Transcript
Lyndsey Farmer (00:00) hey, how are you? Good.
Julia Shannon (00:03) How are you?
Lyndsey Farmer (00:05) I’m all right. It’s Friday.
Christine Longbottom (00:07) You know, I’m so glad it’s Friday.
Lyndsey Farmer (00:09) right. Wait all week for this.
Julia Shannon (00:13) I know it feels like it’s like just marathon.
Christine Longbottom (00:17) I’m like you think like the start of a new month, you’re like it’ll you know, like new fresh start. I’m like, no, I feel like it’s just right. Just marathoning through the week.
Julia Shannon (00:45) Hey, Julia.
Julia Shannon (00:50) Hello. How are you? I’m fine. How are you doing?
Lyndsey Farmer (00:55) All right. It’s Friday. Yes. Thankfully. Okay. I think Heidi declined for today. Okay. Yes. And I.
Julia Shannon (01:06) got an email I sent over those spring health templates, but I got an email from you that you’re going to be out of office and I was like, no, did I miss something? So that’s you?
Lyndsey Farmer (01:16) I, yeah, I’m here for, I’ve got your meeting and then I have another one and I am technically out of office, but I feel like I’ve worked this whole time, so.
Julia Shannon (01:30) Understandable. I relate.
Lyndsey Farmer (01:32) But, yeah, right. It just never ends. So, if I was truly to take off three days, I would be, it would take me two weeks to catch up. So.
Julia Shannon (01:42) Yeah, that’s what happened to me?
Lyndsey Farmer (01:44) Yeah. Okay. So, I did get the emails. I talked with Adelie a little bit about them. So, for the first one, the termination one that’s something that we won’t be able to handle. Okay? Just because we don’t do terminations and stuff like that.
Julia Shannon (02:03) Yeah, that’s what I thought.
Lyndsey Farmer (02:04) The other one, we can handle that one. Adelie just wanted to confirm that you guys have a delegated contract with spring health.
Julia Shannon (02:14) Yes. Now, apparently, allegedly, all of a sudden, yes. Okay, perfect.
Lyndsey Farmer (02:21) Then I will take that back to her. And then if there’s any questions or anything, she’ll let us know. Okay, but yeah, on that second one, we will be able to build that and work off that.
Julia Shannon (02:33) Perfect. That’s super helpful because that’s one less thing for me to keep up with the terminations are easy enough. And then novawell is making us do weekly and I’m trying to get out of that and hopefully do a monthly roster as well, but we’ll see how that goes. But spring health is easy enough because we don’t have to give them like new practice locations or anything. It’s just like the status.
Lyndsey Farmer (02:56) So, okay.
Julia Shannon (02:57) Hopefully, hopefully.
Lyndsey Farmer (03:00) Yep. All right. I see you’ve got Texas medicaid issues?
Julia Shannon (03:06) Yes, this has been like, so I thought that this was taken care of in like February. Okay? But then I got, I requested an update because I saw most of our medicaid requests were kind of just sitting there even after I had responded. So then I requested an update and immediately all of them were like, well, actually, we still don’t have access. So that’s a little frustrating. But I checked and I updated and the team got back to me really quickly when I was like, hey, I see you guys here, but they’re still saying they don’t have pems access. So I just made them an admin and hopefully they should be able to access everything. Okay? But I let them know to let me know if there’s another problem, but that should have solved it. So I’m hoping that we can move forward and Texas medicaid is one that we need to prioritize because they’ve been sitting for a minute. Yeah. And medicaid is dependent upon a lot of other enrollments. So, yep, we love Texas, keep me updated.
Lyndsey Farmer (04:13) On that. If we’re still running into issues and then I can probably get involved and see what else or what the issues really are. Okay. So keep me, yeah, keep me updated on that one. If it starts to run smoothly now that we’ve made them admins, then great. But if not, then I can take it back to some management upper leadership and see kind of what’s going on there. Perfect.
Julia Shannon (04:39) And then, Diane Garcia, I know we talked about doing the credentialing, recredentialing, and I saw it in there last week, but now it’s archived. So I.
Lyndsey Farmer (04:51) reached out and to the credentialing team and they let me know that they credentialed the file moved it to ready the ready queue. Yes. But no action was taken by the client on next steps. So as a result, the deadline passed and the file was automatically moved to the archived bucket nuts. Okay? So at this time, so, I asked like, what can we do? Can we move it back? And they responded at this time, an initial credentialing file will need to be requested in order to proceed.
