Transcript
Connor Morley (00:00) hey, Rheta. How’s it going? Good morning. It’s going well. How are you? Doing? Good? Looks like Jenny and Leisha are in the waiting room. You all ready? All set? I.
Rheta Larson (00:17) think so. I think really this will just be an agenda for them… if there’s anything new they want to add.
Connor Morley (00:26) Okay. Sounds good. Alright. The gates are open.
Rheta Larson (00:39) Hello. Good morning.
Alicia Iannece (00:43) Good morning.
Rheta Larson (00:45) How are you all doing today?
Alicia Iannece (00:47) Good. How are you?
Rheta Larson (00:49) Doing well. Thank you for asking. Let’s see now, we have Jenny and two cool. And just a few moments ago, I sent kind of like a quick recap on some of the items that we had chatted through last week?
Alicia Iannece (01:08) So, I.
Rheta Larson (01:09) didn’t.
Alicia Iannece (01:09) want them yet. Yeah.
Rheta Larson (01:11) No worry. It was everything that we discussed. With the exception of the PE items. The one thing I wanted to flag there is those I don’t have resolutions for. So there’s three. Let me pull up the thread really quickly. There’s three items that we’re still pending from the enrollment team essentially, and that’s gonna be the… tricare pay enrollment that y’all are treating that as non network providers for provider billing services. So, I think Tenzin Shaw and smith, they’re all kind of in that same bucket. We haven’t actioned them yet just because I plan to chat through that, live with them today in their open office hours, but they will get back to us on a resolution there. I just wanted to give you a heads up that has not been resolved yet. Okay? Same thing with security health plan for Angela. Sorg, I think her credentials were needed for Wisconsin. I think that task is still outstanding. I’m just pulling it up now. Okay. Yeah. And that’s the same one we plan to have that resolved in the next hour. Okay? And then medicaid par. I know you’re just questioning from at least the two examples you shared from mark Mayer and Benjamin nisum, how those should be linked to their group practice? Like what do you need to put in platform to determine if they’re par or not par. So those three action items will be hopefully crossed off our list before definitely before end of day today? Okay? But I wanted to flag those because those were three of the items that were still outstanding from last week. Otherwise, we had a pretty robust conversation with Jen and I know she was working on a few things on her end. So really the space here would be for anything net knew that you would like to chat through or go over?
Alicia Iannece (03:14) Yeah, and I will just put a disclaimer out. We have a surveyor here. So I’m not needed at this point, but if anything pops up, you know, I might have to pause, or hop off for a minute, but yeah, some follow up. So something that popped up this morning… we noticed one of our… well, okay. So credential by proxy, that group, we decided, right? That we will not put them through the privileging applications. Okay? That was agreed upon since they’re not ever signing anything, right? So, one credential by proxy provider did end up getting automatically, I think reset to go through privileging. So that was Arielle bodker. So we got a task for her that she had an incomplete profile which would be expected since she’s credentialed by proxy. It looks, oh, I did complete the task and I sent a note and then they said that they would follow up with Jennifer to confirm like our workflow and stuff. So, I just gave additional notes in that task kind of explaining, but it brought some good questions like how are we going to, is it possible to turn off those automatic renewals for privileging for the credential by proxy team for that specific team or how, or do we have to review it in advance and turn them off as they come through like before they get scheduled?
Rheta Larson (04:45) I know this was a conversation we had last or last week with Jen as well. Those were about the 10 providers. I think there was a handful of providers, right? They’re not all going to be going this route.
Alicia Iannece (04:59) Well, we’ve got like how many Jenny like 60 total, I think at this time.
Jennifer (05:06) Yeah, we have quite a few and.
Alicia Iannece (05:08) So one of them popped through that she was coming due. So a privileging application got initiated for her, but she’s part of that team that we wouldn’t be sending. And so I don’t know that we actually talked about, okay, how do we make sure they don’t go through? You know, like I think it was maybe oversight. I was like we talked about it that they’re not going to go through the privileging application, but then this one just automatically triggered over because she’s coming due. Yeah, we.
Jennifer (05:34) have 68, Alicia and we’ll have some more coming in. So, yeah.
Alicia Iannece (05:40) Okay.
Rheta Larson (05:40) Yeah, because I know the profile requires completion for those, right?
Alicia Iannece (05:47) So, we got the task of the profile was incomplete. So I gave the explanation there, and I said, please cancel the privileging appointment or privileging application. Okay?
Rheta Larson (06:00) I see your note here as well. I can take that back to Jen just to see what the appropriate or desired workflow would be for these moving forward?
Alicia Iannece (06:09) Okay.
Rheta Larson (06:09) From the platform, go ahead.
Connor Morley (06:12) Connor and Rheta, just to add, we do have the ability to disable auto re, enrollment on a individual provider level, but… there’s not like a select all and we can’t… filter by teams this way, at least from what I can see, but… maybe that’s something that we can look into, but you can, if we go into the privileging tab… and then we go to the existing enrollments or the existing credentials. If you click on the action button, there is the ability to disable auto re appointment?
Alicia Iannece (06:59) Do we have that functionality?
Connor Morley (07:02) I’m looking, I hijacked you, Alicia, and it looks like you do.
