Transcript
Alicia Iannece (00:00) good morning. Hey.
Connor Morley (00:01) Alicia. Good morning.
Alicia Iannece (00:04) I’m eating and then I’ll turn my camera on after that?
Connor Morley (00:08) No worries.
Alicia Iannece (00:10) No worries.
Connor Morley (00:13) Rheta’s, going to join in about five minutes or so, but I wanted to go through because I know I saw that there was an email going back and forth about… submitting payer information or submitting for revalidation.
Alicia Iannece (00:31) Yeah, I think the one that Nick responded to yesterday, I think that one I need to go back. I think it was twofold. Right? So, part of it was that we received information from that payer to do it a certain way. And then was… that the one? Yeah, revalidation instructions… and then also confirmation of a completed revalidation. So I’m assuming he wants me to put in a quote unquote revalidation request for that one, but then maybe put it to us as owners. And then we just complete it. Is that?
Connor Morley (01:09) Yeah. And Rheta, so if they, if, while we’re in this transition period, if they hear back from like a payer on a revalidation that they didn’t submit within medallion, they can just edit the payer enrollment directly on that provider’s, information, correct? So, I think it’s who is it? Jennifer Peterson?
Alicia Iannece (01:33) Yeah.
Rheta Larson (01:34) Is it, it’s an existing request we have for Jennifer Peterson?
Alicia Iannece (01:37) No, it’s like she was pending a revalidation. We didn’t know about it. We just got confirmation that it was completed. Gotcha. So, and,
Rheta Larson (01:47) you would like for medallion to pick up work on?
Alicia Iannece (01:50) This? No, it’s done. So, I’m guessing, I would wait until the payers and the enrollments are linked in together. And then I would just update that revalidation effective date. Yep. Okay. And I’ll have that ability to do that.
Rheta Larson (02:08) Yes, you should have the ability to do that.
Alicia Iannece (02:10) Okay. Sounds good. Yep. Yeah, I was joining.
Rheta Larson (02:15) A little bit late, but if there’s anything Jennifer Peterson, I need for an action item, let me know. Otherwise, it sounds like we have a good plan here for adding it once she’s complete with enrollment.
Alicia Iannece (02:26) Yeah, I think I’ll wait if that makes sense to you? Makes the most sense to you guys versus putting it in now and waiting, you know, then it might make a duplicate if Adelie’s or whoever’s doing, that part of getting the enrollments in… yep.
Connor Morley (02:44) Adelie’s, working on that. Let me, I’ll check in right now with her on how that’s going. But in terms… of some of the running questions, I saw that there was one in the notes… for PE and alliance specifically. How do they know if it’s a new provider… from Alicia, filter them or highlighting them at the top?
Alicia Iannece (03:16) Oh, for pay your enrollment. Yeah. Sorry, I thought we covered that one.
Connor Morley (03:22) Sorry, this is specifically for the delegated rosters.
Alicia Iannece (03:27) Yep.
Connor Morley (03:28) Yeah, yeah, we covered that. And when we generate the roster template or when we generate the delegated roster, those will be kind of brought to the top and highlighted for… new for net new providers.
Alicia Iannece (03:48) Yes. Yep. Okay.
Connor Morley (03:52) And then, Rheta, I know you had sent back a good number of follow ups. Is there anything Alicia that you had a question on?
Alicia Iannece (04:04) Yes. Thank you. First of all, Rheta, it was very thorough and I really appreciate it. The… so asking about the first one, the medicare, the demographic update from medicare, adding a second year location, typically for directory purposes. So a separate ptan, I didn’t have a chance to ask my team but ptan, is, what, can you remind me?
Rheta Larson (04:34) I believe it’s the number associated with reedsburg, for?
Connor Morley (04:40) Y’all’s,
Rheta Larson (04:42) group,
Alicia Iannece (04:43) Okay. Yeah, because, we all function under one group. Like, so I think we’re all under the same ptan, all of our locations, but I, that I’d have to verify that with Marcia. Does?
Rheta Larson (04:56) Was this specific to a specific provider? Because I.
Alicia Iannece (04:59) know, in general, it was, yeah, it was asking about a demographic update for a provider. So, we were trying to decide whether to put in a request for her, a new enrollment request for her, or a demographic update request.
Rheta Larson (05:14) Do they have their own ptan or is that the same number y’all, are using for reedsburg? Does?
Alicia Iannece (05:22) Does the person have their own? Does the provider? Yeah. No, I think we’re always doing it under. Well… yeah, I just don’t I’m not familiar enough with the billing process to know.
Alicia Iannece (05:38) But I’ll ask those questions, and just double check. Okay. Yeah, I think we’re good, but I just want to be sure.
Rheta Larson (05:46) OK, perfect. Yeah. If they have a separate one or anything like a second one or separate one, then let us know that might be something that we can help answer any questions you have there. But that’s what I think I’ve seen before in the past is providers tied with different ptans, so we just need to link it to the correct one with your organization, if they have multiple.
