Transcript
Connor Morley (00:00) hey, Brenda. Hello? Hey, I just saw your email. So with those right now, you don’t have to add any privileges. The provider will get one of your privileging forms tasked out to them to sign because we need their signature on it… and it will specifically be the radiology form.
Brenda Runde (00:30) Okay. Will we see that in the tasks?
Connor Morley (00:35) Yeah. Once the, so you submitted the request, right? Yep. So you’ll so that will show up in the task. Once it’s been assigned, I don’t think they have assigned anything yet because I think it looks like you just submitted that. Yeah.
Brenda Runde (00:54) I went to, I was working on some yesterday, but I got, I kept getting that same… error or whatever. So I was kind of like, what is this? Yeah.
Connor Morley (01:06) It’ll come up, as a provider task and it will have them sign that. The only required fields I have right now that they need, to fill out are at least one, actually let me pull up your forms.
Connor Morley (01:25) And it depends and it depends form to form. But usually it’s at least one checkbox for either like core privileges or limited privileges. And then the signature date, and usually the type name, print name is required.
Brenda Runde (01:44) Okay. And.
Connor Morley (01:47) Then in addition to that, sorry, I’m just looking at the forms that we have. So we have all of those core privileges forms. And then the request form will also get assigned to them to complete. And for the request form, it would ask them for those reimbursement entities to fill out which ones to check… as well. And we, so we’ll have that, we’ll also have the address to fill out. And then the list of office locations.
Brenda Runde (02:23) The provider will get that.
Connor Morley (02:28) So the provider will get that. Is that, should that not go to the provider? Anyone who is working on the provider’s behalf, could also get that too.
Brenda Runde (02:37) Well, when I do the actual… when I actually do the process in medallion, I have the option to choose their locations. So that would be the same thing, right?
Connor Morley (02:50) Yep. And let me see. It looks like we are connecting the practice locations that are associated with that provider. So if they have practice locations filled in on their profile, it should pull in their practice locations.
Brenda Runde (03:07) So the provider wouldn’t need to complete that part.
Connor Morley (03:11) No, it would fill in automatically. Okay. Yeah. All right. I know that we wanted to have this call to discuss, those credential or contracted providers. So in order to add them, what we can do is let me share my screen. Do you have an example of one that I could?
Brenda Runde (03:41) Use, yeah, she’s not in the system because I can’t get her in.
Connor Morley (03:48) Yep. That’s perfect. Okay?
Brenda Runde (03:50) Sheila’s in my office too, just so you know, she is on the call.
Connor Morley (03:53) I thought I heard.
Brenda Runde (03:55) Her, and I think Steve’s joining at some point, okay?
Connor Morley (04:02) But for those providers that… they currently are logged in elsewhere, they have another Italian account. What we can do is we can still click invite provider, have the provider, and then what would their email be?
Brenda Runde (04:21) Her email is o… RTIN a U oops. Sorry, o RT as in Tom?
Connor Morley (04:35) ORTI.
Brenda Runde (04:37) N a U?
Brenda Runde (04:45) Okay. So.
Connor Morley (04:46) In this instance, what we do is we create what’s called an alias, and this is just to kind of circumvent that medallion limitation that we only one email address per organization. So we would do, you add a plus right before the at symbol, and then you would add in southwest health. And so, this in medallion creates a unique email… address. However, this part is… essentially ignored and the invitation email will still go out to this email, the ortonow, wisc, Edu. Okay. You’ll be able to log in with their email to medallion and to your organization? Okay? It just essentially creates a, what’s called an alias email account and it’s a unique email account to southwest health.
Brenda Runde (05:54) Okay. So, as long as items are still being sent correctly to her, then that’s our workaround for those.
Connor Morley (06:03) Yep. So invitation email tasks, any reminders, any notifications all go out to the normal email address?
Brenda Runde (06:14) Okay.
Connor Morley (06:17) We would just need to add a plus and the southwest health in between the like in between or just before the at symbol in the email address. Okay? So, what’s the provider’s first and last name?
Brenda Runde (06:31) First name is Cynthia, C y NTHI a, and last name is o RTIN a U.
Connor Morley (06:42) And then I do just need like, the rest of this image. Yeah, the rest of this information, and then we can send out this email.
Brenda Runde (06:51) Okay.
Brenda Runde (06:58) Let me see if I have her started yet?
Brenda Runde (07:06) Last week four one? Sure. That’s.
Connor Morley (07:11) fine. And.
Brenda Runde (07:13) she is providing telemedicine, what is she?
Brenda Runde (07:24) Neonate?
Brenda Runde (07:30) She’s a uw provider in neonatology? Oh, sorry. She’s an MD.
Connor Morley (07:36) Okay, perfect.
Brenda Runde (07:38) So,
Connor Morley (07:38) if I send this out, she’ll get an invitation email asking her to log into southwest health.
Brenda Runde (07:45) Okay. And,, now that you’re saying, that brings up another question because the uw folks would like to be able to help complete the profiles for the members. So how do I go about assigning or adding like their contact? So, is it?