Alicia Iannece (07:08) All right. And so where is it? I can’t see it, Alicia? Oh, okay. Disable. Okay. Got it. Yeah. All right. So, Jenny, would you want to go in and disable all the credential by proxies? What? Yes, and then how, so when we create a new provider, how do we… how do we do that? Like for credential by proxy? Would we, so.
Connor Morley (07:40) I think with the credential by proxy, it is an interesting workflow. And love to hear from Jenna on her, like best practice, but you can always go in and add in an existing appointment. So, oh,
Alicia Iannece (07:57) I see, add existing. Okay. So once we approve them, then we can just put them in on our end, right? I think, and then keep them disabled.
Connor Morley (08:04) Yeah, I think that would have to be the workflow right now because we can’t automate. Yeah, we can’t have them go through the existing process. Okay? So if you guys credential them, you can always add them as an existing enrollment.
Alicia Iannece (08:20) Okay. Sounds good. Does that sound good to you, Jenny? Yeah.
Jennifer (08:25) I don’t quite get what you mean at the beginning though. What do we?
Alicia Iannece (08:28) So, like for a brand new credential by proxy provider, you’ll still, we can still create a profile for them and do the bare minimum that we have agreed upon. And then once we put them through for appointment with the governing board, and once they get their approval date, then we can add them as an existing appointment in the privileging module… there’s the button there below request. It says add existing appointment. We can put their information there and then disable them right away when we first add them in. Does that sound right guys?
Connor Morley (09:06) Yeah, because I think you still want to have them just in the platform, just.
Alicia Iannece (09:08) For source of truth, right? Because they’ll still have dates that we need to track. Yeah, that we need to do it on our end.
Jennifer (09:14) So, we add it to existing appointment, and then we disable it, and then.
Alicia Iannece (09:17) you disable the automatic renewal. So it’ll stay, the appointment will stay, but the automatic renewal function will be turned off. Okay? So then we’ll just go in and update those dates as we take them. Okay. Yeah, I think that makes sense. And then, as far.
Rheta Larson (09:38) As aerial blocker though, I know you’ve been, so I’ll have the team close that one and then the desired path forward for these. I’ll partner with Jen just to see if there’s a proposed solution there. But in the interim, it sounds like you will be disabling them individually, moving forward, yes.
Alicia Iannece (09:54) And like, are we going to get charged for that one? I know I ask about that a lot but is that because that was kind of just, a learning piece. So I don’t know because it did go to intake. So, does that mean we get charged for it that it went to intake or?
Rheta Larson (10:10) I’ll shoot that one over to your am and then we can, discuss with them moving forward like what the next steps are for credit piece back? It shouldn’t it shouldn’t hinder too much if we caught it early, but I can ask with.
Alicia Iannece (10:27) The county. Okay. Yeah, I think because we didn’t quite talk through, you know, what that might look like. So that would be great. I’m just going to take some notes really quick here.
Rheta Larson (10:40) Yeah, I’ll look Nick in and just see if that’s something he can dive into. Okay?
Alicia Iannece (10:49) And then as far as like the incomplete profile, is it really going to be just up to us? Like how much we want in there? I think the medallion rep had asked like, what percentage does the provider’s profile need to get to? And I said that we hadn’t really talked through that. I think Jenny was thinking maybe 65 percent based on being the npdb switch over to trigger to run. But, that was all with like dummy information anyways. So, just curious if we need… to have a minimum completion for the pro for those profiles.
Rheta Larson (11:30) I think, I know for, or at least from last week, what we stated that there’s a specific trigger we can put in platform to make some of the items optional. But are you saying for credentials by proxy, you just want.
Alicia Iannece (11:45) to align on?
Rheta Larson (11:46) The threshold necessary for that to proceed with like intake completed?
Alicia Iannece (11:53) Yeah. And I’m thinking like at this point, it probably doesn’t matter since medallion’s not going to be working on those files at all.
Alicia Iannece (12:06) Just maybe so long as we know what’s minimally needed for the ongoing monitoring to run. But I think we’ve figured all that out already. Okay? Probably moot, I’ll.
Rheta Larson (12:20) just collect it as a talking point just in case you want to revisit that or if you start seeing like an, yeah, and then we can discuss it further. Okay?
Alicia Iannece (12:36) And let me… know when, yep, whenever you’re ready. Okay?
Alicia Iannece (12:46) So, I want to chat again. I know we talked a little bit with Jennifer about the language about privileges in the provider’s profile. I am still a little bit concerned. I took a closer look yesterday, and… we noticed a couple issues with the privileging forms and I know Connor, you said those were frustrating, and sorry, I’m, getting on two different topics. Let me go backwards. So the privileges to admit. The majority of our providers at remc that have privileges, the more, the majority of them do not have privileges to admit patients, they have privileges to consult for services to give clinical care to provide clinical care. But they don’t have privileges to admit patients, and that’s.
Jennifer (13:40) under the work history.
Alicia Iannece (13:43) Well, work history and hospital affiliation. Yeah. In that section. So when I was looking at the language, trying to just read into it more like full and unrestricted, it’s saying you have privileges to admit patients with no limitations on number of patients or frequency of admission or admits. You have temporary, you have unrestricted access to admit patients, but the privileges are temporary, granted to prior to full med staff or strictly as locum tenens. And then limited, you can only admit patients under certain circumstances or for certain conditions. And it does not include limitations common to your specialty. So, I think again, I don’t know, I don’t think it’s very common for hospitals for all providers to be able to admit patients. So, I’m really curious if this has come up at all for other clients, or if we’re newer to the game with this privileging module. And, and asking this question, I think for payer enrollment purposes, there is an importance of asking whether providers have the privilege to admit patients. But I really want to kind of stress the importance that I think this language should be adjusted to say, like any clinical privileges, not necessarily admitting privileges. Like do they hold privileges for clinical practice for their specialty, at the organization that they’re writing down? Are we?
