Transcript
Nic Schisler (00:00) oh, play your note to Kalia?
Amy Barfield (00:11) She’s still holding firm on that five documentation. Well, that attestation and all that is on caqh. So, those are the five documents that had, they had to have caqh. And so they managed their own caqh. So there’s nothing we could have done there. We confirmed with them that they did approve the caqh and I sent her proof that we sent the documents that they requested. So either someone’s not doing something on their side… but we were moving accordingly.
Nic Schisler (00:44) Yeah, that’s how I read the breakdown. I appreciate you doing that, and I mean, if they want to talk through it now, I think that we can, and I think we make them known that it was a caqh issue and we just don’t handle that for them. So that’s like a clearly, it’s an internal thing, you know? Yeah. And they’re expecting.
Amy Barfield (01:04) Like immediate response. She’s like, well, I got a response on three six. You got one on 316 and I’m like,
Nic Schisler (01:10) well, wait, they are contracted for caqh management?
Amy Barfield (01:15) Are they?
Nic Schisler (01:16) Yeah.
Amy Barfield (01:20) I wonder if it’s not, it was a login issue. Okay. Yeah. So, okay, Aliyah’s here. So I’ll go ahead yeah. Yeah.
Khalia.Freeman (01:40) Good afternoon, hey.
Amy Barfield (01:42) Kalia, good.
Khalia.Freeman (01:43) Afternoon there. Where are you? Sorry? I’m in central?
Amy Barfield (01:46) Oh, it’s very much afternoon. I’m central too. Two 30. Yeah. Yep. And Nick is on the east coast, so it’s very afternoon for him too. Oh, nice. Okay. Yeah.
Khalia.Freeman (01:59) So, I don’t know if mo and Sheila are joining. We can give them a couple of minutes. They didn’t send me anything saying that they weren’t.
Amy Barfield (02:10) okay. Let me see if they confirmed. I mean, they always show confirmed but… we can give them a couple minutes if you like. Yeah, okay. Thank you. Yeah, while we’re waiting on them though, I appreciate you sending me those things that you’re seeing it gives me a chance to like flag those items to the team and I’ve asked not just the team lead but the director to have more oversight over email responses and that kind of thing… in the case that you sent me. I think there was just, I’m not sure… because we sent what they requested. I reviewed all the emails and I was like, I’m not seeing these five documents. So I don’t know if it was a combination of what was needed on caqh and the three documents that they were requesting. But there was an issue with not being able to log into caqh for that provider or we would have managed that ourselves on the caqh side. So maybe just a gap in communication there, I think. Yeah. But yeah, it’s moved to client owned now. But yeah, hopefully… we won’t see as much of that moving forward.
Khalia.Freeman (03:35) Okay, great. And I just want to be clear like whenever things happen like that. I’m definitely not upset with you or blaming you for anything. I just want to make that clear. Amy, I know you do a lot and I know you guys have a lot of clients and things like that.
Khalia.Freeman (03:52) So I just want that to be clear like whenever I’m sending you stuff like that, I’m not like, you know, shaking my finger at you like how dare?
Amy Barfield (03:58) You? No, no, I don’t think that at all. I.
Khalia.Freeman (04:00) Hope my emails don’t come off like that. I hope.
Amy Barfield (04:03) Mine don’t come off like that, but I do want to, I do want you to know like we, if we did do our due diligence, that did happen, you know? So I didn’t know if there was like a communication gap between the payer and us and then the payer and you, I don’t and I didn’t notice if the name was even the same based on who we were communicating with and then who you were communicating with. I could go back and look, but, yeah.
Khalia.Freeman (04:29) I think yours, well, I mean, I don’t know exactly, but from the screenshot you sent me, there was like a Esperanza, I think medallion. And then a star reached out to us.
Amy Barfield (04:46) Yeah. So I’m like is someone not doing their job or is like, you know what I mean? So like,
Khalia.Freeman (04:51) I don’t know. Maybe there’s too many hands in the pot too.
