Transcript
Shannon Costine (00:00) how are you? Hey, Shannon, good. Apparently, I need more coffee.
Christina Oneil (00:07) I know I just made one.
Shannon Costine (00:10) I’m glad I’m not the only one. What time is it there for you?
Stephanie Alcena (00:14) It’s one.
Christina Oneil (00:15) It’s a little late for me. I normally just have one in the morning, but I’m so cold today. I don’t know the sun is bright, but I’m cold, so I’m like I need another.
Stephanie Alcena (00:23) Cup of coffee.
Shannon Costine (00:24) That is so me, I do that all the time though. I’m like, no wonder I can’t sleep at night when I’m drinking coffee at one o’clock in the.
Christina Oneil (00:30) Afternoon. No, I normally don’t but I’m like today, I could use it.
Shannon Costine (00:35) Hey, Christina. Hey, Stephanie.
Stephanie Alcena (00:39) Hey.
Shannon Costine (00:42) All right. A couple of things to look at and address today, and I want to look at numbers too, but I want to address the first issues that I feel like has been ongoing for a while, which is Stephanie your medicare application. So it was stuck honestly, it looks like because of a system glitch. So, when I asked for eops yesterday, we met on this and I said, can we just submit it? I need the application submitted? I need it done. So they’re working on it today. And then once we get the glitch fix, I’ll just ask that you put in a request. Does that work for you?
Stephanie Alcena (01:20) Yeah, that works for me. I.
Shannon Costine (01:22) Just wanted to get it submitted because you’ve been dealing with it for too long. So, I apologize from all of us that shouldn’t go on for that long. As far as the surrogacy access. I emailed you yesterday to let you know you don’t need to do anything else. Everybody’s been approved. We’re good there.
Stephanie Alcena (01:41) Sounds good. Thank you so much. I appreciate it of.
Shannon Costine (01:44) Course. Any issues or concerns on those two issues?
Stephanie Alcena (01:49) No, the only thing I have, I’m having a different issue with Pai medical, West Virginia. Okay? We had a task requesting that we do a demographic update just to add our current location because I’m assuming it wasn’t in the original enrollment, but every time I try to submit the request, it won’t let me scroll past the enrollment details for some reason.
Shannon Costine (02:22) Do you want to share your screen if you’re on it or I can share mine either way?
Stephanie Alcena (02:30) Well, maybe they did it… because I don’t see.
Shannon Costine (02:38) If you can, I may be able to do it on my end.
Stephanie Alcena (02:42) Because I’m looking now, I don’t see, it… doesn’t give me medicaid… West Virginia.
Shannon Costine (02:54) Let me make sure I’m assuming, but it did this.
Stephanie Alcena (02:57) Morning. So I’m not sure what’s going on there, but I did reply to a task. Maybe they made the correction on their end.
Shannon Costine (03:06) Okay. I’ll ask them to look into it and make sure there’s nothing else that they need.
Shannon Costine (03:16) And if not, I can always submit it for you as… a one off if you need me to.
Stephanie Alcena (03:25) Yes, if you could, that would be awesome. Thank you. Just make sure that it’s taken care of. They just need us to submit group demo update and just add the current location, which is the.
Stephanie Alcena (03:43) 13 or eight fourth avenue.
Shannon Costine (03:50) 13 o eight. Okay. And it has to be a demographic update, yes. And.
Stephanie Alcena (03:59) That’s for Pai medical, West Virginia, pllc. Okay?
Shannon Costine (04:08) I will, when we get done here, I’ll check in with them and see if they have what they need. If not, I’ll get it submitted for you.
Stephanie Alcena (04:16) Okay. Do you need the zip code, and city or do you have that for the address?
Shannon Costine (04:23) Do you have it in the system or no?
Stephanie Alcena (04:25) Yeah, it’s in the system but they’re saying it wasn’t that’s not what was in the original enrollment.
Shannon Costine (04:31) Yeah. Give me the full address so I can make sure 13 o eight fourth avenue.
Stephanie Alcena (04:36) One, tang West Virginia, two five, seven, one.
Shannon Costine (04:43) Okay. Got it. I’ll take a look at that as soon as we get done here. All right, I wanted to share this couple of reports with you guys. First. One, is we’re going to start reviewing this again every week? I know we have our monthly report that I’ll show you in a minute. This will be able to keep track of how many we’re completing, how many needs client attention, how many are on hold processing and stopped. But the one thing that I want to call out is the aging, which is important here because we’ve got Nicole smith who looks like she’s aging.
Shannon Costine (05:22) But the last time we talked, we were pending, looks like a license. Is that correct? I just want to make sure that our team doesn’t need to be doing something on her.
