Transcript
Jason Zednick (00:00) hello? Hi, good afternoon.
Illeen Becker (00:03) Hello? Hey, Jason. Hey, Thelma I just saw your email. I’ve been doing… the onboarding stuff this morning, so I’ll go see if I can find, I think we have them for all of them and I know there’s a place, but I’ll definitely put it in the documents and send them to you, but I think there’s a place in the profile too. I just have to look.
Illeen Becker (00:37) I’m sorry, I was talking and I was on mute. I looked in medallion and under documents for all the providers that I sent to you via email now and none of the cpas are in there.
Illeen Becker (00:50) I’ll send them back to you via email, but I’ll also upload them. There is a spot in the profile. I can’t remember which one, which section it is, but I’ll also put them in the documents.
Illeen Becker (01:04) Okay. I thought that’s where they’re supposed to go, Jason, can you tell us where the collaborative agreements are supposed to go in the documents?
Jason Zednick (01:11) In the documents? Yeah.
Illeen Becker (01:13) There’s another spot and it does say where you’re who you’re and it calls it something else, but it’s who or something provider is, and I just can’t remember which section that’s in?
Illeen Becker (01:25) Oh, hold on. Oh, see, I only looked in documents. I didn’t know of another place to look.
Illeen Becker (01:30) That’s okay. I’ll put it once I put it there, it’ll put it in documents too. I don’t think it does the opposite but it does put it, right?
Jason Zednick (01:38) Yeah, exactly. That’s. Sort of my confusion there. Yeah. Because when you add any, anything that like has an attachment, once you add it to a specific section, it’s invisible in the document section, so that, that’s why? Yeah.
Illeen Becker (01:50) Okay. If you only put it in the documents, it doesn’t upload.
Jason Zednick (01:54) It to that.
Illeen Becker (01:54) Profile section.
Jason Zednick (01:56) Yeah, that’s it.
Illeen Becker (01:57) That’s I learned that one the hard way, not the hard way, but I did learn that one. It took me a while. All right. I’m going to go look for these while we’re talking.
Illeen Becker (02:06) Thank you. All right, Jason. While we’re on the question of enrollment, I do have a question for you and it’s just because I don’t know and I don’t think we ever asked, but when the provider profile is at 85 percent or above, then you all will start… the provider enrollment piece. However, if the provider is missing any documentation that’s not required for provider enrollment, is there a reason why you still won’t proceed with the provider enrollment?
Jason Zednick (02:39) No, we should… if we have what we need for the enrollment, we will proceed even if we’re missing other stuff. If you’re seeing and we should task for those things that we need. So if there’s not a task for it, then we’ve determined we don’t need it. Sometimes communication gets iffy, and if you’re seeing something being held that shouldn’t be, you can let me know and I can get a push along. Yeah.
Illeen Becker (03:14) Well, I’m asking because I know for the CIO information, I know that’s needed for like Kansas medicaid. Well, you’re not under Kansas medicaid, but I know it’s needed for medicaid, but it stops all of the enrollment. And like blue cross and blue shield doesn’t need that. So that’s why I was asking.
Jason Zednick (03:35) Do you have an example provider?
Illeen Becker (03:38) I.
Illeen Becker (03:39) can find one. I’ll let you know before we get off the phone. Yeah.
Jason Zednick (03:43) That’s great. Yeah. And sometimes that happens too where it’s like if it’s one thing that’s needed for one payer, they just blanket it all. But there’s no reason to do that.
Illeen Becker (03:55) And I asked that question because I had to enroll like maybe… 15 to 20 providers today in blue cross and blue shield. And I know that we’re not going to get paid for those claims that they have already serviced… the patients. So we’re going to have to write off all that money because they’re not going to backdate it and all these are held up for some reason.
Jason Zednick (04:29) That’s Kansas City or?
Illeen Becker (04:32) Yes, Kansas City, Kansas.
Jason Zednick (04:33) City.
Illeen Becker (04:39) so, I don’t know like how you can work with Janelle and her team when you’re missing items or your team is missing items, and then stopping the provider enrollment process. That way you can get those items in the timely file. So we won’t have to lose money,
Illeen Becker (04:56) right? Because it gets lost. I agree. It does get lost in all the noise for the things that don’t stop, but they still want it.
Jason Zednick (05:08) Yeah, yeah.