Amy Barfield (04:54) Yeah, it sounds like it, so, but it sounds like they have what they need now and you just took that back so you can just wait for that approval. I assume. Yeah.
Khalia.Freeman (05:05) We’re just going to manage it, that’s one of the payers that our practice managers has been waiting for the provider to get a network with. So I would just like to watch it a lot more closely. So that’s why I would like it to be switched back to client. Sure.
Amy Barfield (05:21) Sure. And that’s already been done. So you’re good there, so we will not do any additional follow up on that one. It’ll come off the reports to even work. So. Okay. Yeah. So if anything comes through, it won’t be looked at from the medallion side either, so.
Khalia.Freeman (05:40) All right.
Amy Barfield (05:41) Okay. Well, I don’t know all communication needs to come to you for that provider moving forward.
Khalia.Freeman (05:48) Actually, I wouldn’t mind that just because he joined us like back in August and he’s had a really slow ramp up. So, you know, a lot of the practice managers have been, waiting for a lot of his payers. I mean, I, so, you know, I joined in July. I don’t really know what happened prior to me joining. So I have taken it, upon myself to submit a lot of his applications as well. The ones that I’ve submitted, of course, I’ve received something back. And then I know medallion was also tasked with, payer enrollments to submit. So, I have.
Amy Barfield (06:31) just been.
Khalia.Freeman (06:32) Watching his payer enrollments a lot more just because he’s been here for a while and he had a slow ramp up with payers. I mean, the practice managers, they were freaking out when he first started. And I mean, I started a month before he even started. I’m like, I don’t know sure. So my question there is if you were submitting?
Amy Barfield (06:55) Applications and we are submitting applications. Are they the same applications, no?
Khalia.Freeman (07:03) No, they’re not. So, I compared medallion to, what you have done versus what else needed to be submitted and the ones that needed to be submitted, I went ahead and submitted those. Okay, we didn’t know at first at all, like all the payers and all the providers needed to be submitted with. And then we finally got that under control and I was able to see, okay, medallion already submitted these apps. So, I’ll go ahead and submit the rest of them. Okay? But no, we’re definitely not double working.
Amy Barfield (07:35) On that’s. Good for that provider. If you have something like that where you’re like this is a really high priority provider. If you want to tell me, like, can you mark this provider priority, it will push like bump him up above.
Amy Barfield (07:53) So that even if maybe we have a list of things that we need to address, he’s going to bump to the top. It’s like being one of the first ones that needs to be addressed because he’s priority. Does that make sense? Yeah, makes perfect sense. So if you want me to, I can mark his priority since he’s had such a slow start. I.
Khalia.Freeman (08:13) Thought that was already done. I thought we did that.
Amy Barfield (08:15) Once, oh, let me see what was his name again?
Khalia.Freeman (08:18) Arman, walaya, Last name, W, a LI a?
Amy Barfield (08:29) Let me just make sure he is.
Amy Barfield (08:39) Yeah, most of them are, I only have one that wasn’t that was tricare, west. Do you want me to go ahead and mark that one?
Khalia.Freeman (08:48) That one? Yes. Okay.
Amy Barfield (08:53) It might have been added after the fact that we marked all those.
Khalia.Freeman (08:58) Probably. Also, I… am working the, task and I noticed there are some tasks that we have where medallion has made multiple attempts to get in contact with a payer to get a provider enrolled. So, I’m, taking those that I find and I’m, making a list and I’m going to actually send those to our payer contracting team so that they can try to reach out to the payer to see, you know, has your contact information changed or, you know, if, even if we even have a contract with them still. So I’m just going to leave those open for a while until I get a response back from payer contracting.
Amy Barfield (09:47) Okay. Yeah, I see need clarification on enrollment, need contract information, that type of thing.
Khalia.Freeman (09:54) Yeah. Yeah, I think that’s the one. Okay. Well, there is a few of them that’s like that. Yeah, there is.
Amy Barfield (10:00) There is a few, I see that. Okay, I’ll let, the, team lead know, when they’re looking for, you know, when things have been sitting for a little while in, client request.
