Transcript
Kateland Sanders (00:00) hi, Nate.
Nate Rosenthal (00:01) Hi, Amy. How are you?
Kateland Sanders (00:03) I’m good. Nice to E, meet you. Yeah.
Nate Rosenthal (00:06) Nice to meet you… day two, so.
Kateland Sanders (00:11) Yes, I was going to say day two, right?
Nate Rosenthal (00:14) Almost a veteran by now.
Kateland Sanders (00:16) But yes, getting thrown right into it.
Corie Will (00:20) Yeah.
Nate Rosenthal (00:22) That’s good.
Kateland Sanders (00:23) Awesome. And you’re based in SF, right? Yeah.
Nate Rosenthal (00:27) Yeah, I live in Oakland, so, just across the bridge. But, yeah.
Kateland Sanders (00:31) Nice. We were all just there in February. I’m sure, you know, so.
Nate Rosenthal (00:36) Yeah, I met a bunch of the team while, oh, nice. We were in town too, or not a bunch a handful.
Kateland Sanders (00:42) Yeah, yeah, nice. That’s great. Yeah, hi, Naomi. Hi, hey, Naomi.
Corie Will (00:50) Hello. They’re here, but we’ll wait on Amy and Shannon.
Kateland Sanders (00:59) There’s Derek. Hi, Derek. Hey.
Nate Rosenthal (01:02) Naomi, I don’t think we need you on this call honestly. So, do you need some time back?
Kateland Sanders (01:09) Okay. Yeah, sure. Okay.
Nate Rosenthal (01:11) All right. Thanks. Bye, Naomi.
Nate Rosenthal (01:19) All right. Are they in the waiting room maybe?
Kateland Sanders (01:23) They are, and,
Nate Rosenthal (01:25) do you have control of this call?
Kateland Sanders (01:26) I do. Okay. All right. I can let them in. Are we good? Yeah, yeah, okay.
Nate Rosenthal (01:53) All right. Thank you all for meeting again, Kate. You want to jump in?
Kateland Sanders (01:57) Yeah, I can jump in. I did send an email early this morning or late last night with a couple of updates. So over the weekend, we did fill out the 59 net new applications for pnoa and claimdoc.
Kateland Sanders (02:10) I pulled out around five. Each one of those is a roster that has more than five providers on it, but it also has the group location ads as well. And so those are in task query and Skyler in the platform for your review for the claimdoc. You will see one task. The other ones are individual tasks for those five additional for your review. Once you sign off on those, we can go ahead and submit the others as well or we can send more for you to review. It’s kind of up to you for Missouri medicaid. I want to apologize. I was out unexpectedly yesterday and had very limited access to my phone. I know I put that in my email late last night. I did go through the Missouri medicaid again and I made all the corrections based on Corie, what we had aligned on Friday and in the email. So all of those updates are made. The only part I called out in my email was the disclosure questions just to make sure I went in and added the ones I know we aligned on. But any of the specific disclosure questions for the ownership? If there’s any of those that you want us to change, we can, I can edit those. I will pause there on those two before I go into the next one.
Nate Rosenthal (03:16) Yeah. I thought a lot of that was supposed.
Kateland Sanders (03:17) To be done by end of week.
Nate Rosenthal (03:19) Last week.
Kateland Sanders (03:21) There was a couple of issues with Missouri medicaid in Arizona, Missouri, we did, I sent an email on Friday that we did get confirmation that we could do the npis on separate applications. That is where we were waiting on the payer, josh and I had been calling and emailing honestly. The payer was not sure how we’re supposed to do multiple npi locations because you don’t have a group npi rollup. We got that confirmation. We filled those out and I think in my email on Friday, I even said end of day yesterday that I think where the issue came in is they did get sent yesterday and they were done incorrectly. So I had to go in and correct those. But all of those should be accurate now based on what we aligned on. And then for Arizona, everything is updated, I think there was one open question on the CMO situation or the ownership information. So we can touch on that, but that is the only outstanding item. And then we could get that over to you as well.
Corie Will (04:23) I think, I’m… not really sure how to proceed with this. So, the claim doc and the pnoa applications that you sent the sample still has errors of issues that we’ve talked about a number of times. So on.
Kateland Sanders (04:47) The Lois or the roster both.
Corie Will (04:51) There’s incorrect W nines attached to some of the requests and the location name is.
Nate Rosenthal (05:02) listed?
Corie Will (05:03) Incorrectly… it’s how it’s listed in medallion for the location name because we were told they all had to be unique, which obviously doesn’t work because a lot of our locations share names. And so we’ve advised on that before, that location name is only used for medallion because it had to be unique, but shouldn’t be listed anywhere else. And that’s still listed on the roster and on the Lois as well.
Kateland Sanders (05:33) Okay. We used the dba names, which I thought is what we aligned on.