Connor Morley (15:14) Looking, are you looking at a specific privileging form or is this the case of?
Alicia Iannece (15:19) The language, no, it’s in the, it’s the language on the profile. Oh, I can share. Yeah.
Rheta Larson (15:28) I just want.
Connor Morley (15:29) to make sure I’m looking at, the right thing because I just pulled up the forms and I was like, I.
Rheta Larson (15:34) was a little confused.
Alicia Iannece (15:35) Yeah. So.
Alicia Iannece (15:43) Professional history. So, when they add a hospital affiliation, it’s this language here, admitting privilege type that’s the only type of privileges, that are mentioned in here anywhere. And like these ones don’t talk about, it… says non admitting affiliation, but it doesn’t.
Alicia Iannece (16:13) like, is this what they’re supposed to select? If they’re not admitting?
Rheta Larson (16:21) Were you affiliated with the hospital but do not have admitting privileges or admitting arrangements, correct? And that’s the, that would be the case for some of, the providers, right? The majority of those providers do not have privileges to admit?
Jennifer (16:33) Yeah, yes.
Rheta Larson (16:35) Then that’s what I would select for non admitting affiliation.
Alicia Iannece (16:40) Could it be, could this potentially not be? I didn’t even notice this box was up here until I opened it just now because it was automatically pulling in. So I don’t know if maybe that’s the issue that they’re not like.
Rheta Larson (16:57) When you click add hospital, it jumps down to the bottom portion and you didn’t.
Alicia Iannece (17:02) no, it automatically pulls in admitting privilege here. Oh.
Rheta Larson (17:06) I see, rather.
Connor Morley (17:06) Rather.
Alicia Iannece (17:07) Than the non admitting affiliation.
Connor Morley (17:09) Or even.
Alicia Iannece (17:10) Just or even just blank and to select from the dropdown. Yeah, I see that I haven’t even so I’m sorry, I hadn’t even seen that, but even if it was to say non admitting privileges, like to just call out that they do have privileges, I don’t know. It just is confusing because then they’re not even being asked about. Oops, not even being asked about privileges. Still, if it’s listed as a non admitting affiliation… you’re affiliated, but you do not have admitting privileges or arrangements, I think.
Rheta Larson (17:42) That’s where the little blurb at the bottom is asking just to describe some of the nuance there. So that’s where I would input those notes. But, yeah, I think there’s a few things here. One, whenever we open the record to add a hospital affiliation record having.
Alicia Iannece (18:00) That, I don’t know why.
Rheta Larson (18:01) It’s like automatically selecting admitting privileges, but we can potentially sync with our product team to see if that can pre populate as at least just blank. So that way the selection is kind of more visible to the providers that like, hey, you need to select one or the other?
Rheta Larson (18:20) And then the second piece to it, you just want language. Does the, does the, does the text box section not work in that instance for non? Admitting?
Alicia Iannece (18:34) No, it does. Okay.
Rheta Larson (18:38) Okay. So then just the dropdown just that would be the biggest call here, correct? Yeah, I’m trying to.
Alicia Iannece (18:46) Decide if they’re going to know, I’m trying to think if they’re going to know what to put in this box.
Jennifer (18:52) I would say, no.
Rheta Larson (19:00) I’m going to put the type auto populates to submitting?
Rheta Larson (19:10) Okay. Yeah, that would be a product request. I, I can definitely pass the feedback along. I think everything that we chat through, obviously, we want to continue to collect this information and help improve our product. So, I’ll definitely make sure that we get this on their radar. I don’t know if anyone else has brought like brought this up with any other clients. So, I’ll dig first before we have that larger conversation. But, okay, definitely, good feedback. And then if you are still finding that because it’s a required field, right? Like asking them to put something in here.
Alicia Iannece (19:40) Yeah, if you’re still finding that they’re.
Rheta Larson (19:44) not able to take action there. Let me know and we can think of something creatively, do y’all, meet with any of the providers? Like, is there an internal sync you have with them on an ongoing basis? With.
Alicia Iannece (19:56) our providers to an extent? Yes, we, meet with like our provider leadership team, our mec medical executive council, and our CMO, dr baker, she meets with them more regularly, so she will communicate stuff out too. But, then, with our contracted groups though, it’s typically the credentialing contacts that we’re working with. So we’ll have to give them this feedback. And I had, yeah, why do they have to?
Jennifer (20:21) Select anything there, Retta? Do you know, like for the, when the admitting and our, the affiliate staff or con, consulting staff down below the dropdown, why do they have to fill that box in that one? Yeah, this one, that one? Yeah, just to.
Alicia Iannece (20:36) Explain a little bit more in depth what the non, what the non admitting affiliation is. I think it’s sorry.
Jennifer (20:45) I just ask questions because, if it’s gonna help you.
Alicia Iannece (20:49) Know, fix an.
Rheta Larson (20:50) Issue the thought process. Yeah, yeah.