Amy Barfield (10:15) So, I’ll let her know on those, that, that’s the reason why, yes, please. Okay. Anything on your agenda? I don’t think they’re going to be joining us today,
Khalia.Freeman (10:26) Yeah, I don’t think they are either. Well, yeah, that was pretty much it for me. I know I have, some things that I need to complete from the call that you and I had a few weeks ago. Oh.
Amy Barfield (10:38) I think you cut out, oh,
Khalia.Freeman (10:41) can you hear me? Can you hear me now? I?
Amy Barfield (10:46) Can hear you now. Okay?
Khalia.Freeman (10:47) I was just saying that, I know there’s still a few items that I need to complete from our call that we had a couple of weeks ago, just you and I, so I’m, still working on that.
Khalia.Freeman (10:58) We just had like acquisitions come down the line. So, I had to focus on that a little bit more and give all my hard dedication to that. So.
Amy Barfield (11:08) Yeah.
Amy Barfield (11:10) With that, acquisition, is there anything that we need to be prepared for, on our side for enrollments or demographic updates with locations?
Khalia.Freeman (11:22) To be continued on that part, I think they’re more. So just focusing on trying to, one, get it closed and then two, getting the notifications out to the payers that they’re already contracted with to let them know about the tax id change. So, hopefully they can just be moved to it. But if it does come to a application situation, I’ll definitely let, you know, okay, yeah, the.
Amy Barfield (11:51) Sooner the better, so we can make sure that there’s no like interruption and, you know, claims filing.
Khalia.Freeman (11:59) You know, yeah. Usually.
Amy Barfield (12:02) For change of ownership, that has to happen within 30 days, 30 to 45 days, I think, with most payers, and if there is just a lot of times because I’m dealing with this with another client, if it’s a transition or change in mpi tax id number structure, they may take those providers that are already contracted and just transfer it into the new tax id structure. Yeah. If they don’t do that, then it’ll require demographic updates, to add. Yeah. So, okay, I’m hoping.
Khalia.Freeman (12:36) It’s going to be that easy. I know, right? Yeah, I run.
Amy Barfield (12:41) into like network closures and things like that, and they won’t renew with the new tax id numbers. So, just prepare for that. Okay?
Khalia.Freeman (12:49) Good to know. Yeah, and make.
Amy Barfield (12:53) sure you’re getting the same like lines of business that the previous contract had too, like you want to mimic, and replicate what was already there. So, yeah.
Khalia.Freeman (13:02) Yeah, our payr not our, yeah, our payr contracts team. They’re they’re looking into that. Oh, good. Good. And they’re going to let me know.
Amy Barfield (13:10) Okay, good.
Khalia.Freeman (13:12) You’re like you’re on?
Amy Barfield (13:13) An information?
Khalia.Freeman (13:15) Yeah.
Amy Barfield (13:17) Yeah, need to know basis. Okay, cool. All right. Anything else?
Khalia.Freeman (13:24) Well, just on the last call, I know I didn’t make it. I had another, priority project. Is there anything that you needed me to do? From that call? I mean, I talked to Maureen and Sheila and they kind of just let me know about, you know, some of the issues that we’ve had, and they wanted me to start sending more of them, which, you know, I’ve done, but is there anything else outside of that?
Amy Barfield (13:54) I think you were going to provide me a list of locations that needed to be removed or stopped in medallion. So, that was one that was on our list and then a payer priority list. So, like, what are your top payers? So I can tell the team like those need to be focused, okay, above others. Okay, we had talked about, updating… recred dates and, bulk importing those. I think that was more in line with recredentialing for, your payer enrollments… and then, I… didn’t know if you had those, from your prior rosters or anything. The other item was, if you guys were actually doing credentialing in house or not. And there was a confusion, of what credentialing was versus payer enrollment. I think Sheila and Maureen were a little confused, thinking that it was like all inclusive, but they are two very different things even though they work together, right? Yeah. So, we had a discussion about that, because, you have a credentialing product with us, but don’t currently use it. And honestly, I don’t think you need it. So I know those are discussions that Nick is having with Maureen and Sheila. So, and I know you and I had kind of discussed it too because you do have one credentialing request in there, and I don’t know if that was added in error or who added it, and if the person who added it thought they were adding them for provider enrollment, but they actually added them for credentialing. So that may need to be reviewed. Let me get that provider’s name.
