Transcript
AngelaMendenhall (00:00) hello? Hi.
Leisa Sommer (00:01) Naomi. How?
Naomi Denson (00:04) Are you? I’m.
AngelaMendenhall (00:05) good. How are you?
Naomi Denson (00:06) Good, good. Just Abby and Angela are here.
Naomi Denson (00:24) Hello? Hi… happy Friday. Happy Friday. Do we know if Sharonda… is coming today?
AbbyMeagher (00:40) I’m not sure, but I think Lisa said that she was going to be a little late.
Naomi Denson (00:45) Okay. That’s fine. I just had some, still have some outstanding questions for Sharonda and maybe… Lisa, a partial answer to one of those.
Naomi Denson (01:04) What about Haley? Do we know if Haley? I haven’t seen any responses to my last follow up emails about like the remaining providers to be invited?
AbbyMeagher (01:18) I’m not sure I did. I was teams chatting with her this morning about something else, but that’s all I’ve heard from her today.
Naomi Denson (01:27) Okay. Let’s see if she accepted. Haley and Bethany both declined. And Bethany’s out, right? She’s on leave and then Sharonda said, maybe, okay, I can see.
AngelaMendenhall (01:44) through our teams that she might be in another meeting because her little bubble as you would call it is red.
Naomi Denson (01:51) Okay. So, okay.
Naomi Denson (01:54) Well, yeah. So if she’s not able to join, I can just still follow up an email and get a response there. Okay? If she had sent me over a data import template for healing hearts, it’s only the providers, there was one profession type on there that was CP and P and I was just trying to verify that’s not one of our options for a profession type. So I was trying to verify if that’s just a nurse practitioner, that we should load that as would you guys know that?
AngelaMendenhall (02:26) I do believe it’s a nurse practitioner, yes?
Naomi Denson (02:30) Okay. So I’ll get that done. Got it queued up. I just needed to verify that. And then the, for… future data imports we had talked previously about, you know, you guys are going to be having waves of new acquisitions and things throughout the process. And Amy Walsh had mentioned that she had talked with Harrison and Sharonda about leveraging our API and that they were going to be working on building that. So I was trying to get an idea on if they’ve had any progress there… for any future import templates?
AngelaMendenhall (03:06) That I can’t answer for them. Okay? All.
Naomi Denson (03:11) Right. So, we did have a couple of increases on the invites accepted and completed profiles for the providers. The invites, the NV, Nevada providers are the ones that Haley had mentioned would be upcoming. I just have not received any confirmation from her that she’s ready to send those out. Okay? And then the, I have the total number of enrollment requests in process pending. You can see the tasks dropped significantly. There was 18 when I put this together. So there were like 60 last week. So they did go through and remove all of the not applicable Coi tasks.
AngelaMendenhall (03:52) Okay.
Naomi Denson (03:54) If you do continue to see any, that any Coi tasks that are irrelevant or, you know, don’t like the provider does have it in there and it meets, those standards we discussed just flag that to me or to Jacqueline so that we can go back to the team and say, hey, they’re doing it again, but it should, they should not be tasking for that going forward.
AbbyMeagher (04:19) Okay. Sounds good. There was.
Naomi Denson (04:21) One Coi task that I saw in there, that was for a provider, I looked in her profile and she doesn’t have malpractice insurance listed at all. So that one is legit. Legitimate.
AngelaMendenhall (04:32) Do we know who that provider is?
Naomi Denson (04:34) Let me see.
Naomi Denson (04:44) It was Kelly leclaire.
AngelaMendenhall (04:51) She’s a Alabama provider and I’m kind of doing some enrollment stuff for her. So I will look into getting her Coi.
Naomi Denson (04:59) Okay. Yeah, it’s this… one and… then looking in her profile, it was just blank.
Naomi Denson (05:15) Okay. We don’t have anything at all for her so that one is legitimate, but they removed all of the others?
AngelaMendenhall (05:20) Okay. I’ll look into hers to get that added.
Naomi Denson (05:23) Okay. Perfect. Hi, Lisa.
Leisa Sommer (05:25) Hi. How are you?
Naomi Denson (05:27) Good. How are you?
Leisa Sommer (05:28) I’m all right.