Stephanie Alcena (05:34) We do, we did receive her license. We have a permanent West Virginia license now.
Shannon Costine (05:40) You do, when was that received?
Stephanie Alcena (05:43) I believe it was last week, but I can double check.
Shannon Costine (05:51) Okay. So what I’ll do is again when we get done, I’ll go back and make sure that those lines are moving since we now have the license.
Stephanie Alcena (06:03) Okay. The nineteenth that’s when it was affected the.
Shannon Costine (06:09) Nineteenth. Okay. So we’re not doing too bad.
Shannon Costine (06:16) Okay. A couple of items to call out here. Let me give you guys this. So this is going to compare us week over week. This is the prior month. The last time that we looked at this, my biggest concern here are these 21 that are sitting in follow up. So I did send these over to ops. I escalated these 21 really these overall to take a look at because we should not have this many the previous week. We had 15. The last time we looked at the report 120 plus days, we currently have three previous week. We had 12 and then open lines 90 to one, 20 is 22 previous week. We had five. So we’ve got 19 right now that needs client attention. If you can take a look at those. And the trends that we’re seeing is anthem caresource, multiplan, healthsmart, Molina and wellcare, on those overdue. We have 185 versus completed is 158. So we’ve completed quite a bit, which is good, but I want to see those other lines move not so overdue here’s. Probably my biggest concern is the follow up. We’ve got 22 right now that are sitting overdue for follow up and you can see those being called out here. So I have flagged those to the team to let them know that we need to make sure that we’re following up and we’re staying on top of those. Nothing you guys need to do it’s. Just more call out to let you know that we’re staying on top of it the previous week. We only had 10. Now we’re back up to 22, which I don’t like. So again, I’ve called this out and I’ll send this to you guys. So you have it for your records as well in case you see anything that’s of concern to you. And then this is just our week over week comparison. Obviously, we want to see the opens move to close. We still have quite a few that we need to get closed out. I like that we’re starting to close them out back from August, but we really need to get these cleared out in this area. Any questions on that? Nope?
Christina Oneil (08:38) Sorry, are the priorities still the same as far as the providers that we had listed as priority?
Shannon Costine (08:45) Yes, absolutely. Thank you. But I mean, you know, on this slide where I’m telling them this has got to be followed up on that’s. All priority like this should not be that far overdue on follow up understood.
Christina Oneil (09:01) Thank you of.
Shannon Costine (09:02) Course. Absolutely. Last items I wanted to look at with you guys, was dr Wilmore, you brought up last time that his caqh, he wasn’t going to share that information. Did we get a resolution on that or do you feel like you’re good there?
Stephanie Alcena (09:21) I think you’re referring to when we needed his West Virginia caqh… application?
Shannon Costine (09:29) Yes, it’s a, he did provide.
Stephanie Alcena (09:31) It to me, but I think we were looking to see if there’s any way we can just use one or do they need a different application for each state?
Shannon Costine (09:43) For caqh? Yes, nope. You just need the one that’s it.
Shannon Costine (09:53) And then the last issue I have here is dr rutland for social security card. Did we get that from her?
Christina Oneil (10:05) We have not, it’s continued back and forth but it’s been escalated now.
Shannon Costine (10:11) Okay. I’m gonna make just make note of it. So that way the team knows we’re still pending.
Shannon Costine (10:22) I think… that was everything that I had from the previous week. Was there anything that you guys wanted to address or take a look at that you had concerns with?
Shannon Costine (10:41) You guys are easy. We currently have our meeting scheduled for weekly. Are you guys okay with moving it to bi weeklies, or bi monthly? So it’s every other week or do you still want to keep it for weekly? I think bi weekly makes.
Christina Oneil (10:59) Sense. I think we’ve gotten a better rapport with you and better response times. Thank you. I’m fine with moving it to.
Shannon Costine (11:08) Bi weekly. Okay?
Shannon Costine (11:14) All right. Well, that was everything that I had for today. I will send you over the powerpoint that we looked at. So just so you guys are aware of who we’ve escalated. And then if anything comes up on those, I will let you know and keep you abreast of any issues.
Christina Oneil (11:31) Awesome. Thanks so much. And I did see the medicare application for Pai, Ohio. We got, they just needed the next date of birth. So I marked that Stephanie is complete. So they should have everything to submit the application. So let’s just keep an eye on it. So thank you again for that too.
Shannon Costine (11:47) Yeah, absolutely happy to help. All right guys. Thank you so much. I hope you have a great week. Thanks. Thank you. All right. Bye.