Alicia Iannece (06:10) OK. Sounds good. So, it’s more of a provider specific versus locations, was what I was thinking or it could be either I.
Rheta Larson (06:21) Think some of the groups do have their own as well, like if you have a group enrollment… but yeah, specific to providers and to the group as well. OK… any other questions on the medicare one in particular?
Alicia Iannece (06:43) I don’t think so. The part a and B, I think we’re OK. So to clarify, I think that kind of confirms the message about part a and part B. I think that kind of all confirms that, yes, we’ll be submitting for both the reassignment of benefits and then part a because we are a critical access hospital. So it’s both apply not just one or the other, right?
Rheta Larson (07:11) Yeah. And our team will, we will be aware of that as well, so long as, you know, we have the appropriate requests in. But if we are blocked by something, we’ll definitely create a task and let you know like, hey, you need this?
Alicia Iannece (07:26) Perfect. Security health plan change… now.
Rheta Larson (07:32) I think I discussed that in the last sync but we did partner with the team there. We made sure that the team is aware of the correct address they should be utilizing for medallions, pay your enrollment, email address.
Alicia Iannece (07:45) Okay. Sounds good. Npdb questions. We did end up. We, Jenny and I went back in yesterday, we called npdb again and then we troubleshooted a bit with AI and got most of our questions answered and figured out.
Alicia Iannece (08:03) So the, where should we send your responses? We think that question was directed directly to us. So we ended up choosing the iqrs, which is the npdb system. And so the responses going to us are going to go through there. And I’m guessing that’s why we weren’t seeing the reports that were being run by medallion. Now, we didn’t fully know what we were looking for or checking for, but we did end up finding the enrollments that medallion has submitted. So that’s good. We’re starting to see that it’s you know, communicating. I can’t tell if it’s because we clicked that button or if it was already there and we just didn’t know how to find it, if that makes sense. But I think we’re go ahead. Sorry. I didn’t.
Rheta Larson (08:48) mean to cut you off. I was just curious. Did you receive our MP, excuse me, our mpdb setup instructions? We did.
Alicia Iannece (08:56) Yep. And we did all that, but I think it, I think in those instructions, it said, you know, to mark, no, that we wouldn’t both receive the reports but mpdb verified like it’s one charge. It’s not like we would get duplicate charges or anything like that. So that’s why. So we did switch it to go to both of us. Then we can see it on our end if we need to, in the mpdb system and we can see those reports if we need them. Okay?
Rheta Larson (09:22) Perfect. Yeah, for the iqrs question. We, yeah, that’s a question I got with the team as well and they mentioned that they majority of the time see that the requests come through as iqrs. So I think that’s the correct selection for you all as well.
Alicia Iannece (09:39) Okay. And because everything on medallion’s end is automated with mpdb correct? Okay. And then the only other issue then because we still were having renewals pop up like that, we needed to renew providers. So we finally were able to see that we actually had duplicate enrollments. So the cvo enrollment, the previous cvo’s enrollments, and then medallion’s new enrollments. So because I guess medallion is submitting new enrollments for all the providers. So we ended up going through and deleting all of those duplicates of the old cvo. So we’re pretty confident now it should be correct. Yeah.
Rheta Larson (10:28) As long as you cancel the continuous query for the previous, yes.
Alicia Iannece (10:31) That’s what we did then?
Rheta Larson (10:33) You won’t, yeah. Then that renewal, you won’t pay for it the second time around, it should come through only.
Alicia Iannece (10:40) Perfect. Okay. So I think we’re all fixed there. Perfect. And then caqh and old cvo emails that’s fine. I did have a question about that though. So if we go into the caqh and update the provider’s credentialing contacts, I’m… kind of wondering like and I want to get your guys’ opinion for the caqh, I would prefer to have a medallion contact as a credentialing contact for the caqh because it’s all payer enrollment related. Does that make sense to have that? And if so, what general email would we use for the medallion team? Is that payer enrollment one or?
Rheta Larson (11:26) It would be the payer enrollment one if y’all decide to go that route, correct?
Alicia Iannece (11:30) Okay. And is that okay to do that? Like are you guys supportive of, that we put you guys as the credentialing contact?
Rheta Larson (11:37) I am going to take that back and just be sure before we pull the trigger there.
Alicia Iannece (11:42) Okay. Just.
Rheta Larson (11:43) Because I don’t want to make the change and then something occurs where that should not be the case, but I will discuss with the team. I actually meet with them after this, so I should be able to get it back to you today.
Alicia Iannece (11:56) Okay, perfect. And then… let’s see. I’ll just wait for your response, and then you can give me the email after that. Does that sound good?
Rheta Larson (12:06) Yeah, just for clarity for the caqh old cvo email update, you want to input the medallion pay enrollment email there, correct?
