Transcript
Lorraine (00:00) can you hear me? Hey, can you hear me?
Kyle Rice (00:02) I can hear you. Can you hear me? Yes. Okay. How are you?
Lorraine (00:07) I’m good. So had an issue happening with Illinois with Liz… neighbors. If you pull her up there’s, a task. There’s a task. I.
Kyle Rice (00:20) See the task, but they’re inoperative and be licensed expiring at five 31. And then you also flagged Shannon church too. I think she’s okay though.
Lorraine (00:29) Yeah, but here’s the deal. It’s the same situation. Why did one pass through without an issue? And the other one same, no controlled substance. One was pulled as inoperative. Now, Liz called the state and they told her all because you need a controlled substance. Well, no, not according to what we know, I called the board because they do not prescribe substances. It’s legend drugs only. And from what we know, they’re not needed and the board can’t answer me, but they were, they passed it along up the chain of command. So I should be getting an email, but I want to see what you guys know because that’s the situation is if this were the case, then Shannon church should never have gotten the license, right? Right. No problem. What happened differently is what I need you to research. Yeah.
Kyle Rice (01:24) Let me take a look at that, Shannon church… because from what I know with Illinois is you can either do there’s either two ways. And from what I’m saying, there’s a third way now with the CSR for prescribing but understand that they don’t prescribe controlled in their substances. From my understanding, the inoperative status can come from two reasons if the provider elects to move it to that, which I don’t think either one of them did. Or if there was not evidence of a collaborative agreement, which is what I’m thinking she.
Lorraine (01:52) Emailed it to them and they said, no, we don’t need this because you don’t register that with the state. Let.
Kyle Rice (02:00) Me. Yeah, let me take a look. Let me do some task comparison here to see what’s going on. And if they can give a definitive answer from a high level right now. I am not seeing. I don’t know.
Kyle Rice (02:15) It doesn’t look like there’s any differentiation from what we had done, but it looks like we did the, and we had, and this is their, both of their first renewal. Looks like… yeah, it looks like this is their first renewal for both of these. Let me, yeah, I’m not seeing any differences. It looks like we completed the exact same application requirements for both of them. So, for Elizabeth church, we did the third party authorization, the license verification transcript, national certification and the license application. This is for Elizabeth. And then for Shannon church, we did the exact same thing for her that.
Lorraine (02:53) Makes no sense. They said they’re gonna escalate.
Kyle Rice (02:59) That and take a look. They.
Lorraine (03:00) Told me that I should have an answer between two to three business days on, what happened or why or not, what happened? Because they won’t talk to me about either provider. But I asked the general question. I said I have two providers. They’ve just been renewed. One went through without a problem. She doesn’t have a controlled substance. Another provider has no controlled substance. Either. Her license is now showing inoperative, what’s what can be the deal here? Because she got told she needs a controlled substance. What we know is that that’s not the case because we’re not dealing with controlled substances. We only deal with… the legend drugs. And I also have providers that are full practice authority on their own and providers that are with a supervisor exactly. So he’s both renewed with a supervisor. They have their report, you know, one of them’s provided it to you and was told no, we don’t need that if you need to submit that with a controlled substance certificate, yeah.
Kyle Rice (04:05) Let me flag this with our licensing team. See they can do if we have a pretty good nursing SME on.
Lorraine (04:11) What they can find out because that’s very weird. Then I want to add. Tell me when you were finished with this, so I can go on to something else that popped up while I was waiting for you. No.
Kyle Rice (04:22) You’re gonna go?
Lorraine (04:24) Kim Morgan, I want to add an Oklahoma.
Kyle Rice (04:31) She’s Kim, Keisha, right? Kim.
Lorraine (04:33) Keisha, an Oklahoma auto, autonomous practice request? Okay? Can I add that for her?
Kyle Rice (04:41) You should be able to let me see. And then I was also when you text, sorry, you texted me when I had to walk out for a PT appointment, Monica Talley. It looks like her ccok appointment enrollment was provisionally approved. So, I’m having the team follow up and confirm that she’s good to go. So I should get some additional follow up there. Let me check for Kim’s Oklahoma, though. I.
Lorraine (05:06) also, could I send it to you or let me share this with you? I have… a request for update or to have the emails, remember the emails that I need to have updated? Yes?
Kyle Rice (05:21) Yes. All right. Cool. We should be able to do autonomous registration for Kim Morgan. Do you want me to add that in for her?