Connor Morley (08:12) So,
Connor Morley (08:19) they can get team manager roles… okay? And we’ll associate them with southwest or Wisconsin team members.
Brenda Runde (08:34) Can we set one of them up while we’re on the phone? So we know how to do that, yep.
Connor Morley (08:40) So, do you have an email and a first name, last name?
Brenda Runde (08:51) Sarah wells is, who should be on the majority of them? But for some reason, this request came from a different girl. So I don’t know if we, can we add more than?
Connor Morley (09:02) Yep. You can add as many team managers as you’d like they do not count towards seats on the platform.
Brenda Runde (09:08) Okay. So, I, and they’ll just have to search through the variety of specialties for the uw folks then, or providers because they’re like certain ones are over certain specialties that’ll still work for them. Yep. Okay. So, S, wells… or? Sorry, I’m wrong on that. Let me grab. I think… it’s actually spelled out S, a R a HS. Sorry. What was that? Oh, nope. I was right. SWELLS3 at uwhealth org.
Connor Morley (10:01) Okay. So, she’s been added. All right. So, I’m going to go into teams… in.
Brenda Runde (10:09) The teams, correct?
Connor Morley (10:11) What’s that the,
Brenda Runde (10:12) new? Yeah, where you’re going? You have to assign her as whatever… the team, uw. Yeah.
Connor Morley (10:19) And you can assign them to multiple teams as well. You can assign multiple team managers, but to a single team and you can assign multiple team managers, and you can assign a team manager to multiple teams. Okay?
Brenda Runde (10:32) And that only allows them then to see the providers that are listed within their teams, correct? Okay. I’ll get it. Yeah, we need to set up and this is why we have to set up the providers within a team? Yeah, because otherwise, they wouldn’t be able to see them each time we add a provider. So I went through, and I added all of our providers into the teams yesterday. So if that new provider is uw neonatology?
Brenda Runde (11:12) Is that pediatric cardiology? Or do we need to create a new team? Well, I… feel like.
Brenda Runde (11:29) All right.
Brenda Runde (11:39) Do we have uw pediatrics, That one pediatric cardiology? Connor, can you go back one to see all the uw, please, uw neurology. Thank you, dermatology?
Brenda Runde (11:59) We can create a new one. We’re going to have to create a new one. I think because… she probably will need to be in a different group. Thank you.
Brenda Runde (12:40) She’s not coming up.
Connor Morley (12:44) One second… I mean, she was just created… hang on refresh page. All right. Just created interesting. Her name does not appear.
Connor Morley (13:22) Neonatology. Okay. And then it was Cynthia ortonow… oh, just showed up.
Brenda Runde (13:35) Oh, there she is.
Brenda Runde (13:43) Yeah, we’re going to have a neonate group because we have a group of them.
Connor Morley (13:49) And then if you want to assign multiple team managers, you can add another teammate and have another team manager assigned to this group or this team. Oh, that’ll.
Brenda Runde (14:03) be helpful for the radiology girls, because there’s two of them.
Connor Morley (14:07) Yep. So you can keep adding team managers.
Brenda Runde (14:11) Okay.
Connor Morley (14:15) So, uw, neonatology, Cynthia, Orton now with a manager, save that… take a look, uw neonatology. And then, so we have that team assigned. In addition, if I really quickly go in, I just want to show you what it’ll look like for S, wells or Sarah wells. So I’m going to hijack her account.
Brenda Runde (14:52) Like her as a user. Is that what you mean? Yeah.
Connor Morley (14:55) Her as a user? So, if I go back in, the… only provider on her directory would be Cynthia Orton now.
Brenda Runde (15:05) Until we assign her to all the other uws. Yep.
Connor Morley (15:09) Correct. Perfect. Yep. And then I can also kind of change some things, add names, so this is a little easier.
Connor Morley (15:24) But she would only be able to see Cynthia or now, and she would only be able to see the tasks associated with symphony or now. Okay?
Brenda Runde (15:42) Perfect. And now?
Connor Morley (15:46) So, one second, let me go back to your general account.
Connor Morley (15:57) Okay. Where am I members?
Connor Morley (16:13) Refresh? Oh, I am still logged in as Sarah wells. One second. I just have to release this account.
Connor Morley (16:28) Okay. Refresh… go back in. Alright. There we go. I can see everyone now. Sorry, I just, I was still technically logged in as tels… alright, but.
Brenda Runde (16:49) Now, I still would have to go through and do the privilege request for her and that’s and we added her to the team. So just the privilege request needs to be done now, which is what we did when we… did the initial evaluation. And then they’ll assign as soon as they grab it, they’ll assign to send out that privileging paperwork. Oh, okay. Am I correct? Connor? Yep. Okay. I’m understanding a little bit better, the… flow of it like we truly had no idea. Okay.
Brenda Runde (17:32) So, will we be able to see when those privileging when that privileging paperwork is sent out for them to sign? Will that be in our tasks to view as well?
Connor Morley (17:42) It will be, it will be in your tasks to view. So you’ll be able to see them in the provider task assigned to Cynthia ortnau, okay?