Naomi Denson (05:31) Sharon is not here, but I did want to touch back on something that we had talked about. It was a couple weeks ago… the CMS preclusions, they’re monitoring. Did you guys confirm that was the medicare center for medicare and medicaid list to send to us and we were looking at the instructions and you guys were going to take that back to see if it was truly a requirement or something that you needed monitored.
Leisa Sommer (05:59) That’s not something I worked on but I can definitely put it on the list to look.
Naomi Denson (06:06) Into, yeah, because I had in the previous agenda, I think it was the thirteenth. So I had these instructions listed you had in the call. I was listening to it a little while ago. In the call, you had said that when you looked it up, it just said it was relevant to medicare. But the instructions that I have here say medicare and medicaid services. And Sharonda had said, you know, you have a couple of groups that do medicaid, but that’s not something you guys want to do long term and you don’t do medicare at all, correct? Correct? Okay. So, my gut would say no, but I don’t want to disable that if you guys do need it. But in order to run those, we still need you guys to have access to this portal to be able to pull the list down to send to us to run through.
Leisa Sommer (06:50) Okay. And that I think is going to be the other… situation that tells us we don’t have it because we don’t have access to that portal.
Naomi Denson (07:02) Yeah. So, yeah, we just need like definite confirmation that I can turn that off and just leave the ofac and the medicaid exclusions.
Leisa Sommer (07:11) Okay.
Naomi Denson (07:13) I’ll.
Leisa Sommer (07:14) put it on my list and talk to Sharonda about it. I.
AbbyMeagher (07:17) Think Sharonda’s coming. I just heard back from her. She said that she’ll be in shortly. I’m guessing.
Naomi Denson (07:25) Perfect. You think? Yeah, because the only other thing we’re live with everything we’ve done our trainings there’s, Sharonda, I will back up. Hey, Sharonda… we were waiting on you.
Sharonda Caceres (07:43) Hi, listen, today is the day guys, okay?
Naomi Denson (07:47) It has been a week.
Sharonda Caceres (07:49) Gosh. Yeah, yeah, very true. Okay. So, hi, guys. How are you?
Naomi Denson (07:53) Hi, I was just talking to Lisa about if you guys reached a decision on the CMS preclusions monitoring, if those centers for medicare and medicaid, the one that you need the access to log in and pull the list for us?
Sharonda Caceres (08:07) I’m trying to think, I don’t Lisa, do you think we need that right now? I don’t.
Leisa Sommer (08:11) think so. I don’t because we don’t even have a login for that?
Sharonda Caceres (08:14) Yeah, I agree. So I’m going to say no to that one.
Naomi Denson (08:17) Okay. I’ll turn that off, okay? For the CMS. So we’re just leaving the Sam… oig, medicare opt out medicaid exclusions and ofac right now until you guys move forward with your npdb which obviously isn’t a requirement. But if you do want it monitored, we can still set that up. That is included.
Sharonda Caceres (08:37) Okay. Got you. And.
Naomi Denson (08:39) Then everything other than the hospital applications, piece of the contract, the partner applications for appointments is live and implemented. So I didn’t know if you guys have a good timeline on when you’ll have a need for appointments or hospital applications to start setting that up. You know, what?
Sharonda Caceres (09:01) Here’s the thing, right? So, Lisa, and please keep me honest on this. The way that they want us to do it is to log into portals, right? Lisa is huh?
Leisa Sommer (09:14) So, in Michigan, you have to use a link to do an online request for an application. And then someone over at the hospital gets that request and then sends, sets up a profile for the provider and sends a link to the provider and to myself as a delegate to complete that application.
Sharonda Caceres (09:36) So, how would the, sorry go ahead? I’m sorry. And.
Leisa Sommer (09:39) That’s kind of how it is with the other states that I’m working with as well.
Sharonda Caceres (09:45) So, Naomi, how would that work for us? I mean with medallion?
Naomi Denson (09:50) Yeah. So we have that all the time. I actually just had this conversation with another customer yesterday. Okay? We can get delegate access. So we have a form that our team would fill out to send. So you would do the initial request for the application when you need it to the hospital. Okay? When they send that link back, you would put their request in. Let me see there we go.
Leisa Sommer (10:17) Now, in the request, I can put an email or a contact person to be the delegate. So, do you have someone that I could put in there?