Lorraine (05:26) Right now? Add that in. I’m gonna put it in my list. I’ve been paying for the cme to… have these pro people take the course. I’ve been paying the course and sending them the link, yeah.
Kyle Rice (05:42) I remember, we had, I remember had an issue with that a little while ago where we flagged a course and then they came back and said it was a different course. I.
Lorraine (05:49) don’t know this is the one that the board is 589 dollars. It’s the one that Jessica bruins was able to take it and got it. So we’re doing, I’m sending that all we got approval, got the funds. And so I’m doing… Kamisha’s, I want to add Kamisha’s. I’m adding it here. I’m adding it to my list and I’m sending her the link for the course.
Kyle Rice (06:15) Okay. And her request is in the system and I’ll flag Shannon church, and Elizabeth neighbors.
Lorraine (06:24) And then I need to deactivate the request for autonomous for peglia, PEGIHP.
Kyle Rice (06:34) EGIHPEGIH, is she PEG a HP?
Lorraine (06:41) EG a H, I think.
Kyle Rice (06:43) Is she pega? Yag?
Lorraine (06:45) Yeah, yeah. Yeah.
Kyle Rice (06:46) That’s it. Yag. Hubi, yagena. Yeah.
Lorraine (06:49) That’s it. I can’t pronounce it? You did really good. I.
Kyle Rice (06:52) just spend my day butchering clinician, names. Let me pull her in here. Which one are we canceling for her?
Lorraine (06:59) The autonomous practice for Oklahoma? We’re just going to set her up with a supervisor. They want this other, they only got a certain amount of funds to do this and they want to do the leads and these specific providers. She’s out on maternity, right now too. By the way. Okay?
Kyle Rice (07:21) I’m just canceling her Oklahoma. Looks like this was already submitted.
Lorraine (07:25) My replacement will start on Monday.
Kyle Rice (07:27) Oh, no. Don’t say that.
Lorraine (07:30) I know, believe me, I’m not a happy camper. I,
Kyle Rice (07:35) know you’re counting down the days though.
Lorraine (07:37) No, not really. No. I’m going to miss my job, I,
Kyle Rice (07:42) know, but you’re going to have I,
Lorraine (07:44) know, I’ll have a lot to do. I know I’ll have a lot to do.
Kyle Rice (07:48) No, not a lot to do. You deserve some well deserved relaxation time?
Lorraine (07:52) Yeah, get.
Kyle Rice (07:54) That pool life going for a little bit, you know?
Lorraine (07:57) Yes, this is true. And then the grandchild is going to be born. Yeah, I saw your Easter pictures. Life will be about the grandchild I,
Kyle Rice (08:03) know, I saw your guys’ Easter pictures. Looks like you guys had a good old time.
Lorraine (08:07) Yeah, it was fun. It was fun. Okay. So, I’m sending you an email now with those providers that I need to have their emails updated to twin email. Once that gets done, if you could advise what I need to let them know.
Kyle Rice (08:25) How do you currently sign into medallion? Do you use the Google sign in or do you use the?
Lorraine (08:30) Google sign in? All right?
Kyle Rice (08:31) So, they’re going to use the same sign in. I believe that’s the sso login option. So they’ll just sign in through that methodology? How many email address updates? Is it?
Lorraine (08:45) A whole bunch… hold on. Let me see if I can tell you how many I have.
Lorraine (08:59) Five… I don’t even know where my sheet went.
Lorraine (09:12) Who knows? It probably went off my sheet because I have so many things open that it’s over there somewhere. Okay?
Kyle Rice (09:19) I’m going to, probably if it’s a whole bunch, I’m going to have our support team kick those into action. So it’ll probably just be about a day or two before they get those updated. And then we’ll get those moving.
Lorraine (09:32) Yes, not a problem. Not a problem there were.
Lorraine (09:41) We are a little behind on the conversion the AI agent that’s going to be working on this?
Kyle Rice (09:54) You guys are using the AI agent? Yeah, we’re.
Lorraine (09:56) going to be using an AI agent for providers that come in for providers that come in.
Lorraine (10:02) We’ve created an AI agent that will take the states that are independent, recognize what they have… and send it to Salesforce and to elation… or whatever us cap… add them automatically. So, I don’t have to deal with them. So it checks if it has a controlled substance. It checks if it’s needed. It has an RX, if it checks if it needs an RX, if it has it, it’s the information that’s in medallion. So, medallion is the basis for this that’s why we’ve been testing with different data that they download from medallion. I always made it a little hard because of some of the different ways licenses appear yeah.