Alicia Iannece (12:17) I think in caqh, yes. And then, because then you guys would potentially get the email reminders for the, you know, attestation reminders and things like that versus it going to us and us forwarding to you like that would just, you know, waste time as well. So, I didn’t know if it’d be meaningful to just go straight to medallion and then we’ll still put on our end. We’ll still put ourselves as credentialing contacts for our providers that we work directly with. But yeah, that’s what the, that’s why the previous cvo had their information in so that they could get the reminders for the renewals or the attestations?
Rheta Larson (13:01) Okay. Gotcha. That makes sense. Got that one. I’ll take that as an action item as well. The board certifications expirables, I haven’t gotten a response back on this, but the question is post there’s like a ticket specific with the team on this. So as soon as I get back today, I’ll knock those two out, too.
Rheta Larson (13:23) Okay? But let me just ping them too in preparation for my sync with them today. Okay? But I will skip that one for now just because I don’t have.
Alicia Iannece (13:35) No problem.
Rheta Larson (13:38) And then for Melina and anthem, I think you all sent over the templates. I think I received those early yesterday, if I’m not mistaken or late Friday.
Alicia Iannece (13:49) But I haven’t I can check with Marsha. Oh.
Rheta Larson (13:52) Was it coming directly from Marsha? Sorry, I thought I saw probably.
Alicia Iannece (13:55) Okay.
Rheta Larson (13:55) Then I haven’t received it yet. The one I received, I think I saw your, maybe it was a different template I’m thinking of. Okay?
Alicia Iannece (14:03) Yeah. I think she was working on collecting those. Still. Okay?
Rheta Larson (14:07) I’ll keep an eye out for those. I’ll just put a note here that they’re coming from Marsha, so I can put that to the top of my inbox when it comes in. Okay? But other than that, from the email, was there anything else on those items?
Alicia Iannece (14:24) No, I think we’re good on those. I’m trying to think if.
Alicia Iannece (14:38) Oh… I’m sorry, I’m reading my notes and I’m like what did I mean by that? Okay. So… one question I have is a new thing and it’s regarding we’re currently in an audit with our, one of our delegated payers with group health cooperative, south central Wisconsin. I’ve submitted everything I need for that. And it’s primarily, you know, still 20 25 data. So it’s 99 percent of our old cvos. So that’s why I haven’t needed to include you guys, but Connor was able to give me the documents and everything. But so some feedback I received already from them, one of the ncqa requirements is looking at practitioner rights. And so they encouraged me to ask you guys kind of is there language somewhere? And I tried glancing skimming through like the attestations and the agreements page, and I didn’t really specifically see this language called out. So I didn’t know if it’d be helpful, to… talk about it here or at least bring it to your attention. But so… basically the question was do we or do our, does our cvo notify practitioners about their right to one review information submitted to support their application? Two correct erroneous information, and three receive the status of their credentialing or recredentialing application upon request. So now that I’ve been in a few audits over the past three years, like this has consistently come up and it has been kind of a topic. I think we don’t have, we don’t have language on our end that specifically calls any of this out. And she did encourage that if the cvo is collecting the information, ideally, they should also be kind of having this language available somewhere and I can put, I can put her question into the chat so you can copy it if you want. But so I just wanted to bring it to your guys’ attention. I don’t know if it’s worthwhile to review to consider adding it to the agreements page to one of the attestations?
Alicia Iannece (16:52) Or, yeah… or we can put it in on our end of course as well, but it might be worthwhile for both to do it. So I just wanted to throw that out there.
Connor Morley (17:03) Well, I know we and,
Alicia Iannece (17:05) if you have it already, let me know. Sorry.
Connor Morley (17:09) I’m not sure if we, I know we do have like we… give the providers and the practitioners the availability to do all of that, you know, correct erroneous information, receive the status and right?
Alicia Iannece (17:24) Of course, they have access to their profile too. So I explained that, but I think they thought probably the other parts of like the application itself and reviewing that information, but I know.
Connor Morley (17:39) I’m sorry, yeah. Before any application especially payr applications or licensing applications go out, we do ask that the provider review everything to make sure that it is correct, and try to correct anything that is erroneous if there is in there. And then they do have the ability to do that. I just don’t know if we have like specific language that lets them know about that ahead of time.
Alicia Iannece (18:04) Yeah. I think that’s what ncqa is kind of or at least the payers are kind of expecting that we proactively give the providers that information.
Connor Morley (18:16) Okay. We’ll take this back. I think I totally understand the ask, yeah.
Alicia Iannece (18:22) I can get you the specific reg too. I’ll look that up. I might need to email it to you, but I’ll get you that too. So you have it.
Alicia Iannece (18:36) Thank you. And then we talked about mpdb already. Oh, one… real quick thing we want to add like a generic medallion login link to our intranet to our home intranet, could you send me like what link I should use? Because mine just automatically logs me in now and I wasn’t sure and it like pre filled in my information. I know that’s from my computer, but I just wanted to make sure if there’s like a generic link for them to log into the remc one.
Connor Morley (19:15) Yeah, we can definitely send you that. I think it’s Rheta, it’s just app medallion co, right? But it pulls in like the staff user access on my side.