Alicia Iannece (20:53) I can.
Rheta Larson (20:53) Ask for PE because there might be nuance with applications. So, I think most providers might default to admitting.
Alicia Iannece (21:11) But let me see if.
Rheta Larson (21:13) There are multiple selections on the application that would… specifically call like what they need for non admitting?
Alicia Iannece (21:24) Well, and, this one?
Alicia Iannece (21:32) The admitting arrangement, I know that comes up on payor enrollment, sometimes like where it’ll say like do you have privileges to admit the provider will answer no? And then they’ll ask them for, well, what is your admitting arrangement? And like we always have standard language that they either defer to the emergency room or to the PCP. So we don’t even usually call out somebody in the, who admits for you. Yeah, I know and put a specific group in… but yeah, I can.
Rheta Larson (22:07) Ask, I’m not sure off the top of my head, the only thing that I can think of is like certain payors require some of that information. Yeah.
Alicia Iannece (22:14) Like.
Rheta Larson (22:14) Spelled out. So like that’s where our team would collect the information and just like put it on the applications.
Alicia Iannece (22:19) Gotcha. So that might be the.
Rheta Larson (22:22) Reason as to why it’s asking like if you don’t have non admitting privileges, like, what is some details there?
Alicia Iannece (22:30) I was.
Jennifer (22:31) Just wondering Alicia, when you put, and I don’t know the payor side Retta. So forgive me for speaking up if it doesn’t make sense. But, Alicia, when you guys put, somebody in on the payor side, do you answer that question there?
Alicia Iannece (22:46) Well, we haven’t because I didn’t realize that this is specifically where it was, but it’ll be, I think it’ll be helpful to have it because I, we did for the couple that are processing, I think for dr shah, because he doesn’t have admitting privileges. I was.
Jennifer (23:02) Just wondering if that makes sense to be more on the payor side of the platform versus the application side, right? But,
Alicia Iannece (23:09) it’ll still apply to the application side for privileging also because of getting the primary source verifications. So that’s where it has to kind of line up. Okay. Yeah, I’ll.
Rheta Larson (23:24) explore this one further as well if y’all, have any additional questions, just let me know, but the selections there should prompt you to do the next set of actions for the requirements. So, for the hospital affiliations, if you click, it will open up the next set of fields. So, hopefully, it’s pretty like it’s self explanatory as they work through it. But if you’re finding like time and time again, the providers are picking in certain areas, just let us know and we can work through that more, yeah.
Alicia Iannece (23:55) So, I do think too, like right now, the ones that are processing, we’re trying to figure out, do we go through and we correct all those? And then are the verifications going to go back out or are we going to mess that process up if we remove some in the work history and move them to the hospital affiliations? Because I know we talked about potentially needing like we’re going to try to review them in advance moving forward. But with the current ones that are processing that are kind of messed up, I can’t remember who we looked at yesterday, Jenny… was it an mep provider or?
Jennifer (24:36) Oh, my gosh.
Alicia Iannece (24:38) We looked at a number of them. Was it dr shah? I?
Jennifer (24:43) Can’t I think it was dr shah, but then I thought Lauren was going to look into it after I sent her that email. Unless like this.
Alicia Iannece (24:50) Is a good example too. So for dr baker who I have open right now, her admitting privilege is grayed out on the one that she currently has. So she has remc here. She has it under both remc and then has the hospital affiliation. Now, she does not have admitting. Well, I might have to think about that one. No, she does not have admitting privileges. So she has to admit under a different group. So, I’m not sure how to correct this or do we just delete it and make a new one? And then, is that going to mess up her privileging application? Yeah?
Rheta Larson (25:31) Is this just specific for Elizabeth baker or was it Shaw? Sorry?
Alicia Iannece (25:34) So it’s every application… every provider who’s processing right now, like we have to go through and review their locations and whether they’re correctly under work history or hospital affiliations, because some of them put everything under work history, and some of them are putting everything under hospital affiliations, that might be both, but not necessarily. And I know that.
Rheta Larson (26:01) Was a talking point last week as well for the work affiliations? And it sounded like you were going to partner with Jen there to kind of go through an audit just to like clarify and make sure it’s all in sync. I don’t know if that’s still the case or if y’all had any sort of working time, but I know she committed to also helping support that. Okay? So.
Alicia Iannece (26:24) Should we reach out to her to like clarify all that?
Rheta Larson (26:29) Yeah, I’ll open the conversation back up to her and then just ask like what’s the best way to approach this because I know it sounded like y’all were going to hit on this because we won’t know. I think that was the feedback like we won’t know what’s correct or not.
Alicia Iannece (26:41) Okay. So.
Rheta Larson (26:42) Doing an internal audit would be beneficial. And then we can loop in Jen to see like how that impacts anything which I don’t think it should, it would.
Alicia Iannece (26:51) Just… yeah, I would.
Rheta Larson (26:54) Say if our team calls it out via test that’s when we would just need to get further clarification but you should be fine. Okay. So for that audit anyways, do you have any other questions there?
Alicia Iannece (27:19) Not for that… piece of it.
Alicia Iannece (27:29) Okay. So my next question about privileges. So the privilege forms that have been assigned to the providers, I know Connor you mentioned they were difficult to build and we went in and looked at a few based on the tasks that we had. I’ll share again here. I need to rearrange my screens, hold on.