Naomi Denson (10:32) Yes. So it would be so like, this is an example of a form that we would fill out and send in and I can send you the email address. So it would fall under. I think it’s just, they use medallion cvo as the name, and then it’s like privileging operations at medallion co. I’d have to double verify the email address. Okay? But you would list that, and then our team can take it from there. Great. Oh, that’s awesome. Do you have any of those sops documented anywhere that you can share with us?
Sharonda Caceres (11:07) So I gave, oh, you have that Lisa?
Leisa Sommer (11:10) For the hospitals? Yes. Yeah.
Naomi Denson (11:14) Just any processes that you guys follow, it helps our team. Otherwise we will reach out directly to the hospitals once we have your appointment entities loaded.
Leisa Sommer (11:23) Yeah. I do have the contacts or the online links that you go to request that application. Okay? So,
Naomi Denson (11:30) there’s that final piece of the data import template to get set up for this. So if we do want to go forward with the appointments, you have the, let me see in the original import template that I sent over. Where did it go? It’s being hidden by my.
Naomi Denson (12:01) appointment entities. So this is where you would list the name of the hospital or entity and fill in the information. And if you have the contact information, the application link and all of, that would all be put in here. Okay? And then we’d import that on the back end. So our team has access to it. And it also provides the hospitals you import as options to select from when requesting the appointments in medallion. Okay? So without this, you can’t request appointments at all in medallion because we haven’t loaded your entities yet. So these would all be like since they’re hospital applications, they’re not facilities that you own or are just delegating the credentialing for it would be a partner application. So you would put, yeah, true for partner false for delegated since we’re not doing the full joint commission credentialing process through zarminali. The credentialing is going to go through the hospital. So true partner false delegated and then just fill in the information that pertains to each entity. And then we can get that loaded. Okay? And then any sops that you have to share and I will get the email address for the delegate. But do you have an idea on when or how soon you will actually need to request appointments from medallion?
Leisa Sommer (13:25) That’ll be up to Sharonda. Well.
Sharonda Caceres (13:27) Yeah. We, I mean, we want to get this rolling as soon as possible. So like as soon as we’re getting like new providers coming on because right now everybody, I think it’s kind of settled right now because Lisa has been taking care of all of that. But any new provider that we get, yeah, we want to start right away.
Naomi Denson (13:42) Okay. Yeah. And then we’d also probably need to have a conversation with Amy because I think last time I checked, you only have 10 appointments contracted for year one? Okay? We need more than that. We would either need, of course, utilize the skewflex or get some growth added.
Sharonda Caceres (14:00) For.
Naomi Denson (14:01) you, if you need more than that, but the first step here is going to put the appointment entities in the import template, so we can load those.
Sharonda Caceres (14:10) Okay. So give me one second here. I just want to make sure I’m looking at this and, you know what? I’m trying to see if I even have that one. I’ve cut that template down so many times.
Naomi Denson (14:25) I’m putting the link in the zoom chat for you.
Sharonda Caceres (14:29) Oh, thank. you. Thank you. Okay?
Naomi Denson (14:35) And then if you have any providers that already have appointments that you want to load to track or request for reappointment through medallion, you can put them on here.
Sharonda Caceres (14:50) Now, when you say, excuse me, appointments, right? So if we say advocate, right? Or do you want the actual hospital name? Or like, I guess I’m trying to figure this out because every market we have is different.
Naomi Denson (15:04) It’d be the specific hospital name, if it’s like, you know, it does have the option in here to list a parent… entity. So, if it’s like a… larger like hospital system that has a lot of locations.
Sharonda Caceres (15:24) So, like we have advocate, right? And then advocate has a couple of hospitals under their wing. You would want that specific hospital. You don’t want to mention? Do you need us to mention that it’s part of advocate?
Naomi Denson (15:40) Yes. So you would list advocate here and then you would. So you would list advocate, and then you would list it as… the, I think KP, correct me if I’m wrong, if you’re on the call, but you would list it as the parent entity type. Yeah, because we have to have the parent in there, and then you would list each of their separate entities that fall underneath them. Yeah, I think, and then list the parent entity name as advocate for each one of those, so that it maps under that parent. Yep, that sounds right?
Sharonda Caceres (16:20) Okay.