Alicia Iannece (19:32) Yeah.
Rheta Larson (19:32) The invite that is sent, it should be the same one app, medallion co minus like the staff user, it would be whatever the invite nears for the providers because you’re asking generally like if a provider you want the providers to like be able to self serve from y’all’s intranet and just click on.
Alicia Iannece (19:55) Yeah. Okay. Yeah. So if they don’t have like an email to go reference to go, click the link to get there. If they can just go to our intranet and click there. That would get if they could log in from there, that’d be great.
Rheta Larson (20:08) Yes, I think it’s app medallion co, should be the correct one. Okay? But we can definitely send that over just to be sure.
Alicia Iannece (20:20) Okay. That’d be great.
Alicia Iannece (20:26) And then sign in. Do you think I could be at the sign in? Like I click the sign in button from that app, medallion co, do you think that link would work?
Rheta Larson (20:36) I am trying to, because we’re staff. So I’m trying to figure this out too, like from my… perspective. So when you go to app medallion co, it goes straight to the welcome. Do you see that by chance?
Alicia Iannece (20:54) Nope. It went to like kind of an advertising page and then sign… in was up in the top, right? So I click the sign in and then that takes me to the welcome page to sign in… here. I’ll put it in here. This one, right? Oh, app, I did the at symbol.
Rheta Larson (21:17) It’d be down at medallion co. Yeah. Sorry, it’s okay. So if you’re logged out, it should take you to that direct login page where yourself or the provider would log in. I think that looks the same for clinicians. It’s.
Alicia Iannece (21:33) logging me in directly here, I’ll try one more time app.
Alicia Iannece (21:42) Okay. That worked. All right. So I will use that for our providers. Thank you.
Rheta Larson (21:52) Yep. Yeah, that should be the same one. Because when they get the invite, I think it points them to that same.
Alicia Iannece (21:56) Access. Okay, perfect. All right. And then we have, if, I know you guys were doing a lot of work on the privilege forms. If we have a couple that have had updates, how do we send those to you guys? Do we put in a support ticket to get them updated? What do we do? Or is it too early to ask since we’re still building? No.
Connor Morley (22:22) It would be a support ticket for those privilege forms. And just, it is like a little bit of a manual process to take those. And what we do is we like do some form mapping so that we essentially take your exact privileging forms. But we put in like check boxes, signature boxes and things like that. It’s a little bit of a manual process right now, but we are working on like automating that a little bit more that just isn’t ready yet. So I would just expect like a two week turnaround if you do update your privileging forms. Okay?
Alicia Iannece (23:05) And so… would it be helpful to send a red line with the ticket to help show what the changes are? Yeah. Okay.
Alicia Iannece (23:22) All right. I’ll do that. And then.
Alicia Iannece (23:31) Oh, I just had someone email me. They have, and I know we talked about a little bit, but more on like the credentialing context side, if we have a physician who is going to be here with us and also at southwest health, which has a program with you guys. Does the provider have to do two separate profiles?
Connor Morley (23:54) Right now, they do… sometime in qtu, they will not.
Alicia Iannece (24:02) Okay. All right. Because I’ve got somebody and she’s due now, so we need to get her done.
Alicia Iannece (24:16) And she just reached out and said, I’m also doing a profile for southwest health. Is this going to connect? So, okay.
Rheta Larson (24:29) Yeah, I think once the invite goes out, we might be able to like if the majority of the information is the same, duplicate the info and copy it to the profile for reedsburg. Okay. Well.
Alicia Iannece (24:44) It sounds like she’s already either been invited or been to her southwest platform, but she has not been into ours yet. Okay?
Rheta Larson (24:53) Gotcha. Yeah. But it would be a separate profile. So she would definitely need that separate login for reedsburg.
Alicia Iannece (25:00) Okay. Sounds good. So, she’d be logging in two different ways… like two different emails, two different for… now. Okay? Right.
Rheta Larson (25:17) And the team will definitely help her with that. If, did you already send the invite out to her for reedsburg or you haven’t yet?
Alicia Iannece (25:25) I haven’t re, sent it. We sent out the original one, but she only comes and sees us infrequently so, she hadn’t been getting our communications and we just reached out again to potentially change her email, but we might need to keep the remc one. Yeah.
Rheta Larson (25:42) Let me know if you experience any issues with her logging in and then y’all can just reach out directly to support and they can help facilitate the update there.
Alicia Iannece (25:51) Okay. If.
Rheta Larson (25:52) the email needs to be changed?
Alicia Iannece (25:54) Okay. Sounds good.
Alicia Iannece (26:02) All right. Now. Looking at our privileging tab. Oh, I gotta log back in.
Alicia Iannece (26:13) I’m so glad medallion remembers my password because I don’t… okay. So, I am seeing a number of providers there. I did, I think I mentioned to you guys or whoever that the two that were in there. It was Aurora lyback and Ann harris. They’re due in June. We could keep going with them. That would be fine. I’m still not seeing our list of providers so that we need to have. So I wanted to ask about that here. And like people got added. Some new requests got added from yesterday to today, and those ones probably are also coming up, I’m guessing, but they’re not our priority ones to get done this month.