Alicia Iannece (28:00) So, for the dops?
Alicia Iannece (28:08) Not look at this one. So… basically.
Alicia Iannece (28:17) It’s not, isn’t a good example. But when, we tried to fill one out to like completely fill it out for the provider except for their signature based on what they previously had. And this box remained gray the entire time to request signature. So, I don’t know if that matters or if maybe that’s just a function on medallion’s end, but I wanted to point that out that we didn’t have the capability to request signature.
Connor Morley (28:46) Okay. Yeah. Let me take that back because that is weird. I know that we in general don’t we do request that they fill out the signature, but are we saying… but like to the form to those like actual forms? Like do they have the right? I took a look through all of them and I thought that they had the correct, well, like check boxes and okay.
Alicia Iannece (29:16) They, they did, we had to go through every single box for dr baker’s here and make them green. Like if.
Jennifer (29:24) you go to Violet laukant, you can show them Alicia.
Alicia Iannece (29:26) Well, and this is a good example too. So, we had to, every single one was red. So, dr baker had gone through the ones that, she checked that she wanted, and then everything else was left red. And she had questions back and forth on her notes here. But, cause… she had gone in to try to sign. I, we didn’t get to touch base with her yesterday to see if she was able to go back in, I’m guessing that since it’s still here, but, there’s something wrong with signing it, but I’m wondering if it’s cause she still had red fields but, like each line, we had to go and say like, yes, automatically keep or intentionally left blank or whatever that statement was, whether to keep it blank or not. Give me, give me one second.
Connor Morley (30:11) Cause that’s which one is that, that’s the padayat?
Alicia Iannece (30:13) It was all of them, all of them yep.
Connor Morley (30:17) And I can show.
Alicia Iannece (30:18) You another one?
Connor Morley (30:20) You said Violet?
Jennifer (30:21) Laukian, go to, yeah, go to Violet.
Connor Morley (30:23) Because I.
Jennifer (30:24) did go through.
Connor Morley (30:25) I did go through and made sure that.
Connor Morley (30:31) Like I went through for a lot of, for them and made sure that they had optional fields except for the signature, the date and the,
Connor Morley (30:50) Yeah, these forms look optional.
Alicia Iannece (30:55) Well, there, but so it’s saying, should this be left empty? And so it’s staying red. So I didn’t know if that was impacting whether they can sign it or not. We had to go through each one and mark, yes, yeah. And like,
Jennifer (31:08) a family and then it turned green. It’s going to be huge like they’re going to have to click in so many spots.
Alicia Iannece (31:12) We did, we did one? I think, did we do? Harris?
Jennifer (31:15) Oh, no, it was, yeah.
Alicia Iannece (31:19) It was Anne harris. Sorry, yep.
Connor Morley (31:20) Which one? Was it? The family practice one? Yeah, just.
Jennifer (31:24) Because there’s so many boxes.
Alicia Iannece (31:26) Yeah. So we went.
Jennifer (31:27) Ahead and filled it out. We had to click on every single one of those.
Connor Morley (31:30) Okay. Hang on one second, family practice privileges and standards… the fields are saying optional. Let me take this back. Yeah, all these fields are optional except for… the ones at the bottom, the only required fields are signature type name and date. Yeah.
Alicia Iannece (31:55) But then even if we marked, it would still.
Connor Morley (31:59) Nothing changed. So, if you mark that as, so you’ve entered that we have the signature… interesting… and they, but they haven’t signed this one, right? No, and she?
Alicia Iannece (32:14) This one hasn’t attempted, but dr baker had attempted to sign hers with.
Connor Morley (32:19) all the,
Alicia Iannece (32:19) fields red, and it wouldn’t let her, she said something was grayed out in her notes. Okay? Let.
Connor Morley (32:25) Me take that back to engineering.
Alicia Iannece (32:29) And Jenny, maybe you could touch base with dr harris today and see if she has any success.
Connor Morley (32:34) Okay.
Alicia Iannece (32:34) Why don’t you do?
Connor Morley (32:35) That.
Alicia Iannece (32:43) we haven’t and,
Connor Morley (32:46) it looks like.
Alicia Iannece (32:47) There might already be a ticket on dr baker’s so.
Alicia Iannece (32:57) I don’t know if she had a chance yet to go back in and sign since.
Jennifer (33:00) Yesterday, I would imagine Laisha, it’s most likely because there was still red in her application, but I will follow up with dr harris too.
Connor Morley (33:08) Okay.
Alicia Iannece (33:15) I also wanted to ask is.
Connor Morley (33:19) That, I know.
Alicia Iannece (33:21) The forms we provided were not probably maybe not ideal, but if we did like a fillable PDF, would that help things at all?
Connor Morley (33:33) No, don’t worry about that process because we are implementing a new tool to kind of help with those form mapping. So, I mean, we should, that looks like it’ll be finished by the end of the month. So, if you come to us and say, like, hey, we need a new form to be able to fill out, we can do it in a much quicker in a much quicker turnaround. Okay?
Alicia Iannece (33:58) Gotcha.
Alicia Iannece (34:03) We’ve been hesitant to reach out to the rest of everybody who has a dop in here just because it just seems a little wonky. Still. So, but we thought to assist because they don’t have their record of their previous set of privileges. We were thinking we might go ahead and fill these out based on the last ones that they had, and then have them review it. It looks like dr Lawton, did his own, but his also isn’t showing as signed.