Corie Will (05:38) You did, it also says location name, and it says forefront dermatology, Omaha, Nebraska, or forefront dermatology Tucson, Arizona. So… okay.
Kateland Sanders (05:55) I will go back and look at those. I based it on listing the dba and I even made sure at the top that we did not use, we have forefront dermatology as the group name, but we didn’t tie an npi to it. We just had that as the group name.
Corie Will (06:09) Yeah. So, for example, if you look at the claim doc roster on the provider tab, there’s a column for I have to pull it up.
Nate Rosenthal (06:18) I.
Corie Will (06:19) think it’s location name, and you’ll see what I’m referring to?
Kateland Sanders (06:22) Okay. Let me go pull that.
Kateland Sanders (06:40) Is it the, oh, under the physician roster?
Kateland Sanders (06:51) The provider office name. Is it that column? Yep. And you’re saying these should have been the dba names?
Corie Will (07:04) Yes. So, that would have been forefront dermatology SC, dba whatever. And I have provided that note on this specific payr application previously.
Kateland Sanders (07:20) Okay. I will go back. I didn’t work on those in the very beginning. I can go back and review what is in those because I know on the facility roster, it is mapped to the dbas. So I will go back and see why it’s mapped that way and make sure those are.
Corie Will (07:39) And those are on the Lois for the other payr as well… under where it has the practice location address.
Kateland Sanders (07:55) Okay. I’ll review those because I’m only seeing the dba. Oh, I see what you’re saying under the dba, where it then calls out the actual location that’s where you’re not wanting that name at all.
Corie Will (08:05) Correct. Because, yes, that’s only the name. We had to use a medallion to have a unique name, but it’s not anything that we use.
Kateland Sanders (08:15) Okay. I can make sure they remove those, but I do know the payr will pull from the dba. I think they’re just calling out the practice location name, but I know the payr’s usually will not use that. They will only use the dba or the practice or the group name.
Corie Will (08:32) I’m not sure that would be accurate in reality, for example, for the roster… they would likely take that name and print it in the directory. So, yeah.
Kateland Sanders (08:45) For sure, on the roster, I’ll make sure it’s removed. And then I’ll just make sure on the Lois, it’s not mapping because the reason why it’s pulling under that practice name, the dba’s first. And then the practice name is it just pulls from what is the name of the location? But I can make sure on the rosters it’s removed as well.
Corie Will (09:10) I think overall, we’re just feeling like we’re going in circles with this… yeah.
Taylor Williams (09:19) Just to be clear, you know, and kind of helping Corie out on this one, I’m… at the point of sheer frustration and I’m not even really dealing with it on the level of Corie Skyler and Denise. It’s the same like I feel like quite honestly it’s groundhog day where I keep on reading the same emails with the same points being pointed out. And I mean, I get it.
Taylor Williams (09:46) It’s complex. But the fact that we committed to something last week and still didn’t do it that’s the thing you can’t miss on. If you commit to something, you got to do it. Not after this commit to something, then say, I’m sorry, still hadn’t gotten it done. And, you know, at the end of the day, it’s very rare that I’m at a loss for words, but I’m at a loss for words of kind of even where to go.
Taylor Williams (10:13) We’re at a point to where this has put us in such a bad position that… we’re kind of scratching our heads as to where to go… because this type of continued miss on the load of six payers, we’ve got so many and it’s taken us probably six weeks plus to get here. Minimum… it’s confusing. I’ll just use that. So again, I don’t even know how to use 19 minutes of this meeting other than like whatever plan that was put in place, it’s not working. We can, it’s just not working. It’s continued misses. It’s we audit apparently not because it didn’t work. And so at the end of the day again, I have no words to say of where to even begin. And that is extremely atypical for me who likes to try to fix everything. So thoughts… and part of my frustration, is I’m on pto had to step away from my family to come up here to take this call. Probably the first time I’ve taken time off in a year. I’m just not happy just not happy.
Kateland Sanders (11:39) Yeah. And we totally understand, we don’t want this to be the experience that you have. And I think there was several contributing factors that kind of led us to here. And I agree like we’ve audited, it still did not work. I think what we can do is take it back internally and come up with a different plan, review everything again. I do think some of this is early on. A lot of this information was relayed, maybe not documented. Great. And so I think it’s just, it’s kind of led to where we are now and we need to pause, go back, review everything and then come back to you with a plan. I don’t know Derek or Nate if you want to add anything.
Taylor Williams (12:20) I hear you. But I thought that was promised two audit plans ago.
Corie Will (12:25) Well, I know this in this past week alone, I mean, we met with you all specifically, you sent us a medicaid application. We reviewed it. We provided highlighted screenshots saying this is wrong. Do this instead explained why and yet that still wasn’t done. So I don’t understand. Yeah, same lost for words. I don’t understand. I don’t know what else I could possibly do and to ask us to waste more of our time reviewing continually reviewing when changes aren’t being made is just, I… can’t continue wasting my time like that.