Brenda Runde (17:50) And then just,
Connor Morley (17:51) on a existing basis, once that’s been added, you’ll be able to, also, this is a new feature. You can see the privileges in the privileging documents. All of these don’t have privileging documents because we weren’t able to load them. I don’t think, we didn’t receive any privileging documents on the recred.
Brenda Runde (18:13) So, actually, for all of the southwest health providers, and actually, I will get them in there for visiting. I have everything saved. I haven’t uploaded the visiting docs, but all the southwest health doctors, they’re in the documents tab on their profile, their initial credentialing packet, plus their latest reappointment packet. They’re all in there.
Connor Morley (18:35) Perfect. Hold off because I’ll talk to engineering to get those and to load them onto their existing appointments record, but.
Brenda Runde (18:46) But, I probably should get the visiting doctors uploaded though… like the radiologists, the uw providers, all of them, I have them saved. I just haven’t uploaded those to their profiles because I just haven’t yet.
Connor Morley (19:04) Yes. Yeah, we would need those documents to be able to add them, to the privileges. So, for the existing privileges, once this has been signed, it gets saved and you can go back to view when it was signed. And essentially, the form filled out by the provider… okay? Along with their reappointment date, deadline, original start and that information… going back to team assignments, like.
Brenda Runde (19:38) I.
Connor Morley (19:38) said, so you can have multiple managers on the same. Sorry, you can have multiple managers on multiple teams. So, if we went in and added Sarah wells to this one as well, you could give her a manager role to uw vascular surgeon, privileging only. And you would be able to see, and she would still be able to see both the ones on uw neonatology as well as uw vascular, surgeon, privileging only teams. Okay?
Connor Morley (20:19) Does that make sense? Yeah.
Brenda Runde (20:20) I like it? Okay?
Brenda Runde (20:28) What was the other? So, I have just a general question when we get back paperwork indicating because some of the payer enrollments like medallion didn’t do, but are in the works by our past cbo. As we get those approvals that… say, Joe schmo has been added by blue cross. And here’s the effective date, how do we load that information into the portal like into here to update that?
Connor Morley (21:02) Yeah, great question. So, do you have an example of one that was in progress with your old cbo?
Brenda Runde (21:11) Yeah, I can definitely find one.
Connor Morley (21:16) Essentially, there are a couple ways to do this. If you have the provider name, we can go and add it directly to the provider profile, or if we’re in this payers module, we can go to enrollments. And if you tell me that there is a new provider, I don’t know, symphony Orton. Now we’ll go… Wisconsin. We can pick Aetna put the par group information southwest the line of businesses associated with Aetna in right here, you have the ability to add in additional information. If you have a document, we can upload it here as well. If you get effective dates, revalidation dates, we’d want to know the par status if they come with a provider id that’s sometimes helpful to have as well. And then just make sure that the billing status is active. So we can input and add in some of those right here.
Brenda Runde (22:22) Okay. Connor, how did you get there again? I apologize.
Connor Morley (22:25) No, no, no worries. Sorry, sometimes I go a little too quickly. So if that ever happens, just let me know.
Brenda Runde (22:34) But.
Connor Morley (22:34) there are two ways to do it. I’m going to show you just from the payers module. So we’re in the payers module right here. We went to enrollment specifically. And then this button right here, add enrollment, and we can choose by group provider. We can select the provider. So, sorry, if I went too fast, so this button right over here on the right hand side, add enrollment, we’ll click that, it’ll pull up the screen, we can pick the provider that we’d like to include. We can pick the payor as well. And then if we picked Aetna, it would ask for the line of business. And then this provider doesn’t have any practices associated with them… or, sorry, there is no practice. So I’m just going to pick Donald. Garrison. Doesn’t look like this provider has any practices associated with them?
Brenda Runde (23:28) He only works with the hospital. Okay?
Connor Morley (23:32) No problem. But you’d be able to input all that information for that existing enrollment.
Connor Morley (23:41) And then the other option is if we go into the provider itself. So if I pick Donald right… here in payers, you… know, and all this information, we can go to enrollments as well that are specific to him. And similarly at enrollment, it pulls up the same screen. It automatically pulls in Donald garrison Wisconsin.
Brenda Runde (24:09) I put… something… on my wrong screen.
Connor Morley (24:20) No worries. Sorry, do you need me to go through that again? Probably. Yep. No problem. So we’re in the, let me know if you can see my screen. Yes. Okay. So we are in Donald garrison’s profile. We can see right here. Instead of clicking on profile, we would go all the way to payers. And then we could go to enrollments right below payers. We would click add enrollment right here in the right hand side… we would pull in his name automatically, and we would just need to enter in that existing enrollment information, pay or state… if it’s Aetna or whoever, we would add them in here, the line of business. And then some of the enrollment details like effective date, revalidation date. You do have an option to upload any documents if there are no documents, if they didn’t give you a revalidation date, or if you have an existing enrollment to add, if… you never got an effective date, we can click these buttons as well.
