Transcript
Naomi Denson (00:00) hello? Hey.
Gregory Campbell (00:01) Naomi, how’s it going?
Naomi Denson (00:04) Good. How are you?
Gregory Campbell (00:05) Good, good. Excited to get going here.
Naomi Denson (00:10) Yeah. Okay. So, we got, gab is here this time. Oh, nice. I think she’s the one that’s supposed to be doing the corrections on everything.
Gregory Campbell (00:20) Yeah, absolutely all.
Naomi Denson (00:22) Right. So, let me let them in.
Naomi Denson (00:36) Hello?
Gregory Campbell (00:38) Hello?
Naomi Denson (00:40) Hello. How y’all, doing? How’s everybody doing? We’re good. Hi. How’s it going good? How are you doing good, struggling trying to take myself off of mute? Okay. It happens. All right. See, we still got some joining… right now. Is Barrett coming? Is he out? Oh, he is Barrett is.
Gregory Campbell (01:09) out?
Naomi Denson (01:10) Yeah… he’s usually the first one to join, and I remember your email earlier, Nicole. So now it makes sense. That’s right. Andrew.
Gregory Campbell (01:20) Scott?
Naomi Denson (01:22) Sarah… I think we’ve got a good group here. Anybody else that we absolutely need to wait on that, you see?
12252664160 (01:31) I know of.
ClintAnderson (01:36) I think we can probably get started. Okay?
Naomi Denson (01:41) All right. Let me clear my screen. We’re going to or actually, maybe Greg, you can start because we’re going to start with the data import template. Gab. We want to check in on updates corrections being made to the import template that Greg called out back in February, see if there’s any progress or questions remaining on those corrections. So we can get this pushed forward.
Gregory Campbell (02:07) Yeah. Gab, the two tabs we’re really looking to make sure that we’re all set to go on here would be the practices and the group profiles tab. From what I’m seeing there hasn’t been too much movement here with the corrections we discussed. I’m still seeing names that are repeated in these tabs that require a unique identifier, as well as suite numbers that are kind of hidden here within the address line one. So, these cells are highlighted showing which ones those are on the group profiles tab. I’m still seeing tax id numbers that are missing digits as well as repeated group names that need a unique identifier and many required fields that have not been filled in yet.
12252664160 (02:49) Yeah. So I’ve been working on it outside of this and need to get them put into there. And I have noticed where there’s some, I don’t know if at the time these were pulled and given to you like there’s some providers that I’m showing that are showing a student medical group but have gone over to lifespan or something else. So, I don’t know at what point in time this was pulled. So I’m making sure that those things get put in there correctly as well.
Gregory Campbell (03:22) I’m sorry, gabby, I couldn’t quite hear you too well. You sound like.
Naomi Denson (03:24) You’re underwater… the.
Gregory Campbell (03:27) Main piece that I heard was that you’re making updates outside of the template that need to be transferred into here, but I didn’t catch much.
Naomi Denson (03:36) After that.
12252664160 (03:38) That’s correct. And I’m just finding that there’s some providers that are different.
ClintAnderson (03:48) Gab, we can’t hear you.
MatthewSpurling (03:55) Well, gab tries to figure that out. Greg. The one thing I’m looking at and seeing in the tin area, it looks like this may be a simple composition of the cells not having a, for a tin so that there’s a zero in front of the two highlighted ones that you have there. I don’t know if extending that out. Obviously, I still want people to check that, but I think that you don’t have enough cells included within each. So that the zeros are not carrying through. Okay?
Gregory Campbell (04:24) So, with this, these should be formatted as plain text. So as someone from the revere side goes through this, entering in that leading zero should be pretty quick and easy.
MatthewSpurling (04:37) Yeah. Agreed. But I think that probably will solve some of the issues we had with that yellow highlighted ones you had there to begin with.
Gregory Campbell (04:44) Awesome. Like.
MatthewSpurling (04:46) The Mitchell abramson was one that there’s a leading zero on that one.
