Transcript
Jason Zednick (00:00) hey, Don.
Dawn Candia (00:03) Hi, Jason. How are you doing… it’s? Wednesday, right?
Jason Zednick (00:13) Oh, good morning. How are you? I just heard the last little bit of what you said.
Dawn Candia (00:17) Oh, no, I was just saying, how are you doing?
Jason Zednick (00:19) Oh, I’m you know, it’s Wednesday.
Dawn Candia (00:22) Wednesday, right?
Jason Zednick (00:23) How are you?
Dawn Candia (00:25) Okay. That’s good.
Jason Zednick (00:33) Hi, Tanisha?
Dawn Candia (00:34) Good morning.
Dawn Candia (00:39) You’re on mute Tanisha… hello?
Dawn Candia (01:23) Don, yes. Did?
Jason Zednick (01:24) You see my email on Monday with some of the aging items?
Jason Zednick (01:35) There’s quite a few things in there. But the thing I want to like specifically call out and ask is if we have the New Jersey medicaid group id for Wayne pediatrics?
Dawn Candia (01:46) Yeah, I put it in there. I think, I know… I put it check… and see, but I think that I actually, it was in the Wayne pediatrics practice… record already. Yeah. You know what I mean? I?
Jason Zednick (02:13) Do I do? I mean, I’m… just going to pull it up on my.
Dawn Candia (02:42) Yeah, yeah. I remember. It was already in the Wayne pediatrics adult integrative, practice record on the second screen down the bottom where we put the medicaid id numbers for the groups, like for the practice… it was two six, five, five, five, zero one is what that group… medicaid id would be.
Jason Zednick (03:10) Just give me one second. Save the link for myself.
Dawn Candia (03:42) It was for a particular provider. No.
Jason Zednick (03:45) It was for the location itself.
Jason Zednick (03:59) There was a task asking for it in the, it was on hold and so I wanted to get it moving. Two six five five zero one. Okay, great. And so now I just need to find the,
Jason Zednick (05:05) okay, perfect. Perfect. This is great. Okay. So, the only other thing here is about group ownership which we already know. Okay, great. So, I’m gonna be able to get this moving. Now. All good… there. Thank you.
Dawn Candia (05:18) Now, the task for Megan ward… I don’t know… that is still pending is that the one that is pending Dwayne to get Pat board’s signature on something?
Jason Zednick (05:41) yes. Okay. Which he did give me yesterday. We had a little bit back and forth… sort of Pat signed sort of the wrong section. So we had to sort of do it again, but we should have that shortly.
Dawn Candia (06:02) So, should I mark that task complete?
Jason Zednick (06:04) No, I’ll leave it open… for now… until I get it back. But what I can do is when I do get it back, I… can sort of go in and see how many of these, you know, medicaid, New Jersey signature tasks there are, and, I can maybe help close them out once I’ve confirmed that my team has it, since Dwayne’s handling it and you’re not going to necessarily know right away.
Jason Zednick (06:50) And then I did see where for… medicare because we had so many tasks or sorry requests for location enrollments and they were pending to each other. So, you know, they were sort of being put in a line. So this one had to go before this one could go before this one could go, which is blocking the providers because we’re waiting on the locations before we have the providers. So I think I spoke to you a week ago last week that I had my team like at… that time, look at all of the open location requests and just submit them all at once. And then we could go in and close the individual requests while I checked. And that was approved by medicare. So, there were like six or seven locations that were added. We are now just waiting on like the official letter… I guess the way to say it from them, which should come soon, which will close those requests and then open up all of the pending requests to it. So that’s good. That means some of the medicare staff is going to hopefully start moving very soon, which will then there’s a couple of payers that are pending to medicare as well. That will, you know, follow that. Yeah. So in the next couple of days, we should see some movement, on those.
Dawn Candia (08:33) Okay. Yeah.
Jason Zednick (08:46) And then, was there any like questions or thoughts that were top of mind for the two of you? No, I.
Dawn Candia (08:58) don’t think I have anything. Okay. Well.
Jason Zednick (09:03) That’s good. So, I know there’s a couple of emails floating, you know, as always. I’ll work through those, if you can continue to sort of review those… aging items… is.
Dawn Candia (09:17) that the ones that are 85 percent or less? Yeah.
Jason Zednick (09:21) It’s the providers that are 85 percent or less. And then there’s some tasks that are older.
Dawn Candia (09:25) Older tasks? Yeah.
Jason Zednick (09:27) And some of those tasks may be done like, I did not, with a couple of exceptions, I did not like say what is the task I’m just trying to capture. These are old. We want to make sure they don’t hang out forever. So hopefully they’re already done. But if not, then whatever is being asked we need to… I.