Amy Barfield (15:54) And it may be gone. Now, let’s see. Yeah, Robert, goldkling. Oh.
Khalia.Freeman (16:01) Dr. Goldkling. Yeah.
Amy Barfield (16:03) So, I’m not sure who made the request, but they may have thought they were making a request to do payer enrollment and actually put them in credentialing because of the confusion of the difference between the two. So, I would look at his stuff and just make sure that he has everything requested that’s needed. And if I need to remove that, from the credentialing, tab, then let me know and we can stop that request. Okay. Yeah. Alrighty.
Khalia.Freeman (16:40) Yeah. So, everything that you talked about, I actually have that on my list… I know, those are things that I need to get together for you. So, I’m hoping by, before our next meeting, I’ll be able to provide you with that information, okay?
Amy Barfield (16:56) Good. The other thing and we don’t have to, I know you have a lot on your list, with me and then your acquisitions, you’re going through. I think next month we can focus on making sure that, cause I know this was a project we were working on prior is your existing enrollments are all cleaned up with the proper, I think they are, but I’ll review them, probably in the coming month and just make sure that they are, and we’ll make any minor adjustments, to those existing enrollments, to make sure that they’re clean and a source of truth and they all have the proper payer name.
Khalia.Freeman (17:42) Oh, okay. Yeah.
Amy Barfield (17:43) So, we went through that, where we don’t do custom payer names anymore, right? But I think we have already cleaned that part up and we were just waiting for some to process through with the custom payer names, so we could clean up the remaining ones. So, I just want to make sure those were either updated or, reflect in your existing enrollments. So it’s all cohesive, you know? Yeah, yes. Yes. Yeah. So, we can, we’ll start working on that next month, and hopefully have that done before. Gosh, April, may, before may. We’ll shoot for may I?
Khalia.Freeman (18:25) Can’t believe the time is going by so fast? I know it’s going to be April next week, yeah?
Amy Barfield (18:35) Nick, did you have anything that you want to add today? No, no.
Nic Schisler (18:38) No, I think aligned with everything there. I mean, Kalia, going back to something you said earlier, I don’t think Amy and I are ever think you’re trying to wave the finger or point the finger. I think we just want to try and keep, you know, open lines of communication going and, when and where things aren’t going well. I think we just want to know that because we want to be the best partners that we can be for you all. Obviously, I know there’s some stuff going on from an invoicing perspective and, you know, I know Maureen’s been in touch with our director of accounting and they’re going to get back to her on that. I think again, we’re going to try and work through that and be good partners as well. I think, we obviously are now in the second of a three year contract and we want nothing more than continue the relationship. So, I think, Amy and I just want to make sure that we’re meeting your expectations. We’re aware of, you know, like you said, acquisitions, coming down the pipeline, how that might affect you all, if we need to change process or procedures. So I think we just want to make sure we stay in touch, and communicate openly with you all.
Khalia.Freeman (19:38) All right. Thank you so much, Nick, of course, I really appreciate it.
Nic Schisler (19:42) Yep. And,
Khalia.Freeman (19:44) Amy, I appreciate you as well. I appreciate everything.
Amy Barfield (19:47) I know you do. Thank you, you’re welcome. Yeah, you’re not bothering me at all, when you see things happening like I want to know. So, I try to resolve them as quickly as I can or at least flag our team. So, yeah, if you continue to send me those things, I don’t I’m… not offended at all. It’s… that’s what I’m here for. So, all right. Moving forward, I will see you next week if you have anything, shoot me an email and, yeah.
Khalia.Freeman (20:24) We’ll keep going, thanks.
Nic Schisler (20:27) Amy, thank you so much. Bye.