Transcript
Aiden (00:00) hey, Amy, how’s it going?
Amy Barfield (00:06) I’m happy it’s Friday, yeah.
Aiden (00:09) I feel that more than maybe ever actually.
Amy Barfield (00:11) Right. They already started off crazy. All right. Do you have anything for me this week?
Aiden (00:22) Yes, I do. Sorry. I was reading something. Okay. Yeah, I have like maybe two things. Let me pull up one, start with this. I’ll probably share my screen in a sec.
Amy Barfield (00:38) And just clarification, I’ve got someone joining the call about those medicare ptan imports from our TSM team. So, he should be joining here pretty soon.
Aiden (00:51) Was that something we discussed? Yeah.
Amy Barfield (00:54) We’re importing those ptans because you were getting a lot of tasks for medicare and medicaid ids.
Aiden (00:59) Oh, okay. Yep. I’m sorry, I was like, wait, what is that about? No, you’re good. It’s been a crazy week, but, okay. So, we had a, I’ve only noticed like two providers so far. But I saw this financial info tab, which seems brand new for only like I said, two providers so far is what’s this about, so.
Amy Barfield (01:24) We have some clients that have multiple… groups where providers are not, they are individually contracted… as like sole proprietors and things like that. And in those cases, they have to have separate financial info.
Aiden (01:43) Okay. Interesting. So.
Amy Barfield (01:45) You, for you guys, you wouldn’t need any of that?
Aiden (01:48) So, we don’t need to fill this out. No. Okay. No.
Amy Barfield (01:51) Because everything goes to the group is.
Aiden (01:53) There any reason or way to like maybe turn it off? Or like, maybe would it be one of these? I could turn off to because the provider always got an email and like freaked out a little bit.
Amy Barfield (02:04) Okay. Let me ask about that. That’s a good call out.
Aiden (02:07) Yeah, cause like she was emailing, she like sent me her paycheck and I’m like, I don’t need this… I’m like, thank you for the information, but… yeah, just curious if our providers if they don’t need to see to have this or? Cause they’re going to get email notifications about their profile not being complete… getting email notifications.
Amy Barfield (02:35) Or a profile? Do you have a specific, who was the specific provider that reached out to you?
Aiden (02:45) It is Stephanie burton.
Amy Barfield (02:50) They always like me to provide an example.
Aiden (02:54) You’re good?
Amy Barfield (02:55) Burton, BURT o N.
Aiden (02:58) BURT o N, yes. Okay. Perfect. All righty. Anything else? Yes, one more thing… for the education verification to get some clarification on that are y’all only doing that essentially for providers that start with us while we have had medallion essentially because I’m looking, I think I mentioned last week, we’re going to like a uca accreditation, sure, and seeing if we have that and like a few providers did and a few don’t but I did notice a trend for providers that I think started before medallion was implemented, there isn’t that it’s just, there’s not like a true verification or it’s staying in progress.
Amy Barfield (03:57) Yeah. So providers… are… only verified at initial credentialing. So if a provider is new and you have a request for credentialing for that provider, then the initial verification will happen on education, anything after that because it’s a stagnant like a static, you know, verification, it doesn’t change. So on re, credentialing, it is not required to keep verifying something that’s never going to change. So if the initial credentialing happened in house with you before coming on to medallion, then no, that did not happen. Yeah. Is.
Aiden (04:49) there ever a way we could possibly request to have those verifications done? I can ask like just to have like pretty much all our providers have that verification section like approved or have the little green checkmark essentially. Yeah.
Amy Barfield (05:11) I can, yeah, let me ask first. Can we request education verification for providers imported?
Amy Barfield (05:23) At medallion implementation to?
Amy Barfield (05:31) Show verification in medallion?
Amy Barfield (05:39) Okay. Yeah. I’ll see what they can do right now. Our system doesn’t… our system doesn’t… initiate it for or for recred. So I’d have to find out how we would show… that in medallion for you to see… might be like an ad hoc thing where we have the document listed in their file. If you have initial credentialing information, I think we can import that. So if you have a verification on file, we can import that.
Aiden (06:28) More than likely not. No, I’m just curious if we could have verifications done for the providers for all the providers, it would be a project. But, yeah.
Amy Barfield (06:40) We may just say instead of an, if you’re making a request for a recred, and you show that provider doesn’t have an initial credentialing… in medallion to just go through and start requesting initial credentialing… for those providers that had their initial done outside of medallion. And then it would generate those verifications.