Gregory Campbell (04:51) Okay. I’ll go ahead and add that here. And just like give you guys an example once you guys go through this sheet and make these corrections like you see as with this cell, the highlights will go away once the corrections have been made. So that should give you guys instant feedback in terms of whether or not each of these rows are ready to be imported, we went through a similar process for the providers we’ve loaded already.
ClintAnderson (05:16) Gab, I know you’re having audio issues, but can you try to import or upload your corrections today tomorrow so that we can kind of get a status of where we’re at and see what’s still missing yep?
Naomi Denson (05:39) Okay. And then with those corrections, just wanted to also see if we can finalize or get an estimate on when the remaining like the other providers that we were going to import would be ready, the non employed providers that you guys were still trying to get email addresses for or any other provider loads.
Naomi Denson (06:11) I don’t know if you guys have context on that or if that’s just Barrett.
12252664160 (06:16) Well, Barrett’s been working the employed providers, and then I’m working all of the affiliate providers.
Naomi Denson (06:23) Okay. Are you also working this one in a separate sheet or are you focusing on the groups and practices primarily?
12252664160 (06:31) And I, yes, I am working on it in another sheet so that I can manipulate it, play with it and not mess this up.
MatthewSpurling (06:41) So, what do the yellow highlights mean in this email column? Because I know before it was incorrect? Does it mean there’s still issues with the ones that are populated here? Or is that just, it didn’t flip to… from yellow to white? I.
Gregory Campbell (06:57) Can speak to that. So for every provider in medallion, the email must be unique. So this column is highlighting any email that’s either invalid. So if it’s missing a domain or like in this case, for these rows, if you notice this email address is used repeatedly, so each email address has to be unique because the email address is associated with their invitation to the platform. So I do want to caution the team here. As we’re working on this outside of this sheet, we will be checking to make sure that the providers have not been previously imported. We’ve done a fair amount of imports already. So we want to make sure that one, all of the emails are unique and two, that any of the providers that are listed in the next round of provider imports are not, do not have providers that we’ve already loaded into medallion.
ClintAnderson (07:58) So, what, Greg, what about like this one that you’re looking at right there? I’m guessing that this practice looks like it’s this Charles Garcia’s practice. They probably have one person that handles this stuff for them and, you know, they just hand it off to that person in their office to do it. How are we supposed to handle that? Because I can’t imagine that Charles and Rania, and Joseph and Hassan all want an individual email about this. And from a customer service standpoint, you know, matt feel free to chime in, but I can’t imagine that practice, probably they probably handed it off to this de la Rosa person for a reason and they probably want all of that to go through that person. So how should we handle that? If you want it to be a unique email for each one? But the practice probably would look at us and say, well, I really just want it to go to this one person.
Gregory Campbell (09:08) Yeah. So each of these providers will need to at some point log into the medallion platform and attest to their data. And to do so, they’ll need to have an email associated with their login. So there, in this case, I don’t know if it’s possible maybe for these providers to be assigned revere email addresses. I know that’s something I had discussed with Barrett with the providers that were migrated over from the villagemd instance. Is that something that could be possible here for these providers that will be loading in our next round for them to have a revere email address assigned?
ClintAnderson (09:48) Yeah, that’s not. I don’t think that’s… not really an option. I don’t think… matt, what?
MatthewSpurling (10:02) I guess so the thought.
Andrew Herman (10:03) This has been an issue from day one since January. Nothing’s changed. They need, they need unique email addresses… question.
MatthewSpurling (10:12) Back, Greg, is, what, is there a reason that this de la Rosa person cannot log in and attest on behalf of the four providers within the practice? I feel like. So it seems like what you’re kind of setting up is something similar to direct, assure where on like a quarterly basis, you got to go in and attest that all the data is correct. There’s not a reason that or there’s no opportunity for a practice manager to be responsible for all of the providers within a particular practice.