Connor Morley (27:03) One second while I take a look.
Connor Morley (27:13) Okay.
Connor Morley (27:32) What the I just got logged out of medallion?
Alicia Iannece (27:36) We’re talking about it so much and I found the ncqa rig. So I just put that in the chat too.
Connor Morley (27:43) What? Okay. I’m back in, hang on one second.
Connor Morley (27:59) Which are the providers that are high priority?
Alicia Iannece (28:07) Sorry, I’m chewing… baker here. I will just copy and paste their last names into… how can I do this in the chat on my spreadsheet? Oh, wow. That was beautiful. Did you know, you can copy and paste an excel spreadsheet into the chat and it comes out really nice like that.
Connor Morley (28:35) Okay. Baker, Greer, Lawton, figge, Peterson, Wilson, Kenneth, got it. Okay. And,
Alicia Iannece (28:42) Peterson’s the one who’s going to have two profiles. So she’s at southwest health and she’s here.
Connor Morley (28:50) Okie. Dokes.
Alicia Iannece (28:52) So that’s going to be fun for us to whip that together.
Connor Morley (28:58) Hang on.
Connor Morley (29:12) Baker, baker… privileging?
Alicia Iannece (29:43) And I’m just checking now, all these other ones. Well, there’s only three other ones that are new, but those ones are due in June. So, I think it’s okay to leave them but I still don’t want to put them as priority over these ones. I.
Connor Morley (30:03) See baker has an expiration date in June too.
Alicia Iannece (30:06) Oh, yeah. Right. She was supposed to be our test file though.
Connor Morley (30:12) Yeah, I don’t know. I do not know why her recrit… didn’t pop in though. Hang on.
Connor Morley (30:36) All right.
Connor Morley (31:08) We want to start three months before.
Connor Morley (31:29) Okay. I do not know why those Greer and Alina.
Connor Morley (31:42) Greer and Alina has a… GREG.
Alicia Iannece (31:50) R, IER.
Connor Morley (31:53) Alana. 519. I don’t know why that didn’t pull. Huh? I do not know why that didn’t pull in.
Connor Morley (32:08) But we will get them added.
Alicia Iannece (32:12) Well, it looks like they don’t have deadlines put in. Would that be part of it?
Connor Morley (32:17) Yep. We can put in the deadlines too. Why?
Alicia Iannece (32:23) Well, it looks like none of them have, oh, hold on.
Connor Morley (32:26) Yeah, I’m not, but on the import template, I am seeing all of their expiration dates and deadlines… hang on looking at Lawton.
Connor Morley (32:57) Lawton’s, got a reappointment deadline of may?
Alicia Iannece (33:02) Yes.
Connor Morley (33:05) Okay.
Alicia Iannece (33:09) Yeah. 519, Ziggy. Is 517?
Connor Morley (33:26) And I see five six. What the heck it’s pulling in correctly? Like once I go in and change things manually, but… like the reappointment deadline is in there. What? The heck? All right. Let me talk to Adelie about this. That is weird.
Connor Morley (33:52) And then there’s Leconte, Violet. Yep. Okay. We’ll get all these in there.
Connor Morley (34:08) Yeah. 516 for Leconte?
Alicia Iannece (34:12) Oh, and you’re putting them as high priority? Perfect. You must be logged in as me Connor.
Connor Morley (34:18) Yep. I am.
Connor Morley (34:28) Yep. All right. I’ll finish this up, but I… don’t know what’s going on there that’s a weird one.
Connor Morley (34:38) I’m just going to input them as you, and then I will tag them some additional high priority tags on my side. Okay? Thank you. And.
Alicia Iannece (34:57) And then… so let’s see. Then I need to talk about. Let’s… see, are we good? Did we get everybody or you’re working on the last one Olson?
Connor Morley (35:14) Yep. I was on mute. I’m doing the last one.
Alicia Iannece (35:16) Oh, okay. No problem. Sorry. So then for these, this group for tasks coming in for.
Alicia Iannece (35:32) I think we need to maybe think about or talk through more, the requirements.
Alicia Iannece (35:42) I know we looked through them and talked through them together, the vaccination and immunity and NEFIT test forms. I see you guys created a form and I think that’s it… could be helpful. But also, I think we need to get like actual proof of the tests completed versus like an attestation from the provider. So the form that was created was just something for them to fill in like what date they had a vaccination done, and that sort of thing. And then so that’s one caveat. And then the other caveat is for reappointments. We only need the like annual requirements confirmed. And so I didn’t know how to do that. And then one harder point which I think we’ll work through this on our end is our employed providers, we have all that information already and don’t we don’t need to recollect it. So I’ll probably just put in like for this Anne harris task, she’s employed by us. I think for hers, I’ll probably just say waive this and then okay to waive like, is that going to be acceptable to the medallion team if it’s me as an org admin saying that we can waive that for the reappointment application?
