Transcript
Amanda.Wo (00:00) oh, shoot.
Leigh Howle (00:01) Hi.
Cheryl Boyle (00:05) How are you? Hi?
Leigh Howle (00:06) Cheryl, I am good. How are you?
Cheryl Boyle (00:10) I’m doing good. Kelly’s out today. I forgot to mention, but I figured you and I could just huddle up and see, yeah, touch base anyway.
Leigh Howle (00:20) That sounds great. Let me go ahead and pull up the agenda. I did add some information about performcare with Brittany Nolan on the agenda. Okay?
Cheryl Boyle (00:33) That works. Okay?
Leigh Howle (00:35) I will share my screen.
Leigh Howle (00:47) It’s taking just a minute to load here. Well, good.
Cheryl Boyle (00:51) Yeah, my internet isn’t happy today, either. It’s very groggy and weird weather here today. So it always seems like when the weather is weird, the internet, yeah, lags behind too.
Leigh Howle (01:04) Yeah, Amanda’s here. I’ll go ahead and let her in. She’s in the waiting room.
Cheryl Boyle (01:11) Perfect.
Cheryl Boyle (01:17) Hey, Amanda. Can you hear us?
Cheryl Boyle (01:23) I hear you. Hey?
Leigh Howle (01:30) Hi, Amanda. Hello?
Cheryl Boyle (01:31) How’s it going? Good?
Leigh Howle (01:33) How are you? I’m doing all right. Thank you. Good. So, we were just, I shared my screen and we were just going to go over some performcare. Awesome. Okay. All right. So, let me skip down to that second bullet here. So, for Brittany Nolan, there’s a few things I noticed first. I wanted to go over the instructions that are listed on the project plan. So, let me scroll down to that page and I know it’s a little small. So I am going to make this bigger and you can see here, it does say to submit the questionnaire to jtemple at amerihealthcaritas com.
Cheryl Boyle (02:11) Yeah. Okay. Yeah.
Leigh Howle (02:13) So, I think what happened on the Brittany Nolan submission is the submitter. Obviously did not follow these instructions. These were in place when we met with Kelsey. I think that was two weeks ago, right? Yes.
Cheryl Boyle (02:28) Yes, it was. Yeah. So I.
Leigh Howle (02:32) think this is always the first place to go. Is the project plan. And then if there is any, if there’s no instructions here, then the team defaults to our internal payer directory as like standard processing for payers. But if there’s a nuance, and there definitely is for performcare, this is the first stop. Okay? So that’s.
Cheryl Boyle (02:54) great. Yeah, it might have been just like a timing thing and it seems like in general, things have gotten better like this was the only, you know, email from them that Lindsay Farrell that we’ve received in a while. So.
Leigh Howle (03:08) Okay. Yeah, that is a good sign.
Cheryl Boyle (03:10) Yeah, and,
Leigh Howle (03:12) then it has, you know, it’s really detailed, just submit everything. Yeah, listed in the email. So questionnaires first, yep.
Cheryl Boyle (03:27) And then all.
Leigh Howle (03:28) the documents.
Cheryl Boyle (03:31) Okay, great. Sounds like you guys have the perform care process down then, or at least documented correctly. So, right?
Leigh Howle (03:41) So, this is a training opportunity. I will definitely create an incident on this one so that team leads can make sure that the team’s retrained on the correct process here.
Cheryl Boyle (03:52) Okay. I appreciate it. Yeah.
Leigh Howle (03:55) Absolutely. So then to go back up, the second thing with Brittany Nolan that I noticed because, you know, it was said she needed to be enrolled with the zero zero three. Yeah, for medicaid. Her enrollment line in the platform is complete, but she’s enrolled under the group MD, do npi number?
Cheryl Boyle (04:18) This one, oh, for medicaid?
Leigh Howle (04:20) Right. Got it. Yeah. So.
Cheryl Boyle (04:23) We need to add her to the.
Amanda.Wo (04:25) She is a, oh,
Cheryl Boyle (04:27) she’s a pa. Okay. So, my understanding from performcare is that pas actually don’t get enrolled with promise because we are billing them under the supervising physician for pas, like they, and I don’t think performcare even credentials pas, which I would think that they, maybe I need to respond to Jennifer and Morgan about her because my understanding from them is that like physician’s assistants don’t get enrolled and, or credentialed because we should just be billing under the supervising physician. So, maybe that was our mistake then requesting performcare for her in the system because I don’t know if there’s anything you all can do for that for performcare? Okay?