Gregory Campbell (10:38) So, the reason behind that is that our platform only accepts one email address per account. So, like for example, if we, I’m going to come off screen share so that I can swap over to medallion, like if we go into medallion and take a look at the providers that are currently in your instance, each of those providers have a unique email address. And just on my end, like when I go to load in new providers, I will receive an error if I attempt to load two separate providers under the same email address. Yeah.
MatthewSpurling (11:14) That’s fair. And I’m sorry, you’re probably answering questions that have already been answered. I’ve obviously just joined these.
Andrew Herman (11:21) Yeah. Unfortunately, matt, this has been our requirement from day one. Yeah. And the plan again going back to January was for gab’s team to go into the caqh profiles which does typically have a provider, a unique email address for a provider, as well as a social security number and take that information and populate the grid. Got.
Gregory Campbell (11:48) It. Okay. So, I guess the.
ClintAnderson (11:52) same question then as before gab, can you, it sounds like you’re working this in a separate spreadsheet. Can you upload what you have so that we can see where we’re at?
12252664160 (12:05) Yeah, I can do that. And then the other thing to note is that even in caqh, like if you go into any of the primary care providers, they’re all going to have Lauren’s email address. They’re not going to have their own individual email. So that’s not always going to work for the affiliates because that’s what a lot of them do when they’re big groups like that. Yeah.
MatthewSpurling (12:28) So, we should just go back to like for the example we were using before the Della Rosa email, why don’t we just email that Della Rosa person and say, hey, we have a new process going into place. We need an individual practitioner email for each of the practitioners that we have on file with you. Can you share that with us?
Andrew Herman (12:44) Yeah. And that’s what matt, that’s what it’s like. We’re going like full circle here. The objective is to use… caqh to get all the unique email addresses. And you’re right? We’re going to eventually get down to a small subset of hopefully small subset of providers. Primacare will be one of them that don’t have unique email addresses. And we’re going to have to then have the ops team, Gale’s team make outreaches to the providers to be able to gather that information. But we are hoping holding off on doing that because at least the last time I checked on it, there was like 800 providers and like that’s probably too much for Gale’s team to collect. I’d rather start with caqh, and then try to whittle that down to a manageable list for Gale’s team. Again, it starts with a maybe, yeah, maybe Nicole, you said you have access to caqh, right? And in fact, when I was,
Nicole Hillis (13:44) talking to, yeah, I do so.
Andrew Herman (13:47) I think we just got to, we got to get the whole team onto… the caqh profiles and start pulling that information down into the grid.
Nicole Hillis (13:58) And sorry if this question has been answered, but is it for mostly affiliates?
Andrew Herman (14:03) Yes, it’s for the affiliate. Okay. Got it. I mean, theoretically the employee should have their review. Okay? Got it.
Naomi Denson (14:14) Awesome. Okay. All right. And then next up, I have on the village providers, Nicole… we had talked earlier last week that you said you had nine new providers, yes, that you’re needing to initiate enrollments for? Did you figure out how many payers or separate enrollments are needed for each of those nine for a total volume of initial requests? I.
Nicole Hillis (14:42) Didn’t, I think was Barrett doing that? The initial separate enrollments that no, yeah.
Naomi Denson (14:54) You had asked earlier? How did like that a provider was going into, they were trying to submit their requests?
Nicole Hillis (15:00) Oh, no. It was for their profile, not for the payor enrollment piece yet. Oh,
Naomi Denson (15:05) okay. Yeah. They don’t have to submit anything once they sign the agreement sign.
Nicole Hillis (15:09) The agreement, okay?
Naomi Denson (15:10) And hit the. Yeah, once they all, they have all of the green check marks in their profile data tabs? Okay? They don’t have to do anything to submit it. The only thing that has to be submitted is the enrollment requests.
Nicole Hillis (15:23) Okay. Got it. I think it was just the one provider and.
