Transcript
Vanessa Persha (00:00) they’re all love. It has a flag.
Vanessa Persha (00:19) Hi, good afternoon.
Isbath Ligali (00:27) Hi… I was talking to myself like what’s going on? Oh.
Vanessa Persha (00:33) My goodness. Thank you for your patience. I was in back to backs and my last meeting was going over and I was like, I have got to go take a back to back break because.
Isbath Ligali (00:42) I don’t think we have a lot on the agenda today… so, it’s fine. I hope you had a wonderful week thus far. I.
Vanessa Persha (00:52) Have, thank you. How has your week been?
Isbath Ligali (00:54) It’s been good. It has been good. I actually was, I actually have good news. I was recently promoted.
Vanessa Persha (01:01) No way.
Isbath Ligali (01:02) Yeah. So.
Vanessa Persha (01:04) What’s your title?
Isbath Ligali (01:05) Credentialing manager, heck?
Vanessa Persha (01:07) Yes, get it. Girl.
Isbath Ligali (01:10) Thank you. I love it. So that’s really good news and, all right. So we can hop in. I tried to do a little bit of cleanup before you guys came on. Okay? And, I did mark line 68 and 74 complete because I believe 74. I think Brianna, I think you handled that already the Washington… medicaid user access. I think you were working with dr Henderson. Okay? So I marked that complete. And I also see that line 68 Arizona. They did flip it and the provider did address it and the specialist acknowledged it. So I marked that complete cudney, all of these Kansas ones that I added, I think that could be marked complete as well. I’m just double checking because I did leave a note in the task and I closed it out. I’m just bringing it up really quickly. So, I did speak to Kansas medicaid and they said that the revalidations aren’t done through the group portal. Okay? Let.
Vanessa Persha (02:10) me flag that, I apologize. I overlooked that comment there.
Isbath Ligali (02:14) No. You’re good. Asalaamu, alaikum… and I… will just say I,
Vanessa Persha (02:28) I’ve been working with a dedicated account specialist like on all of your escalated items and everything. And I just like I gave her such a big kudos this morning because she is all over your guys’ stuff.
Isbath Ligali (02:41) And I am.
Vanessa Persha (02:43) Seeing movement every week like in the right direction and I’m like, thank you on behalf of our customer. Thank you.
Isbath Ligali (02:51) Thank you. Yes. So, for Kansas, I think we’re good also for line 80. I left a note. I mean, I left a note and let them know in that task.
Vanessa Persha (03:04) Oh, for the Kansas medicaid portal.
Isbath Ligali (03:09) Yeah. So they don’t need, they don’t need it’s. Not done. I mean, I spoke to two different medicaid specialists and they said that it’s not done. It’s not done through the group portal. It’s done separately.
Vanessa Persha (03:22) Can we leave this one open just till I have a chance to flag it for your account specialist? And then I’ll mark it?
Isbath Ligali (03:28) Yeah. And I would also like, and you might already do this when you flag it to her. Maybe it needs to be a process change overall for all your clients because it’s not done through the group. It’s done separately. Okay. Yeah, we’ll take a look at the email process. Yeah.
Vanessa Persha (03:43) Awesome. Okay. I’ll go back in and close it once I communicate that out to them. Thank.
Isbath Ligali (03:47) you. And then for line 81 complete, I did see, that came through. So that’s beautiful. Yeah. Has had a similar update. Brianna you added this, you want to take that line 82? Yeah, give me one second. Pull it up. I.
Vanessa Persha (04:03) Was going to say, I did, I do have some responses from the licensing team on all of this. Bri, let me just go back to the channel and get all their updates and I’ll drop them in here for you. Okay. Awesome. So line 84, then if we skip the next licensing one, I received a very generic response from our PE team that I was almost too embarrassed to even share with you.
Isbath Ligali (04:32) So,
Vanessa Persha (04:32) they told me anywhere from 30 to 180 days is… and it can be an average turnaround time to link an existing provider to a group with Texas medicaid. I don’t personally think that is such a broad timeline. And I’ll say, you know, I’m most familiar with like New York medicaid and New Jersey medicaid. I know that their process times are much shorter when you’re linking an existing provider to a new tax group. Yeah, it’s typically half the amount of time as a new enrollment that being said, I know Texas medicaid is very behind in processing their enrollments. I know you guys are copied on the escalation from shabrikia, to them, and they’re basically saying like, sorry, we’re just behind. So, and some of those ones that they flagged is like they’re just still processing. They’ve been processing for a couple 100 days at this point, you know, so.
