Transcript
Melody (00:00) hi, Melody. How are.
Leigh Howle (00:04) you feeling a?
Melody (00:05) Little bit better. I went to the doctor today and got some medicine, so.
Leigh Howle (00:08) Good. Yeah, that definitely helps. Yeah. Well, that’s good. I hope you start to feeling better soon and on the up and up, yeah, for sure. We don’t have too much on the agenda today. So I don’t think, you know, this will take too much time. I’m sure you’re getting really busy getting back into everything. So, all right, awesome. I’ll go ahead and share my screen and then we can go over these agenda items and I did do the opssync deck as well so we can go over the changes in metrics from last week to this week. Okay?
Leigh Howle (00:48) Let me make this a little bit bigger. There we go. First item. Excuse me that I added on here was just for medicaid practice, location, specific enrollment, where like Oklahoma, Pennsylvania, Georgia, they require the practice location to be enrolled individually, like, you know, separately. Yeah, I think when those need to be requested, it would be best to request each location separately for submission tracking. Okay?
Leigh Howle (01:28) And on the par rosters, I definitely want to be on those emails, Alex, Bianca, for sure. Okay? And if you can, like I’ll always forward them over. So no biggie but if you can also send them to that confluent health that medallion team, it’ll go straight into the platform. Okay? Perfect. On I’m just, I don’t want Julie to have to spend a lot of time or, you know, with the medicaid passwords and updating them in the platform and then updating them on excel sheet. So I’m just going to throw this out there. If these, if the Oklahoma medicaid passwords or any state for that matter, you know, where it’s by location. Indiana, if they change on a regular basis, if it’s easier for her just to maintain it on her document, then we can link that to the project plan sop, so that she doesn’t have to keep updating it in the platform and her document.
Melody (02:30) Okay. Yeah, I will. Yeah, because we have one. So I will have her share that with you.
Leigh Howle (02:37) Okay. Or?
Melody (02:38) We can put it on the shared drive, right? Is that where?
Leigh Howle (02:40) Yeah. Okay. That sounds that sounds great. Yeah. And then that way, if just let me know what states she’ll do, and I’ll go into the platform and just put a note so the team knows that they need to go to that shared drive document to get those passwords. Okay?
Leigh Howle (03:05) Awesome on the task review. So, I exported almost 9,800 tasks and I kind of broke them down by category. Yeah. So it looks like the majority are within PE which we expected and then provider profiles. Okay? So what I want to do is kind of break it down further by exactly what those 4,700 tasks are with PE. Okay? And then once I can get that broken down into categories, we can just talk about which ones I can take back to the team like Rhode Island medicaid signatures versus, you know, what you could take back to your team. And then we could just let them know what the process or workflow would be. So these tasks wouldn’t even be created.
Melody (04:03) Perfect. That sounds good.
Leigh Howle (04:05) Okay, awesome. And yeah, thank you for the bartovan email on the demographic update, effective dates. And I don’t know what happened on the ptpn approvals. I was, I looked everywhere in those emails and I was just like, why can I not find these? So now, I know.
Melody (04:25) Perfect. Yeah, but that will be good because that’s I think one of her bigger complaints too is that she sends the emails but they don’t get viewed and then they’re being followed up on. But I think when I went through the like the outstanding lines, those were the only two providers that should have been approved that haven’t been yet. So I think we should be up to date.
Leigh Howle (04:44) Okay, awesome. And the team knows now to look for ptpn approval errors. Perfect. Okay. And then I have the ops sync, the ops deck and I’ll just go right into the outstanding enrollments didn’t go down. Just it actually went up a little bit for the 120 plus days by two.
Leigh Howle (05:08) The 90 to 120 did go down a little bit. So that’s good. And then the needs client attention definitely are going down significantly. I think that was almost up to 600 when we first started this. So down by 50 from last week or down by 41 by last week, right? How does that say? 50 reviews a week? Oh, it’s supposed to be a two.
Leigh Howle (05:47) 466 and 41 is five seven. Okay. And then on… the payers for outstanding enrollment. So, Julie sent over a really, you know, you sent the, I think it was Julie. Yeah, she sent that great tricare west baccn. So I went in and just had a, I reviewed all those states whether it was regents or blue cross. And I told the team in reviewing these that they are creating a project to go in and review all of these enrollments. I think Oklahoma was the oldest going back over a year. And back then it was submitted to triwest healthcare alliance because that was the instruction. But then once blue cross started to get their processes in place, they started to, you know, accept those applications. So I really, I’ve told them everything needs to go to blue cross if they subcontract in that state, it’s much faster. And so there should be some pending dependencies on any enrollments with blue cross. And so that’s.
Melody (06:58) just the.
Leigh Howle (06:58) workflow on those. Perfect.
Leigh Howle (07:11) So, for week over week comparison on… last week, there were 100… wait, 315. Oh, let me update these numbers really quick… 178. And… I’ll just remove… this one or I can add it in later.
Leigh Howle (07:52) Oh, that’s eight.
Leigh Howle (08:01) Okay. Here we go. And eight completed enrollments.
Leigh Howle (08:12) So, for the week over week comparison requests, there were an increase in requests last week of 730 intake pushed 285 of those through the team had submissions around 300 and about 300 enrollments were completed. Nice. Are there quite a few of providers that have tasks out right here that’s a pretty significant gap?
Melody (08:45) Don’t.
Leigh Howle (08:47) Know.
Melody (08:48) I looked yesterday… there’s some that we have that are pending license, I know that.
Leigh Howle (08:59) Okay. So.
Melody (09:00) There could be some that.
Leigh Howle (09:03) Are sitting in here that makes sense? Oops. Okay. And then credentialing… there were six requests and 33 ready for committee vote?
Leigh Howle (09:28) And speaking of credentialing on the sunflower health Kansas cap, I’m going to be emailing this afternoon to try to schedule a meeting hopefully Friday or Monday Tuesday next week so that we can all kind of get together and talk about the, you know, what our credentialing team has discovered and then go over that cap. Perfect. So for follow up, there are about 2,400 lines that are current and there are 147 that are overdue. So I will keep pushing the team. I met with them yesterday and I went over these expired follow up and just explained that they needed to make sure that all follow up is quality and, you know, quality status notes and to make sure that it is current. So I meet with them again tomorrow and I’ll definitely go over these numbers as well, perfect. And I was able to identify the two on this one. So for the rosters, somehow there’s one humana and one Molina that are just kind of an outlier when it comes to the follow up on these. So I’ll go over those as well. Okay. Had an increase over 200 lines were completed since last week. So far, March is sitting at eight 32.
Melody (10:54) Nice.
Leigh Howle (10:56) And product updates. I know we covered this. The only slide is this one. I just wanted to give you an update.
Leigh Howle (11:04) I have asked epd to make gender affirmation treatment and mat treatment for all confluent providers, just to be optional or if there has to be an answer that’s required, it’d, just be no across the board. Okay, perfect. And that was all I had. All right. That was great. Did you have anything I don’t think so I.
Melody (11:30) think we’ve just been emailing the things that have come up. So everything’s been going well.
Leigh Howle (11:35) Okay. Awesome. All right. Well, let me know if you need anything from me and I hope you have a great rest of your day.
Melody (11:41) Thanks you too.