ClintAnderson (15:26) We have Dalton on now, Dalton joined our team from village. So Dalton may be able to answer that question, Naomi about number of payors. So Dalton, I don’t know if, you know, like what the typical number of payors is that we ask for these folks to be enrolled with for the village market?
Dalton (15:52) Yeah. I’m looking at it right now trying to add.
Naomi Denson (15:55) To that. And just for context, we’re talking direct enrollments only not delegated rosters. So we would exclude because we don’t make requests for delegated payors because that’s managed separately, just wanted to throw that in.
Dalton (16:10) There. Okay. I’m looking at it, I’m seeing about 20 payors. Three of them were delegated with village summit. I’m not sure if that’s continuing. And then one of them I believe is we are no longer contracted with this year. So, is that 17 different payors per provider that need to be submitted?
Naomi Denson (16:35) Okay. And that applies to all provider profession types. Yep, they all fit in. Okay. Yep. Okay. So let’s see. So for these initial village providers, we’re looking at 153 separate requests… nine times 17 to start off with. Okay. Do we, Nicole, did you get any clarification from our conversation? I remember you had said something. Maybe it was gab that said that you guys were not going to kick those off with medallion to start off with. Was that clarified that you will be, or to.
Nicole Hillis (17:17) my knowledge, the current employee like not the village MD group, like I have two apps from Arizona, but that are not village MD groups. And just to my knowledge, is that we’re not ready for them yet. I don’t know what the timing is on that. Okay? I just might not be in tune or.
Naomi Denson (17:40) Updated, but we are kicking off in medallion with the village providers. Yep.
Nicole Hillis (17:45) Okay.
Naomi Denson (17:46) All right. And then you sent invites to those new nine net new providers that need the enrollments and are monitoring their progress. We also talked about delegated agreements and rosters transferring over from village. Greg was able to identify the different rosters that apply to the Arizona market and has those in queue to be mapped and built turn on time. Typically for that is four weeks to get those ready… to start submitting via revere’s platform, but they would go out based off of credentialing progress. So credentialing requests being completed, would add them to that report. Greg. I don’t know if you have other context on that, but we do have those on our radar to transfer over yep.
Gregory Campbell (18:35) The roster builds are in progress. So I’ll keep you all posted on that once we have some updates there, since we do have some samples… already just from the village instance the four week turnaround time I think is something that we could potentially shorten but I’ll let you guys know once we have more of an update.
Naomi Denson (18:57) And then one other question that I wanted to ask about the village providers, the existing village providers that were transferred over. Now, they were already credentialed via ncqa for village and have credentialing dates already in their village profiles. Is the plan to just pick up with recredentialing when that date, their next recredentialing date comes, or do you want them all recredentialed under revere’s policies and procedures and committees?
ClintAnderson (19:25) Andrew, correct me if I’m wrong, but they should stay under the same tin and just stay on the same recred rhythm because we bought the tin so they can stay under that tin, Andrew, am I incorrect there?
Andrew Herman (19:40) You’re talking about the village? Yeah, for the.
ClintAnderson (19:42) Village? Yeah.
Andrew Herman (19:44) Yeah, yeah. Yeah. There’s no change in tax id. So. Yeah.
Naomi Denson (19:47) No, not necessarily the tax id, the ncqa compliance as it pertains to the ncqa credentialing and the delegated rosters, we’re only putting them on the village delegation rosters with their current credentialing and not adding them to revere’s delegated, rosters, yes, correct. Correct.
12252664160 (20:05) Correct. Greg.
Naomi Denson (20:08) Anything to add or additional questions there? Is that feasible? Yeah.
Gregory Campbell (20:14) That should be feasible. No questions at this time, but maybe if something comes up, I’ll raise it in our next call. Perfect. So.