Isbath Ligali (05:42) Yeah, it’s worrisome. I mean, there’s nothing you guys can do if it’s on medicaid. So it’s just worrisome because we have a Texas client that we’re launching on next month. And that makes me nervous, but I’ll tell leadership. So they to just brief them.
Vanessa Persha (05:57) Yeah. Do you know how many providers about that? They’re going to want to enroll? Sorry?
Isbath Ligali (06:07) No, you’re fine medicaid… one.
Isbath Ligali (06:15) They’re hiring a lot of techs like providers with Texas? I don’t have a number, but like the ones that are already processing right now in the system, we need those completed like ASAP, right? Because those are the ones that we’re expecting to see members with that launch in may.
Vanessa Persha (06:30) Okay. This may?
Isbath Ligali (06:32) Yeah, this may… yes, this may, okay. Yeah, but I’ll bring it up to them to manage some expectations. Yeah. Okay.
Vanessa Persha (06:44) And then if there’s any, you know, obviously the earliest that they can get, we can get those requests started, the better. I would say, you know, no less than 90 to 120 days before the start date moving forward. Let’s get those requests in the platform.
Isbath Ligali (07:04) Okay. We’ll do. Okay. Line 85. Is this another Florida one? I think. Okay, this is.
Vanessa Persha (07:12) Another licensed one? Yeah.
Isbath Ligali (07:14) I think lines 86, 87, 88 are all Florida and you said you’re going to put the updates there? So we skip those?
Vanessa Persha (07:22) Okay.
Isbath Ligali (07:23) And then line 89.
Isbath Ligali (07:25) Can we please have us in for the board, Gina? Okay. So you also flagged this? So I guess we’re waiting for an update for you on that one as well? Okay. I.
Vanessa Persha (07:32) was going to say you emailed me though and asked me for an update on two of them and I apologize because I haven’t responded to that yet. I think it was Jessica bond and somebody else?
Isbath Ligali (07:42) Oh, those are the Florida ones that was Jessica bond and Amanda Carrera. I think Jessica bond, something happened. Can you pull her up actually? Because… Carrera’s application is actually with Florida medicaid’s QC. So, and in my experience, once it’s with their QC team, it should be approved pretty quickly. Yeah, pretty quickly. So, my last concern is just Jessica bond. And I saw that there was, I think there was an issue with the background screen. I hate Florida medicaid’s background screening. I really do. It makes it so much longer. Like why are we doing background screening for medicaid? I’ve never heard that before. Yeah.
Vanessa Persha (08:20) So, I, from what I understand, the QC work that was done on these or the QA work that was done on these is complete. So, anything that needs action to be taken, it’s been flagged to the agents for resubmission. So, let me take a look here. Four six due to application deficiency, background screening has been submitted via email. Okay? What are they saying?
Vanessa Persha (09:09) What was the deficiency you called out in hers? Missing eligibility determination, date, title correction needed on provider agreement, update to owner. That looks like that was what they submitted. What was this? Ownership changes?
Vanessa Persha (09:30) Oh,
Isbath Ligali (09:32) two days ago. Okay. So they made the change on the four six. Yeah. So I guess we’re two days from Florida to get back. Yep. Okay. And then Amanda Cabrera is with QC. So we don’t have to pull her up awesome.
Vanessa Persha (09:43) Do we want to go ahead and?
Isbath Ligali (09:44) Mark that?
Vanessa Persha (09:45) Complete. Yeah. Okay. All right.
Isbath Ligali (09:49) And then for Amanda cudney, that’s done, it was not complete. So that’s good. Okay. Oh, okay. Then you have a bunch of I’ll give the mic over to you. I see you have a bunch of, yeah.
Vanessa Persha (10:01) Okay. Did you have a chance to confirm for the new questions on air? Okay? Ms. Credentialing manager?
Isbath Ligali (10:09) Oh, my gosh. I’m so sorry, I completely forgot about this. I, that’s okay. I’m going to figure this out today. Oh.