Dawn Candia (09:47) Mean, the few that I went through were not done and, they were provider tasks.
Jason Zednick (09:53) So, how?
Dawn Candia (09:54) You’re handling that? But like the few that I looked at, I basically just went to that provider. Well, I didn’t go to that provider, but that email that we get that says the provider task, I went and basically forwarded that to the office manager and the provider. And as a reminder that they need to deal with that because if it’s a task they need to do, you… know, like the caqh login or something like that, they need to do that?
Jason Zednick (10:30) Yeah. I suspect. I didn’t include it. This time. Next time I do this, I’ll include whether it’s a provider or an admin task, that might be helpful. I suspect most of them are provider tasks that’s generally going to be, and.
Dawn Candia (10:46) Some of the provider tasks we can deal with, but some of them we can’t.
Jason Zednick (10:53) right, right. And then that becomes sort of a question internally of okay, if you can deal with it. Do you want to do that on behalf of your providers? Is that is the quick route, the preferred route? But, you know, when that scales up to 900, that becomes really difficult for the two of you.
Jason Zednick (11:32) And then the other thing I think specifically I call out separately are both Sharon and louie stoll. And pearlstein. They just have a bunch of licensing tasks for their New Jersey… osteopath license that are open. So I didn’t itemize those. I just sort of wanted… to call it out for you that they have things they need to action for that. And then the last, no, I’m sorry, go ahead, no.
Dawn Candia (12:14) I didn’t see this new pearlstein and… dr stoll. One, I didn’t see that.
Jason Zednick (12:23) Yeah. There’s, several tasks for both of them. Okay? Thank you. And then the last extra thing there is just Pennsylvania medicaid. We don’t have an enrollment on file for the group at… all?
Dawn Candia (12:55) Or you don’t have an enrollment on file for what group I mean for? Who are?
Jason Zednick (13:03) Yeah, here, let me show you… just once again.
Jason Zednick (13:32) So, you see here, we have, you… know, an enrollment for advocare for medicaid, and then an advocare for medicaid for New Jersey. And, you know, there’s like 220 locations on file for New Jersey. Now, I understand like we know that those are under different groups like that’s fine. Like we know that, and I know that Delaware and Pennsylvania are going to be managed similarly. But in terms of like medallion structure and like how we store that data right now, we don’t have anything on file for Pennsylvania. So there’s no group enrollment. We are unaware of a group enrollment for Pennsylvania medicaid?
Dawn Candia (14:31) Oh, one second.
Dawn Candia (15:05) So, I don’t know. I mean… because the Pennsylvania medicaid group, the pa groups, you know, they have their own.
Jason Zednick (15:19) Right. So, what I think we should do is really what we need to know is how many or I should say… which Pennsylvania locations, which there’s you know, there’s… all right. Sorry, there’s not actually four to two because I assume… some of these are grouped, right? Like, but which… of these are already on file? I.
Dawn Candia (15:55) Mean, I can send you the list that we have of the individual medicaid group ids for the groups, you know, for the groups that have them. And then any group, any practice, I should say that does not have a medicaid id yet will have to be applied for, I guess by medallion.
Jason Zednick (16:16) Yeah, exactly. Exactly. Because what we do is we have one.
Jason Zednick (16:24) Yeah, I mean, that’s exactly it, that’s exactly it, right? So, once we like put the ones we know about on file, then it’s… like a systems thing. Our system will say like, okay, like there’s one group enrollment even though we know it’s actually, you know, 20 group enrollments like that’s fine, but we just need to get those 20 in there so that the system is like, okay, good.
Dawn Candia (16:53) Okay. I’ll send you the list that we have with the id numbers for the practices for those individual practices.
Jason Zednick (17:01) And then I assume… like fairmount, well, let’s say like these that’s not what I want to do. These… three for fairmount probably have the same id, right? Because these are the same, well.
Dawn Candia (17:21) I am only showing, I have to look, I’m only showing a group id, a group id for Montgomery, and the fairmount peds in adolescent medicine, not ardmore?
Jason Zednick (17:34) Guys would.
Dawn Candia (17:40) And they’re not the, they are the same, but then they have the different, you know, the four digit suffix at the end, the way medicaid, does it pre a medicaid? Does they have a four digit suffix at the end?
Jason Zednick (17:54) Okay. So that sort of answers my question. So it sounds like I’m not familiar with the suffix, but it does sound like each location would need to be on file. So that’s the second part of it. So, yeah, yeah. Okay. Yeah, send me the list. Let me assess.
Jason Zednick (18:17) And we can get that recorded. And then just any of that pa medicaid stuff won’t end up like you want to avoid. I noticed on the Delaware, we only had one… there’s fewer Delaware locations. I think we need to do that. So just kids, we know is in there already. But if any of these other ones are on file, we should go ahead and record… it as existing.
