Transcript
Naomi Denson (00:00) hi, Jacqueline?
Tamala Harris (00:01) Hey, hello?
Naomi Denson (00:08) Somebody’s here on iPhone.
Naomi Denson (00:18) Hi, Jim.
IPhone (00:20) Hello?
IPhone (00:33) Good afternoon.
Naomi Denson (00:35) Is that you iPhone, Brian?
IPhone (00:38) It is me iPhone, Brian.
Naomi Denson (00:41) Perfect. I was like, who is this?
IPhone (00:44) Yeah, I’m mobile this afternoon, trying to get down and see my nephew’s baseball game.
Naomi Denson (00:51) You better get going. Yep. Hi, Renee.
Rene Dillow (01:00) Hello. How’s everybody doing today?
Naomi Denson (01:03) Doing good. Anybody else joining that? We’re expecting Pamela? I know Brittany’s not coming today, Victor, Roxanne?
Rene Dillow (01:16) Let’s see.
Naomi Denson (01:18) Shannon, I.
Rene Dillow (01:20) see anything from Pamela… you see?
Rene Dillow (01:34) I don’t see a note from Pamela. So I would say to expect her.
Naomi Denson (01:39) Okay. Let’s see. She did accept meetings. We can get everybody a couple minutes to join here.
Naomi Denson (01:53) Anything from Brian or Renee specifically while we wait for the others?
IPhone (02:00) The only thing I had was just following up.
IPhone (02:04) Pardon me if I missed it, but I was looking for that template for that other group. So I could get the information for those providers added to the roster. Pardon me, the revamp, I think was the name of the group.
Naomi Denson (02:18) I think I saw you. I.
IPhone (02:23) Know you’d tagged Jim and somebody else on there, maybe Amy, but I hadn’t seen that template come back.
Naomi Denson (02:30) Yeah. So, for revamp, I can pull a roster of the providers. Wait, what was it? It was?
Tamala Harris (02:39) What’s going on with revamp?
IPhone (02:42) Oh, I was just going to pull in their caqh numbers and mpi numbers into that roster for the invoicing. And then I wanted to double check their tin to see if it was a surgery partner’s one or if they had their own.
Tamala Harris (02:54) Tin, why do we have to have their caqh number for invoicing? I think.
IPhone (03:01) It was just to tie the providers, make sure they were mapping the providers correctly?
Naomi Denson (03:08) Okay. And I don’t think we got a tax id for them because.
Tamala Harris (03:12) Because a lot of the doctors especially moving forward, don’t have caqhs on their things or they’re not sharing those. I know it takes a little bit longer if they don’t but I just caution that that’s the identifier, I mean, maybe the mpi number or something else, but I would caution that the identifier be the caqh, because they’re not. Yeah, I have a number of places that just, they don’t have that information. Yeah.
IPhone (03:44) Well, we can use mpi too because I did put in the mpi for those other providers as well. So, if that’s more reliable and consistent, then maybe that’s how we map it.
Naomi Denson (03:55) See, I can’t… hey.
IPhone (04:01) Everyone.
Tamala Harris (04:05) see there’s only well for revamped, there’s only those three. They put in some new applications. And so they’ll they put in some new to be process, but it’s only those three.
IPhone (04:17) Yeah. And Tamala, you think they fall under the SP tax id number? Well.
Tamala Harris (04:24) I was thinking for, because we’re charging the facility for this and not the provider that the facility is going to be under the aren’t, they going to be under the SP tax id number.
IPhone (04:40) You.
Tamala Harris (04:40) know, all of our practices have for cvo purposes, it’s the facility that’s paying for credentialing pieces. And so they, I mean, yeah, we’d be mapping it to the facility. We’d map the doctor to the facility and the facility I would think would use the surgery partner’s tax id number. They may not.
IPhone (05:05) Yeah. I think they’re going to have their own individual tax id number. And as long as they and you provided that financial code which?
Tamala Harris (05:13) Yeah. I mean, because when I get things, I just afford it to ap Nash approve to pay charge to this facility with this facility code. And that’s all I give them. Yeah.
IPhone (05:26) Okay. Well, and I wanted to make sure they had more information than they more than what they needed for mapping it for accounting. So, if we think financial code is fine, then you know, I just want to make sure that we had plenty of identifiers to map these things correctly?
Tamala Harris (05:43) Yeah. No, I think, I mean, it’s a great idea. I just.
Naomi Denson (05:47) Yeah. So, Brian, I’m generating a report now that I’ll forward over to you with provider first name, last name, email address used in medallion caqh id. If they have one and npi and I’ll forward that over to you when it generates.