Aiden (07:08) Okay. Yeah. Maybe this is something we discuss more in a different time because, yeah, I don’t think it’s going to happen like obviously in the next few days, right? But, but,
Amy Barfield (07:19) you know, that needs to happen.
Aiden (07:20) It’s probably going to have to be something that the auditor is going to request, get a workflow going.
Amy Barfield (07:25) Sure.
Gregory Campbell (07:26) So, it’ll.
Aiden (07:28) just need to be something we look into doing. I mean, essentially like I’ll share my screen real quick. I mean, I think, you know what I’m talking about, but yeah, just kind of making sure that the complete.
Gregory Campbell (07:38) Is.
Aiden (07:40) on this stuff? Essentially? Yeah, at least in the medical school and residency are going to like the big ones.
Amy Barfield (07:48) Yeah. So like any of these in here, like for burton, she’s up for. So her next would be a recred. So it shows that.
Aiden (07:57) It wouldn’t do it. Yeah.
Amy Barfield (07:59) But you should be at least be able to see that green, you know, verified box so that you could click to see if it’s verified. So, in this case, the ask might be instead of doing a recred is request initial so that we verify that education, but I’ll get clarification.
Aiden (08:16) Yeah, because that would be strange to start asking for initial creds on providers that have been here for God knows how long. Yeah, way before I have been here. So, I mean, I don’t know, I think that’s something you just need to take back. That would be helpful. I mean.
Amy Barfield (08:29) It doesn’t hurt anything to do an initial recred. It’s just recred is less work because there’s not stagnant you.
Aiden (08:37) Know. Gotcha. Okay. Well, maybe we talk about that, take back that and see what we can do.
Aiden (08:42) And I still am working through the audit like our audit’s Wednesday. So there’ll probably be more information coming next Friday. Okay? I’ll.
Amy Barfield (08:50) try to connect with Mitch and see if he knows something too that we can. Okay, Jack, sorry, not Jack.
Aiden (08:57) Not Mitch. I haven’t heard Mitch’s name in a while. I know. All right. I think that’s it though on my end.
Amy Barfield (09:04) Okay. Cool. I have Greg on the call. He’s with our technical solutions team and I think he’s going to just review this medicare ptn import we’re trying to do.
Aiden (09:16) Thanks, Amy. Sounds good.
Gregory Campbell (09:18) Good to meet you.
Aiden (09:19) Good to meet you as well. Awesome.
Gregory Campbell (09:22) So I did get your request for updating the payer ids and the provider ids within platform for your medicaid enrollments.
Gregory Campbell (09:30) So I pulled a report of all enrollments that have the, oh, I’m realizing now I’m going to have to update this report really quickly, but the logic in terms of what’s needed won’t change. So for your medicaid, ptns, I’m going to update this sheet here. So I just dropped the link here’s where I’ll store the changes. Essentially. The way this is going to work is for every line within this template. I’m we have the payer id column, which is the payer id that’s currently in platform, and the payer specific provider id column that has the provider id that’s currently in platform. And what we’re going to do in columns, I and J is list how you’d like those to be reflected in platform. So if there is a value there that should be updated, please enter the updated value that you’d like to see or if there’s a value there that you’d like to clear, if you could just enter null there. I’ll just go ahead and clear those out. I’m realizing and looking at it now, this report doesn’t have the correct payers here. So I’m going to, as soon as we get off this call, just rerun this again and I’ll let you know as soon as that’s ready, but that won’t take too long. I already have the query in place. I’ll just have to run it again with it saying medicaid instead of medicare?
Aiden (10:55) I think medicare’s right?
Gregory Campbell (10:57) Oh, okay. Perfect. I got super nervous. I was like, no, I looked, so I, yeah, we.
Amy Barfield (11:02) did medicaid earlier in the year? So that’s probably where you were like, wait a minute. Yeah.
Gregory Campbell (11:09) We’ve gotten a couple of these tickets. So, okay, that’s even better news. So I named the document incorrectly, but have the right stuff here, perfect.
Amy Barfield (11:16) Okay. And I just want to call out Aiden. Like here’s, the column where we have the payer id. And as you can see, most of these are ptans. So you may just be able to copy this once you confirm, just copy and paste over into this provider id column. I don’t think Greg that they store like actual payer ids. So I’m almost 100 percent certain that these are the actual ptans but I just want Aiden to confirm that.
Aiden (11:45) Okay. Yeah, if.
Gregory Campbell (11:46) We’d like to clear them all out. That’s an easy fix. I can just mark this as null across the board and we’ll just clear all of them out.