Leigh Howle (05:15) Yeah, that would be great. Cheryl to get clarification because she did say in the email that Brittany needed to be enrolled under the, she did. Yeah, yeah.
Amanda.Wo (05:25) She did. Okay.
Cheryl Boyle (05:27) That’s a great call out. All right. Let me just, I’m going to respond and Morgan’s on this. Okay.
Amanda.Wo (05:41) Yeah. I heard… thought aids doesn’t have to be known promised… influential, but it’s performed because we should be doing that under this position. Is that correct? So.
Amanda.Wo (06:22) Okay.
Cheryl Boyle (06:27) Yeah. Let me just see what they say. I took notes on that way back when I’ll just confirm that with them. Okay. Yeah, remind Kelly and myself not to submit, perform care or, yeah, for pas that, that’s yeah, we should be playing. Okay.
Leigh Howle (06:48) Yeah. And then just depending on what she responds with, I can also go in and add additional instructions to the team in case one accidentally slips through. They can just ask out and just confirm with you guys. It’s okay to stop it. So, okay.
Cheryl Boyle (07:03) Yeah, perfect. Yep. That will work.
Leigh Howle (07:07) So,
Cheryl Boyle (07:07) then,
Leigh Howle (07:08) I just had reviewed pa and Washington license requirements, okay? From feedback from licensing and intake managers, bundling tasks, front, loading, state requirements as much as possible. So, Kyle is going to talk about task bundling today. Okay? There’s I didn’t know it was, it’s an option in licensing which is great. There’s a couple of different workflows involved with it on like when notifications don’t get sent out is my understanding, and Kyle will have all the details on that. And I also have some additional documents that can supplement that information if needed. I’m happy to send that over after we meet with him to go over those details. And then I haven’t I did go on to our shared Pennsylvania licensing overview and I added… some extra tabs on here. So created this extra tab for tasks pulled from Kelly Breen and Albert pierce. Anything else? Okay? So I think on this one, yeah.
Cheryl Boyle (08:22) I don’t know why it struck out my, well, like I noticed that after I posted, it was like a line through everything. I was like, hey, but, I just saw, I think on Kyle’s like I was, as he was doing his dashboard. I noticed that there was an npdb self query on there. So I wasn’t sure if that was something that we should add to this list or not, but.
Leigh Howle (08:43) Yes, totally. We should.
Cheryl Boyle (08:46) Okay. And I’m sorry, my brain is so fried from all of the conversations over the last couple of weeks that have been going on. Did, what did, so, where did we sort of officially land then? So I talked to Jack yesterday a little bit because we’re going to set up like more of an executive business review with like slas and things like that with Francis and Holly and Amanda and Christina coming up here in the next couple weeks and I mentioned to him or he mentioned the task bundling and he also mentioned.
Cheryl Boyle (09:24) Yeah. He, that, and I don’t remember where exactly we left off with. Like, can we do the fingerprints in advance? Can we do the CE in advance? I know that like… in the bundling that Kyle will review with us today. So Amanda, as a heads up, one of the things and maybe Lee, if I say this wrong, feel free to correct me, but they’re going to start like putting all the CE tasks for every license request in one, ask, okay, and things like, and is that, and maybe there are other things too, like, I guess like items they’re going to try to put in one ask as opposed to, you know, two to three. Oh, okay. Asks. But, I think what I’m still not sure about Lee is like, so, for example, the bundling then, or the, fingerprints is that, can that truly be done in advance? If the license has not been submitted, or will those things just have to come after the license has been submitted?
Leigh Howle (10:38) Yeah, it’s tricky because it’s about timing, right?
Cheryl Boyle (10:45) Right. So, so, maybe we advise them to do everything on the checklist first and… do the fingerprints and CE, last after you all have submitted the app. Maybe maybe that’s the process great.
Leigh Howle (11:01) Idea. Love it Cheryl.