Julia Shannon (05:28) Okay. So we’ll just do that again.
Lyndsey Farmer (05:30) Yeah, thank.
Julia Shannon (05:31) You? Okay. Yeah. Because I was like, we met for the other ones that were sitting in ready, that have been sitting in ready actually for a minute too. So that’s where I was like, wait, we’re missing one. And then when I looked at the closed ones, I was like, dang… it. So. Okay. Yeah.
Lyndsey Farmer (05:49) Just submit that and then I can let them know that you’re going to submit it if they could please like expedite that if.
Julia Shannon (05:55) possible. Okay. Yes. Thank you. And then Heidi and I will sign off on it next week. I’m assuming, well, that’s too blue. Okay. Marcel… she brought up that her caqh cannot be reattested. Okay? So I went in and looked at it and there’s this Lashonta L, ICSW, and as a organization under her with our address and our information, I’ve never heard of this provider before, but I can’t delete her because there’s no tax id associated. So it’s our address and I think our npi number under her. Okay. But there’s no tax id associated. So I can’t delete it. And then I, if I try to add it, it’s not saving okay under caqh. So I don’t know where this information came from. And marcel is also very confused. And so I checked our like group practice manager caqh just to see if something like crazy happened. Nothing’s there. But I do know this provider, when I googled this other icsw person, Lashanta, her, she’s on psychology today. So I know that we’re using like some stuff like that. I just want to figure out where the information’s coming from. So I would assume it’s not going into caqh from psychology today. But if somebody from medallion can just look into if this is somebody that you guys handle, if it’s like a client or like how possibly it got in because yep, I can’t do anything with her caqh right now.
Lyndsey Farmer (07:42) Very strange. Yes, I will put that over to the team to look at. Okay, very weird.
Julia Shannon (07:51) Yeah, because I was like, do you know who this is? Marcel? She’s like nope, never heard of it. I’m like, okay, great. So I have a problem because I don’t know where this person’s coming from. So I don’t know what happened there.
Lyndsey Farmer (08:05) Okay. Yep. I will send that over to them to look into. I don’t have any. Yeah, I don’t have any thoughts on that one. So, yeah, I’ll send it to them and.
Julia Shannon (08:18) then Kim Torres is going to be joining. She’s going to be a payer, what is her technical title?
Julia Shannon (08:24) Tighter title? It’s a payer and provider services specialist? Okay? So she’s going to be coming over and helping me with a lot of Cne stuff. And she’s also going to be like for new contract enrollment, that kind of stuff. So she’s going to be, she’ll start joining our meetings. So if you don’t mind, I’ll send you her email and then if you want to add her to the meetings, please, I.
Lyndsey Farmer (08:50) will get it done. And.
Julia Shannon (08:52) then the only other question I have and it’s more of like, I don’t know where to go from here and it’s not an enrollment right now in medallion, but I might give it to you guys here in a second because I don’t know what to do. We have a Florida medicaid application out for our group. And the only part that I’m stuck on is the background check. Okay? And I don’t know if somebody’s had a bunch of experience with Florida medicaid and where to go from here? Because I know Nzinga has already had a background check for Florida to get her license. And I’m trying to stop calling Florida medicaid weekly and sit on hold for 80 plus minutes because I just need to know if that background check will suffice… for the group enrollment. And then additionally if, when we try to enroll providers, if they’re also going to have to do a background check for Florida to be enrolled because I think the answer will be yes. And then that kind of depends on if we even do Florida medicaid. Yeah.
Lyndsey Farmer (09:53) Because so, I do know it is, I don’t know a ton about Florida medicaid. Yeah, I do know that it is challenging but I do know that, yes to your answer about the background check, but on that same note, let me check around with my team and see if anyone is well versed in Florida medicaid. And then I can have them jump on a call with us to see if they can walk you through it. So let me try that before we just give up all together. Yeah.
Julia Shannon (10:28) Because my thought is like they have to get a background check to even get a license in Florida. So then if they have the background check, can I just somehow pull that information and put it into their Florida medicaid? I’ve emailed and they just keep giving me the same blanket like generic response and I can’t get anybody on the phone. I’ve even done like the schedule to call back and I’m getting no call back. So it’s a lost cause. But I do know from my experience with other companies, we all like we’re gonna go into Florida medicaid. And then it was like, nope, that’s gonna be too bad. So, okay, they don’t pay well. The background checks are a pain in the butt. So, and.