Vanessa Persha (10:20) Shoot, no, you’re fine.
Isbath Ligali (10:22) Did you see my face? Yes.
Vanessa Persha (10:27) That is my face constant. I have to like try to keep when I see some things that I know I was supposed to look at and I forgot, I’m like.
Isbath Ligali (10:34) Oh, man. Okay. Oh, my gosh. I’ll get that to you today. I apologize.
Vanessa Persha (10:39) No worries. All right. Text. Oh, I do need to still flag this one for you guys. Put this one on here. I need to flag this to intake that’s why that one didn’t get captured in the licensing because I just have to give it to a different group to look at. And then I’ve added a bunch of things here. So, Tammy, Terry, her Texas medicaid enrollment is pending a copy of her RN license, and that one’s been in need client attention since three five. So, can you guys take a look at that one and attach it?
Isbath Ligali (11:16) Well, I have a question about when PE, so I know PE and the licensing team at medallion are two separate entities. But if they need a license, if PE needs a copy of a license, can they not pull that from the board website themselves? So.
Vanessa Persha (11:31) Typically, what the payers are looking for is a copy of the physical license, not the actual verification. I have asked them to start… inquiring to see if they’ll take the verification. I know like New Jersey medicaid, they want an actual copy of the license. They will not take a.
Isbath Ligali (11:53) Verification. There’s a lot of boards and I don’t know if Texas is one of them, but a lot of boards don’t really give out physical licenses anymore. Interesting. Yeah. And I remember that from medallion like a provider will reach out to support and ask for physical copies. And we’re like a lot of boards don’t give out the physical copy anymore. You just get the verification from the board website.
Vanessa Persha (12:14) Okay. Let me have them push back on Texas and see if we can just submit the verification.
Isbath Ligali (12:19) I mean, it is the board, why wouldn’t they like take? You guys are literally brother and sister take it from your brother. Why do we have to provide that?
Vanessa Persha (12:27) Yeah. And then this was, yeah, New Jersey medicaid, this one, they will require a hard copy of the license. So, Marissa colthrist is pending her… New Jersey medicaid RN, license, like the physical copy of it?
Isbath Ligali (12:49) One second, and.
Vanessa Persha (12:51) I did check through the platform, just, I checked the documents and I checked the existing licenses to make sure the document.
Isbath Ligali (12:57) Was already attached.
Vanessa Persha (12:58) There.
Isbath Ligali (12:59) And it’s not there. Is there a task? This is for, this is for New Jersey medicaid?
Vanessa Persha (13:06) Yes. Yep. There was a task created on four three. It looks like.
Isbath Ligali (13:12) For New Jersey medicaid? So, this one’s on hold. I don’t think that it’s on hold… documentation need. I think it might have been, has it already been?
Vanessa Persha (13:21) Resolved.
Isbath Ligali (13:22) Yeah, but the, so I see the task, but it was resolved by medallion on four yesterday, but nothing was attached unless someone went and uploaded it.
Vanessa Persha (13:36) Oh, you know what? I wonder if they assigned it to the provider and the provider? No?
Isbath Ligali (13:42) She didn’t respond. I mean, they assigned it to the provider, but she didn’t respond or anything. And nothing was recently uploaded.
Vanessa Persha (13:48) All right. Let me check on that one. Let me see what they got there. Actually. Let me do it right now. Yeah.
Isbath Ligali (13:53) You can take your time, okay?
Vanessa Persha (13:59) And I can give you guys some extra time if we need it today, since I was a few minutes late.
Isbath Ligali (14:04) If we do, but hopefully you don’t.
Isbath Ligali (14:22) okay. Weird.
Vanessa Persha (14:29) Oh, no. What was it? New Jersey RN? Oh, you know what? I wonder?
Isbath Ligali (14:41) That is, so.
Vanessa Persha (14:44) Weird, Massachusetts, Ohio.
Isbath Ligali (14:58) Licence can’t be that old?
Vanessa Persha (15:09) I will circle back with the account specialist because I, the last thing I want is for them to have grabbed the wrong document to submit and then cancel the task in error.