Cheryl Boyle (11:06) So, all other like maybe we kind of do like step one, the pa collaborating information, the login credentials, you know, license accounting, you know, I love that giving it to them in steps. I love that. Yeah, like here’s, what you should do first in terms of like the paperwork transcripts, application, you know, supervising physician agreement, legal questionnaire continuous, the npdb self query, like kind of those sort of admin application paperwork things first. Then assuming that’s what you all need, it gets, then you all could send it to the board. And then after it’s with the board, then it’s fingerprinting background and CE, completion. And see, I don’t know if that, like we could probably internally manage that on this document right here, Lee, you know, like in terms of steps, But the coordination of like when you all submit it to, when then the provider, we say go for them to do their fingerprints and CE, I… think that we might need to… like, I guess you all could task that out and maybe Kyle could help us understand, like, could you guys task those two things out in one task as opposed to two? Although they’re not, they’re different one’s fingerprints, one’s CE. But could those sort of after submission tasks be bundled together into one task for the provider? So, you know, we work internally with them to get steps one through 10 completed and uploaded into, well, the child abuse CE, maybe not. Maybe we don’t include that on… right? Because that one we have to wait for until it’s submitted to do the CE, I think that’s what they were saying, right? Yeah. So, if they’re like maybe then, so, after step eight with the legal questionnaire, then it’s okay. Then the next step is medallion to submit application to board. And then step nine and 10 are CE and background check, fingerprint yep.
Leigh Howle (13:50) Okay. Let me move the PE, I mean, the parx authority and legal disclosure questions up. Yeah, because this would probably be part of the actual like… application. So this will be, yeah, yeah.
Cheryl Boyle (14:13) Probably under step eight.
Leigh Howle (14:16) Or… like you?
Cheryl Boyle (14:18) I think you have it in step eight, right? Or, yeah, step nine arcs, control substance and legal questions.
Leigh Howle (14:24) Is that it? Yes, I put it. I put it under six. Well.
Cheryl Boyle (14:28) Oh, sure. Yeah. You’re right? Oh, yeah, state, let me put it here.
Leigh Howle (14:36) Got it. Okay. So, transcripts, clinical collaboration, pa, state board logins, should they work on the logins? First? Does that take them longer?
Cheryl Boyle (14:52) I don’t know. I don’t know. I haven’t heard a complaint on that one but nothing… wrong with starting do, does medallion normally start that for the provider when they submit? The aptly? And so maybe we’re just asking the, our… providers to do it first because I don’t know if I’ve seen a task for someone to do that yet or have they, I haven’t heard about it, but.
Leigh Howle (15:17) Maybe. Okay. Yeah, I’m not sure either. I feel.
Cheryl Boyle (15:22) like y’all, do Leigh, because, I’ve because there have been providers who don’t know their pals login because it was set up by medallion and it’s in medallion under the external accounts. But like the provider didn’t know it because they didn’t set it up. I think the licensing team does do that typically for the provider. But, I mean, I, that’s I think that’s fine. I think that might be better for our own providers to do it and have a stake in it, and know their login information ahead of time.
Leigh Howle (15:52) Right. We could say, we could say like confirm it was a task for one of those two providers.
Cheryl Boyle (16:00) Oh, okay. Yeah. Okay. I don’t know. Okay.
Cheryl Boyle (16:11) So, and the transcripts, I also just want to confirm. So those don’t because is that part of the PSV process? Like doesn’t the board want the transcripts directly from?
Leigh Howle (16:25) Yes, however, I do know this one, so.
Cheryl Boyle (16:29) The.
Leigh Howle (16:29) licensing team has to confirm the date of graduation and make sure that the name on the transcript matches the name that they’re sending that PSV for.
Cheryl Boyle (16:43) Okay. So, yeah, to have it up front and in hand and to go with the app is probably best practice. And then the board will do their own, you know, PSV on it, which is inevitable. We can’t get around that because that’s a board requirement. So, okay. Yeah.
Cheryl Boyle (17:10) Okay. So.
Cheryl Boyle (17:17) Reconciled and all active and expired license and reported any currently in progress. So that is just basically an exercise where we would want the provider to just go through their licenses in medallion, make sure everything is up to date and active and any that are in progress. So basically just kind of like a QA over of their license section in medallion essentially.
Leigh Howle (17:39) Yeah, right. Why don’t we license verification?
Cheryl Boyle (17:44) In medallion? Yeah. Okay. Yeah, that would be helpful then. That kind of makes sense. Like the ask is, you know, we want to ensure we have all state licenses uploaded and even expired ones, right? Like any ones that are, yeah… that they have to report. Okay. And then review and complete the application for federal controlled substance registration specifically for Pennsylvania. So that one would be in the portal, right? When they create their pa, state board login and pals, step seven.
Leigh Howle (18:23) Right.
Cheryl Boyle (18:26) Oh, so we’re going to want them to complete the application in pals or that will be what medallion does once they have all the information.
Leigh Howle (18:36) I think this is the Dea review and complete the application for federal controlled substance registration.