Brenda Runde (25:35) Document that you got or the email would work fine… right there. You can upload. Sorry, Connor, I didn’t mean to interrupt you. No.
Connor Morley (25:44) No, you’re 100 percent, right? Yeah, an email would work great or if they have like another document to upload, yeah, sometimes.
Brenda Runde (25:51) We’ll get like the formal letter indicating, yep, you’ve been added to Dean health. Blah, blah, I can just put the actual email right in there because that’d be, I mean, I get emails more than I get the actual letters. But yeah, you could either or whatever we have, we can put in there for that. Okay, Connor, that helps. Can we, I do have a question when you brought up the thought of practice locations, where… is that on the left hand side? Yeah.
Connor Morley (26:31) So it’s right in groups. So we have the group overall. And then we have these practice locations, yep?
Brenda Runde (26:39) Okay.
Connor Morley (26:40) So, this is, and at any point if you need to add in a new practice or if we need to change the practice information that we have, like there is a button to add a new practice, we can go into the practice information as well if needed to edit that. So.
Brenda Runde (27:01) That Monday email that we keep getting stating our practices aren’t updated. This is what it is, but it’s not updated, not finished or completed. That’s what I was going to eventually get to is like, what are we missing? Because we’ve provided, as far as I know all of the information that would go in here for these practice locations because obviously, we want these to be at the 100 percent so that you have what we need. We’ll just have to go through them and figure out what we’re missing. Yeah. So, like Connor, can you click on the first one just because that’s our main one. And it looks like we’re missing three percent of something. What are we missing? I’ve been here so many times. I can’t even I don’t know what’s missing looks.
Connor Morley (27:59) Like we do have everything in here and I… oh, days of the week… no, because days of the week are, oh.
Brenda Runde (28:12) No, it’s 24 hours, yep, days.
Connor Morley (28:14) Of the week have been clicked. We have hours of operations. We have time zone after hours. You have both, it’s a hospital… translators offered varies upon pending schedule. Yeah, you have everything.
Brenda Runde (28:29) I uploaded the accreditation yesterday because like…
Brenda Runde (28:39) See it’s not just me?
Connor Morley (28:45) Nope. You have everything in here… unless it’s the medicaid, PE, notice of approval or no here? It is what?
Brenda Runde (28:54) Is that it’s the?
Connor Morley (28:55) Medicare PE notice of approval, what’s.
Brenda Runde (28:58) PE,
Connor Morley (28:59) Payer enrollment. It’s like your payer credentialing?
Brenda Runde (29:05) Medicare enrollment, can I just upload the most recent one?
Connor Morley (29:09) Yep. That’s fine.
Brenda Runde (29:11) Validate like revalidated one? Yep. Ugh. You’re asking a lot, Connor? Okay. I will get into Pecos and download that document from my last revalidations of these locations. Because I, I’ll be honest, I’ve been leery to do anything facility wide. Like I needed to revalidate kehler clinic for Wisconsin medicaid. How do we do group? I know how to do the payer ones now because we’ve worked through that, but is it the same process? Like a new okay? Or it’s actually like a revalidation not a new process?
Connor Morley (30:03) You want to do a revalidation? I?
Brenda Runde (30:05) Did that’s what it was? Yeah.
Connor Morley (30:07) Oh, okay. So, there’s the for group select the group profile southwest… and these are based off all of your group enrollments. Okay. Is there anyone in particular that you’re looking to Wisconsin?
Brenda Runde (30:24) Medicaid just because that’s what I was working on like the hospital’s not due for that right now, but.
Brenda Runde (30:35) There you go. The second. Yeah.
Connor Morley (30:36) I don’t know why I wouldn’t pull in like that. We have 11 practice locations. This one, have you received a notice about your revalidation? You can select? No, if you select, yes, it will ask you for a copy of the notice. Okay. So it’s up to you. And then it’ll doing this, we’ll submit the request and our team will start working on this group enrollment.
Brenda Runde (31:01) Okay. So the one that, so I did keeler, just because I wanted to make sure it got done, but I know that we have two more that are coming due very soon facility wide or like location. I will track it then through here, but I will put the keeler one in that I just did, and that it’s my responsibility. So that when it is revalidated, the revalidation dates are then entered into the system. Is that the proper process?
Connor Morley (31:35) Yes, the revalidation dates would be entered into the system?
Brenda Runde (31:38) Okay. Yep. So that it, so you don’t have to have all the calendar reminders on your calendar, you’ll be able to. And that’s my next question like how do we know in this system when either a provider is coming due for revalidation or a location is coming due for revalidation. So.
Connor Morley (31:58) This has all of your locations and provider and existing enrollment data in here. Best way to do that is to kind of look at the revalidation date. So you’ll get an email about 90 days out if a revalidation is coming for medicaid and medicare because that they are required to be revalidated on a yearly basis, I think, or it’s every three or five years?
Brenda Runde (32:23) Three years for medicaid. Yeah. So.
Connor Morley (32:26) Those will, those will come out. You can also search based off of like if we are looking for ones that are coming up within say like two months. We can look at revalidation dates if we have them.
