Transcript
Naomi Denson (01:13) hey, Shannon.
Shannon Costine (01:15) Hey, girl. Are they here yet? Oh, my God. I have the hiccups so bad.
Naomi Denson (01:22) This is, it looks like, Tom. Yeah, Tom’s here.
Shannon Costine (01:28) Oh boy. Okay.
Naomi Denson (01:29) I don’t really? Okay. Wait, I’m in.
Naomi Denson (01:43) Good morning.
Tlfol (01:45) Good morning. How you doing?
Naomi Denson (01:47) Good. How are you? Pretty good. Is Nicole coming today?
Tlfol (01:53) She should be… we just got off a separate call.
Naomi Denson (01:58) Okay. We’ll give her a minute to join. How was your weekend?
Tlfol (02:01) Good, good. Yourself?
Naomi Denson (02:03) Pretty good. Can’t complain.
Tlfol (02:06) Awesome. And where are you located again?
Naomi Denson (02:09) I’m in between Pensacola and Destin, Florida. Oh, I’m in a little tent called gold breeze, yep.
Tlfol (02:15) Yep. You’re in the coldest part of Florida. The chillier part. What’s the weather up there?
Naomi Denson (02:21) Let’s see 69 right now. 69. It’s supposed to be high at 70.
Tlfol (02:26) Six today, Pensacola’s. Really nice. I love the golf up there frankly. Oh, yeah. I have a cousin that lives up there. We’ve been there a couple times, yeah.
Naomi Denson (02:34) Through college, I worked at a restaurant right on the golf on the beach. Oh, did you? Yeah, I loved it. I was like, I’m never leaving and then reality struck and I had to be a grown up, you’ve.
Tlfol (02:44) got to be a grown up.
Naomi Denson (02:46) And the traffic is just horrific. So.
Tlfol (02:50) Yeah, yeah. There’s not too many roads going in and out. I mean, it all feeds into.
Naomi Denson (02:55) Yeah. Yes. Hi, Nicole. Hello.
Nicole Guethler (02:58) Our.
Shannon Costine (02:59) traffic used to be good here and it’s awful. I.
Naomi Denson (03:03) Live in a one highway town. There is one highway that runs either way. And they have been working for the past year on an expansion to make each side three lanes instead of two… which has been another nightmare because they took away all of our medians and U turns and stuff like that. So, if you want to get to something on the other side of the road, you have to go Miles to hit the next light. Yeah, unless you’ve lived here as long as I have, and, you know, back roads, you are going to be driving?
Shannon Costine (03:36) Not doing well.
Naomi Denson (03:37) We’re finally starting to get some of them back. But then they take them away suddenly. And then you’re like, where did my turn Lane go or they shift them or they shift the traffic patterns and it’s been chaos.
Tlfol (03:48) I used to, not to divert too far from this conversation, but I used to travel to Boston every month years ago when they were doing the big dig and that was a total shit show. Frankly, they built roads just to build another road so that they had detours. It was just, it was crazy and it was during a time that they didn’t have GPS maps on your phone. You had to use mapquest the paper. I.
Naomi Denson (04:21) Really enjoy my one highway, east, west, left, right? Yeah.
Tlfol (04:26) Exactly.
Naomi Denson (04:27) Directions. I went to tallahassee once when my brother was going to college there and I was going to the mall and he was trying to give me directions and you have to do like a U turn off this main road to go onto this service road to get back onto another main road. And I was like, this is absolutely insane. It is insane like anyway.
Tlfol (04:45) Awesome. Shannon, where are you from again?
Shannon Costine (04:47) I’m in Lakeland.
Tlfol (04:48) Oh, you’re in Lakeland? Oh, you’re both Florida residents? Okay?
Shannon Costine (04:51) Yeah.
Tlfol (04:52) Awesome.
Naomi Denson (04:53) Awesome. All right. Well, I just wanted to connect. We didn’t get a chance to connect after our original call and follow up on some of the action items that I had sent over my follow up the npdb. Whether we wanted to do a custom provider, invite, set up single sign on if there was anything else that you needed to load via the data import template, any updates or questions on those things?
Tlfol (05:20) I’ll leave that to Nicole. I.
Nicole Guethler (05:22) don’t I have medallion on my list for today, so I will tackle all that. Okay?
Naomi Denson (05:30) And I can just resurface that email so that you have all the instructions and links and everything that I had shared over. Okay? But I also wanted to just touch on the tasks for your payer, enrollments. I’m seeing 67 tasks that are in there. It looks like they’re blocking 121 request lines right now that are sitting and needs client attention. So, I didn’t know if you’re going to do that today, that’s fine. I just wanted to make sure that you didn’t have any questions about the tasking system or what the tasks mean? If you’ve had a chance to look at them. I.
Nicole Guethler (06:03) Did look at them. I think Tom, you looked at some of them as well, right?
Nicole Guethler (06:07) A lot of them seem to be like, you know, prereq is required. So, you know, we need medi cal before they can move forward.