Lyndsey Farmer (11:14) I believe if I’m not mistaken, Florida also requires fingerprinting, yes, as part of the background check. Yeah.
Julia Shannon (11:21) Yeah. So I was like I said.
Lyndsey Farmer (11:23) I don’t have a ton of experience, but I know that there’s a lot of steps to.
Julia Shannon (11:26) it, yeah. So it’s the background check and fingerprints and Nzinga has hers from when she was licensed and, but they expire like at the end of October this year and they have to like keep them up to date. So she has to already do them towards the end of the year. We’re trying to figure out how to make this work. Yeah, because obviously, we don’t have time for all of our providers to continuously get background checks and fingerprints when they’re already getting licensed. You know? Yeah. So makes sense. Yeah, if anybody has knowledge, I will definitely take it. I will reach.
Lyndsey Farmer (12:00) Yeah, I’ll reach out and see who can, if anyone has that kind of knowledge. And if they can just jump on a call and see if we can get some of this sorted out. So I’ll let you, I’ll keep you posted on that one. Perfect.
Julia Shannon (12:12) Thank you so much you’re.
Lyndsey Farmer (12:15) welcome. And then I know that last week when we spoke, we talked about… Lee had mentioned in implementation about that automatic. Yeah.
Julia Shannon (12:26) So, I.
Lyndsey Farmer (12:27) sent you guys. So I spoke with Lee about it and she said what she meant was it was an automatic like demo update from the group tab and I sent you like the video that she did, but we don’t as far as anything like triggering an automatic like application at any step in the process we don’t have that.
Julia Shannon (12:49) Right. So, it, but is there a way to automatically do the request?
Julia Shannon (12:58) That’s that’s where we don’t really care so much as like whoever is going to touch it down like three to five days, but is there a way to automatically put the requests in? So I’m not doing them manually? Sure.
Lyndsey Farmer (13:08) Let me ping that back to her now while I’m sitting here so that?
Julia Shannon (13:14) I don’t forget it because I thought there was a way to at least automate those like requests like bulk requests basically associated with that practice location or that tax id or however we’re going to do it the.
Lyndsey Farmer (13:28) Application request, correct?
Julia Shannon (13:30) Yes. Yeah. Okay. Yeah, because it would make sense that it wouldn’t like automatically like pre populate or do a mapped application immediately, but at least putting those requests in. So then we’re not like, wait, I forgot this one payer because that happened yesterday. I was like, no, okay.
Lyndsey Farmer (13:56) So I just sent that over to her. I will send you a follow up email as soon as I get back. Okay? Then.
Julia Shannon (14:08) I think that’s all that I had. We’re getting a bunch of licensing. We’re getting a lot of movement, good. I’m getting a 1,000,001 tasks. So, I know everybody’s working then I’m trying to like actually go through them. Like yesterday. I spent a lot of time going through them to try to clean it up because I know that most of it’s like waiting for me. We do keep getting a ton of tasks on the W nines still and… it’s like somebody put in all the government like switched out our W nines to those government W nines. So then I have to go back and put the other ones in. And I thought we’ve done this like so many times but both of them should just be listed under the documents for the group. Okay? So I’m responding in the task like we have to. And then I’m flipping the commercial one to the main W9 and just say like explaining that there’s one for government and one for commercial, but both of them are on in the documents. So… I think that’s it. I got all of the committees moved over to just me and Heidi to officially approve. And it’s so much easier. I just have to get everybody to respond to my other email for our notes. What else is going on? I don’t think we have any more… new providers that I’m aware of, but I’ll say that and we’ll get 12 more next week. Yeah, let’s see. I feel… like there was something I was supposed to ask about, but… I don’t I think I covered it. All. The main one was the spring health rosters, yep you answered the other questions next week? Are we able to move our meeting to like Tuesday or Thursday?
Lyndsey Farmer (16:00) Let me look and see what I have on those days.
Lyndsey Farmer (16:20) You said Tuesday or Thursday? Yes? Okay. Tuesday?
Julia Shannon (16:30) Or we could potentially move it up.
Lyndsey Farmer (16:33) No, I can do Thursday… at 10 30 11 or 11 30 Eastern Time? Okay?
Julia Shannon (16:49) Let’s do 11 30 11.
Lyndsey Farmer (16:52) 30 eastern. OK. Yes.
Julia Shannon (16:57) All.
Lyndsey Farmer (16:57) right. I will move that now. And this is going to Thursday the ninth, correct?
Julia Shannon (17:07) Yes, ma’am at.