Connor Morley (34:30) Okay. Are all the other boxes filled out and checked? Yeah his.
Alicia Iannece (34:36) Looked all green. None.
Jennifer (34:38) Yeah, because there’s a green check mark at the bottom there, if you look at the progress.
Alicia Iannece (34:42) Yeah.
Connor Morley (34:43) Huh.
Alicia Iannece (34:46) And he did his, himself. So.
Connor Morley (34:48) And I think.
Alicia Iannece (34:49) Was he the one?
Connor Morley (34:51) I think there?
Alicia Iannece (34:52) Was another provider who called in who put in a message in their notes saying that they couldn’t.
Connor Morley (35:00) see theirs.
Alicia Iannece (35:00) Either, but I can’t recall who it was.
Alicia Iannece (35:14) And dr liebeck, we did hers for her, but waiting for her to sign?
Connor Morley (35:19) Is it coming? No?
Alicia Iannece (35:28) I can’t recall who the other one was?
Alicia Iannece (35:33) It was dr handyside. She must have done hers. So, did hers get signed?
Alicia Iannece (35:45) I marked it done, but,
Connor Morley (35:47) I don’t know if.
Alicia Iannece (35:51) let me check if you guys can see one completed by her because she marked it done.
Connor Morley (36:10) We’ll check her. Sorry, I was just slacking with her product manager about this.
Alicia Iannece (36:20) Jeez. Connor, yeah, she, are you trying to get other work done?
Connor Morley (36:26) No, I just like… I just want to let her know what we’re actually seeing with this with these form mapping. Okay?
Rheta Larson (36:42) I’ve used hand design as an example, and it just sounds like Connor, you’re going to take action here and get back on a resolution for the signature portion. Anything else on those privileging forms or dop forms?
Alicia Iannece (37:00) I don’t think so at this time… perfect. I do want to ask about board certifications. I know we chatted about that. I just want to keep it as like an ongoing topic. And I’m sorry, I didn’t get to look at our notes, that you had put in Rheta. So, I don’t know if you commented on it already, but,
Alicia Iannece (37:27) just keep, we were keeping an eye on one provider that we know.
Connor Morley (37:31) He’s.
Alicia Iannece (37:31) like showing as well. He’s not showing as expired, but, his renewal date was 215. And so we haven’t seen it processed through yet, but it, I remind me, I think we agreed upon that the board certifications would be done upon renewal and at appointment and reappointment time, right?
Connor Morley (37:50) Correct.
Alicia Iannece (37:51) Okay. Is there work happening on that to get those going or I?
Connor Morley (37:58) Guess I’m just.
Alicia Iannece (37:59) Antsy because we’re in our survey window. So, make sure we have accurate documents when.
Connor Morley (38:04) They come,
Rheta Larson (38:07) Can you link or can you tell me, the provider you have as an example?
Alicia Iannece (38:11) Yes, I can give you the example Kincaid and… it’s his peds board certification.
Alicia Iannece (38:23) Go to verifications, and down here into boards. It says in progress, but then, nothing.
Connor Morley (38:31) Has.
Alicia Iannece (38:31) been updated?
Alicia Iannece (38:35) It just hasn’t had one run on him at all yet, Alicia, can?
Jennifer (38:39) You show them the other view too for, under the profile?
Alicia Iannece (38:43) Yeah.
Alicia Iannece (38:50) Expires right there.
Rheta Larson (38:54) Request is in though, correct?
Connor Morley (38:58) Well, I.
Alicia Iannece (38:58) so, he’s not one who’s due for reappointment right now. So,
Connor Morley (39:03) I don’t know how we.
Alicia Iannece (39:05) would request the verification.
Connor Morley (39:10) Okay. I.
Rheta Larson (39:10) think we, I do recall talking about this one. I’m just trying to pull previous notes to make sure.
Rheta Larson (39:22) aligned here.
Rheta Larson (39:43) Progress. Did, you didn’t click these, right? You don’t have, you don’t have the ability, to run?
Alicia Iannece (39:48) That no, everything has kind of just said automatically in progress. We noticed like even npdb did before it started running?
Connor Morley (39:58) Oh, his says in.
Alicia Iannece (39:58) Progress still too, even though he’s got a query done.
Connor Morley (40:03) The only.
Rheta Larson (40:03) reason why I’m calling that out is because I know previously we had chatted through the board certification monitoring or tracking it’s done at the time of appointment reappointment times, but not in between those. It’s not something that we typically, we don’t typically monitor board cert certificates outside of just what’s being tracked in the platform like in those fields that we showed for?
Connor Morley (40:34) Expirables.
Rheta Larson (40:35) It’s not a service that we typically offer. So, I just want to make sure we’re not misaligned here. You’re saying in between appointments and reappointments?
Connor Morley (40:45) You all still?
Rheta Larson (40:47) Need to pull that piece for board certs, correct?
Alicia Iannece (40:50) Yes, to stay joint commission compliant. It’s got to be done.
Connor Morley (40:55) Renewal.
Alicia Iannece (40:56) too. So if they have a expiration date listed, it has to continue to be monitored.
Alicia Iannece (41:05) I this.
Connor Morley (41:07) has been.
Rheta Larson (41:08) an ongoing conversation that I think we’ve.