Connor Morley (37:15) Might have to check, but I think that should be okay if you put in the notes that you want to waive a… certain requirement?
Alicia Iannece (37:26) Okay. Because yeah, because that, for her, that would be something that either we would, I’m not sure if we’re going to have like our employee health, submit that to us to verify it, or if we’re just going to default that because they go through our employee health, it’s already covered. And we, you know, we don’t need to collect that on that person. So that’s like on our end obviously. But, if it’s something where we can say, maybe… come up with some standard language to say this element is not necessary for this provider. I don’t know if you guys, do you guys have any standard language that would be helpful for me to use?
Connor Morley (38:13) I’m not sure. Let me check with Jen on that. And what was the requirement that you wanted to waive potentially?
Alicia Iannece (38:20) So if you look at the Anne harris task… in my, in all our tasks, there’s two for Anne harris… and like for, so she’s one, she’s employed by us and two, she’s a reappointment. So her reappointment, we don’t need all of her vaccinations because we already have those. And then it would just be the annual requirements that we would maybe need to still collect. But she’s employed by us. So we already have record of that in a different department. So, I would be comfortable that we would say that we would waive these requirements for her because she’s employed by us. Does that make sense?
Connor Morley (39:02) Yes, it does. And if you want to kind of add that into the note saying like, you can wait, we can waive this… that should be fine. Or if you just want to store all that into medallion and provide that information, we can also do that too and complete this.
Alicia Iannece (39:22) Yeah. And I think for now we’re not going to plan to store it at least as in this initial period just because it is already stored elsewhere to not be redundant and have to duplicate things. Is my goal. Okay? No problem.
Connor Morley (39:42) And that’s fine. And.
Alicia Iannece (39:45) I mean, it could be something where, so our previous cvo still attempted to collect it on every single person because we, because they couldn’t you know, they couldn’t map things out any differently for any different provider. So we always just had to tell them this can be waived, you know, and, that was all that we needed to say for the most part. But if, for medallion’s purposes, if it makes sense to map it out where we would give you specific groups of providers that we would need this information on. Like the ones that are not employed by us, I… could try to do that, but I know we’ve got a lot going on too. So I don’t know what’s realistic and what makes sense to do it whether to do it or not.
Connor Morley (40:42) I think we should be able to let me talk to Jen. I think we should be able to waive those or include in the sop, that if you get information to waive certain things, we don’t need to include it in the packet.
Alicia Iannece (41:02) Yes, that would be fine. And then if we just have to let you know to waive it, that would be fine. Okay?
Connor Morley (41:19) What was I checking? And then I think you… had mentioned like you want proof specifically for those for like the vaccinations right? Yes.
Alicia Iannece (41:41) So, typically, we will receive like the provider would maybe upload a screenshot or the actual document of the vaccination record. So it would show the dates it might show if it’s like a test like a titer’s test, it would show whether they were negative or positive. So, it’s kind of also verifying that the result is what… it needs to be. And so I just, I don’t know if a provider’s attestation… of manually providing that information, if that’s going to be sufficient for a survey. And I did touch base with my IP gal who like she’s focused on the Osha requirements and she didn’t think she thought we needed to have the proof of the tests completed as well.
Connor Morley (42:38) Gotcha. So if you include that in documents in… the documents in general, like… we should, as long as… let me just double check with our team to make sure that they can, because they should be able to pull in that level of information.
Alicia Iannece (43:05) Okay. Yeah, because I did see like the, on the form that was created, it says like… you know, flu vaccine and then provide a cut or supply documentation, to support that. Yeah.
Connor Morley (43:24) We do. Yeah. So we are looking for like that like some kind of like document. And when that document’s added into medallion, we do pull that into the credentialing packet, okay? As like as proof.
Alicia Iannece (43:38) Okay. Yeah. So we should have it for everything then and not just influenza. And then, and then tuberculosis was not included on this form and it should be so.
Connor Morley (43:52) Tuberculosis one second because tuberculosis is well, it might not be included in the form. It is included in the sop, but it is called out specifically as like.
Alicia Iannece (44:08) Separate.
Connor Morley (44:10) Proof of negative test, proof of negative status for tuberculosis via quantiferin gold, blood test or two step skin test, okay? Initial test upon start, then annual screening, waived for telemedicine providers.
Alicia Iannece (44:23) Yes. So, thank you. So… for that one, yep, we wouldn’t need proof of a test for any of these reappointments. We would only need the annual screening document. Okay? So that’s going to be separate from this vaccination’s immunity record.
Connor Morley (44:43) Yes. Okay. Yeah, it is called out as a separate… provider task. So, the provider tasks for these like immunizations, MMR, varicella, hep B and influenza are all grouped together. Influenza is an annual requirement. And then the TB is its own group. Okay, initial test upon start, then annual screening. And then there’s also. And another task would be the respiratory training, which is an annual requirement as well. The N 95 fit test or papr.