Cheryl Boyle (18:43) Registration? Oh, okay. That should be kind of after they get their, right, their license.
Leigh Howle (18:49) This would be, right?
Cheryl Boyle (18:51) Yeah. We could probably take that out or put that as like step whatever, post license, step. Yeah.
Cheryl Boyle (19:15) Same on the pmh. P. Well, so that’s saying finalize a state level pmh P license application. So, again, I mean, are we, I think that’s something that medallion will do, right? Like maybe that is step 10. So maybe we get you all the RX controlled substance legal questions. And then because you all will need those to complete the application, right? Right? So, yeah. So maybe for step 10, it’s medallion submit board to app and then what you just cut there paste, yeah, like they do because they have to do it on pals. So we’ll have the provider will create the pals login but the medallion team can then go in and finalize it and submit the application to the board with all those items from one through nine. Okay?
Leigh Howle (20:16) Right. Does that make?
Cheryl Boyle (20:17) Sense? Okay. Yes.
Leigh Howle (20:21) Right. With you on this,
Cheryl Boyle (20:24) Okay. And then,
Cheryl Boyle (20:37) I feel like, sorry, I’m being super picky, I almost feel like maybe seven and eight should be flipped like medallion finalizes it in pals, and then they submit it. And then the CE, sorry, I’m being much better, no.
Leigh Howle (20:54) No, I want to get the flow is important and I could, I know providers are like, you know, yeah, really picky and they just want it to be clear and concise.
Cheryl Boyle (21:04) Yeah, it might have to be that spelled out. Yeah. Okay. And then CE, okay. And then, I think then step 10 is probably where we want to do the fingerprint and background with the medall code, right? Because that has to be done again after it’s submitted. So, or at least within 30 days… right? Or can that?
Cheryl Boyle (21:37) Yeah. What does task typically take? Because I know like some stuff has gotten hung up with identigo.
Cheryl Boyle (21:52) Well, but isn’t printscan the one that goes to medallion and you all can hang on to that for a while. Yes.
Leigh Howle (22:00) That’s my understanding if the state will allow it and if we could use that again, it seems like for this one, we would need to let me get some more. I think they would need to go. Maybe we ask Kyle, yeah, we should ask Kyle. Yeah, I’ll go ahead and move it though because we know it’s going to be down here at the bottom.
Cheryl Boyle (22:26) Right. But I’m wondering if maybe we could do it at the very top of everything. I mean, it’s fine to put it down there for now. I just what I’m thinking is, you know, is it possible especially if we have multiple license requests for one doc, right? Like let’s pretend they want, they need Washington, Virginia and Pennsylvania. So if they do this step first using printscan, and then they complete the admin paperwork for you all to submit for, you know, so it’s kind of their printscan is their one and done that works for all the license apps. So long as there’s no issue with the timing on those license boards. I’m wondering then if it makes sense to put printscan as first and foremost for… like any cross licensing process, right? Like if we have a new provider on board and we know we’re going to want to cross state license them, then first things first, have them go do their printscan stuff so that it’s there in a holding pit for you all, for any additional state license board if?
Leigh Howle (23:23) That makes sense. But I guess it would just depend, oh, totally. Yeah.
Cheryl Boyle (23:27) It would depend on the board though. So maybe Kyle can clarify that for us like if that would in theory work for Virginia, Washington and Pennsylvania, yeah. And Arizona too, because Amanda, yeah, I was going to say Amanda don’t, we have like some, I know we have a lot of Arizona docs that are already licensed, but we do have some that we might need to get licensed in Arizona for telehealth coverage too, like the Malik brothers. Yeah. So we’ll check with Kyle on those probably.
Amanda.Wo (23:57) Want them to go, everybody to get Arizona that’s in that, that’s an mddo in that telehealth group because Coe getting added on is going to, yeah, affidavit needs? Yeah.
Cheryl Boyle (24:10) Okay.
Leigh Howle (24:16) So the pharmacology is not listed on.
Cheryl Boyle (24:22) So, the, yeah. That’s isn’t that, is that for Washington… or is the pharmacology from, I thought that one was for Washington. I could be wrong.
Leigh Howle (24:34) Oh, I’m thinking the pa, the opioid?
Cheryl Boyle (24:36) Cme?
Amanda.Wo (24:38) Yes.
Cheryl Boyle (24:38) That’s for the RX authority. Yeah, the 10 hours, yeah, opioid?
Leigh Howle (24:46) So, that is for MDS dos and pas… not for PM, pmhnps. Would we need to have separate is?