Lyndsey Farmer (17:09) 11 30? Perfect. All right. You should get a new invite for that. Thank.
Julia Shannon (17:20) You, you’re welcome. Oh, there was one thing about Wisconsin, I think it was… oh, man, there was a payer, Wisconsin. I think it’s medicare. Maybe… I have it. I have like too many notes right now to be honest, I.
Lyndsey Farmer (17:45) Know. It’s like me, my whole desk looks like a homicide investigation because I’ve got sticky notes that just go everywhere. Yeah.
Julia Shannon (17:55) Okay. Let’s see medicare application was submitted. And then in zynga’s… okay. Somebody needs to look at in zynga’s Washington, medicare because it’s saying that they don’t have… provider surrogacy, but this was a month ago. Okay? So they definitely should. Yeah, because we fix that, but it’s blocking… and the medicare enrollment was submitted apparently, but they need to have in zynga listed. So I don’t know how that’s… going to just get kicked back. Okay? Let me, yeah. And in zynga signed it, they didn’t put any payers or providers under it.
Lyndsey Farmer (18:53) So,
Lyndsey Farmer (18:59) for Washington medicare?
Julia Shannon (19:05) Wisconsin. Sorry, medicare. I’m.
Lyndsey Farmer (19:07) sorry, Wisconsin. Medicare.
Lyndsey Farmer (19:26) Okay. I’ve shot that over to them. So I will try to find out what’s going on there.
Julia Shannon (19:33) Okay. Thank you. Yeah, because I’m like, I mean, I feel like for these, I’m trying to, when I submit the request, I’m trying to do like the group request and then add the providers. I know that are licensed all at the same time. So they can be like submitted together. Cause especially for Wisconsin, like for Wisconsin medicaid, they have to have the two providers and then they had the one on hold but there was two providers sitting, you know? Yes. So then I was like, okay, I don’t know, I’m not sure how it’s set up if they can only see the enrollment request that they are assigned, cause that would make sense why we’re having like this like disconnect. Let me check on Wisconsin medicaid while I’m sitting here… I was looking at it yesterday too. I don’t think that we’re gonna have a ton of business yet in Wisconsin, but I know Georgia is supposed to be picking up and I think it was similar.
Julia Shannon (20:40) Resubmitted for Wisconsin medicaid?
Julia Shannon (20:44) Okay. I’ll look at it. Yeah, for this one, they added both providers to it, but then the group one hasn’t been updated. Okay? I don’t know… the last update is… a month ago. Okay? And,
Lyndsey Farmer (21:10) that’s for the same one, Wisconsin.
Julia Shannon (21:12) Right. That’s for Wisconsin medicaid? Yes. Okay. I don’t like, I don’t know this is in my spare time. This is what I do for fun… and that’s.
Lyndsey Farmer (21:25) also for Nzinga, correct? Yes.
Julia Shannon (21:28) Nzinga and Sarah king. And then I need to do the enrollments for Lane. Fine. Okay? As well. I think I submitted the request for Lane fine for medicare at least. So I’ll do medicaid as well. And then… I think Georgia says it’s… okay. There’s a task for a bank letter and basic info… but I think it’s already in there.
Julia Shannon (22:02) Yeah… it’s already in there. Okay? So if you,
Lyndsey Farmer (22:08) respond back to that task and just let them know that it’s already there and just make sure you complete the task. Okay? Let me see.
Julia Shannon (22:30) Okay. They’re saying the bank letter has a different account and routing number. So I’ll look at that, okay? Because I don’t know… and then enzinga, I guess has to do a power of attorney for medicaid for Georgia. Okay? I don’t know if she’s going to sign that. Okay? I’ll figure out that, okay, Wisconsin for sure. And then I know that Arizona and Nevada will be the other ones, but I know Arizona, medicare was already submitted. Brandon was working on that one. Yep… and I haven’t seen anything else. So I’ll just keep looking at all these tasks and try to clear them out. Okay? Perfect.
Lyndsey Farmer (23:20) Yeah. Let me know if you have anything you need me to escalate or anything like that.
Julia Shannon (23:26) Perfect. Okay. Thank you so much. I really appreciate it, you’re welcome.
Lyndsey Farmer (23:30) Let me know if you need anything in the interim and we’ll talk again next week.
Julia Shannon (23:35) Sounds good. Thank you so much.
Lyndsey Farmer (23:37) Thanks. Have a good weekend.
Julia Shannon (23:38) You too. Bye.