Alicia Iannece (45:21) Yes. And same thing for that one where like our employed providers, we have all this record already and they wouldn’t need to fill this out. And honestly… like, this form is great. But if they have a form that already has that information, I don’t know that providers will have that, we talked through that a little bit that they wouldn’t necessarily receive a copy of a completed fit test that they performed. Typically, they would just… submit confirmation that they had it. So, I don’t know, I’m worried this form for the fit testing is going to be too detailed.
Connor Morley (46:13) Right now, we have, so are you, what form are you looking at right now? Because it’s.
Alicia Iannece (46:19) in my tasks for?
Connor Morley (46:20) Amrs, oh, yeah. Respiratory… projection training and fit testing documentation. So, are you, yeah, this is pretty in the notes pretty detailed. Are you saying that very detailed? You’re okay with just like a?
Alicia Iannece (46:44) For this one, if they verify, I think I’d have to double check with my IP, but I think it’s if they verified what respirator they use, and when they were last fit tested.
Connor Morley (47:00) Yeah. Can you check with your side to see if we can, yes… if we can adjust this.
Alicia Iannece (47:09) Yeah, because I feel like that form will never get completed. Yeah, it’s too much. It’s beautiful. I would love to use it, but it’s too much fair enough. And then again, and back to the vaccinations just real quick, like I think the same thing like they wouldn’t necessarily need to fill out this form. If they have those records. Like we would just take the records, we don’t and we need each of them, but we wouldn’t need this form filled out. Does that make sense?
Connor Morley (47:39) Yes, it does. And if they submit like documents with each vaccination instead of filling out the form, they can still hit complete. We’ll review it to make sure that it satisfies like what’s in the form and what’s required in the form. And then we can move on.
Alicia Iannece (47:57) Okay. Sounds good. And the other hard part is they’re so new to the profiles, right? Like we’re going to probably have to work with each of them to start or do it for them to get some of this stuff.
Connor Morley (48:11) Yeah.
Alicia Iannece (48:13) So it’s going to be a bit of a lift, but that’s what I’m saying for the reappointments, most of this stuff we don’t need because they already had submitted it. So I don’t know if we’d do two separate things, one for appointments and one for reappointments?
Connor Morley (48:28) So we’ve called out different requirements for reappointments in our sop,
Alicia Iannece (48:36) Do.
Connor Morley (48:38) you, look, can we talk about this a little bit tomorrow? Sure, some more folks to see if there’s like any special language that you would need to use in order to do this. I also want to make sure that we get… like approval on your side that there isn’t anything that would violate your like bylaws if we skip this and we’re not going to get in trouble if you tell us.
Alicia Iannece (49:06) To skip something. Yeah. So, yes. Well, first of all, if we tell you to skip something, you’re definitely not going to get in trouble… because then that’s on us, right? Yeah, because we’re ultimately responsible for the decisions made. I know that very well. And the, basically the vaccinations are a requirement of the on site providers. So obviously, you guys said we’re not including the telemedicine that’s great. The health requirements, the vaccinations are a requirement upon initial like entry into the like initial start. And then only the annual requirements are the things that need to keep, continue to be reviewed. So once the initial stuff has been met, so that’s the measles mumps, rubella, varicella, hep, B, all those things are just on initial appointment when they first step through the doors. But then once they’re here, they only need to keep up with the annual stuff. The flu and the TB, those are required at the beginning too, of course. But then those are the ones that we have to keep going with is flu and TB and the fit testing, verifying that they’ve been fit tested every year.
Connor Morley (50:23) Okay. Yeah, that makes sense. So I can, I’ll just call that out specifically for those other pieces in the list for the requirements that, you know, for it’s. Just influenza, TB and respiratory training.
Alicia Iannece (50:40) Yes, that need to be confirmed annually. Okay?
Connor Morley (50:44) Okay. No problem. And then.
Alicia Iannece (50:46) the other ones are just on initial appointment and as far as waiving, so what our previous cvo did, right? Because they were covering their butts, they would, if, you know, we communicated via email with them. So if we were to email them and say, please waive this requirement, we might give an explanation but, they would just include a copy of that email into their CV packet like into the provider’s application because it was their confirmation that we acknowledged it and that they did what they could to cover it. So if there’s some way for us to maybe provide like a waiver document or something that, you know, maybe this element and we just keep it vague but we would submit it for everything and then that could be used in as a placeholder in the packet if needed. What are your thoughts on that? Is that too much or no?
Connor Morley (51:44) I think that’s great. Okay. I just, let me talk to, I want to talk to Jen about that… and the credentialing team. And I.
Alicia Iannece (51:56) mean, even if in our notes, we instruct to waive, you know, that’s part of the record, then at that point, right? So we can always go back to those notes if we needed to. So, yeah, I’m totally, you know, whatever we can do to make it work.
Connor Morley (52:15) Okay. Yeah. Let me just take that back to see because I just want to talk to merit and Jen about this a little… bit to see what their thoughts are on that are. Okay. Thank you.