Amanda.Wo (24:57) That true for NPS?
Leigh Howle (25:01) I was still in Pennsylvania? Okay. Sorry, no, no worries.
Amanda.Wo (25:09) So, would we need?
Leigh Howle (25:10) Separate instructions for like MDS dos versus nurse practitioners?
Cheryl Boyle (25:15) No, I think if you just put that as number 10 and just specify, you know, MPS not required for Pennsylvania, because this is just, this is the Pennsylvania state instructional, and then I think we can make one for Washington and one for Arizona, et cetera.
Cheryl Boyle (25:39) Yeah, I, I guess, I, well, yeah… I guess, I thought MPS did have to complete that 10 hours of opioid cme for I.
Amanda.Wo (25:50) Think they do, but maybe.
Cheryl Boyle (25:52) For RX authority?
Amanda.Wo (25:52) Are we saying just because, it can be done later? I thought they did have to do it.
Cheryl Boyle (26:09) I don’t know. Leigh, are you looking at? I… am okay.
Leigh Howle (26:26) So, this was a note. This is from, our senior manager of licensing and she says for Pennsylvania opioid, cme… does the board accept an email to request the waiver? Because this was about the waiver, where they would allow up to one year to complete that requirement and she called the board and spoke to Eric, the pa board of medicine and he stated that they do not accept a waiver. Opioid cme is required?
Cheryl Boyle (27:06) Yep. Okay. Yeah, that’s what I thought. Yeah, I think it’s required for all provider types.
Leigh Howle (27:13) Yeah. So, we should, okay.
Cheryl Boyle (27:15) Yeah, yeah.
Cheryl Boyle (27:23) 10 hours for everyone?
Leigh Howle (27:34) Yeah. All right. And then on the,
Leigh Howle (27:47) child abuse one… after the course has been completed, the vendor will electronically submit provider’s name, the date of attendance, et cetera. To the board. So it’s imperative that the provider register for the course using the same information that is listed on their application for licensure, they want to make sure that, you know, it matches. There is a list of approved child abuse education.
Cheryl Boyle (28:26) Let me add that to our notes. Sorry, Leigh, while you’re talking. Yes.
Leigh Howle (28:30) Providers can be found on the department of state website. Let me go to that website.
Leigh Howle (28:56) I don’t know why it’s twice. I think I clicked it twice instead of just the once. Okay? And I can also go and link any information from the board related to the pharmacology so that the providers can just go straight there. If they have any questions, some may have already completed. There was a provider that did it for Arizona. So he was like, I’m good to go. So here is all the information. Is there anything specific on this page, Cheryl that you think might be useful to kind of highlight?
Leigh Howle (29:34) The approved trainings… it, is that the CE list?
Amanda.Wo (29:44) I guess I’m confused.
Cheryl Boyle (29:45) What I’m looking at here, this is all health related.
Leigh Howle (29:49) Yeah, if.
Cheryl Boyle (29:51) that’s the guide, if that’s the like approved list of CE courses they can take then.
Leigh Howle (29:55) Yes. Let me scroll up. I’m so.
Amanda.Wo (29:58) Sorry, ladies, I have to jump to the next meeting but thank you so much. Okay?
Cheryl Boyle (30:02) Yeah, no worries. I mean, we’ll talk to you in a bit here with Kyle.
Leigh Howle (30:05) Okay. Sounds good. Thank you. Okay.
Cheryl Boyle (30:10) Yeah. I think like if is, so, is that the link then to the approved CE courses for child abuse or is it that like that DHS curriculum approval, guidelines and list of approved trainings?
Leigh Howle (30:26) It says dental association?
Leigh Howle (30:32) My internet is a little choppy, no.
Cheryl Boyle (30:34) It’s all good or is it that Pennsylvania child welfare resource, that very first one report abuse, pa? Like, is that… I… just, yeah, I think if we could just find a link to a very clear list of approved, it seems like that one’s it, that DHS curriculum approval list of approved trainings, that’d.
Leigh Howle (31:01) be great. If we could include that link, right? I agree. DHS curriculum approval. Yeah.
Cheryl Boyle (31:06) Into our guide just for people to have a very clear like list here’s. Where they go to complete the CE?
Leigh Howle (31:24) Yeah. As soon as it, it’s going, yeah, we’ll remember it. I’ll go in and link it to our instruction. We definitely will. And okay, here, it is, okay, approved courses. So I’ll just keep following there we go until I can get to what would be the, yeah.