Jason Zednick (05:16) So, I mean, the best thing I can say and I know it’s a lot is that… responding to the tasks is the best thing that you can do because that’s what triggers my team to move things along. Now, if there’s if… they… are not moving lines… because… we’re requesting things that they don’t need for those lines, then, yeah, that’s a conversation I need to have and go back and ask them not to do that. And I’m very happy to have that conversation. My only hesitation is I don’t always have a sense personally and this is just like me of what’s required for what payers that’s not something that I can necessarily intuit on my own. So if you can shoot me examples of that like, yeah, like that’s a conversation that I 100 percent agree like we don’t need to hold things that we don’t need to hold.
Illeen Becker (06:17) So, Janelle, is it possible to add the workflow of checking medallion daily to your team?
Illeen Becker (06:27) We’re in it daily, both… of us, but, you know, I’ll one week, I put it on my list every week with Deborah and one week, I was at 59 tasks. And by the time it hit the next week, it was up to 74 and I’m like, good God, I cannot get ahead of it. So I am in there every day.
Jason Zednick (06:53) Yeah, I would say there’s a couple of things that I would recommend to… help sort of like triage, what’s most important. And one… of there is some reporting that is available. Let me… like review that, digest it and make recommendations based on the reporting that I think will be helpful. But let me also just briefly talk through the… overview… dashboard real quick because there’s like, I think a couple of things you could do that would help you like just triage that a little better? Okay? Because I 100 percent get it when there gets to be so many tasks it’s hard to say like, okay?
Illeen Becker (07:49) And illeen’s, in there every day too, but she’s doing the new and the week creds that’s more what she’s trying to do. And I’m trying to still clean up what’s in there. So, I mean we’re both in there daily. We’re just doing for the most part.
Jason Zednick (08:07) 100 percent.
Jason Zednick (08:08) Yeah. So the first thing I would say is that like I would filter out the lower priority tasks first and you can do it by task type. So if we are, if our concern is making sure that enrollments move forward, enrollments don’t get held up, we can sort of just… look at the enrollments. And then like the provider and group profiles, cause those are the things not contract enrollment. Those are the things that are going that affect that process. So that will eliminate some of the like appointments and the caqh management tasks that are also just jumbled up in there. So already like removing those brings us down to 36, which is still a lot but more manageable. And then the next thing I would do so.
Illeen Becker (09:07) Jason, can you hold up a minute? Cause I was actually in Deborah richardson’s profile when you started talking, and I was like, wait a minute. I’m not seeing what he said. So you said on the overview task list, if I filter the task type, and which ones did you say were the top ones? I missed that part? I’m sorry.
Jason Zednick (09:23) No, no worries. No worries. Things that will hold up are task types that will hold up enrollments, let me say it that way are provider profile, group, practice profile, facility profile, which you probably won’t see and payor enrollment.
Jason Zednick (09:47) Those are the task types. Those are the only task types I would anticipate ever seeing directly related to the enrollment process. Okay? And then the second thing I would do is I would sort by when it was created with the assumption being that if it’s you know, older staff has been sitting longer and needs to be actioned sooner. And then that is a good way to help like just orient… like what… is urgent in that regard? So.
Illeen Becker (10:31) You said provider profile, group practice profile, facility profile and payor enrollment.
Jason Zednick (10:36) Is that correct? Huh. Okay. And it also works the other way too. Like if you’re like, okay, I’ve sort of worked what I wanted to work on the enrollment side of things. And then you’re like, okay, maybe I want to check on the appointments side or the credentialing and appointments side. Let’s do them both. You know, I could say, all right, show me credentialing, show me appointment and also show me provider profile because anything related to the provider profile could be an issue for something else. And if we slice it that way, we sort of give it a different number, you… know, for one, I think a lot of these are appointment tasks… right?
Illeen Becker (11:25) And I see like Lauren fensterman, I know she’s leaving. I think Luca might still be on there. I know he’s leaving. I don’t know their dates. I’ll get their dates but I don’t know them yet.
Jason Zednick (11:36) Yeah. So that’s one thing you can do. I recommend sort of a little bit like time blocking, like right now, I’m going to work on things, delaying enrollment right now. I’m going to work on things, delaying appointments or credentialing. So that’s my first recommendation. And my second recommendation is we… do have some analytics reports on open tasks. This may be helpful. It may not let me sit with this for a minute, and I can come back with some recommendations if I think I’m just not as familiar with this report. And so that let me review and I might have some better recommendations then. Okay?