Rheta Larson (52:40) I wanted to quickly flag. And then just for the sake of time we had, I think a couple outstanding items from our last chat, but one was a group Coi that have been tasked consistently for yals providers, yes, by the Coi being attached and I think we used Feng wang as the example. Yes.
Alicia Iannece (53:00) Okay.
Rheta Larson (53:01) Great. I did provide that information to the team. And basically at the know, can the team ensure that they’re checking the document section first and then utilize what they have on hand there versus tasking each time for the remc Coi? Because I know the nuance there. The providers will have their own individually covered insurance. So the team has been made aware they’ve actioned with the team and we will be sure to utilize what’s in the profile even if remc is not listed. However if there is an expiration date or like it’s just missing that’s naturally when we would task out to the providers or to the admin. So that process will still follow as normal. They’ll just try and catch it before and eliminate all. I think they had like 40 tasks. So hopefully that limits you having to do so much legwork there.
Alicia Iannece (53:56) Well, and of course, after we had that conversation, I got tasked with another one. And of course, that one did have the wrong Coi in their profile. So I’m like, well, this is why you guys are reaching out, I know that. But so that one was a good one and it was a nuanced one where, you know, they have several, they go to, you know, 20 different sites and they, the one that they… the one that had been uploaded was just happened to be the wrong one. So I did correct that one. But yeah, typically we do have record of it. It’s just a matter of making… sure it’s the right? I mean it’s for someone who had like three different cois in their record already. So maybe for those ones, it could be if there are different cois pulling up into a provider’s profile and they need to verify which one to use like that’s. Totally, I totally understand and appreciate that. Yeah, the.
Rheta Larson (54:53) Team will continue to do that. Okay? If they see anything, they’ll flag it just for confirmation, but they are now made aware of the kind of the change there.
Rheta Larson (55:02) Okay? And at least from our last conversation, I think we had a few other outstanding items that haven’t yet been responded to with our team. Like I said, I’m meeting with them after this. So I should be able to document some of those outstanding items that we talked about. I think it was like Tenzin trueshield Shaw for her Wisconsin privileging… there’s a few lingering things. So I’ll put that back in an email format kind of how I did for these other outstanding items and just get it back to you. And if you have any questions, let me know via email in that same thread. Okay? Sounds good. And.
Connor Morley (55:38) Alicia, could you send me that ncqa piece… on the practitioner’s rights?
Alicia Iannece (55:47) I put it in the chat, did you see?
Connor Morley (55:51) Oh, there we go. Ncqa standard CR, one element B. Okay, cool. Thank you.
Alicia Iannece (55:57) And then it’s those three elements in my messaging above too that those were the three items that need to be covered under that element under that reg. Yep.
Connor Morley (56:07) I got that one. I just didn’t see the actual… reg. Okay. Cool. Perfect. All right.
Alicia Iannece (56:20) And I’m going to follow up on ptan, make sure we’re good there. I’m going to double check with Marcia about moline and anthem delegated rosters and I’m going to check with my IP about the fit testing requirement, about what specifically needs to be produced or provided… and I think that’s it on my end. Great.
Rheta Larson (56:39) And I have new action items on our end which include the caqh email update to see if we can get the medallion pay enrollment email listed. Instead, we got your question answered for the generic medallion login. So I’ll take that one off and then the practitioner… rates. I know we’re looking into that as well for the… practitioner rates if we need to include that anywhere on medallions perfect. And then I think Connor also committed to a few other things with Adelie on those providers, making sure baker Greer Lawton, figge, those are all entered. And then the question for the vaccination and immunity fit test, getting that form updated for y’all, but I know we’ll have more for you probably tomorrow there.
Alicia Iannece (57:31) Sounds great. And I guess on the privileging tab, we’re just going to… do our best to see if as tasks come in and make sure they’ve got their references and just kind of monitor it closely. Anything you guys can think of on your end as far as for those high priority files that we need to get done?
Alicia Iannece (57:51) Like how can we help support the process? Like could the tasks maybe go only to us for now as we are working through some of these kinks still?
Connor Morley (58:01) Yes. And I think hang on. Let me check because I believe… I did call out to the team that we should be sending this to you all. Okay, perfect. One second while I go back and check. Yeah.
Alicia Iannece (58:20) The last couple we’re still going the last few, we’re still going to the provider directly and I get that might speed things up, but I think they’re just a bit confused still as far as what needs to go in. So, I think it’s helpful for us to be working through that with them.
Connor Morley (58:35) No problem. Okay. Let me double check. Yeah. Okay.
Alicia Iannece (58:42) Thank you guys. Of course, every little bit is progress. I’m very happy.
Connor Morley (58:48) And I.
Alicia Iannece (58:49) appreciate all your help. Yeah.
Rheta Larson (58:51) Have a good rest of your day and we’ll take these action items and get back to you soon. Sounds.
Alicia Iannece (58:56) Good. And we’ll talk to you guys tomorrow. Thanks Alicia. Thank you. Bye.