Naomi Denson (20:22) We are in a good place with the village providers right now. Greg is working on getting their, the only thing that didn’t transfer over from their village profiles to the revere side, was their credentialing dates. Those are harder to transfer over, but he is working on getting that done that over so that we have that for the tracking… of re, credentialing, I did just want to visit some questions that I sent on my follow up email last week for our credentialing team, building your sops and reviewing your policies and procedures for cois, certificate of insurance requirements. Do you guys have a specific limit requirement that they have to meet? Is it just the standard 1,000,000, 3,000,000 coverage? Is it more?
12252664160 (21:10) It’s the standard? Okay. And.
Naomi Denson (21:14) Are they on their own individual face sheets or are they covered by like, do they provide their own malpractice or they’re under revere?
12252664160 (21:22) They’re under revere, but each provider has their own sheet. Okay, we have one that covers the entire group. And then each provider does have their own sheet though.
Naomi Denson (21:34) Okay. Perfect. Any additional requirements as it pertains to malpractice coverage or insurance? No. Okay. And then how would you like us to handle provider outreach tasking directly to the providers to resolve any additional… information that our teams might need for the credentialing process, tasking to admins only or emailing the providers directly? So tasks go straight through medallion. They’ll get an email notification that they have a task or do you want us reaching out via email?
Andrew Herman (22:07) How did village do it?
Naomi Denson (22:11) I am not sure how they do it? We.
Dalton (22:17) Would reach out. We would try to be… the face that they would see like.
12252664160 (22:26) Any questions?
Dalton (22:28) That they would have. So that medallion would just stay behind the scenes.
Andrew Herman (22:32) Yeah, that makes sense. So.
Naomi Denson (22:33) Tasking to admins only. Yeah, perfect. Yeah. And then as far as the revere credentialing goes, I just want to put it on your radar to start identifying and let me know who the medallion users, admin users, or medical directors, whoever’s going to be responsible for the committee voting within the platform to approve the files, either clean files being approved without going to the full committee meeting, or afterwards, who’s coming back and logging the votes from the committee meetings, depending on how it’s written in your policies. So I just need to know who those are. So I can make sure they have the appropriate access in medallion as a committee member, and then what structure you want that in. If you just want one committee for clean files, one committee for needs attention. And then if you want any backup committees, in case someone’s out to reassign… those two, does that make sense?
12252664160 (23:31) Okay. It does. Okay.
Naomi Denson (23:33) So, we’ve got that interview.
12252664160 (23:35) So, I get that. What information do you need with their names and emails?
Naomi Denson (23:41) Names and E mails, an indicator if they are, that they’re to be a credentialing committee member only. And then who all on your side just to confirm, I think we’ve already given some access, but who needs credentialing administrator access to be able to request credentialing files, monitor them, view them, and then assign them to a committee when they’re ready.
12252664160 (24:03) Okay. And I.
Naomi Denson (24:05) think we’ve already given some access to that level, but if there’s any others members that need that, we can definitely give that as needed. Anyone who does not have the credentialing administrator, user access that I have to grant on the back end, you can’t even see the credentialing tab. So if you’re in medallion and you don’t see that credentialing tab, and you need to let me know who’s.
ClintAnderson (24:28) our credentialing committee right now.
12252664160 (24:32) There’s several of our providers from the network. So it’s Joe’s the medical director. He signs off the files. We have dr fogle from primacare, Richard dinsdale from desert grove. We had Joe August, but he’s not there, mark Mandel, Kelly, Hoy, and I think that’s everybody. Okay? I can go over that process with you offline if you like. Yeah.
ClintAnderson (25:08) I need to understand that. Yeah, I need to understand where that fits in. Can you just push the time?
12252664160 (25:14) I’ll schedule time with you to go over that?
ClintAnderson (25:16) Thank you. And.
Naomi Denson (25:19) Then the only other thing that I have is with the payer process scoping template. Gab, I know you and drima have been working closely on, you know, back and forth with that, but we do want to schedule like a full scoping review call to go through each of the payers and make sure that we’re aligned on the processes to get final sign off before we can go live with the revere payer enrollments with village, we’re just using their policies they already had in place.