Jason Zednick (12:34) All right. Thelma, can I ask you about?
Jason Zednick (12:52) What is the acronym preferred health professionals php?
Illeen Becker (13:03) I guess that’s handled by blue cross blue shield of Kc, according to Leanne’s email, yes. And I never knew that. So when I do the provider enrollment task, I could just select the blue cross and blue shield Kc, that’s what I’m thinking and it will automatically enroll them in php.
Jason Zednick (13:29) That’s sort of what I wanted to ask you about because I had that same thought. If enrolling… in Kc… is also enrolling in php, then we don’t need two requests. We can just do one through. Yeah. So that’s fine. That totally works for me. That makes sense. I don’t have any concerns about that. Do you know? And I can look for the providers because I see we have like several… php requests like seven are currently processing.
Jason Zednick (14:15) Do you know, or… you think that most of these providers were also requested for blue Kc? Yes.
Illeen Becker (14:24) I’m sure they were okay.
Jason Zednick (14:26) Cool. So we can probably.
Illeen Becker (14:27) Cancel these, you can hold.
Jason Zednick (14:29) Those. Yeah. So I’ll confirm, I’ll make sure there’s a request for Kc. Okay? And once I’ve done that, then I’ll hold these because that’ll take care of it. Okay. And.
Illeen Becker (14:41) then you put a hold on your team working for blue shield until I can crank you all, yes or crank someone from medallion?
Jason Zednick (14:50) Yeah. Okay. I am, I’ve communicated that, yes. Okay. And so on that same subject, my team on… the larger… the… fqhc thing, right? My, my leads are putting together.
Jason Zednick (15:14) Sort of the language, for… the people doing the work, exactly the workflow for that, which I think is like mostly going to be the same for the specific blue cross stuff and we, but we can have, you know, a more specific blue cross conversation. And so, once I’ve confirmed that they’re done, with how they’re instructing the general structure, I want to just review that with you, make sure… that it checks out, that, what we wrote matches your understanding. Yeah.
Illeen Becker (15:49) So, do you know how long it’s going to take? Because when we first started with you all, we were ensured that you knew how to do providing enrollment for fqacs, and now that we’re finding that, that’s really not the case, do you know how long it’s going to take them to implement something? I?
Jason Zednick (16:09) I think they’re like, I have a meeting with them tomorrow morning and… I think they’re if not done close. So, I’m not anticipating… like much longer of a delay at all. But that’s also something I can communicate… you know, that like, hey, it’s like let’s get on it.
Illeen Becker (16:36) Yeah, because if not, I’m, assuming by April, then it’s going to have to go to essence and she’s going to have to talk to people at her level with medallion because.
Jason Zednick (16:46) we were told yeah, 100 percent 100 percent, and, I’ve already briefed sort of my account level counterpart at medallion on this. So she’s aware. I believe she’s meeting with essence soon,
Illeen Becker (17:05) Okay.
Jason Zednick (17:06) So… I, I’ve kept her in the loop. I just wanted to make sure that she was aware as well. Are?
Illeen Becker (17:13) You referring to Amy? Yes. Yeah. Okay. Yeah, yeah, because she was on the call.
Jason Zednick (17:17) As well. Amy knows about this conversation that I’m working with the operations, the whole thing. Yeah. Okay.
Illeen Becker (17:22) Okay.
Jason Zednick (17:23) So, and,
Illeen Becker (17:26) I know this happened before you came on. So I apologize that you have to deal with it.
Jason Zednick (17:31) No, no, I mean, that, that’s what I’m here for. I, you know, I… I’m… sorry, we didn’t get it right the first time, right? But, I… am trying to make sure we get it right this time. And, I appreciate, yeah, you know, like answering my questions and helping me navigate, the intricacies here because it, is, it, it’s you know, it’s a little different. It’s a little involved. So, yeah. I appreciate the patience in that regard for sure. Okay. And then I’m sorry, for the blue cross hold, you may have already told me this just Casey, or should we hold Kansas as well?
Illeen Becker (18:19) Kansas hasn’t been complaining. It’s only Kansas City.