Amy Barfield (11:54) Okay. Cool.
Gregory Campbell (11:56) Let me find a column. Okay. Yeah, this one. Perfect. So we’re looking at clearing out all of the payer ids and then potentially moving everything that’s currently in payer id to the provider id.
Aiden (12:12) Correct. Yeah… yeah.
Amy Barfield (12:15) And it looks like some of them have started to move to that column. But as you can see, it’s pretty sporadic.
Aiden (12:22) So, essentially you’re just asking to have the confirmed payer specific provider id filled out with the correct provider id number for medicare that’s like the ask, it seems like, yeah.
Gregory Campbell (12:34) Because once we have that confirmed in this sheet, I’ll go ahead and run a script that will just batch, update all of them within medallion.
Aiden (12:44) Okay. Is there any way I could just provide you all the medicare id reports I can pull from Pecos?
Amy Barfield (12:50) Just, and,
Aiden (12:52) let y’all, do it on your end or do you need this filled out? We?
Gregory Campbell (12:55) Do need this filled out? Because if you scroll to the right, this sheet contains the enrollment id and the enrollment detail id. So these ids that we’re looking to add in here are stored at the enrollment detail id level, which we wouldn’t be able to get from your Pecos system, that’s an internal unique identifier within medallion. So ensuring that this is filled out will help us make sure that all of the enrollments are updated accurately without the id. We’d have to rely on some string matching and there’s a really high chance of error. Okay? All.
Aiden (13:32) right. I’ll take a closer look at this hopefully sometime soon might be a bit there’s not really. I mean this is more for our benefit. So, I’m going to imagine there’s not like a deadline.
Amy Barfield (13:42) No, there’s no deadline. It’s really just to help reduce those tasks and our team is not, you know, is looking at accurate information in your existing enrollments.
Aiden (13:54) Yeah. Okay. Yeah. Sounds good.
Amy Barfield (13:56) Okay. Cool. Thank you, Greg.
Gregory Campbell (14:00) Yep, of course. Thank you guys so much.
Aiden (14:02) Thank you.
Gregory Campbell (14:03) If you have any questions, Aiden, Amy and I have a ticket open. So if anything’s shared, I can go ahead and either kick this off or help clarify any questions you may have.
Aiden (14:15) All right. Sounds good. Do you?
Amy Barfield (14:16) Mind, Greg, just sending a follow up email of the ask for this spreadsheet and then include Aiden and myself on it?
Gregory Campbell (14:23) Sure. Let me make sure I have Aiden’s email. Oh, it’s on the invite. Sure thing. I’ll go ahead and send that out right away awesome.
Amy Barfield (14:29) Thank you.
Gregory Campbell (14:29) Thanks, everyone all.
Aiden (14:31) Right. Bye. All right. Yeah, I’ll look into that. I was more asking like, I mean, I know you would do it but like if I could just give them the medicare id reports and then they fill it out because they would have all the information. Yeah, and it would save me the time. Yeah.
Amy Barfield (14:51) They don’t do that. No. Okay. I mean, I could help you. I just don’t know how quickly I could push it out.
Aiden (15:00) And that’s fine. I just frankly don’t know how I can work on.
Amy Barfield (15:05) this. Yeah, I mean, to be honest, I think all we need to really do is just confirm like this is an accurate ptn?
Aiden (15:12) Yeah, most of it should be right. I’m just wondering like if I could, I’m sure I can figure probably something out. I mean, it’s not necessarily difficult and if I can get, I’m really hoping I can like somehow export the id report into an excel sheet and do like an excel lookup. Sure that would be great, but I’ll just have to see what I can do. Yeah, I mean, but I get, I understand the ask.
Amy Barfield (15:34) Yeah, I’d probably like check these weird number ones, but I mean, these look like legit. And I can tell you if our team put it in before, this was the only field we had for to place a payer to place a provider id. And then mid year last year, they added this provider id column because people were like, well, we don’t have a place to put provider id. So we’re just slapping it in here so that it’s on the record. So now, you see sporadically as we’re doing them now, they’re being placed in the right place, but we have all this historical data. So that’s why I’m saying this is more than likely accurate information. It’s just a matter of copy and pasting over.
Aiden (16:26) Okay. All right. I’ll figure it out. All right. I think this sounds good. I think that’s all I have for now. Okay? So we can call it here. So I hope you have a good rest of your day and weekend.
Amy Barfield (16:37) You too. Thanks, Aiden. All right. Bye.