Naomi Denson (25:44) But for the revere payers, we’re going to go through that. So I’ll send some availability in my follow up email so that we can get that on the calendar to knock that out Naomi.
ClintAnderson (25:55) Can you please include myself… Dawn and Jonathan Tanner on that call as well?
Naomi Denson (26:08) Anybody else? Just Clint, Dawn, Jonathan and gab?
ClintAnderson (26:15) Gab, whoever else you think needs to be on it?
12252664160 (26:21) Okay. No, that’s good. And I can add Griselle in from there. Okay?
Naomi Denson (26:26) All right. I will send over the availability for that, so we can get that scheduled. Any other questions for me or Greg in the last couple of minutes here?
ClintAnderson (26:37) Can we just look through? I know we had a list of providers, Naomi, that you had been kind of working through that unique list or not, Naomi, Nicole… for those village providers that were kind of doing the special projects, probably the wrong term, but just that set of folks, can we just pull up that list real quick and just make sure we’ve got everybody covered.
Naomi Denson (27:09) From Nicole? Yeah.
ClintAnderson (27:11) From Nicole? Yeah, sure. Do you have that list? Is?
Nicole Hillis (27:15) It the new providers? Yeah.
ClintAnderson (27:17) The new providers that are coming in, let’s see?
Nicole Hillis (27:22) Maybe I can pull them up on medallia?
Nicole Hillis (27:48) Can you see my screen?
ClintAnderson (27:51) Not yet. No?
Nicole Hillis (27:52) Not yet. Okay. Oh, Eric.
Nicole Hillis (28:02) I hope you can probably see the meeting. Hang on.
ClintAnderson (28:05) Yeah. See you now.
ClintAnderson (28:17) Oh, lost you. Okay?
Nicole Hillis (28:19) Hang on.
Nicole Hillis (28:34) Okay. Can you guys see it?
ClintAnderson (28:36) Yes, got it.
Nicole Hillis (28:37) Okay.
ClintAnderson (28:38) Okay. So.
Nicole Hillis (28:40) So… these right here. So, from Brandon walls, Amir, Hassan, down to… Charles Armstrong, there was also an Ea that was just signed yesterday for, I think Aziz that I’ll be sending his welcome email out for. But these are essentially the net new villagemd providers coming in that I have sent the requests for. Okay?
ClintAnderson (29:11) So, they’ve all received their requests for information. You’re just awaiting that back from some or all of them to begin to finish that those profiles out. And then medallion can take them from there to conduct the… credentialing.
Nicole Hillis (29:32) Right. And so, for instance, dr, dardari, Naomi, this was the one that he had said I thought I submitted… but it would let me submit. This green circle is just showing that he finished all of the requirements and then I would go here and then like request new enrollment that’s when the kickoff to medallion starts for payer enrollment, right? Yes.
Naomi Denson (29:57) So, you do that from the payers tab? Yeah, to request new enrollments. Okay?
Nicole Hillis (30:02) So, like dr dardari is the furthest one along, but I will, you know, continue to monitor and to check where these providers are with their profiles and I can add and update some of the information that they’ve sent me… okay as well out here. So, yeah, all outreach has been made, okay?
ClintAnderson (30:21) Perfect. Nicole. Can you and Dalton touch base offline? Yeah, just since he has kind of that medallion background and just make sure that we’ve covered all of our bases. I think we probably have, but just want to make sure that we’re not missing anything and that we got them moving along appropriately. Yeah.
Nicole Hillis (30:46) Absolutely. Okay.
ClintAnderson (30:47) Perfect. Thank you. You’re.
Nicole Hillis (30:49) welcome. All right.
Naomi Denson (30:51) Everybody, I will follow up shortly, and I hope you all have a great rest of your day. Just reach out if you have any other questions or updates on the data side for us, okay?
ClintAnderson (31:06) Thank you.
Naomi Denson (31:07) All. Have a good one. Bye.