IPhone (06:03) Okay. Yeah. Okay. Sounds good.
Naomi Denson (06:07) All right. Okay. So just starting off here, just two centers left from the CDO side that we are showing that we’re still missing dbid numbers from. So keeping an eye on those. And then we had agreed, you know, the managed care centers for parent enrollment only going to provide those if they need it or have it, but not a priority to, you know, push for unless they’re participating in the credentialing side as well. Data import templates, Tampa, Payne and Riverside. The enrollment data is in progress. Got a notification from Victor this morning that he completed the Riverside payer mapping that I had sent over to him. And then still pinning some data from optum’s side for the enrollments. Are there any that we’re not seeing here that should be on my radar that have been sent in the last week?
Tamala Harris (07:05) Brian?
Naomi Denson (07:06) Or Victor?
Vxt001 (07:09) No, not on the payer enrollment side. Yeah, I think that’s it. Yeah.
Tamala Harris (07:14) Okay.
Naomi Denson (07:15) And then Tamela, yes.
Vxt001 (07:17) Real quick. I don’t know if you got my last message or not, but I just wanted to schedule some time just because now that some things are starting to go through, I’m… not sure I’m processing or replying back correctly in the portal. So I just wanted to set up some time to just kind of walk through a couple just to make sure that I understand the flow and understand how to make sure that I’m replying back timely. So things don’t get delayed if you don’t mind.
Naomi Denson (07:44) Yeah, absolutely. Yeah, we can set up some time there. I’m still working through my email from when I was out, but I will send some time over. I also in the meeting agenda here, I did create a training library for you guys that has just some general guidance for different areas that might be helpful. Okay. So there’s a section here on payer enrollment, ongoing monitoring, privileging profiles and then general platform and access. So I linked this in the meeting agenda that’s linked to our invites. Okay? So take a look there, but definitely, yeah, I can set up some time to connect with you and just walk through the workflows and see what questions you have?
Vxt001 (08:35) Perfect. Thank you.
Naomi Denson (08:37) No problem. And then Tamela, the surgery center in northern Ohio, have you had a chance to look at those templates?
Tamala Harris (08:45) Yeah, I looked at it but, the individual who manages that is out until March 20 third. So I tried to work through it with her rvp and he just, he can’t we can’t figure it out. So we have to wait for her to come back. The surgery center. They plan to have it to me by end of the day today is what she said first thing in the morning at the latest. So she has hers and she’s working on it with a, yeah, I should be able to get that to you. At least first thing in the morning, northern Ohio is she doesn’t return until 323 and then this may be… I may have to pull this back, but because of everything that’s going on with the MD MD-Staff data and I’ve got so many people chomping at the bits to really get going. I… I’d like to offer letting those facilities or the ones that want to the ones that are really needing to get up and going, they’re concerned about their accreditation surveys that are coming up and being in flux, fill out the implementation template and… have you guys load that in… thoughts…
Naomi Denson (10:17) Jim, do you know about how many separate?
Tamala Harris (10:21) Right now, it looks like right now, it looks like five… right now, but would it be easier for you guys to go ahead and start loading some of the implementation templates for these? Instead of just us all sitting and waiting for the MD-Staff data? Yeah.
Naomi Denson (10:43) I would think as long as it’s excluded from the MD-Staff data, when that is finally sent over… Jim, do you have any objections or comments there? Yeah?
Jim Espinoza (10:55) No great call out, Naomi. We would want it removed from the MD-Staff data, but no, no objections.
Tamala Harris (11:00) I’m sorry, I can’t hear you, Jim, honey.
Jim Espinoza (11:04) One second. Sorry. Is that better?
Tamala Harris (11:08) Okay. There we go.
Jim Espinoza (11:10) No objections. Naomi. You had a good call out with just removing that data from the MD-Staff data once it comes over?
Tamala Harris (11:16) Okay. I just thought maybe we could get some things going if we did that and it’d be, you know, it won’t be everybody.
Tamala Harris (11:24) It’d just be an option but, we’ve… got like 40 45 accrediting surveys this year and 20… 21 of the 21 of those are a part of the cvo. So I just, and those who have some of those surveys coming up a little bit sooner, I mean, they’re willing to fill out the implementation template. So… I’ll walk them through it and we can kind of do that that’ll at least knock out some of them for later. I mean, right now it’s five, that number may grow. But the first five. Yeah, I mean that at least gives all of us something to just get started with.
Naomi Denson (12:13) Yeah, exactly. Yeah, I understood because.