Jason Zednick (18:22) Okay. Yeah, that’s what I wasn’t sure about. Yeah. Okay. Totally. Fine. Very okay with that. And again, I’m meeting with him tomorrow morning, I… remind… me, hold on, hope, are you on?
Illeen Becker (18:39) A, yeah, hold on guys. I have me going.
Jason Zednick (18:43) No worries. Yeah, my leads… they get like, they get it. It’s just a matter of like making sure it’s all like documented and tied up in a bow, perfect?
Illeen Becker (18:57) Thank you.
Jason Zednick (18:57) Yeah, you’re, very welcome. Okay. I’m trying to think.
Jason Zednick (19:19) I had some question or maybe Eileen, are you?
Illeen Becker (19:26) I am here. Hi. Hi, I just had a question. Dr parsons is having some problems and he thinks he’s gotten everything correct. He said for the last time I went through and I got everything for you. But I don’t think he did because a couple hours later, I checked and he still didn’t have the credentialing available.
Illeen Becker (19:54) His re, credentialing for me to pick it up. Can we help him somehow please? Please? He’s very frustrated with medallion and I really would rather, you know, we help him get through this one. And then in two years, he’ll be okay again.
Illeen Becker (20:14) And I need it for the April first meeting, if at all possible.
Jason Zednick (20:21) Yeah. So, I’m looking at Vincent?
Illeen Becker (20:24) Yeah.
Jason Zednick (20:24) Yeah. And, and I can tell you, well, hold on. Let me look at this first before I say that’s the only thing, yeah.
Illeen Becker (20:30) I looked too, Jason, it looks like he didn’t click the boxes and type in his name. He signed him, but he didn’t click the boxes and type in his name. Yeah.
Jason Zednick (20:40) That’s that’s exactly.
Illeen Becker (20:41) It, can you type in his name for him?
Illeen Becker (20:43) I can’t.
Jason Zednick (20:44) can’t do it. So, so it’s… he put his signature in, which is great. But the actual attesting the actual like act of signing is clicking the agreement and then typing the name to confirm, you know, sign off like, yes, and for the information, release the profile authorization and the agreement to update data. He didn’t do that. He did it on the data attestation, which is great. And you can see that was dated, it was consented to on the 20 fourth. It’s just the other three that he didn’t do it. Yeah, Janelle, you’re exactly right? Okay.
Illeen Becker (21:35) Janelle, maybe it’s time for you to ask him because I’ve done everything I can and he’s really trying. I mean, I do understand. Yeah, I can do that. Yeah, if you don’t mind just to let him know that we had this meeting. And here’s what it needs per Jason, maybe just new blood or a new thought process, but I was really hoping, I mean, because like me, I fill out the names, the printed names and I fill in the boxes and all they do is sign it and date it, but you don’t have anything available to help these guys?
Jason Zednick (22:11) They have to log into their account and they have to complete the attestation. Yes.
Illeen Becker (22:19) Okay. Well, that’s problematic for my older guys.
Illeen Becker (22:24) I’ll take care of it. We’ll get it.
Illeen Becker (22:26) Okay. I mean, if I could have done it, I would have, but I didn’t find any place for me to be able to do it.
Jason Zednick (22:33) No, yeah, it does have to be through their login. Yeah.
Illeen Becker (22:39) Okay. All right. That’s all I have then. Yeah, of course, I’ll tell him. I tried.
Jason Zednick (22:45) And then I had a question for the two of you… Michelle, ritzman, huh. We have been trying to her… references. I’m told they’re not good. We’re not getting response and so we need.
Jason Zednick (23:16) We need references. Yeah, let.
Illeen Becker (23:18) me, see if I can find anything in her file, the.
Illeen Becker (23:21) Ones that are in her file, are the ones that are in here.
Illeen Becker (23:24) Oh, I put them in. Okay. Well… that’s another problem.
Illeen Becker (23:35) We can ask her for new ones.
Illeen Becker (23:38) We can ask her for new ones because she’s been around for a while. Huh? Yep. Yeah… I just would hope we could make it as easy as possible.
Jason Zednick (23:54) Yeah. If she can give you the new references that’s the kind of thing that you can go in and update or I, you know, if necessary, I could go in and update, but the references do just have to respond when my team reaches out to them, that’s what’s that’s… where we’re getting hung up.
