the certificate, the board certification, we, that verification failed, you can sort of see,
Illeen Becker (34:06) Where is it? Yeah.
Jason Zednick (34:11) It’s like, in progress here, and we haven’t been able to, and I think it is because it,
Illeen Becker (34:20) doesn’t you’ve got?
Illeen Becker (34:20) Isn’t she doesn’t her document, say 20 25, you’ve got 20 24 on there?
Illeen Becker (34:25) Well, well,
Jason Zednick (34:26) that’s what I want. So, like on the certification data point that we have, there’s no certification number here at all. And,
Illeen Becker (34:38) it is in the,
Jason Zednick (34:39) documents like I can find it.
Illeen Becker (34:41) Yeah, it’s there, huh.
Jason Zednick (34:42) Here, and it is here, but it’s not loaded to the data. Like, this is just a, like an image. And so, our system’s not like our system doesn’t like go look at the thing. And so, I think that’s what it is. So, what I’m gonna do is I’m gonna plug, this number in, okay?
Illeen Becker (35:01) To the,
Jason Zednick (35:02) data here, and I’ll ask them to go run it. And I, and I think that’s all, okay. That’s all that we need to do. Yeah.
Illeen Becker (35:08) Okay. Then, I have one more question, About dr Reddy. She’s been here a very long time. Her last name is REDD y Nalu… and I was excited because y’all, got her recredentialing done really quickly. But when you got it done, it didn’t have her Missouri information. Her license, it doesn’t have her bndd. And she was asking me because her Kansas license is it’s on hold. It’s an exempt at.
Jason Zednick (35:43) this point, and you did give me.
Illeen Becker (35:45) that one, but you didn’t give me Missouri, so I fixed it so she could go through credentialing this after or today. But I didn’t… know. I mean, everybody makes mistakes. I get that, but I just wondered if you have like a checklist that you would have looked for that Missouri because I think all of our providers need to be checked, Missouri and Kansas. I don’t know if that’s your setup, but I do believe it would be helpful if you always checked.
Jason Zednick (36:19) So we don’t have, let me share. We don’t have a Missouri license on file. We have a.
Illeen Becker (36:27) Missouri, you do now? I just put one in there. Yeah, I pulled it. You just,
Jason Zednick (36:33) mounted it.
Illeen Becker (36:36) Yeah. I mean, I have it. I uploaded it. I thought when I uploaded, it goes in and verifies it, right?
Jason Zednick (36:44) When you say you upload, did you?
Illeen Becker (36:46) Upload in documents?
Jason Zednick (36:47) Oh, it needs to be added to the existing licenses.
Illeen Becker (36:54) I have to do that. Okay? Yeah, loading.
Jason Zednick (36:56) It to the documents, just loads a document. It doesn’t actually… tie it to like the data table that has the.
Illeen Becker (37:05) License. So, if we don’t say there is a license, you wouldn’t go out and look for it. I get it, okay, right?
Jason Zednick (37:11) Right. But what I will say is when you, I believe when you add a license because you can put the information in here and when you,
Illeen Becker (37:22) you can.
Jason Zednick (37:24) Upload the copy here and it will save it to the documents so you don’t have to do it both places. You can just add it here and load it. And then you’ll have it in the documents too. Okay?
Illeen Becker (37:35) So, if someone is a doctor like say we have a new doctor and he decides he’ll go to Kansas. So he gets licensed in Kansas. I’m the person who has to notify you of that. When you do recredentialing, you don’t automatically just look at both places. It’s not like, okay, we look at that. We look at bndd to see if they got a bndd now because some people are applying for deas, things like that. So I am just wondering if that’s something that you do or you would never go to look for without me putting it in there.
Jason Zednick (38:07) We would need to know to go look for it. Yeah. Okay.
Illeen Becker (38:10) Alright. That explains that. Okay. That’s my questions. Hey, Jason.
Illeen Becker (38:14) I’m not sure if that’s accurate. The only reason I say that is we’ve had new providers just recently because, you know, we just now started Eileen actually just now started using the appointment and we’re getting ready to recred, not recred, credential a new person, right? Because normally, what has been happening is I was entering in all the credentialing documents in their profile, right? Manually, doing that because we weren’t yet using your automatic. You guys were going to credential them. But recred, Eileen has started using that process. Probably the last I’m going to say month she’s been using it and it’s been going pretty well. We still need to do some upfront comparing of our background check and your stuff that you do to make sure we’re covering everything.
Jason Zednick (39:12) But.