Jason Zednick (19:00) It’s not gonna hold anything up because they’re already existing, but it might down the road, in which case, we want to just take care of it now. Thank you.
Dawn Candia (19:17) I’m gonna send it to you now just so you can see what I’m looking at. Okay?
Jason Zednick (19:22) And then I can take a look at that. When I get a moment.
Jason Zednick (19:58) Okay. Just setting… perfect. Thank you. I’ll take a look and then I think I only have one other question.
Jason Zednick (20:42) Okay. Delaware first health… I spoke to my team yesterday and I regretfully did not write down the names of the providers.
Jason Zednick (21:01) But there’s not that many requests. Okay? So it must be just kids. So we have been emailing the contacts that we have on file for Delaware… first health. And if you just give me one moment.
Jason Zednick (21:36) Which is Laurieann rhodes and Sandy fasano. Yes. And they’ve just been generally unresponsive that’s what my team has told me, but they did say that they received some communication and I haven’t seen that communication that they… said they’re working with you directly or advocare directly on… the enrollment.
Jason Zednick (22:05) And I don’t know, I mean, we only have just kids and Monica from Newark pediatrics. So I’m just not sure.
Dawn Candia (22:22) I mean, I know Tanisha worked with them a little bit like in the beginning, but I don’t know that… we’re supposed to continue that. Do you know what I mean? Tanisha, was it them that you worked with? Wasn’t it? Lorianne? Yeah. Like you submitted something for Dwayne? Oh.
Jason Zednick (22:47) Actually, you know what? Maybe it was Monica? Yeah.
Dawn Candia (22:54) Who’s Monica?
Jason Zednick (22:55) Monica wigg?
Dawn Candia (22:59) That’s with Newark. No, I didn’t do anything with Newark.
Jason Zednick (23:04) This was, so, I know that. So this task is wrong. I know that I now remember that.
Jason Zednick (23:16) Just kids. Pediatrics used to not credential NPS and pas with… Delaware first health and Dwayne was going to work on, with them on that and figure that out.
Jason Zednick (23:32) So that’s why just kids pediatrics is… just stalled period. Yeah, that piece, I don’t let me follow up with my team on Monica Wiggins, because that’s a different practice and I don’t know if I don’t know if that is the same issue there. So, so maybe I can follow up on that one because, I didn’t realize this when my team flagged this to me on Monday, that this was, that payer and I knew we were holding on that payer, that’s not news… okay?
Jason Zednick (24:19) Well, that sort of answers some of that for me. I’ll bring… that conversation back up with my team. And then if there is another element to this that I’m missing, then, I can always let you know on Friday, or next Monday. Okay. All right. Anything?
Dawn Candia (24:35) Else, the piece about Duane saying, I mean, sorry about the care center saying they don’t create MPS, you know, they don’t create MPS. Huh. I think that’s a Duane conversation, yes, that you said he was going to have with the care center, so.
Jason Zednick (24:51) Yeah. I think he was going to talk to the payer about it because that like used to be the case under the care center’s contract, with the payer. But it’s not the same for advocare’s contract and advocare he’s gonna, he’s trying to get them to understand advocare wants them all right?
Dawn Candia (25:15) Yeah.
Jason Zednick (25:17) But I haven’t heard back. So, let me also like add that to my… agenda and we can ask Duane next time, we.
Dawn Candia (25:26) Speak. Okay.
Jason Zednick (25:35) All right. Well, thank.
Dawn Candia (25:38) You both. Did you get the email I sent? I just want to make sure you got it before we get off.
Jason Zednick (25:41) Oh, sure. Sure. Yeah, make sure I had.
Dawn Candia (25:43) To look at it, but I just want to make sure you did get it,
Jason Zednick (25:46) Pennsylvania medicaid practice ids. Bye.
Jason Zednick (26:00) Okay. And so, if you have a like… broomall, if you have multiple locations, you are listing it twice, if there’s a, another location.
Dawn Candia (26:14) And.
Jason Zednick (26:14) then like pulmonary and sleep, we have pulmonary and sleep lansdale, and then sleep specialist. Just want to make sure I understand this. Okay, this should be fairly easy for me to put together for you. Let me, let me spend a little bit of time this week to see if I can structure this as a like medallion translation and then I’ll run it by you to confirm and we can get it in for you. Okay?
Jason Zednick (26:46) All right. Well, thank you both. Thanks all.
Dawn Candia (26:51) Right. Thanks. All right. Bye bye.
Jason Zednick (26:53) See you Wednesday. Bye.
Dawn Candia (26:55) Bye.