Alicia Iannece (41:10) yeah. I thought we got on. I thought we got on the same page last week about it, but,
Connor Morley (41:14) my notes are.
Alicia Iannece (41:16) Not helping me no.
Rheta Larson (41:18) I know this is something that we explored that like we can pull like market, but you all couldn’t from what I recall.
Connor Morley (41:29) I’m going to.
Rheta Larson (41:30) Check what the desired workflow is for.
Alicia Iannece (41:34) Running those in.
Rheta Larson (41:36) Between checks, I don’t know if that is something that we even cover, but I know it leaves you all at least vulnerable for audit. Is that accurate to say for joint commission?
Alicia Iannece (41:48) Yes. Yep. Okay. And I guess with the delegation agreement, I was adding it in and I haven’t signed. I haven’t reviewed the final one Nick sent me last week, I need to do that yet. I’ll do it before tomorrow, but I need it to take.
Connor Morley (42:03) A look, but we had.
Alicia Iannece (42:05) Added that under the ongoing monitoring and I thought I had made Nick aware of that, and so I thought we had discussed it.
Connor Morley (42:14) Yeah, we did.
Jennifer (42:15) Alicia, I remember the conversation.
Connor Morley (42:19) Okay, perfect. Yeah, if.
Rheta Larson (42:20) you see something different on the delegated agreement? Let me know. And then, yeah, I’ll double check. I’ll double check my record as well with Nick and just make sure we’re aligned there on our side because then for these, like at what point will they get completed?
Connor Morley (42:34) Just because.
Rheta Larson (42:34) they’re still in progress. I want to make sure that this is fleshed out. Okay, but I’m going to use Stephen Kincaid as the example here. And then next.
Connor Morley (42:44) Steps.
Alicia Iannece (42:44) For.
Rheta Larson (42:49) checks in between.
Alicia Iannece (42:55) The two, I’m curious about his collaborative agreements too. I don’t know what that is.
Rheta Larson (43:04) Do you all just?
Connor Morley (43:07) Prepping?
Rheta Larson (43:08) For worst case scenario, this isn’t something that we do. Do you all know where to update the information and platform like for these certificates? Like how to do that?
Alicia Iannece (43:18) In the certifications tab, right?
Rheta Larson (43:20) Yeah. Just once you obtain the proper cert back from the clinician, you can just edit and update this with the appropriate information at the PDF document.
Alicia Iannece (43:29) Well, this is something that has to be primary source verified though. So we can’t we can accept the information from the provider, but we can’t it still has to be primary source verified. I’ll take that back just.
Rheta Larson (43:43) So that we have that finalized and a solution in place… but it might just be me looking at the delegated agreement with Nick just to make sure we’re aligned there.
Alicia Iannece (43:54) Okay.
Connor Morley (44:01) Sorry, I’m just adding this note.
Rheta Larson (44:17) I have the board certification. Stephen kinkit is the example. What are medallion’s next steps for running checks in between an initial or reappointment, understand that it must be primary source verified, and that is a potential survey audit issue for you all.
Alicia Iannece (44:34) Yeah.
Rheta Larson (44:35) Privileging forms, the dop forms. I know the signature portion isn’t working as intended. So, Connor’s going to take that and work with the engineers to review there. And then privileges to admit. I know we got the feedback on the dropdown where it’s automatically selecting admitting, want to work with product to see if we can make that just blank. So it’s not selecting anything. And then at least for anything that’s in flight, you all will be working with Jen for a potential audit there. I will loop in Jen into that conversation and just make sure we’re aligned on what the best game plan and path forward is to tackle those. And then if it affects any in flight applications, which I don’t think it should.
Alicia Iannece (45:23) Other.
Connor Morley (45:25) than.
Rheta Larson (45:25) That, what else do you want to review? Is there anything requests wise I can dig into for you?
Alicia Iannece (45:35) Jenny, do you have any privileging specific questions?
Connor Morley (45:41) No.
Alicia Iannece (45:41) I think we covered what I… had questioned on. So, okay, I do have one payer related question.
Connor Morley (45:54) We had asked.
Alicia Iannece (45:54) About the revalidations that we have coming through and how to get those going since we didn’t have the platform totally built yet. So, we did submit those as new provider enrollments and we put specific notes in there saying, please process this as a revalidation. However, the one I came across one yesterday, security health plan, Alyssa polk, they, it’s it sounds like they submitted it as a new enrollment request. So I didn’t know, I just wanted to follow up and let you know. I know it was kind of a unique.
Connor Morley (46:35) Scenario.
Alicia Iannece (46:35) That we’re trying to just get things done, but I’m hoping we didn’t break the system. So, Alyssa polk here are my notes at the top. Please process this as a revalidation.
Alicia Iannece (46:55) The link to her information.
Rheta Larson (47:01) One second.
Alicia Iannece (47:02) And then they submitted an application. They said it was a new provider enrollment.
Alicia Iannece (47:13) They said she’s already credentialed, they inquired about adding a location.
Alicia Iannece (47:20) The fact that she’s.
Alicia Iannece (47:26) technically a revalidation, I’m just concerned like if even if they add the location, great, but, if she’s a revalidation, is that going to get processed in the system in the security health system correctly? Yeah.
Connor Morley (47:39) I’ll.
Rheta Larson (47:39) I’ll pull this one. I’m trying to pull all.
Connor Morley (47:43) These payers?