Connor Morley (32:46) So, I can also confirm with Adelaide to make sure we had all the revalidation dates on the enrollment… spreadsheets. So.
Brenda Runde (33:00) I know you did for Wisconsin medicaid because I did them all. Yeah. So it,
Connor Morley (33:05) looks like right now, I’m seeing within the next two months, just these two providers. Yep. And then,
Brenda Runde (33:14) which would probably be on your calendar as well. I hope, yep. And.
Connor Morley (33:21) Then if you want to also kind of expand this date as well, we can do, you know, look towards shoot.
Brenda Runde (33:34) Which was.
Connor Morley (33:34) today to, I don’t know end of July?
Connor Morley (33:45) And we have more that are coming up as… well. Okay? And you can sort these too. So if you want to see by which… ones… are closest in.
Brenda Runde (34:00) Order, yep. And.
Connor Morley (34:02) Then if you want to save this as like a bookmark too to help you just kind of immediately get to that.
Brenda Runde (34:10) Okay. So correct me if I’m wrong, though, like these revalidation dates are monitored by medallion to be done by medallion with no intervention from us, ideally correct. You have to request the, or do we request? I think we have to request the revalidation?
Connor Morley (34:29) Revalidation dates? You do have to request. Okay, in general. And the reason why is because, you know, for your commercial payers. Yep, we really don’t need to make revalidation requests. For the most part. It’s a silent process. They pull the information from caqh, and if they can’t get that information, they’ll send you a letter. So we don’t just automatically request a revalidation because that would count as request usages and go into your consumption… on the account when it might not be needed. Does that make sense?
Brenda Runde (35:15) Yeah. Yep.
Brenda Runde (35:26) Just making myself a note. Sorry… I have another question if we’re ready to move on at it. So if there… was a provider that was approved on our end by mac and board in March, he… must have been added to the template after the merge took place. So I did go put. I did go send an invite to him. Nye, is the last name. So, I guess I’m just making sure like I just did this today, but the there’s… I don’t need to do any of the privilege requesting or anything of that sort because he’s legit. Good for two years at this point, on our end. But I mean, is that all I do to send him the request and then he needs to accept it and go in and sign his agreements and all that stuff?
Connor Morley (36:34) Yep. So let me, so does he hang on. So let’s take a look. I don’t see any existing enrollments?
Brenda Runde (36:43) We don’t bill for this Guy, so.
Connor Morley (36:45) Okay. No problem. And then let’s take a look. We can always add in an existing appointment too.
Brenda Runde (36:53) So, that was my next question. Like, should I just upload his initial application appointment packet from our current, our previous cvo, yep.
Connor Morley (37:06) That way you can also see his privileging documents. So, I’m in Peter Nye’s profile. I went to privileging instead of payers, I went to privileging, and then I went to existing. He’s already been added. So we can go in southwest health. I didn’t do that.
Brenda Runde (37:28) And.
Connor Morley (37:29) then, do you want to, if you have the expiration date, we can automatically, you can choose to automatically reappoint him.
Brenda Runde (37:38) But I wouldn’t fill this. I should fill this in right now. I.
Connor Morley (37:43) Think it would. Yeah, I think it’s helpful to add in the effective date and the expiration date, just so that we can also track this. So even if it’s in like two or three years, you know… you’ll get a notification that his reappointment’s coming up. And then you can also automatically schedule his reappointment so that when it does come up, we can start working on his packet three months before the expiration date.
Brenda Runde (38:08) I, do you’re saying I do need to initiate that part on my end though, the reappointment?
Connor Morley (38:14) So, like,
Brenda Runde (38:16) if we filled his let’s just continue on with this one. If we filled in his appointment, effective date, three, 18, 20 26, three, 18, 20 28.
Connor Morley (38:28) So I can click that 20 28 and you said 318. Yep? Okay. 318. So here is where it’s up to you if you would like to automatically schedule his reappointment? Yeah, you can do that. And it’ll give us about 90 days, okay? For the reappointment start date? Perfect?
Brenda Runde (38:51) Do I need to go in and do that part on like all of our providers, or was that uploaded from the template when I filled in those last reappointment dates and stuff. Great.
Connor Morley (39:06) Question. So, it was filled in when you filled out the reappointment dates for all those providers on the spreadsheet. So we have all of their reappoint their expiration dates and three. And then we have their reappointment deadlines and when, so the reappointment deadline and the expiration date kind of matches the reappointment start, which is when we start putting together the packet is three months before the deadline and the expiration?
Brenda Runde (39:32) Okay. Can I, do… can I do the automatic thing for all of them? Or do I have to go into each one of them? So.
Connor Morley (39:41) All of these have automatically been scheduled for reappointment. So you don’t have to do anything if there are any here that you want to disable automatic reappointment? You can go into this. We would go to the privileging module existing. And then if you have a particular provider, there’s this action, these three dots to the side of this particular provider, varunda Patel, and you can disable the auto reappointment.
Brenda Runde (40:10) Oh, okay. So.