Tamala Harris (12:16) I’m like, I feel like I’m sitting on my hands here just waiting and waiting.
Naomi Denson (12:21) Yeah. And just for context from our meeting with Karen, you know, we do still have some mapping to do with all of the dop forms. Are these centers that we’re planning to do? This? Going to be on the primary, the surgery partner dops that we discussed, the bulk of them?
Tamala Harris (12:40) Yeah, they would, we would have.
Naomi Denson (12:41) To make sure that those are ready before we could, yeah, go live with the appointment piece. Yep. I know Karen’s working on that and the call that we had maybe it was last week. She had said she.
Tamala Harris (12:56) Has to meet you by a month. I think she said it would take about a month and I know that looks like we’re right at a week ago now. So I’m thinking about another three weeks, but I imagine it’s going to take them a couple, you know, it’s going to take them a little bit to get these filled out. And then I’m sure we’re going to have to do the kind of back and forth like we have been doing to say, okay, you missed this. You missed this. This doesn’t make sense. And so I, my thought was that by the time she gets those dops built, we’ll have, you know, we’ll have all of this settled and those will be ready for import and I can then I can definitely get training scheduled… yes, record it. Yeah. And then, I can send out the training recording to everybody else as they come up. Yeah, absolutely. OK. Then, I will work on that on my end and we’ll do the 323 for northern Ohio.
Naomi Denson (14:01) OK, perfect. And then Renee wanted to check in and see how you were coming along with the approvers sheet that you are working on making changes to.
Rene Dillow (14:12) Yeah, I should have that completed by tomorrow. I had some more changes come in. So, OK, they swapped people on me again.
Naomi Denson (14:21) Understood. All right. Just wanted to check in on that and then just leaving this on everyone’s radar in terms of payer enrollment, the payer process, scoping template just want to make sure any new centers that come in are shared this template or given the option to fill it out where they may have any nuanced processes that we should be aware of, direct contacts, specific agreements or forms that they need to use or rules that they follow for their enrollments just so that we have it documented internally and don’t have any errors after submission. I did want to confirm, do you know, Brian or Victor if any of the surgery partners practices utilize any payer rosters for submission?
Naomi Denson (15:13) Outside of like humana, where that’s their standard process?
Vxt001 (15:17) I, I’ve been, I haven’t done it in so long. I don’t know at this point, it seems like some of the ones that we have anesthesia under this, that fills out of the surgery center, may, some of the payers may just require a roster, but.
Naomi Denson (15:33) But that’s not the standard submission process via roster thing. No. Okay. All right. And then I did have some times on here, Tamela, for the credentialing and ongoing monitoring training session. If we still want to hold off on that.
Tamala Harris (15:53) Yeah, I would like to just a little bit longer. I want to check in on Monday with it to see where we are. How close we are with the MD-Staff piece. I was thinking the first week of April, but if we do these implementation templates, I could foresee us possibly getting it done at the end of March, but I, I’m thinking the first week of April, and then I’ll have the recording to give to everybody as well.
Naomi Denson (16:32) Yes. Okay. Perfect. Any other call outs or questions from the surgery partners team or Jim, if you have any questions on any of the tickets that we have open for the current imports?
Naomi Denson (16:50) No. And then… Victor, what does your availability look like either tomorrow or early next week? We can go ahead and get something scheduled for us?
Vxt001 (17:06) Let’s see. Bye.
Vxt001 (17:19) Sort of open tomorrow pretty much.
Naomi Denson (17:23) Could you do like two or two 30 central?
Vxt001 (17:32) I think that would work. Hold on just a sec.
Vxt001 (17:43) Yeah. Let’s do. Yeah.
Tamala Harris (17:44) Two you.
Vxt001 (17:45) Said two 30 central. Yes, central. Yeah, that’ll work. Yeah. Alright.
Naomi Denson (17:49) Perfect. Anybody else should be on that call or just you Victor?
Vxt001 (17:54) Just me. That’s fine.
Naomi Denson (18:01) Okay. I’ll get you that invite over and we’ll connect tomorrow on that. Anything else from anyone on the call?
Naomi Denson (18:14) Alright. Well, I hope everyone has a great rest of your week, if anything does come up or you have any, you know, updates on your end? Tamela, just let me know.
Tamala Harris (18:22) Okay. Will do. I’ll get to working on those teams.
Naomi Denson (18:27) Alright, perfect. You guys have a great day and a great weekend, you?
Tamala Harris (18:31) Too, you too.
Naomi Denson (18:32) Thanks. Bye bye.