Illeen Becker (24:16) Okay. She had her 20 23. Yeah, those people move on. They get different phone numbers. She may not even know anymore.
Jason Zednick (24:29) Yeah.
Illeen Becker (24:35) All my people in Arizona did that to me. I mean, I don’t see them every day, but they’re still willing to do a, you know, background check for me or give me a referral. I,
Jason Zednick (24:45) know you.
Illeen Becker (24:47) Know, I can’t get in touch with them to tell me. Okay, yeah, looks like she didn’t have anything in here I can use. Okay? Wow.
Jason Zednick (25:02) And then I think the last thing and I know this is just part… of the process, but for the appointments… there are several providers who, sorry, I shouldn’t stop sharing yet, several providers who, their… profiles just aren’t complete yet. And it looks like they’ve been marked by my team in the appointments. So there’s about 10 or so who we can’t start on until the profile is. So I did just want to call that out and I know you’re probably working through those, but they did ask that I flag it.
Illeen Becker (25:49) Janelle. I just sent Eber a message. I think I cc’d you on it that you all have sent her 12 notices. She’s really confused about what she’s supposed to do. She’s just really confused. She thinks she’s done. She’s not done. Yeah, let’s take a look.
Jason Zednick (26:15) It’s the agreements. It’s the agreements. Yeah.
Illeen Becker (26:20) Yeah, you.
Illeen Becker (26:22) have to be very specific in the email, but they have to sign it, check a box and type their name four times and send them the link. I’ve had about one out of five do it and they get it right away. So I’ll keep trying that way that’s what I like. Because if you tell them to go sign it, all they’ll do is go sign it.
Jason Zednick (26:44) Yeah, no, I totally understand. I am aware of, you know, like how this works and how if you tell them to go sign, it makes perfect sense for them to be like, okay, great. And they sign it and think it’s done. I get it. I do. Yeah.
Illeen Becker (27:02) Well, I didn’t tell them to go sign it. I told them they had an incomplete file which when they get in there shouldn’t it tell them. I mean, it looks like a DocuSign. They’re used to those. They.
Illeen Becker (27:14) Can see that they don’t have the green checks. I usually send them the actual link to the agreements when I send it.
Illeen Becker (27:21) I see. Well, okay, I will give that to you then. Yeah, because I can’t credential them. I re credential them until and I’m waiting for the packets to come in on the ones that I need re credentialed?
Illeen Becker (27:36) Okay. Yeah.
Jason Zednick (27:41) Okay. All right. Great. Anything else? Other questions? Anything else? Top of mind as we come up on the end of the hour?
Illeen Becker (27:58) No.
Illeen Becker (27:59) I don’t have anything. Okay?
Jason Zednick (28:04) All right, great. Thelma, I’m.
Illeen Becker (28:10) going to confirm?
Jason Zednick (28:11) For those php providers that the Kc, the blue Kc enrollment exists. And if so, I’ll hold the php enrollments for the Kc enrollments. My team’s going to hold those until we can, you… know, tie that up neatly with them. And then I will work to, on… the overall fqhc structure. Have that documented so that I can sort of confirm that with you, put it in front of you as soon as possible. And again, I’m meeting with them tomorrow morning. So I’m hopeful that that’s when I can do that. Okay? Because I’m.
Illeen Becker (29:01) going to be sending you an email shortly of everyone that I enrolled in blue cross blue shield of Kansas City within the last two days because I’ve been doing it since yesterday. So, okay. Yeah, I know it’s over 10 providers.
Jason Zednick (29:14) Do you have the, like… the enrollment details like the effective date and the id number? If they do id numbers?
Illeen Becker (29:29) They haven’t been approved yet. I will have.
Jason Zednick (29:31) Oh, you submitted? Oh, I see. Yeah, I just,
Illeen Becker (29:33) submitted?
Jason Zednick (29:33) The application you put it in? Okay, great. Yeah, please do. And then I’ll… have my team like update our system so that we know that you did that and we can. Okay. Yeah. Okay, great. All right. Thank you all. Appreciate it. Shoot me an email if something comes up and we’ll talk more soon.
Illeen Becker (29:55) Okay. Thank you. All right.
Jason Zednick (29:57) Thank you.
Illeen Becker (29:58) Thank you. Bye.