Cheryl Boyle (31:41) Perfect. Okay. Yeah, I would love to review this afternoon with Kyle to like after he gives his updates to see about the fingerprints or print scan stuff for, you know, multiple states and then go through the step by step with him and just see how we can coordinate like a baton handoff from like when we get all of our ducks in a row in medallion, do the request and from, when they review it, because then you guys, it goes through intake, right? You guys do like a quality check and make sure you have everything before it gets submitted. So, we can kind of talk about like etas on that and like how we can coordinate those handoffs. And then, I mean, hopefully, this is just a bit clearer in general internally for the Amanda’s and Christina’s of the world to just understand like,
Amanda.Wo (32:31) here’s the breakdown.
Cheryl Boyle (32:32) Of everything, and also, hopefully, it speeds things up a bit without them being able to complain about multiple emails to the providers. So,
Amanda.Wo (32:42) Yeah, sorry.
Cheryl Boyle (32:44) I know we’re over time. I just did have one other thing I wanted to mention because it’s super convoluted. The, I think I sent you a note about a couple of providers in Virginia for medicare. It looks like they were linked to our, so I don’t know if you remember how, our, Virginia practice the connections, health, valc, it has two locations. One is located in the DC mac of novitas, and the other one’s located in the Virginia mac of, palmetto. And they do have different npis.
Amanda.Wo (33:23) I think.
Cheryl Boyle (33:24) The team closed out the medicare Virginia request when.
Amanda.Wo (33:29) They were linked.
Cheryl Boyle (33:30) To the DC mac instead of the Virginia one because I don’t see that they’ve been linked to the Virginia ptan, and, it was two providers.
Amanda.Wo (33:41) Oh, okay.
Cheryl Boyle (33:42) So, the support email that’s going away, I saw that too. So, but is our support connections at medallion com, is, or co, is that support going away or is it just the broader support at medallion co, going away?
Leigh Howle (34:01) Great question. Cheryl, it is all of the support emails. It’s just getting consolidated into that help at support help, you know, help at medallion co?
Amanda.Wo (34:12) Okay. All.
Cheryl Boyle (34:13) Right. So, on the fifteenth, we’ll just send things to help at medallion co, and not use any of the support stuff. Okay? Okay. So, it was,
Leigh Howle (34:24) yes.
Amanda.Wo (34:26) Taylor.
Cheryl Boyle (34:26) So, Taylor tolman, is one of them.
Amanda.Wo (34:30) I can.
Cheryl Boyle (34:30) Pull her up real quick. Do you have time, Lee, I’m sorry, I know we’re over. I want to be respectful.
Amanda.Wo (34:36) Unless you have another call?
Leigh Howle (34:37) Yeah, I do. I’m going to turn my, oh, you’re fine. I’m going to turn my camera off and see if this is any better. Okay, turn your camera off too.
Cheryl Boyle (34:46) Yeah, yeah… might just be a lag. Okay. Yeah. Okay. Alrighty. So I shared my screen here for, Taylor tolman,
Amanda.Wo (35:00) are you able to see it?
Cheryl Boyle (35:04) Yes, I can. Okay, perfect. So when I went into medicare, va, to look at that completed enrollment, it looks like, they completed at Chantilly which, and maybe it was the way we requested it, which is actually the DC mac. So, it’s not the woodbridge location that.
Amanda.Wo (35:29) I needed.
Cheryl Boyle (35:30) It linked to and it’s so, I, cause I remember it, this whole thing started to cause I remember in the past, like there were two, there was medicare DC and medicare Washington. And so, she does have this medicare DC as well, but it’s the same location. They’re both that Chantilly DC location. And so I went in to go, yeah, see, this is the,
Amanda.Wo (35:55) This is the,
Cheryl Boyle (35:57) Chantilly, DC, ptn and npi for the Chantilly location that she’s approved at. So anyway, I went in to go request again, medicare Virginia to make sure I put on the instructions like, hey, use the woodbridge location with the, palmetto gba, Virginia mac, but unfortunately, it won’t, let me because she already has an enrollment like it does this whole, you know, you can’t.
Amanda.Wo (36:26) there’s already an,
Cheryl Boyle (36:26) enrollment existing, you know? So I don’t know if you’re able to maybe like open up,
Amanda.Wo (36:34) The.
Cheryl Boyle (36:36) the medicare Virginia line that’s technically incorrect. It was, it would be,
Leigh Howle (36:42) Yes, I can reopen that one, cause.