Leisa Sommer (16:24) So, if advocate would be the name to the left, right? All the way to the left would be advocate and.
Sharonda Caceres (16:31) The hospital, the hospital would be the name. So like, you know, masonic. So like we would put masonic here, Lisa. Okay?
Naomi Denson (16:41) And then the parent?
Sharonda Caceres (16:43) Company is advocate?
Naomi Denson (16:46) Okay. Got it. Yeah, you also have to list one row for the parent though, so that it creates an entity for that, so that it maps it to it. Oh, wait. So you would do one row for the parent entirely, and then each child under separately. And then they would map all together when we import… so.
Leisa Sommer (17:06) Advocate would be listed first under names, and then all the hospitals following it.
Naomi Denson (17:12) Okay. And then over.
Leisa Sommer (17:14) In the parent column, we.
Sharonda Caceres (17:17) Just put advocate for everybody. Okay. Yes. Okay. Got it.
Naomi Denson (17:25) And then, the address line one here would be that specific hospital’s address location. Okay? And then the parent entity you would just fill out from here over, I believe, right? Keithy, yep.
Sharonda Caceres (17:43) Do we even have that information Lisa?
Leisa Sommer (17:48) We do have a listing. I could get a listing of the hospitals. I see it every time. I.
Sharonda Caceres (17:54) Yeah, because no, we have the hospital’s name, but I’m saying like for that first row for advocate, do we have an address? Like, I don’t know if they have like just simply like one business address. Oh.
Leisa Sommer (18:05) I see what you’re saying. No, I would have to inquire.
Sharonda Caceres (18:08) Okay. Gotcha. Okay.
Sharonda Caceres (18:14) I’m sorry, go ahead.
Naomi Denson (18:18) Yeah. So… you could probably just get it from their website.
Sharonda Caceres (18:25) Okay.
Naomi Denson (18:29) Yeah, it probably, yeah. I mean, you could reach out to a contact too to just verify, but you could probably do it via search just to double check or, you know, okay. And we can always update it. If it turns out it changes or anything like that, we can always update it later.
Sharonda Caceres (18:53) Okay. Leisa. Can you and Abby run point on this? Please? Yes, I appreciate that. Thank you. And.
Naomi Denson (19:01) Then just with the existing appointments, if you do load them in here, and after we load the appointment entities, they default to like an automatic reappointment request when loaded. But if we don’t want to do that because of consumption, I can turn that off, you just have to let me know because if they’re coming up like in the next couple of months for reappointment and you guys are going to own that and you don’t want, you know, it to eat into your consumption for new requests, but you want the existing appointments in here for your tracking, you can do that. I just need to know so I can turn it off for auto request.
Sharonda Caceres (19:34) Okay. Right now, since all of these provider situations and enrollments are new… I think I would want to temporarily just pause that. Okay. Yeah, unless we need it. Okay?
Naomi Denson (19:53) So, we’ll just make a note when you fill out the appointment entities tab, and we get that imported. I’ll go in and disable the automatic reappointment requests. And then if you guys want to load the existing appointments, you can, or they can also be manually entered into the platform later as they come up. Just depends on how you’re currently tracking them. And if you want to track them in medallion too.
Sharonda Caceres (20:14) Gotcha. Okay. So.
Naomi Denson (20:17) That’s our next step here. So we’ll get that rolling and then once we get that rolling, we’ll go through the training on the requesting process and all of that, and then we can wrap up implementation.
Sharonda Caceres (20:30) I appreciate that. Lisa and Abby, can you guys be able to get this to her by Monday?
Leisa Sommer (20:40) Yes, I’ll work on it. I’ll work on it now instead of the other. Yes.
Sharonda Caceres (20:47) I think so. Okay. All right. I appreciate that. You guys. Thank you so much, awesome.
Naomi Denson (20:51) I will be out of office Monday. So, if you want to get it to me by Tuesday, that’s fine.
Sharonda Caceres (20:55) Too. Oh, Tuesday. Okay. That’s fine. Even better. And then also, I wanted to circle back to the question that I had the other day in reference to our current pay enrollment request that we had with the Coi issue if we got an answer back yet? Yeah.
