Transcript
Connor Morley (00:00) hi, Connor. Hey, Cindy. How’s it going?
Cindy Craddock (00:04) It’s finally Friday.
Connor Morley (00:05) Yeah. Amen to that. It’s going. I did want to just give you an update. So I got that list of recreds it is being worked on right now but it probably won’t be done today. It’ll probably be completed by next week.
Cindy Craddock (00:26) Okay. Can we pull up Daniel Nelson? The medical director’s notifications. Again? He is getting, I think the only notification he should probably ever get is when it’s his turn to sign off on a packet, but he’s getting like he got an npdb you know, flagged thing today. So he’s getting like every email I get. Well, I don’t know about every email, but I got the same email. So I feel like if we could just go through his and make sure that he’s only receiving, hey, this packet’s ready to sign off on.
Connor Morley (01:02) Yeah.
Cindy Craddock (01:04) And just in case amrapali or Allison or anyone, the other ones, they probably aren’t getting anything, but just in case they are. So he shouldn’t get outstanding tasks… or completion. No, he shouldn’t get any of those. Yeah.
Cindy Craddock (01:31) Yeah.
Connor Morley (01:32) Well, only.
Cindy Craddock (01:34) When he’s ready to sign off, not when it’s ready to be moved, so is that a separate notification?
Connor Morley (01:41) No, that’s it. I can’t change… them further than that, but I mean, when a cred packet is ready, that’s essentially… I.
Cindy Craddock (01:56) Have to get it first though and scoot it for him to be able to do anything with it. Is the deal. So he gets the first email and he’s like I logged in and I’m like, no, no, I have to move it first. So it’s like if they could break those steps down so that because… he gets that email and he’s trying to be like quick for me. So he logs in and he’s like, wait, I don’t see anything. I’m like I have to beat him to the email if you will and hurry up and move it. So maybe you can just bring that back and ask if they can parse out those notifications because they go to two different people and they probably do for every other organization I would imagine as well.
Connor Morley (02:30) Yeah. Let me check to see if we can change that a little bit… because that seems like something we should be able to do but I can, yeah, let me check. One second. All right. But… have you set up time with James? I.
Cindy Craddock (03:00) did I met with him? And I meet with him again? I think the other next week or the next week, I might ask him to do it weekly until we get a better idea. I’ve been all in our picos account trying to figure out myself like where are we at with all these applications? Like why is it taking so long? Because my understanding, as long as you’re enrolled in medicare in one state, the subsequent additional and we already have like foreign, whatever you call it qualifications. Like so for all the other states. So I feel like it should be a pretty easy task to add us. And I just those little recommended like send a message request an update, the update like this one, I had to just laugh. I was like, what are you really telling me here? Because it was like a talked in circles update about basically like we’re finding out for you. But like then I got another one. So I think they’re like bots to be honest. And so they’re like using all this lingo. But when you like read what it’s saying, I’m like what you’re not really telling me anything. You’re basically telling me that I asked for an update and you’re going to try to find it out, but you just keep sending the same update. So I don’t know. Yeah, like this last one, I just find it because I’m like maybe I’m just an idiot and I’m not understanding what they’re trying to tell me. It says.
Cindy Craddock (04:22) Greetings upon review, the provider is associated with medicare and is managed by the medicare team. The request has been forwarded to the appropriate follow up specialist for changes, kindly allow time for processing.
Cindy Craddock (04:36) And I’m like what does that? What does that mean? That doesn’t mean like this is for our group medicare, Colorado enrollment. So what provider like I don’t anyway, like maybe it’s a me thing, but I’m just like this tells me nothing and I had to get on a call with a client and it was all about where we’re at with medicare and humana credentialing for Colorado, Georgia and Texas. And I’m like they’re like, well, how many, what is it? How many days? And I’m like, I shit, I don’t know because we started this so long ago, the applicant, I can see and again, though I don’t feel like I should have to do this. I did log into the Pecos account and like navigated… to figure out what’s been submitted on our behalf.
Cindy Craddock (05:22) And I can see that there’s a Colorado and Georgia medicare application or what have you. But I, but it took me a really long time to find that and I don’t see anything for Texas. So again, like that’s why I want your people to be able to just update me since we’re paying for that.