Vanessa Persha (15:30) Okay. And then Virginia medicaid, and these are all just your priority payers or any payers that are in an escalation right now where I’ve identified open tasks or anything that are holding up the lines. So, for Virginia medicaid, there’s four lines in needs client attention, and I just dropped those providers there.
Isbath Ligali (15:50) There’s only three providers there. And then I just pulled up Kenzie lovingood and I don’t see… I can be crazy sometimes… who?
Vanessa Persha (16:06) Is the other one that needed? Give me one second. Let me pull up your little dashboard. I have? Okay?
Vanessa Persha (16:23) One, two, three, four. Who was I missing? Oh, Bernetta smith? Oh, she’s in intake. So there’s something for her missing so she can’t move past intake.
Isbath Ligali (16:38) Sarah mink has several tasks. All right. Hold on Sarah mink.
Isbath Ligali (16:49) Bernetta smith.
Isbath Ligali (16:55) And who was the other one? Kenzie? I think you wrote Kenzie lovingood but I don’t see that it’s on hold. Maybe it was just recently resolved.
Vanessa Persha (17:03) It might have been.
Vanessa Persha (17:13) I think it was a login. Yeah, I think it was individual provider logins for her.
Isbath Ligali (17:18) But she’s good now, right? She already.
Vanessa Persha (17:19) Responded. Yeah.
Isbath Ligali (17:22) Okay. And then I see, I do see, I don’t see her listed, please, Courtney pendergraft, she’s on intake hold too, but she just started on Monday. So it’s going to take her some time, but so, just to make sure we’re aligned, I have Sarah mink, Bernetta smith. Am I missing anything maybe Susanna?
Vanessa Persha (17:41) Susanna Sanchez. I don’t see anything. I’m going to take Kenzie lovinggood off of here since.
Isbath Ligali (17:50) All right. So… all right. So, I have three, I have Sarah mink, Bernetta smith and Susanna Sanchez.
Isbath Ligali (18:00) All right, perfect. I’m not going to bombard her. Bree, I’m going to, I just dropped it in this chat. Can you just ping these providers, with their managers and teams and let them know that they have pending tasks like Susanna has a task that has expired since.
Brianna Humphrey (18:24) Sarah mink have already reached out to… is it just Susanna Sanchez and Bernetta that I need to reach out to? I?
Isbath Ligali (18:33) Just dropped on the name Sarah mink, Bernetta and Susanna Sanchez. Thank you. All right. We can move on to the next one. Let’s.
Vanessa Persha (18:43) See. Okay. Indiana medicaid. So, this line was originally on hold for quite a while and I was going to ask if we can stop it, but I see since then, the line has been resumed, it’s just, it needs client attention. So, there’s something missing for Jessica bond’s. Indiana medicaid?
Isbath Ligali (19:02) Yeah. So, I’m going to pull her up right now. Did you update line 99? I still see Ken, let me refresh. I still see Ken. Oh, what the heck?
Vanessa Persha (19:11) I did delete her. I don’t know what happened there. Bernetta disappeared and.
Vanessa Persha (19:21) that’s right in the end. Bernetta, what was Bernetta’s last name? Meh?
Vanessa Persha (19:34) Oh, you see, and I put three here too, and that changed. I don’t know what the heck happened.
Isbath Ligali (19:39) Okay. Okay. So, they need to know whether they need to resume for Jessica bond, for Indiana medicaid?
Vanessa Persha (19:46) So it looks like the line was resumed but now it’s in a, needs client attention.
Isbath Ligali (19:51) Yeah, it’s in a, needs client attention for a task asking confirmation whether should it be resumed or not. Is that what it?
Vanessa Persha (19:58) Is.
Isbath Ligali (19:58) yeah.
Vanessa Persha (19:59) Oh, Jesus.
Isbath Ligali (20:02) You know?
Vanessa Persha (20:03) Why? Because we’ve you know, we told them that anything that’s been on hold, they need to start monitoring every five days, So they probably put it in a, needs client attention. So.
Isbath Ligali (20:14) That, and I’ll just leave a note, please resume. Okay?
Vanessa Persha (20:19) I’m going to mark this one complete then all.
Isbath Ligali (20:22) Right. Let me look the note that should notify the team. Okay. And then line?
Vanessa Persha (20:31) One, one Mega Patel, per Iowa medicaid. We’re pending the CSR, a copy of the CSR from the provider?