Kyle Rice (10:47) Especially with prescriptive authority, autonomous registration because sometimes it’s included in the initial application and sometimes it’s a separate application.
Lorraine (10:54) A separate application and.
Kyle Rice (10:56) Then don’t even get started on the autonomous registration too.
Lorraine (10:59) Yeah. Now, that’s going to be another one. But that one there’s certain states we’ve got to review always will have to review. So those, it doesn’t matter because we’ll be reviewing those. Okay. It’s just a couple of just the states that are independent that are easily recognizable that they’re independent and that they have only a couple of circumstances that have to be accounted… for before they can show. And those are the ones that they’re trying to concentrate on.
Kyle Rice (11:31) That’s pretty cool though. I like the, I like that it should make things a lot easier. Who’s I was going to say who’s your replacement? Anyone I know by chance? Her?
Lorraine (11:38) Name is Tamara. I don’t think, you know, her. She works with Alaya health, Aya health, her name is Tamara. What is it? Raglan, raglan, she’s out of Texas, but she hasn’t worked with any companies that we’ve ever worked with that I’ve ever worked with?
Kyle Rice (11:59) That doesn’t sound familiar, but she.
Lorraine (12:01) Has licensing experience, compliance payer experience. So she was like, they interviewed somebody that one of the top of the nursing chain had recommended. She was an ent, oh, awesome. And she had licensing experience. She had no credentialing experience to speak of. No work with any kind of accreditation, no work with any kind of chart review, no work with the caqhs, no payer enrollment information at all. Gotcha. So if they’re trying to move more into payer enrollment, it would have been more difficult. I’ve always told them that usually as you get bigger, you’re going to need a separate person. But if you can get someone that has that experience, then at least it’ll get you through.
Kyle Rice (12:46) Yeah, a little bit of everything because usually there’s not one person with like a lot like who’s an SME, and like all that, usually it’s like one or the other? Yeah, you know, it’s kind of a mixed bag especially with payer enrollment and.
Lorraine (12:57) Malika shot herself in the foot. Oh.
Kyle Rice (12:59) She did because.
Lorraine (13:01) She jumps around a lot. Yeah. And she, yeah, she actually said that to, in one of her interviews, you… know, and that was not, you know, they’re not looking for somebody who’s going to jump ship in a year and then be in the same position of having to find somebody again… you know, especially at this point where we’re growing, you need.
Kyle Rice (13:22) That steady Eddie, someone who’s going to be there for a while someone?
Lorraine (13:25) Who’s going to be there for a while, you know, at least a couple of years and she’s actually, this girl is managing a couple of people under her right now. And I said, well, one of the things that concerned Jacinda is we do not do white glove service and she won’t have anybody. It’s just her and Larissa… so she has to be able to be hands on, get your hand in there and do whatever needs to be done. Yeah, it’s challenging.
Kyle Rice (13:55) Especially with the big as provider pool as you guys have. So it makes things difficult especially with like the newly on board. Yeah, because you guys are continually hiring as, you know.
Lorraine (14:04) Continually hiring so I can’t keep up with it. I don’t, know, I no longer remember anybody anymore. I don’t remember people anymore. This is too many people. And so, and there’s too many duplicate names. Remember when we started, and there was only one of this name and one of that name. Now we’ve got, I don’t know how many Christie’s and we’ve got Melissa’s I mean, just Stacy’s it’s crazy. I.
Kyle Rice (14:29) Still remember like the core physicians from soc, like dr perlman, dr, blumenthal, dr rosenzweig,
Lorraine (14:38) what’s his name? The Guy from New York, the one that was always a pain in the butt to deal with. Yeah, he was a, do dr cohen, no, cohen too, but he was, he lived in Israel. He did. Yeah, this Guy moved to Israel too. I can’t remember what his name was. I don’t remember psychiatry.
Kyle Rice (14:56) Oh, tubia.
Lorraine (14:58) Tubia.
Kyle Rice (14:58) Breuer.
Lorraine (14:59) Tubia, breuer, oh, my God. He was a trip. He was difficult a trip. He was difficult.
Kyle Rice (15:05) For sure. Oh, one other thing I was going to ask you, did you get a chance to ask Darlene, on the hospital privileges for credentialing? How?
Lorraine (15:13) We should be doing?
Lorraine (15:15) I did, I don’t know that she answered me. Hold on. I don’t think she answered me. Now, we were sitting, I’m supposed to meet with her, hold on.