Rheta Larson (47:44) And my system is just moving really slow. Sorry that’s okay… health. Was this a handful for security health? Or was there a specific period or was it a mix?
Alicia Iannece (47:56) Like as far as the revalidations that we put in, yeah, it was a little, it was a little bit of a mix. We.
Connor Morley (48:05) So, when we,
Alicia Iannece (48:06) did our internal kind of power analysis… had a number of providers that are newer that didn’t that never went through that our previous cvo never submitted them or they had no record of it, so, or?
Connor Morley (48:24) The, the payer?
Alicia Iannece (48:25) Had no record of it. So we submitted those as new requests. But then we did have a chunk that we got a couple that popped through that they were revalidations that needed to be done. And that was via communication. I think I have it.
Connor Morley (48:41) PDF.
Alicia Iannece (48:42) here. Yeah. So we received this email on March seventh.
Connor Morley (48:48) And our previous.
Alicia Iannece (48:50) CEO forwarded it to us.
Alicia Iannece (49:04) So, that was one. And then I can take a look. I can tell by name here.
Connor Morley (49:10) What security health? Yeah.
Rheta Larson (49:11) I can go through, I’m just trying to determine like, was it all security health? Was there something in particular? Because I just want to pop that note in for the payer team so they can flag it, view it and make sure it’s processed correctly. I’ll dig into the list to make sure it’s flipped over like how, what the switch is there? Okay. I don’t know if there’s I’ve.
Alicia Iannece (49:32) got a separate list too that I could let you know which ones were the revalidations that we submitted? Yeah, that.
Rheta Larson (49:38) Would be lovely. If you want to send that list. I can cross compare with that.
Alicia Iannece (49:42) Okay. I will do that. Yeah, because it was a couple different pairs. I think one was like MHS and.
Connor Morley (49:48) Yeah… I’ll have to look.
Rheta Larson (49:56) That novel.
Rheta Larson (50:02) Got it. So I’m gonna add that to my bucket today with the payr team.
Alicia Iannece (50:09) And then we’ll get.
Rheta Larson (50:10) Hopefully a resolution for you on these before end of week. I don’t know if I’ll be able to get something to you today for review. But at least before our next sync, we’ll have something in place for those revalidations. Okay?
Alicia Iannece (50:20) No problem. I’ll email you this short list. It’s two, four, like six revalidations that we put in as new requests. A couple were aspyrus.
Connor Morley (50:32) MHS.
Alicia Iannece (50:32) And then there’s just this one security health plan. Okay?
Connor Morley (50:37) I’ll.
Rheta Larson (50:37) work to get those audited and then switched as necessary.
Alicia Iannece (50:42) Okay. Thank.
Rheta Larson (50:45) You. Yep. Okay. I have the revalidation or what should be revalidation? Some were submitted as new provider. We’ll audit that short list that you’ll send, make sure that they’re moving appropriately. Alyssa polk is the example here. So I’ll bet and,
Alicia Iannece (51:05) audit any ones that come.
Rheta Larson (51:06) Through and then.
Connor Morley (51:07) We already discussed the other.
Rheta Larson (51:11) Action items. I think the only other thing I had was that charge for the aerial or the one, the credential that constantly move forward. So see if we can send that to our accounting finance team and potentially discuss the credit there, like what the next steps are.
Alicia Iannece (51:27) Okay.
Rheta Larson (51:32) And disable those individually, correct? Yes.
Alicia Iannece (51:35) Jenny’s. Can do that, right? Jenny.
Alicia Iannece (51:41) Okay. I’m gonna review that contract and I’m gonna the agreement and get the, I’ve got deliverables from last week still for the.
Connor Morley (51:53) provider.
Alicia Iannece (51:54) Exception, the provider enrollment, payer, enrollment exceptions. I’ve got that list almost done Connor, that I’ll be sending that over.
Alicia Iannece (52:00) And Marsha, is, I just checked in with her this morning. She’s working on that response back for Adelie too. Perfect. We should be about done with that. And I might have a couple other things, but I’ll take a look and.
Connor Morley (52:15) Then just board.
Alicia Iannece (52:16) Certifications, if we can maybe prioritize that a little bit too. I know we’ve got a lot to prioritize but grateful for all the work you guys are doing for real this.
Rheta Larson (52:25) One is a little old, so I’ll make sure this is moved to the top of the list just because I think we’ve settled on a few things. We’ve went back and forth. So I’ll give you the final say. So there on the checks in between… and the reappointment?
Alicia Iannece (52:44) But yeah, if.
Rheta Larson (52:44) there’s anything between now and our next sync, I know we meet tomorrow. If there’s anything you want to address, then feel free to add it to that agenda. I know that’s usually carved out for anything related to implementation versus operational, but I’m happy to kind of jot them down and explore further if we have time.
Connor Morley (53:02) Sounds good. I know we have a.
Rheta Larson (53:06) few moments left. Is there anything else you want to flag?
Connor Morley (53:09) I don’t.
Alicia Iannece (53:11) think I have anything else right now.
Connor Morley (53:13) Great. Well.
Rheta Larson (53:15) I will take this. We’ll get some answers for you all here very shortly and then we’ll talk with you all tomorrow.
Connor Morley (53:23) Sounds good.
Alicia Iannece (53:24) Thank you guys.
Connor Morley (53:26) Bye bye.