Naomi Denson (21:09) We talked about that in the beginning of the call. Oh, okay. I did work with our intake team. All of those tasks are gone. You only have eight tasks. Now. What? So the only task that I saw right off for missing for a Coi was for Kelly leclaire, and that’s because she does not have one at all, but all of the ones asking for a group Coi, and all of that have been removed.
Sharonda Caceres (21:31) Oh, wow. So those are going to go through and be processed? Yes?
Naomi Denson (21:35) As long as there is no other task that is holding them up.
Sharonda Caceres (21:38) Okay.
Naomi Denson (21:39) Like there were some for like supervising physician agreements and information. Okay? So it does look like there’s still some tasks that some that are blocked for different tasks.
AbbyMeagher (21:49) I just completed a handful of the supervisor ones this morning. So those are good. And then I think there’s one other Coi sitting in there and it’s because it’s the current one that is in the profile is expired, I believe for Megan richardson.
Sharonda Caceres (22:06) Got you. I see her. Yep. Okay. Got it. Thank you for that. Abby. Appreciate that. No.
AbbyMeagher (22:11) Problem. All right.
Sharonda Caceres (22:12) We’ll just have to get on them about this. You know, what? Can you do me a solid? I don’t know if she’s Alabama. Is she, Alabama? I feel like she’s Alabama who?
Naomi Denson (22:23) Megan richardson?
Sharonda Caceres (22:25) Yeah, I’m about to check, Alabama. Let’s see.
AbbyMeagher (22:32) Yes, she’s in Alabama.
Sharonda Caceres (22:33) Yeah, of course, it’s Alabama, right? So, can you do me a solid? Can you reach out to Justin and let her know that we need information from those providers? And if she can get that to us very quickly because we are trying to do the pay your enrollment for when they come over to zp central. And so being that we’re starting at least three months in advance, this will really help us out. So when they move over there, it’s going to be clean. Okay. Thank you so much. Awesome.
Naomi Denson (23:06) And then the only other question I had was for Sharonda and Harrison. Amy had mentioned like for future data imports you guys were discussing and working internally to leverage our API, have you guys made any progress on that?
Sharonda Caceres (23:22) You know what? I don’t think? I’m sorry, I don’t think that Harrison, I don’t recall this one.
HarrisonLamons (23:27) Yeah… yes. So we’ve had a couple of meetings internally with Haley and our it team. I need to follow up, but I guess I need to follow up with Jean and them because Sharonda and Haley showed them the current workflow. She sent them over a document of the fields that we want to map between our different systems. So that’s probably on me just to kind of keep pushing, that along. I don’t think Haley’s on this call. Is she today? No. Okay. Yeah. So, let me follow up with Jean on that one.
Naomi Denson (24:07) Okay. Yeah. I was just wanting to flag that because you had sent me the healing hearts providers. I’ve got that queued up and ready for import. There was just the CP and P profession type that doesn’t map to our system, but we confirmed in the beginning of the call before you joined that we can map it to just NP.
Sharonda Caceres (24:24) Yes. Okay. Got it. That’s perfect.
Naomi Denson (24:26) Thank you. I’ll get those loaded before the end of the day.
Sharonda Caceres (24:30) I appreciate that. Thank you.
Naomi Denson (24:32) Absolutely. Anything else for me? No?
Sharonda Caceres (24:36) This is very exciting. I must say, wait, I’m sorry, one more question. So those, the ones that we sent through that if they didn’t have any issues… like when can we start expecting, I guess to see like follow up on it or anything like that?
Naomi Denson (24:52) Yes. So for the payr enrollments that did go through. So there’s 25 that have been moved into processing. Let’s see last week. When we met, there were… 15. So there’s 10 more now with the task adjustments looks like. So we’ve got applications submitted in here. There’s notes in here. So after we submit the application, we follow up every two weeks. Okay? So you’ll start seeing follow ups being recorded in here, the status will change from application to submitted to following up on submission. And then you’ll get a notification when anything is marked completed.
Sharonda Caceres (25:38) Nice. Okay. Thank you so much for that. You’re welcome. Well, I don’t have anything else. Does anybody else have anything? I don’t think so. Awesome.
Naomi Denson (25:50) Very exciting to see appointments going and get… everything set up for that for when you guys have your first need for a new provider.
Sharonda Caceres (26:01) Appreciate that. Thank you. Happy Easter. Have a good weekend. Bye, y’all. Bye.