Isbath Ligali (20:40) Is it a provider task?
Isbath Ligali (20:44) Hold on.
Isbath Ligali (20:53) And that’s the Iowa medicaid one.
Isbath Ligali (21:11) And is that in her profile? Nope?
Isbath Ligali (21:24) That’s if she has one… do they, is that a new requirement? Because not all of our providers that not all of our providers that we ask for Iowa medicaid, has an Iowa CSR, oh, sorry. Do they need an Iowa CSR or just a CSR in general?
Vanessa Persha (21:42) It would need to be an Iowa CSR. So.
Isbath Ligali (21:44) Is this a new requirement? Can we check that? Because this is, we’ve never been asked that before. Okay. You know what I mean? I don’t know if this is, maybe I’ve never been asked that for Iowa medicaid for any of our other providers? Okay?
Vanessa Persha (22:11) And then the next two lines, Amanda cudney, and Michael shroth, their Iowa medicaid revalidation is pending a pin from dr Henderson?
Isbath Ligali (22:25) Where would you find that pin?
Vanessa Persha (22:27) It went to her email. Do you know which email I think in the task, it says which email it went to please?
Isbath Ligali (22:35) Hold. Okay?
Isbath Ligali (22:50) Let’s see what I got… why does it say? Is that her email cambridgehealth? Com?
Vanessa Persha (23:09) I didn’t even look at that… Amanda.
Vanessa Persha (23:39) I wonder if that was just a typo from the agent?
Isbath Ligali (23:43) I think so. I’m still going to have her check, okay? Because I’ve never seen that email before. Can you reach out to Henderson and ask her if she received this pin? Would it be two separate pins for those two separate providers? Do you know, Vanessa?
Vanessa Persha (24:01) I would imagine it’s two separate emails. Yeah, separate pins… okay?
Isbath Ligali (24:17) Medical or medical? Thank you.
Isbath Ligali (24:36) I just dropped it in the chat Ray. I’ll look into it. Yeah. And then I just screenshotted Amanda’s but I’m assuming that Michael also has his own task. I just screenshot one. Thank you. Okay. Line.
Vanessa Persha (24:54) One four, I will flag for intake. I haven’t looked at that one just yet. Line one five. I just added today, Akilah, qualo, and Kelsey.
Isbath Ligali (25:10) Haley?
Vanessa Persha (25:12) These providers were tasked for login information to complete their Florida medicaid. Revalidation.
Isbath Ligali (25:18) And they haven’t responded, correct?
Vanessa Persha (25:20) But we just tasked them yesterday. I, just because it’s a priority payer, I wanted to flag for you guys.
Isbath Ligali (25:26) Thank you. I’m going to bring it up to them. Okay? Let me just give you one second.
Isbath Ligali (25:40) If not, I will forget… well, we’re staying in Florida, right? Yes.
Isbath Ligali (25:54) All right. And then you can move to the next one. Okay?
Vanessa Persha (25:58) Line one six is for Texas medicaid. Caitlin wells and Dominique shy are pending client response for their medicare id number, Texas, medicare that’s a requirement to enroll with Texas medicaid. So.
Isbath Ligali (26:15) We’ve had this issue before, and I don’t know if it was you or… Lee, what’s her name? Lee? But it was determined that that’s not a requirement for Texas medicaid. To have medicare, okay?
Vanessa Persha (26:27) Let me take this back.
Vanessa Persha (26:43) Okay. I will take that one back. And then the last one is for Ashley Hobson’s, Indiana medicaid line that one’s in, needs client attention. I didn’t make note of what’s needed on hers. Normally, I meet with the account specialist, your account specialist on Tuesdays. So it gives me time to like add things here if I need between Tuesday and Wednesday. And today, I met with her this morning. So like we were, I was in a meeting with her and simultaneously updating this document for anything that they flagged for me.
Isbath Ligali (27:21) Is this a revalidation? Please hold? What did I say? It was? Ashley Hobson? It’s a new provider enrollment. What application? I’m sorry, confused.
Vanessa Persha (27:40) What?
Isbath Ligali (27:43) Sorry, it’s loading.
Vanessa Persha (27:45) You’re fine.