Naomi Denson (06:18) So,
Nicole Guethler (06:19) those, you know, we kind of have to wait for medi cal, Tom. I don’t know if you have an update on that.
Tlfol (06:24) I don’t.
Nicole Guethler (06:24) and.
Naomi Denson (06:25) you guys are working the medi cal lines?
Tlfol (06:28) Yeah.
Naomi Denson (06:30) Okay. So one, and you’re not putting them in medallion? Are you, that’s my Boston terrier?
Shannon Costine (06:43) I love all the dogs and all the kids. I love it. He.
Naomi Denson (06:48) Is my most distracting child because he does not care. Give me one second. Let me put him outside.
Tlfol (06:57) You… can’t make that stuff up that’s.
Shannon Costine (07:03) the joy of working from home. Now, you get to see all the dogs. All the kids. I love it. We.
Tlfol (07:10) Have, a colleague who has, I think she’s got three boys and they are just off the wall. Sometimes you can see them in the back and she’s trying to shove them away. I.
Naomi Denson (07:24) Also have a five year old boy. It is. He has to be right here. I was actually on a customer call a couple weeks ago.
Naomi Denson (07:32) He was homesick and he grabbed a fistful of slime and slammed it into my face. I was like, you did not. And, yes, Shannon is recorded somewhere. I was like, you did not just do that. But anyway, I’d.
Shannon Costine (07:51) be making a Meme out of that man. He.
Naomi Denson (07:54) He is something else for sure. But he has to be right on top of me if he’s home while I’m working, which is why he does not stay home while I’m working very often, but the tasks. So the prerequisite enrollments, what some customers will and can do is you can add requests in as client owned. I don’t know if you’re currently doing that so that you can have them in the system as a client owned request. If you’re tracking them, you’re submitting them. And then once you receive the approval, all you do is mark them as completed, fill in the information, it loads as an existing enrollment. What that will also allow is no tasks for prerequisite enrollments. It gives our team something to link your request to. That might pinned or be a prerequisite. So that is an option. And it is an option if you have a lot of enrollments that you’re tracking internally currently that you want to add to the system. It’s going online. You’re not charged for those. Those don’t count towards your consumption. If they’re client owned, it’s just a way for you to utilize the system. The.
Tlfol (08:59) Only, the only plan that we’re actively working internally and I think it was more of a timing and maybe even not well, I remember early on when we first started using medallion, the position was we don’t submit plans for you to some two plans. So we, but we knew medi cal was important. So, we started that on our own… question that I might have. Is it’s actually almost done? Is, do you want to, is there a way to transition it or at this point, do we just?
Naomi Denson (09:33) At this point, if it’s almost done, I wouldn’t transfer ownership to medallion because then you’re paying for a full new enrollment. And if we only have to follow up one more time and don’t have to take any action, you don’t want to waste your money, but you can load it as a client online. That way it’s queued up in the platform. All you have to do is change the status to complete. And I’m trying to find something that I can show you. How many enrollments do you think you have in process right now for medi? Cal?
Tlfol (10:02) It’s just California, how.
Naomi Denson (10:04) many providers?
Tlfol (10:06) There’s only two that were on the application. Okay?
Naomi Denson (10:11) Then that makes it easy. So there’s only two providers that you are tracking for medi cal right now that are causing those prerequisite tasks in your platform under the payers tab, right? Your enrollments right here. You can add that as all right. Not on there enrollment requests. So you can do a request for new payer enrollment. You’re going to select doctronic instead of medallion, making it a client online which we won’t touch. We won’t work and you just put in the provider’s information and you can do if you have these two providers, for example, right? You’d select the group, you’d select California… right? California medicaid?
Tlfol (11:01) Right.
Naomi Denson (11:04) Let me type, come on, select the California medic. Medicaid. It’s not going to let me do it because those providers might wait here. It goes. Yeah. So medicaid, yes, we’re using line of business because they only have one. Do you already have the group contract for medi? Cal?
Tlfol (11:26) No, we don’t have anything.
Naomi Denson (11:28) Is that in process two? Well?
Tlfol (11:31) That’s I think that’s what we’re applying for first. We’re but we’re they’re asking us to add two physicians, to the overall plan. So.
Naomi Denson (11:38) Okay. So the group is in process as well as two physicians. Yes. So you would add both of those. You would add one group and the two providers with the medicaid. And then it’s going to say enroll group, but it’s going to, so that would take care of that in process request too. So it’s creating the group enrollment, the provider to provide enrollments. I don’t know if these are the actual providers, but as a client owned request, on the next screen, you’re going to select the practice locations. These are the, do you only have one practice location? Yes. So it’s going to populate there. And then the next screen, it’s going to ask, you can… just answer these however you want since we’re not working them but it is just an additional step. And then on the next screen, additional notes and then create the request that will put them in as a client owned request. And then once you have them in queue here, it’ll say request owner, you can filter by client. It’s probably not going to have any in here, but it would filter by client. And then that would allow you to… when you get those approval letters.