Connor Morley (40:12) Right now, all of these are scheduled to start. There are some in here that don’t know maybe we didn’t have a reappointment, but we can adjust this to request the reappointment coming up closer to their deadline.
Brenda Runde (40:28) Okay, perfect. So, should we be taking a look at this and making sure that the start date and the end date have dates in there? Yeah. Consular is one that I ooh, where’d hers go? Yeah. Oh, okay. Yeah, I can do that. Oh, there’s several, what’s the car like? Is there a, well, you know what that is? Those were ones that were currently in process when I was setting this up. The reappointment was currently in process. So I just need to go enter the dates. No big deal. Okay?
Connor Morley (41:04) Yep. So we can go specifically in there existing… and edit. Yeah, you can edit this expiration. Is this… expiration actually says coming up? So, is that true? I’d.
Brenda Runde (41:23) have to look and see when her dates are okay?
Connor Morley (41:27) But we can go, you can always edit the expiration date itself because right now, the reason we won’t let you pick reappointment start and deadline is because this one is within.
Brenda Runde (41:39) She was definitely reappointed. I just gotta, I don’t know what her dates would be on her file. I just need to look at her approval letter.
Connor Morley (41:45) Yep. So we would just need, you would just need to edit the expiration date first. Okay. So where was I, unless?
Brenda Runde (41:52) She’s on the sheet that I have right here. Nope. She isn’t she must have been in January probably.
Brenda Runde (42:07) Every odd month, January, March, may, July, September, November that’s weird. Mac meetings only meet every other month. I’m learning. Sorry, I don’t know. I’m here.
Connor Morley (42:24) To answer any questions you guys might have. Yep… it certainly can be a little daunting because it’s there’s so much information in here.
Brenda Runde (42:39) I’ll let Brenda ask her questions first before I start getting into what I want. One. Oh.
Brenda Runde (42:52) The only other thing… God, I feel like I have stars everywhere of things to do.
Brenda Runde (43:10) Supervising physicians for NPS and pas, does that piece? Is that a requirement cause like Amy tibbetts? T, IBBITS, for instance, her profiles, I think showing as not 100 percent or something maybe. And I feel like it might be because of that, I don’t really recall what the situation was.
Connor Morley (43:38) Amy tibbetts?
Brenda Runde (43:40) So, she’s a pa in our urgent care, but she was asking about supervising… physician. Does she have to list?
Connor Morley (43:54) Does she require a supervising physician?
Brenda Runde (43:57) Well, I mean, they all have them, but like if this is for payer related, I know when I used to submit these, I couldn’t use an doctor, for the payer piece. So I don’t know who to tell her to list because we would grab somebody from the family med clinic, but that person’s probably not going to directly oversee correct it’s. Going to be like wagner or somebody, but I’m going to choose dr Carr. I would think it would be dr Kramer. Now, I could maybe choose him because he does have that family med piece. Yes. So, okay, medical director. So that one?
Connor Morley (44:43) I might have to ask Nicole about because I think there are some like payer enrollment implications there that I’m like there?
Brenda Runde (44:50) Is I know? Exactly because I know when I used to submit these to our cvo, I could never list an doctor.
Connor Morley (44:58) Yeah. I, I’m not, I know how to add the supervisor. I just like you can add in the supervisor on their profile and their professional history right here, right? I just don’t know if.
Brenda Runde (45:14) What, the implications of adding something there?
Connor Morley (45:17) Yeah. So that I would probably that I would probably need to take back and ask Nicole about because I’m not.
Brenda Runde (45:28) Yeah, if you could do, that would be wonderful. I think I, because it helps now that Kramer is, I do feel like we’re safe to do Kent Kramer though I really do because he actually has dual the family med piece plus Ed. So he’s… going to be all the urgent care providers, supervising physician from now on. I never even thought about that, but yeah, that’s okay call. But yeah, if check with Nicole to make sure that by us doing that, it won’t cause further things down the road. Yeah, like what we’re supposed to put in there for sure. I think that might be all of my questions other than the payer piece, but I don’t know if you were going to touch on that or not when I do go and elect a payer enrollment like I just did the garrison one.
Brenda Runde (46:33) And wow, that’s a lot of work like to… go through and select and deselect. And I don’t know if there’s an easier way that we can just have all of our payers on one tab and go for all of them or I don’t know, I’m probably speaking Greek the way that I’m talking because I feel like it’s not making sense, but I.
Connor Morley (47:00) think, I think I’m following what you’re saying. So let’s go to… I think I hear what you’re saying. So when we’re in medallion, we’re going to go to like a new provider. I’m just going to pick ortonel, right now because I know that they don’t have anything, right? And you’re saying that let’s associate them with southwest health. And you would like to, I’m just gonna pick Wisconsin right here essentially rather than having to go in and pick every single payer. Yeah, that, and, you know, is could be available. So, so one of the options is we have all your payers associated with southwest health, right? If you click on the select all button right here, it.
Brenda Runde (47:49) Will pull.