Cindy Craddock (05:40) So I know that’s not really your department. But so all that to say, yes, I did meet with him. I have a call with him. My CMO wants to be on it too. It’s Monday with no, that’s not it. I take that back. Maybe it’s not until the next week. So I might… yeah, no, that’s with you. Well, shit, I thought I had another, I don’t know somewhere somehow I got to go through all these meetings. Oh, yeah. Nope. That’s you again. I thought that was with him. There. It is Tuesday with Jack the seventh. So hopefully he’ll have some updates for us.
Cindy Craddock (06:24) Okay? Perfect. He took the feedback back to the team too. Just like what would be nice to see? Like what… stage or, you know what I mean? Like where you’re at? But I completed every single task that I could find in medallion regarding any of that. So like as far as right now, there’s nothing. The only things in the task is basically saying that the provider has to be enrolled in medicare first before you can do humana. So obviously, there’s nothing I can do about those tasks because we know that and you guys are working on that. So hopefully that’s… good enough. Yeah… it looks like there’s… still.
Cindy Craddock (07:21) Some outstanding files that didn’t get scooted or like archived and all of that. Is that what you’re still waiting on to like update when? But again, I just still think we need to make sure what’s… blocking them. It looks like ofac on a lot of these just still says pending, I wonder if that was turned on or whatever. You know what I mean? Like, I know we.
Connor Morley (07:48) Ofac was definitely turned on. I’m looking at some of them like Roger kersner, And that one says CMS preclusions… ofac looks good for Ronnie. Katula, ofac, looks good for Evan gray.
Cindy Craddock (08:10) So, preclusions.
Cindy Craddock (08:15) For tell me who that was for Roger kersner?
Connor Morley (08:18) Roger kersner?
Cindy Craddock (08:20) But like education, training, licenses, board certification, those all have the exclamation, the little exclamation mark. I don’t see anything for exclusions. Oh, yeah. The very bottom, it’s just not, it’s just not circled. But… like… I guess why can we not, what’s the problem there? It just says in pro, it just says in… progress.
Connor Morley (08:49) Yeah. So I followed up with the team on that. It looks like they’re taking a look into why those haven’t been running. And they’re checking to see if it’s just like, a holdover from like maybe these were requested before we had CMS preclusions turned on. But like at the same time, ofac was able, to run pretty cleanly and.
Cindy Craddock (09:16) Yeah. And the board certifications, it says complete… but I guess they’re just an issue. I don’t know. Okay, same stuff. I mean, I don’t have anything else new really other than that, basically, the notifications, I just want to make sure Daniel gets as least amount as possible and I can just tell him like, hey, if you get the one now that says it’s ready to be moved, just ignore that. And then he should get a second email that says it’s ready to sign off. Is that right?
Connor Morley (09:46) I’ll try to see if that’s something that we can do. I’m maybe it is, I just have to talk to one of the engineers.
Cindy Craddock (09:54) About it. If, so, I’m not, I don’t get that if those are grouped in the same email notification, I’m not getting one when it’s ready for him. I’m just getting one saying it’s ready to move. Yeah. So if it’s only one email for two different tasks by two different people, that seems, yeah.
Connor Morley (10:12) It seems a little,
Cindy Craddock (10:12) like they need to be parsed out. Like, so if this task needs to be completed by that person, that would be one email notification. And if this task, you know what I’m saying… and I don’t know for sure, but that’s what it seems like because he keeps emailing me like, hey, I got this and I’m like, no, no, you don’t need to do anything with that. So I told him I’d go over.
Connor Morley (10:32) Yeah. Let me check. I can check to see if I… can do anything funky on the back end otherwise, like I can also check with the engineer to see if we… can do an addition like a separate notification. Yeah.
Cindy Craddock (10:52) I have another ask and it’s maybe an option on here that I don’t know how to do, but how can I just easily see on someone’s profile when they were credentialed last without having to go to like credentialing completed, type their name in search. If I just want to like scan and be like when’s dr… morkin up for? Like when was he credentialed last? And when’s he up again, like where can I easily see that on their profile? I couldn’t find it anywhere yesterday. I had to go back to my spreadsheet that I had.