Naomi Denson (12:57) All you do is you find the request line and… you would let me do it because I am logged into the task, but you’ll have an edit feature over here. And then you change the status to complete, and then fill in the effective date, the medicaid id numbers for the group and those two providers upload the welcome letters. But that way they’re in here, they can be linked to requests that are being blocked like these managed medicaid requests for prerequisites. And you can close out those tasks and you can do that going forward or after you do that, you just plan to submit the medi, cal, request via medallion after you get the group approval.
Tlfol (13:35) Right. Okay. Does.
Naomi Denson (13:37) That make sense? And then you can close out those tasks. But even with the.
Nicole Guethler (13:42) prerequisite?
Naomi Denson (13:43) Enrollment here… group is not enrolled with medicaid, California. So you can just add a note here and say we’re working this internally, going to add it as a client owned line and then mark it complete so that you can cut down on your tasks. And then those, once you add the existing enrollment, it’ll tie them together, it’ll tie this request to the group enrollment request. And then as soon as you mark that group enrollment request complete, it’ll make this workable. Again. Yeah, that make sense. Yeah. Okay. Were there any other tasks that you guys see that you might be having questions on? I see there’s a lot of medicare tasks in here for signatures. These are all the prerequisite enrollments.
Tlfol (14:30) All right. Well, we’ll attempt to chop them down. Yeah.
Naomi Denson (14:34) Let’s take a look at those. That way we can make this a little bit less overwhelming and get some of those enrollments… in the correct statuses so that whether they’re pending a prerequisite or move them forward to be worked. Okay? And then I also just wanted to touch on any areas of training in the platform that you don’t feel you got before that you have questions on that we could set up some time to walk through the platform, look at anywhere that you might have questions or we can just do a full review… that’s totally up to you guys. I just wanted to check in and see how comfortable you are navigating the platform and where I can help.
Tlfol (15:17) Nicole.
Tlfol (15:24) She’s probably dealing with her own dogs.
Naomi Denson (15:27) I kicked mine out in the backyard. And now one of them.
Nicole Guethler (15:30) Sorry, I didn’t realize I was muted. I was going to say, I don’t think, I think maybe a full review would be beneficial and Tom, maybe I would bring brecky and Shelby into that as well. Yep. So, yeah. Okay. So.
Naomi Denson (15:48) I usually do my trainings in one hour sessions so that not to overwhelm anyone with too much information at one time, but we can kind of consolidate it to the general platform needs that you have, reporting analytics, the payer enrollment processes and all of that.
Naomi Denson (16:08) So do we want to, I can make this call a recurring call and I can extend it 30 minutes next week and we can utilize that time.
Nicole Guethler (16:18) Let me just get my.
Naomi Denson (16:19) schedule to do a training. I didn’t make this one recurring yet because I wasn’t sure if you wanted it recurring at the same time every week or what works for you guys?
Nicole Guethler (16:27) I can do the same time next week that’s fine. Okay. Let’s see.
Naomi Denson (16:35) Let me go ahead and do that and then if you can, I’ll send you the invite and you can add whoever you need to be on there.
Nicole Guethler (16:43) Okay, perfect.
Naomi Denson (16:47) Let’s see. So that’s the seventh and we will add 30 minutes.
Naomi Denson (17:06) How else? Can I help? Any questions for Shannon on anything that you’re seeing? I know you said you had time blocked to go into medallion today to look at some things, but anything else that you want to call out?
Nicole Guethler (17:17) I did have one question. So we created a team because we were bringing in an RCM company. So I created the team so that they could have visibility into their credentialing. We no longer have that RCM company. So the team isn’t necessarily needed. I didn’t know if there was a way to like remove the team or is it just best to just rename the team?
Naomi Denson (17:44) Yeah. I had sent an email yesterday with a screenshot. So in the team assignments, all you have to do is these three dots and delete the team.
Nicole Guethler (17:51) Okay. Yeah. I want to do that. And then I saw all the, when you delete it. I didn’t know if it had any ramifications after deleting it.
Naomi Denson (18:00) It just disconnects the team. Okay. Do you have any, let’s see the team viewer? Let’s see team manager, team viewer. Yeah, only that one person is active. So, yeah, no, it shouldn’t affect anything else. I think she should be.
Nicole Guethler (18:16) Inactive deactivated now. So, yeah.
Naomi Denson (18:20) This one’s deactivated. Okay? And then the team just needs to, you can just delete it. Okay. Perfect. Awesome. Anything else?
Nicole Guethler (18:30) I don’t have anything. Tom. Do you have anything I’m good. All.
Naomi Denson (18:34) Right, guys. Well, I appreciate your time and I will see you next week for an overhaul of training. Okay. Awesome. Thanks guys. Oh, and Fatima said that she’s sick and she’s not ignoring you. She promises she’ll be here next week, no.
Tlfol (18:45) Worries. It’s all good.
Naomi Denson (18:47) Thank you. All right. Thank you. Good job. Bye bye.