Connor Morley (47:50) In all of the payers, all of the 30 plus payers associated with southwest health. And then from there, unfortunately, you do have to choose each line of business for each one. But I know that Nicole is looking at the project plan for all of these payers to see if we can pull in the lines of business right now. Okay?
Brenda Runde (48:14) Because even with selecting all, we still, I still need to go back through and deselect like our visions and Aetna and I don’t know, it seems like a lot. I mean, yeah.
Connor Morley (48:30) We can. Yeah. So I think Nicole’s going to Nicole’s taking that back to the PE team. Okay? See if there’s a better way or if there’s another essentially like kind of instead of just enrolled with southwest health, if there’s another kind of grouping that we can use that might be different. I think, you know, what we heard was that we would want to take off any of the vision. So when it says medical behavioral dental, take off any that are solely vision like davis vision right here? Yeah.
Brenda Runde (49:08) Not necessarily or can we make them into their own group? And then for the, any type of optometrist or ophthalmologist, we would click that piece plus the rest of them.
Connor Morley (49:19) Yeah, I think we could do that.
Brenda Runde (49:24) It’d be nice to have a listing of here’s what you need for medical providers here’s. What you need for ophthalmologist and optometrist, because that would include all the medical insurances plus the vision, and then a third option for behavioral health of they need all the medical plans. They don’t need the vision, but they do need the two extra behavioral health plans enrolled. Like having three drop downs of these are the payers that we know, knowing full well that if we ever contract with another insurance, we would have to update somehow this master list.
Connor Morley (50:04) I’m sorry. Yeah. I don’t have an answer for you right now because I know Nicole is following up with the PE team, but it’s something that we can look to do. Okay?
Brenda Runde (50:17) Good to know. So in that drop down, I’m just curious if you go back up to like… where it had the payers and there’s 30 because you select it all. Huh. Why aren’t they all? Well, yeah, we would deselect Aetna always because we truly are not contracted with them down below. There are some that we are contracted with that aren’t in the, when you select all like I had to go back through and select a bunch down below after the right here. Yeah. Why aren’t they in there? Which?
Connor Morley (50:51) Ones all?
Brenda Runde (50:52) Of them or not all of them but like some of ours are down there, keep scrolling. I’ll tell you one. Okay. Not that fast. I don’t mind that fast.
Connor Morley (51:05) So I can tell you like that is based on your current group enrollments. Okay. That we loaded. I know that there are, there were essentially hang on while I pull up. I was talking to Nicole and Natalie about this, but there are, I think one second.
Connor Morley (51:34) I think there are like two in here that we haven’t loaded because we were working on the project plan with, but they should get loaded soon and I know that Nicole is working.
Brenda Runde (51:45) Well, those were the two that I had to approve later as the next team thing. Okay?
Connor Morley (51:51) Yeah. So that’s why, but those will be added. I think Nicole is just working on getting those in. Okay?
Brenda Runde (51:59) So, if there are more down there than those two that we know that we are contracted with, because… like previously, I can only speak to how we did it before. If they were enrolled in medicaid, let’s say medicaid, they would have automatically done the paperwork to enroll them with Dean medicaid, courts, medicaid… MHS is one of them that I know we had to pick. I didn’t know that it was listed separately like in your system. So, is that something that we’re going to have to do… like add all of our providers to this payer so that payer shows up in the select all listing. So just.
Connor Morley (52:57) So I’m clear if you, if a provider is enrolled in medicaid, do you want us to automatically enroll them in Dean medicaid? And like a handful of other medicaid?
Brenda Runde (53:11) Yep. Yeah, I.
Connor Morley (53:12) mean, that one we can do and have that be a part of the project plan. So, when they’re enrolled with medicaid, it’ll also enroll them with this. It is a dependency in our system that they are enrolled medicaid before they can be enrolled with like a Dean managed medicaid, they would show up as two different requests and we can’t complete the Dean medicaid requests until they are finished with medicaid. Wisconsin. Okay?
Brenda Runde (53:43) So, when we’re doing the request for the payers, we have to obviously select the essentially… the financial class, the line of business, whichever way you want to word it, we’re automatically going to be selecting whatever is available to us. So, is it really a separate request or are each of these separate requests that you’re looking at? Like right now? Do you know what I mean? Like humana has, well, that’s a bad example. The drop downs have commercial managed care stuff like that. Yeah, like group health, eau, Claire. That is a commercial and a, yep. So I just select all of them. Yep.
Connor Morley (54:27) So, this, so this group, so if I were to hit submit right now, this group health co op of eau Claire, that’s just one request for both commercial and managed medicaid. Both those lines of businesses are included in that. Okay? Now, I think the point that we talked about with Nicole is, can we automatically pull in the lines of business?
Brenda Runde (54:51) Yes, right.
Connor Morley (54:52) To have to pretty much select all. So that’s something that she’s working on right now. So we would pull in all, this would just be this one down here for group health co op would just be one request, yep.
Brenda Runde (55:06) Okay. I just, we’re saying the same thing. It’s just a different word. And so we’re yes, we’re understanding each other. Okay?