Illeen Becker (39:13) the licenses.
Illeen Becker (39:14) Have been in there. I thought unless these new doctors are just really good at putting stuff in because I know I haven’t been putting in for these new ones that she ends up getting a complete file on pretty darn quick. I haven’t been entering in the stuff. I’m still working on the old ones.
Jason Zednick (39:38) Yeah. I mean, it may be that they added it. It may also be that it came in on like the caqh data if that was used. Okay? Because that would, when you do like the data import, if it’s in caqh, it’ll come over too.
Illeen Becker (39:56) Yeah, because her Kansas one, what’s odd is her Kansas one came up which is kind of on hold because she’s not really in Kansas doing much there. If anything but her Missouri one did not. Yeah. Okay. Yeah, because she’s.
Illeen Becker (40:13) been, I mean, she’s been around for a long time. That’s why I wondered. Okay. But if you, are, you’re waiting for us to put it in to update your file so that you can go and verify, then I guess it’s just a step for me to make sure it’s in there.
Illeen Becker (40:30) Yeah.
Jason Zednick (40:31) Yeah, we just need to know the license exists. And once we know, then, yeah, we’ll absolutely.
Illeen Becker (40:40) But if she’s got it in her caqh, which she does, wouldn’t it have wouldn’t that have prompted it.
Jason Zednick (40:46) Well, the caqh load has to be like requested like you have to come in to data imports and be like, hey, I’m going to link this provider to caqh and I want to get that data. We don’t automatically go from caqh. So, either, you know, you, or the provider can link the caqh and be like, yeah, let’s sync that. And if it’s.
Illeen Becker (41:18) in, there, wouldn’t that be an important part of what you all do for us?
Illeen Becker (41:22) Because caqh.
Illeen Becker (41:23) Is what everybody uses insurances. Medicare. Wouldn’t that be an automatic unless we unlink it?
Jason Zednick (41:31) I can imagine you.
Illeen Becker (41:33) Not not linking caqh to anybody that’s a licensed provider?
Jason Zednick (41:39) Well, like we don’t prepare… the provider profile for… you when I?
Illeen Becker (41:51) Requested the doctors are doing it, which could be right. Could be wrong.
Jason Zednick (41:55) Yeah. Like they have the ability to be like, yeah, let me link to caqh that’s going to get most of the info in here, I.
Illeen Becker (42:01) don’t think they understand it that well, some of them do, but some of them do not care.
Illeen Becker (42:07) That.
Jason Zednick (42:08) sounds right. Like that’s. Usually exactly like.
Illeen Becker (42:11) I do, I’ve worked with them a while. They don’t consider this something they need to do, but I get it. Okay.
Jason Zednick (42:17) Yeah.
Illeen Becker (42:17) That just tells me I just need another step. Yeah. Okay. Now.
Jason Zednick (42:25) Hold on a second. I’m waiting.
Illeen Becker (42:27) For it, for Ali, do you know which practice location she’d be at? Because I just looked in here so I could add her to insurance carriers, but there’s no practice locations.
Jason Zednick (42:38) I believe.
Illeen Becker (42:39) Shawn said she was going to work at northland but I’ll have to verify that and I’ll send you a teams right? As soon as, because it’s on Shawn’s email, Shawn. Chase is the one who has signed her up and is helping me with her.
Illeen Becker (42:51) So.
Illeen Becker (42:51) When you get the verification, can you go into medallion and put the locations because that’s part of your tab as well?
Illeen Becker (42:58) For practices? Yep, that’s the one we learned about last week and I think we said for the most part, just add them. All right? Yes. Yeah. Okay. Thank.
Jason Zednick (43:14) Thank you. If you have a provider later that you would like to pull… that caqh data for, I can take like 15 minutes and show you how it works. It’s pretty simple. Okay. I’m happy to walk you through that.
Illeen Becker (43:36) Okay. That’d be great. Thank you.
Illeen Becker (43:38) Of course. That’s.
Illeen Becker (43:39) all I had.
Illeen Becker (43:42) All right.
Jason Zednick (43:43) Great. Well, thank you all. Appreciate it. I will follow up shortly primarily on this fqhc Delma, but any of the other outstanding stuff I’ll make sure to get back to you soon.
Illeen Becker (44:01) All right. Thank you.
Illeen Becker (44:03) All right. Thank.
Jason Zednick (44:04) You all have a great rest of your day.
Illeen Becker (44:05) Thank you. Bye, Jason. Bye.
Jason Zednick (44:07) Bye.