Connor Morley (11:21) On the profile, we don’t have that. But in the, I mean, there is a, there is something called, you would be able to see it in the provider summary. We can also run like reports on it. Like if we go into so.
Cindy Craddock (11:44) Like when you go to the credentialing tab on the left, you can see everything you’ve ever requested. You can see those that are ready. You can see those that are pending committee, sign off. But you can’t see like I don’t see a filter to be like when… who’s already done like closed isn’t… the same. It’s kind of funny because closed only shows that one that we said that missed credentialing. And so we need to like reinitiate it. But when you search the status, you have to search for to see if they’ve been credentialed is actually also closed.
Connor Morley (12:19) So, there is like credentialing status, initial credentialing date and then no.
Cindy Craddock (12:25) Where did you find that report builder? Oh,
Connor Morley (12:28) I’m in report builder right now.
Cindy Craddock (12:30) So, I’d have to just create credentialing server. So.
Connor Morley (12:35) You can pull those in and it’ll pull in all the credentialing information we have on them on providers. I think as well on the credentialing tab. If we go to the scheduled recreds, I know you can pull in like if you’re looking at three months, you know, what’s what are the upcoming?
Cindy Craddock (12:56) Ones. So like type in the search name, type in like deberry… in the right where it’s where, I guess, yeah, I guess wherever like up in the I’m sorry, under closed. So if you go to closed, if you click there, it shows one provider, right under that status. But now wait for that to load. And then in the upper right type in like deberry who was, wait? Now, how come you show everyone that’s the problem? I don’t have that view. So let me show you my view because that’s what makes sense.
Connor Morley (13:28) You don’t see all of?
Cindy Craddock (13:29) The approved. Oh, well, now I do… this was not here yesterday. The only one in the… only one in closed was that Soojin Lee, she it just now and it shows archive. Nevermind. This is exactly what I need. Like now, I see this view, this was not, I swear, this wasn’t here. I clicked a 1,000,000 times and I was like, it’s so weird that this status is called closed and it only shows the one provider. But when I would search in that upper right hand box, one of these providers, their status is, would be closed. And I’m like, okay, well, if that’s their status and you have a column, why is, why are they not falling in there? So anyway, somehow it’s working now. So perfect. And it shows archived and approved and like that’s exactly cause I was having to go in there and search in the upper right hand corner, bring them up, then go back and then you should.
Connor Morley (14:22) Yeah, that, I do not know what happened.
Cindy Craddock (14:26) And this even has the date when you hover, so that’s perfect. No, this is, was not here yesterday, I promise you because I keep thinking this is surely this is not working like it’s supposed to. So maybe they, I don’t know it’s working now. Okay. Perfect. That’s exactly what I needed. I was like there has to be a way this is way too manual for me to keep hunting these down. And so even like just the hovering over the approval date, like I, instead of being able to do that, I had to go up search, open it up, keep scrolling, try to finding to find out when, yeah.
Connor Morley (14:56) That’s.
Cindy Craddock (14:57) that’s.
Connor Morley (14:57) not.
Cindy Craddock (14:58) that’s not sustainable. Come on medallion. Okay, perfect. Okay. Well, that’s all I have on my list. And I think the rest is mostly my big anxiety now is the whole payor, like not being able to fully understand what we’re waiting on, where we’re at how long it should take like all of those things, cause I just keep googling it and chat gpt and gemini and they’re like it’s just I’m like, yeah, but, it’s not just that clearly because it’s taking months.
Connor Morley (15:30) Yeah, which.
Cindy Craddock (15:31) Everyone knows there’s a lot of hoops to jump through. I mean, it’s not like it’s this should be easy. We understand. It’s not easy. But okie… dokie you guys have anything else for me?
Connor Morley (15:41) Nope, that’s everything.
Cindy Craddock (15:43) Okay, perfect. Till next week. Have a great weekend. Thank you. All right. Bye.
Connor Morley (15:48) Thanks, Cindy. Bye.