Connor Morley (55:15) I’m sorry, like, if I’m like being confusing or if I’m not using the right terminology, just let me know. I’m I want to be like as clear as possible. This is one request for both commercial and it includes both commercial and managed medicaid. Okay?
Brenda Runde (55:33) Okay. No, that, that’s that makes sense. That’s why it took so long to get through that wonderful template twice, all those lines. Yeah. So, I do know one of them though was MHS, which is a medicaid product that wasn’t listed up above in like our payer plans that were under the southwest health enrolled listing that we had to select down below. How do we fix the MHS? I think it managed health services? I don’t remember what you guys? Yeah, I think it’s under, I do think it’s under managed.
Brenda Runde (56:23) That’s the top part still.
Brenda Runde (56:37) I swear it was, wait, I found it under something else didn’t I.
Connor Morley (56:46) and you’re saying this, it should be one that you have a group enrollment with. Yes. Okay. That’s something that we can add and I’ll talk to Nicole about getting that added. I, you said managed health services?
Brenda Runde (56:59) Yeah. One second, I call it MHS, but the true big name is managed health services. It’s a medicaid product yep.
Connor Morley (57:09) No problem. Okay. And if.
Brenda Runde (57:12) we find other ones like that, is it just a matter of me sending an email to you guys? Yep? Okay. So.
Connor Morley (57:21) I am not seeing a managed health… services in our payer mapping… managed. I know it would be something else.
Brenda Runde (57:36) It could be.
Connor Morley (57:39) Something else, but yeah, no, that would be, just let Nicole know, okay? And she’ll make sure that that’s added to your payer… enrollment operating… procedure.
Brenda Runde (57:56) Okay.
Connor Morley (58:01) Okay. I’m really sorry, I have another call at one o’clock.
Brenda Runde (58:06) oh, we definitely went over… no.
Connor Morley (58:09) Worries. No worries. I wanted to make sure I can definitely, so I have… I think I have additional time this week on Thursday, and I’d love to get some time with all of us and Nicole as well because it sounds like we have a good amount of.
Connor Morley (58:39) Payer enrollment questions. So let me just look at her calendar and schedule something.
Brenda Runde (58:45) Like personally, I want to know next steps of we need to roll this out to users so that they can start utilizing this now that it’s in a better spot, like there was no way we were going to do any training or anything before we were ready.
Connor Morley (59:04) Yep. But.
Brenda Runde (59:06) Like the reporting functionality, we need to know how to do that so we can roll this out to our business office and our patient access team so that they can start utilizing it instead of this wonderful spreadsheet that we have.
Connor Morley (59:21) Yeah. So for those business office and other folks, yep.
Connor Morley (59:36) Like they’re not making they.
Brenda Runde (59:39) Will be view only and it will be very limited what they need. And we had kind of discussed that we might like have the system automatically generate a report every morning and that it would be put onto like our intranet that they could utilize that. But we have to work through that somehow to figure out what the best option is for us.
Connor Morley (60:03) Yeah. So for reports themselves?
Connor Morley (60:13) To get to your intranet… yep?
Connor Morley (60:25) And in terms of like read only.
Brenda Runde (60:40) I think you froze, did we lose you? That’s okay. We can send him some times for Thursday.
Brenda Runde (61:00) I’m free all day. I’m… just kidding. All right. I guess it wasn’t tomorrow.
Brenda Runde (61:11) Okay. I’m taking Steve out. And truly, I think we’re at a funny number. Okay. No, he’s gone updates, should I just end? Yeah, no, he’s connecting. Okay. Hello? Hi. I was like, I think we lost you. He’s froze again. I think, hello? Hi, hello?
Connor Morley (61:38) Okay.
Brenda Runde (61:39) Can.
Connor Morley (61:40) you hear me now? Yeah.
Brenda Runde (61:41) Yeah, I.
Connor Morley (61:42) have no idea what happened there. Let, let’s set up some time on Thursday. I’ll send out an invite because we can definitely start rolling this out to everyone else. We can invite them to the platform. We can get the providers.
Brenda Runde (61:58) Starting.
Connor Morley (61:59) to populate some of their information. And then I think we can also talk about how to get a saved report and what the best way to do that would be, okay. I,
Brenda Runde (62:11) think afternoon would be best. I mean, we can hash that all out on Thursday because I know you need to get to as well, but Thursday afternoon is best for me. Okay? Like anytime after one Central Time. So I think that’s to your time yep.
Connor Morley (62:33) Let me.
Connor Morley (62:39) All right. I’m just gonna send an invite right now. I can do four o’clock to five Eastern Time.
Brenda Runde (62:49) Yeah. That’s fine. We’ll make one at this point work because we need to get this. I’ve been running yep. All right. I just.
Connor Morley (62:58) Sent that out. Okay? I’m really sorry, I have to jump to another call that’s fine.
Brenda Runde (63:06) But let me,
Connor Morley (63:07) know if you have any other questions and we’ll hash everything else out on Thursday awesome.
Brenda Runde (63:12) Thank you for your extra time today. Thank you. Yes. Nope.
Connor Morley (63:15) Yeah, no problem.