Kyle Rice (15:30) Because I was thinking like most of your clinicians are not going to have probably active. We.
Lorraine (15:34) Don’t really care about hospital privileges, so.
Kyle Rice (15:37) Yeah.
Lorraine (15:43) And that would be delaying things. Yeah.
Kyle Rice (15:48) And let’s take a look and see who’s got hospital privileges in credentialing in the credentialing right now. I don’t think any of them do.
Lorraine (15:54) I don’t think any of those hospitals, any of those doctors do.
Kyle Rice (16:00) Should I tell them no for now or do you want to hold off?
Lorraine (16:02) Yeah, I think.
Lorraine (16:07) I think we can hold on. I think we can tell them no, but hold on one second. Let me see if she answered me.
Kyle Rice (16:18) I think that’s the last item needed. And then we can kick these out, finish the rest of these credentialing files. And then it looks like Brian carpenter, brie Willis and Lisa Shaw have not signed their updated attestation.
Lorraine (16:28) Yet, Lisa Shaw, and who else? Brian carpenter?
Kyle Rice (16:31) Brie, brie, Willis.
Lorraine (16:32) And brie.
Lorraine (17:14) He is a problem because he is not around all the time. Brian, we only use him for supervision.
Kyle Rice (17:33) I’m going to take a look at Elizabeth neighbors. And then Shannon church’s original application. Because the only other thing that could be striking me that could pop up at the interoperative is if we check something off in the application for prescribing?
Lorraine (17:44) Yes, take a look at that because it’s got to be something that triggered them. Because if everybody else is being renewed without that issue, think about how many licenses in Illinois we have that we renew and this has never popped up. No, not for this reason, we’ve had them happen for other reasons but not for this reason.
Lorraine (18:11) There was something else I was going to ask you. So pega, moving her auto over so that I could take the space for Kim… pega’s on maternity. So we’re just going to give her a supervisor in Oklahoma when she comes back.
Kyle Rice (18:41) It doesn’t look like we marked anything on Elizabeth’s application that would indicate these go to inoperative. Let me double check though. No, I’m not seeing anything. Are you applying for provisional? No, no. Nothing’s popping out of me in the application at all. I don’t know.
Kyle Rice (19:17) Okey. Dokey… very cool. Well, what’s it going to help with? See who you?
Lorraine (19:24) Can talk to and see what they can see if somebody else sees something. I’m going to be getting an answer back most probably in the next couple of days from them to see what they say, and I will send you this thing as soon as I can find it because of course, now I can’t even find it.
Kyle Rice (19:48) I got you whenever you find it. Just send it over to me and then just let me know what Darlene says about the hospital affiliations. I presume. It’d.
Lorraine (19:54) be good. All right. Hold on. Let me see if she answered me. I doubt it. Okay. I will, I’ll text you what she says. All right. And so now that’s the last item, I’m going to that dashboard. I’m looking at that dashboard… and,
Lorraine (20:19) it has, when you click on the PSB report, the ones it’s got to get to all green doesn’t it, yes, before it goes to the next step, none of them are anywhere near that yet. They’re going to pull.
Kyle Rice (20:37) The rest of that, those verifications in through automation. So I think they’re just waiting for the hospital verification piece because that’s the last update I got from Merritt on there. So as soon as we get that piece, they should remove those through and I’ll bump them through. Okay? And then you guys will get notification when those are ready. Okay? It’ll say like, hi, Lorraine, Brian carpenter’s, you know, credentialing application is complete. He’s ready for committee, and then you can move him forward and vote if you guys want to do it async or I think you said you’re doing a committee, a full committee?
Lorraine (21:08) Okay. Yeah. We’re doing a committee. I’m hoping we can get this answered today and that you guys can finish, because that way we can have our committee meeting next week cool.
Kyle Rice (21:17) Sounds good. And then I think we’re meeting Thursday, yes.
Lorraine (21:20) We’re meeting on Thursday. It was something that I told you to leave for that Thursday meeting and I don’t even know what it was. Let me know. It’ll. Come back. I’m trying to get through as much as I can get through that. So when this girl starts, it’s not so chaotic. You guys are busy. Not that I’m going to be successful at that, but do.
Kyle Rice (21:43) What you can do, you know, only so much.
Lorraine (21:45) Time in a day that’s all, I can do exactly what I said, only so much time in a day. All right. Thank you. No.
Kyle Rice (21:51) Worries. Thanks, Ryan. I’ll talk to you later.
Lorraine (21:52) Have a good rest of your day. Bye you too.