Cheryl Boyle (36:46) She does have a DC line which is correct, cause the Chantilly is in DC, so that one is correct, but this medicare Virginia one.
Amanda.Wo (36:56) Where did it go?
Cheryl Boyle (36:58) Here? Yeah, this one. If we could open that one back up somehow, and that, or delete it out so that I can re, request?
Amanda.Wo (37:07) Medicare.
Cheryl Boyle (37:09) Virginia, wait that’s medicaid. Oh, my gosh. It was under the requests.
Cheryl Boyle (37:22) Medicare Virginia. Yeah. So, like the, if we could, I don’t know if you’re able to either delete this one out, or… what? So that I can.
Leigh Howle (37:31) Yeah. So in the, okay, so just to make sure I’m tracking this one, so on the medicare she’s got two medicare Virginia lines, we’re looking at the one with the npi number that is missing in the line that was stopped?
Amanda.Wo (37:45) No, we’re not, we’re.
Cheryl Boyle (37:46) looking at the one that’s it’s just so there’s one medicare DC and one medicare va. So actually, it’s the medicare va that I need someone to either reopen… it so I can re, request something on it or just delete it out so I can request a new Virginia medicare va, because, the close this out saying that she was effective, but it’s actually not with the, this is our Chantilly npi, and this is our Chantilly. So it’s the wrong location, right? Like, I think they closed it out as an approval for medicare Virginia. When this is the medicare DC approval. Oh, got it. Okay.
Leigh Howle (38:31) So,
Cheryl Boyle (38:31) that makes sense. Yeah, I.
Leigh Howle (38:33) think so. In the medicare va line that’s completed, the npi number ends in four, two eight five.
Amanda.Wo (38:40) And, yeah.
Cheryl Boyle (38:44) And that’s wrong. This Chantilly location is not, it’s not in the Virginia mac that’s the one that’s in the DC mac. Okay?
Amanda.Wo (38:55) So, it was,
Cheryl Boyle (38:55) it was completed and linked to the Chantilly, which is the DC mac, but it was just done under the Virginia medicare va line, if that.
Leigh Howle (39:04) Makes sense. So that’s why?
Cheryl Boyle (39:06) Yeah, yeah, that’s why. So she’s linked correctly to one location, which is the medicare DC mac. I just need to ask that they redo medicare Virginia to the woodbridge location, the other location that’s in the Virginia mac. Okay?
Leigh Howle (39:23) Okay. Yeah, I think that, I think.
Amanda.Wo (39:26) We should.
Cheryl Boyle (39:33) Like, can you just delete this one out? Like, can you go in and delete the medicare Virginia line right here? Out of Taylor tormans? I let me see if I.
Leigh Howle (39:42) I think I can make it instead of completed. I would just let me see if I can change.
Cheryl Boyle (39:47) Yeah, make it like stopped or something stopped. And then I can, yeah… and then I can go back in and re, request it. And, and then I’ll specify this time like, no, this mac, this, you know, npi,
Leigh Howle (40:04) I can’t so they, my, I.
Amanda.Wo (40:07) can.
Leigh Howle (40:08) send this to the team and,
Amanda.Wo (40:10) have.
Leigh Howle (40:11) them, have them change it to stopped. And then you should be able to make that request. And, yeah, I’m sending that to them right now.
Cheryl Boyle (40:18) Perfect. Okay. And there’s one other that I think is the same situation. Let me just so it’s this, soggy… Tehran. The same thing. Let me look the requests, medicare Virginia.
Cheryl Boyle (40:39) Yeah. So they marked this one for the medicare Virginia mac as approved and linked to group. But it is the, this is the Chantilly npi and Chantilly, which is the DC mac approval. So, I say exact same request but for soggy Tehran as well. If this medicare va line can be moved to request stopped. And then I can go back in and re, request medicare Virginia, make sure that the right group npi and ptn is on the request for the, okay. Got it. Virginia mac? Yeah. All right. I’ll.
Leigh Howle (41:15) send it over right now and I’ll let you know once it’s done, and then you can go in and make those requests. Okay? Perfect. Awesome.
Amanda.Wo (41:24) I think, yeah, no.
Cheryl Boyle (41:27) That’s, oh, one last thing I’m sorry, the Arizona complete, I cannot believe they actually got us a roster with effective dates. Yes, I do you, is that something that Kelly and I could help with in terms of like qaing the data or do you have a lead on your team that you feel comfortable with doing that? It doesn’t matter to me. I just wanted to make sure it, you know, got qaed either way. So I wanted to offer like Kelly and I could take that roster and compare it and make sure we have the correct effective and revalidates in the system for those providers, if it makes life easier.