Taylor Williams (13:23) And I guess the only thing I would say is you’ve got the emails you got to go back. You’ve got to summarize it and maybe y’all summarize it back to us of everything that we, you know, that we’ve provided feedback on this as it relates to the payers that we’ve sent over and then document so that we understand that, you know, what feedback is out there. But I agree with Corie, for us to continue to play ping pong back and forth on things that we’ve said for quite some time. It’s just, it’s got to be better and it’s got to be better like yesterday and it’s just simply, it’s got to be better. I mean, too many people on this call, too many people searching through stuff that’s your basic core functionality. And Amy, I don’t even know what to say about Thursday. Like the good thing, is, you know, that’s just credentialing that’s not enrollment, but still like if we’re not going to use the enrollment piece, I don’t know what to say and Dan’s not reachable. And I’m simply not making major decisions between now and then because I’m out of the office as well.
Taylor Williams (14:42) Yeah, definitely. Agree there.
Kateland Sanders (14:43) Tyler.
Taylor Williams (14:44) Proceed with the meeting but it’s got to be better… and that doesn’t mean like spend more on Corie and Skyler’s time. It’s like y’all, got to show to us that y’all can fix this without us having to handhold through everything.
Taylor Williams (15:06) So, you know, that’s the only thing I would say is y’all summarize back to us what the misses are, go back through all of Corie and Skyler’s and Denise’s emails and y’all regurgitate to us because having to get her to go back and do all that stuff again that’s just, it’s… got to be better. Yeah.
Kateland Sanders (15:28) We totally hear you and we will go back, consolidate everything. I guess Corie for the Missouri medicades that are in there. I don’t know if you reviewed the new ones that were uploaded last night, do you still want to review those? Do you want us to kind of consolidate all of that feedback of what changed? I already have the before and after of what changed based on your last two emails, so I can consolidate that and send it over. Do you still want to review those?
Corie Will (15:56) Skyler did review those this morning and there were still a couple of misses. So,
Corie Will (16:09) I don’t know. I’m torn between I can provide that or it would be preferred if you all could please go through those again and identify… what is incorrect because it should be apparent.
Kateland Sanders (16:26) Okay. We will go review those again.
Corie Will (16:40) I do have a question for you, Kate. I noticed on all of those that the clia information is not listed, which made me or Skyler noted that clia, we couldn’t find where that’s listed in medallion. Where is that loaded? I don’t remember us uploading that. I guess.
Kateland Sanders (17:02) Yeah, you can put it in two different places. So, do you just have clia, is it a clia exemption or is it an actual clia or both?
Corie Will (17:11) Certificates. Yeah, clia certificates? Okay.
Kateland Sanders (17:13) You can put it in your documents section under the group and similar how you just labeled them for each practice location, for the other documents, you can list the clias there. There is, if you wanted to create a facility like a copy of each practice location and make it a facility profile, there is a section there. You don’t have to do that. You can just upload it as a document and just label it and then we’ll add a note in that you have clias listed there.
Corie Will (17:40) Okay. We’ll probably just do that for now it.
Kateland Sanders (17:42) Would be, yeah, it’d probably be, you would just be duplicating all of your info again. And so you can just list it in the documents and then I’ll go in and make a note that we need to add all of those in. Okay. Awesome.
Kateland Sanders (17:59) Okay. When, I guess Corie, and Skyler, I know Taylor, you’re out of office, when would you like to connect again?
Kateland Sanders (18:07) Do you want us to try to consolidate, send everything via email and then decide when to connect again or do you want to schedule something now?
Taylor Williams (18:17) It probably would be better just to consolidate the information and send to us and again, if I mean, and it’s got to be soon, Because again, we’re so far behind… it’s. Got to be soon.
Kateland Sanders (18:36) Yeah, I think from my side, we could have that done by, I mean, end of day tomorrow. I don’t know Derek if you have a different timeline.
Taylor Williams (18:45) Yeah, I mean, today, if we can, Kate… all I’m going to say, is, if you commit to a timeline, you got to hit it.
Kateland Sanders (18:57) Yeah, we can circle up and then we will send you an email and let you know the definitive date, because we’ll have to kind of pull in. I think it’ll take all of us reviewing emails and each one of those payers. But, yeah, we will get that consolidated and sent over.
Taylor Williams (19:11) All right.
Taylor Williams (19:19) All right. Anything else?
Kateland Sanders (19:23) I don’t think so. Not at this time.
Taylor Williams (19:25) All right. Y’all, have a good day.
Kateland Sanders (19:27) Thank you. Thank.
Taylor Williams (19:28) You.