Leigh Howle (42:03) Yeah, I didn’t see the revalidates on there. I thought they just.
Cheryl Boyle (42:06) Said that, no, you’re right? Yeah, you’re right? So there’s no revalidates on there, but they at least included the effective date, which means we can just calculate three years from then because they do it every three years. So, so we would just like put.
Amanda.Wo (42:23) In the effective.
Cheryl Boyle (42:24) Date in the system. And then we would just calculate it every three years from that effective date would be the reval date. So, like, you know, if somebody was effective, you know, one, one of 20 22, then we would mark their recredit date. Well, three years for 20 22 is 20 25. So, assuming they already got revalved, then we do one, 120 28, if that makes sense. Like we would just market every three year increments from the effective date… that’s what I was thinking. Okay?
Leigh Howle (42:53) Yeah.
Amanda.Wo (42:56) The only.
Leigh Howle (42:57) and I’m totally, I’ve always been on the fence about it.
Amanda.Wo (43:01) Yeah, I really?
Leigh Howle (43:02) That’s why I had asked him if they could confirm if it was the original credentialing date and not just a 10?
Cheryl Boyle (43:09) Oh, a date of linking, oh, shoot.
Amanda.Wo (43:15) Yeah, I hadn’t.
Cheryl Boyle (43:16) thought of that either, but you’re right? Because it wouldn’t matter the date it was linked. Yeah, but he did say.
Leigh Howle (43:25) They send notices out six months in advance and he did say that, but I don’t I’ve always, if you want it to be three like, yeah.
Amanda.Wo (43:36) I don’t know.
Cheryl Boyle (43:42) Darn it. Well, then never mind. Maybe we really can’t do anything. I think Kelly and I just were trying to like proactively stay on top of the revalves in the system, but it’s so hard because like we just don’t know the dates and then you see all these dates are like, oh, this expiring, you know, do, and you get scared and then it’s like.
Leigh Howle (44:03) Yeah. Well, I mean, I think for the ones that are not listed like I’m looking at Joan butler, she doesn’t have a reval date. I mean, if you want to just put that data in there is, if that 10 125?
Cheryl Boyle (44:16) Yeah, I’m sorry to interrupt. I just can’t we isn’t there like a, an,
Amanda.Wo (44:22) old an ended.
Cheryl Boyle (44:22) Date that we can use, right? Like isn’t there like a 99 or something like one 120 99 that we can put in the system? Yeah.
Amanda.Wo (44:32) Maybe?
Cheryl Boyle (44:33) Maybe we should just do that and not worry.
Leigh Howle (44:35) About it. That sounds good.
Cheryl Boyle (44:37) And then when we get the notices, well, yeah, yeah.
Leigh Howle (44:40) Yeah, that’ll show it. And when we get responses back on the revalidations that are in process with those effective dates, it’ll kind of give us some kind of a guide on what they’re using. So like say, out of the, I don’t know how many we’re processing, maybe?
Amanda.Wo (44:56) 15.
Leigh Howle (44:57) Say out of the 15, if those truly do go three years in advance from what is listed in the platform from that effective date, that’ll probably give us like if we have like 12 out of 15, that’ll give us probably a 97 percentile accuracy.
Amanda.Wo (45:12) Rate.
Leigh Howle (45:12) on, if we do have that original effective date.
Amanda.Wo (45:15) Right. Okay.
Cheryl Boyle (45:20) That sounds good to me. Okay. I’m not gonna sweat it. I’ll just tell Kelly that we’ll just put in like infinite end dates for Arizona complete and not worry about it until we get a notice.
Leigh Howle (45:31) Okay. That’s not. And yeah, and then we’ll just track the ones that are in process right now and see what, those reval due dates come back as, yeah.
Amanda.Wo (45:42) Okay.
Leigh Howle (45:43) Okay. Awesome. Okay.
Cheryl Boyle (45:45) Well, that is finally all that I actually have. Sorry.
Leigh Howle (45:49) You’re fine. You’re taking.
Cheryl Boyle (45:51) So much time on all this and all of our problems. Yeah.
Leigh Howle (45:55) Happy to help out.
Cheryl Boyle (45:57) All right. Well, I’ll talk to y’all later. Thank you so much. Okay?
Leigh Howle (46:01) See you soon. Thanks Cheryl. All right. Bye bye.