Isbath Ligali (27:47) I’m speaking, my mind is going faster than medallion can keep up with. In order to complete the enrollment process. We need password for application to upload the rendering provider. What password would the provider have? This is a new enrollment?
Vanessa Persha (28:18) Who’s that… you hear my kids laughing in the background? Oh, who is?
Isbath Ligali (28:25) That no one’s laughing? I.
Vanessa Persha (28:28) Was trying to like silence them. And I realized I snapped my fingers over here so quietly that they couldn’t even hear me and I was like,
Isbath Ligali (28:35) children’s laughter is very contagious. You are all good.
Vanessa Persha (28:38) They’re on spring break this week. Let’s see here. The patient’s.
Vanessa Persha (28:55) I don’t understand what they need here. Let me look at the task.
Isbath Ligali (29:09) I.
Vanessa Persha (29:09) wonder if there was like a pin or something that was sent to access the application. Let me get some more clarity on that one from our ops team. I don’t have a big index. All right. And then we can go over this week’s updates and progress we’re making with some of your items here. So let’s take a look. These are your overall involvements. So we can see, not too many new requests have come in from you guys. It looks like we’ve only had four since the end of March, middle of March. So it’s been pretty quiet on that front.
Isbath Ligali (30:09) That’s for PE or licenses? This is.
Vanessa Persha (30:11) Just PE. I’m still working to get your licensing pulled into here. Florida medicaid. We had a decent jump in approvals from last week. I think it was like five six approvals. So I was really excited to see that… come through 23. Still processing, what’s.
Isbath Ligali (30:30) the 91, what’s that 91 signify?
Vanessa Persha (30:34) Total requests that you guys have submitted that are in a completed status, gotcha.
Isbath Ligali (30:39) Okay. Yeah.
Vanessa Persha (30:42) Three still sitting in needs client attention for Florida medicaid. Those may have been resolved. I pulled these reports on Monday. So these may have been resolved by now. And then on hold. I think this is Shelly Boyd, if I’m not mistaken. Actually, I can expand to this really quickly and I think she’s holding for a Florida license. Okay? So, Shelly Boyd, so.
Isbath Ligali (31:12) On hold. Yeah, Shelly.
Vanessa Persha (31:15) Boyd, and I think the last time I checked again, she’s pending a license for Florida. So, yeah, I think everything is moving pretty well for Florida medicaid. Like I said, they just completed your audit. So anything that was flagged as needing corrections is being sent back to the agents and it looks like they’ve already started taking action on some of those.
Isbath Ligali (31:36) Oh, that’s beautiful. Your.
Vanessa Persha (31:38) Texas medicaid, as you guys have seen is being escalated. We had a few come back essentially saying, you know, we’re at the mercy of the payer to finalize those enrollments. You do have three in needs client attention. If you guys want to take a peek at what those are.
Brianna Humphrey (31:59) I did just send not to cut you off. Sorry. I did just actually submit a lot to support regarding Texas just because it did look like it’s regarding it’s. Actually for a lot of providers for the hhscom approval. It looks like for a lot of those that they have been sitting since February or early March without any follow up. Well, I don’t want to follow up but just portal check ins. So I did flag a couple of those just now actually. Okay. So.
Vanessa Persha (32:36) Texas medicaid has a defined process for escalations, where we can’t escalate anything until it gets to the 90 day mark that it’s been in process. So, I almost say I don’t even know if it’s worth your time to like flag those to support because these are being looked at every single week between me and your account specialist. And so we’re looking at if you want to see. So this is what I.
Brianna Humphrey (33:04) Have, for example, Alicia paces, hers has been in process. Well, she’s not hers isn’t even flagged, but well, actually let me see. I have one that I just flagged, which was Tanya rowlett… but I think hers has been over in 90 days.
Vanessa Persha (33:23) Are you talking about licenses or enrollments?
Brianna Humphrey (33:26) Enrollments? Okay?
Vanessa Persha (33:28) How do you spell the name?
Brianna Humphrey (33:29) Tanya? T a N y a.
Isbath Ligali (33:33) And then roulette R o WLETT. Okay.
Vanessa Persha (33:36) So let’s take a look. Yeah. So she’s been in process for 71 days since her app. So we haven’t escalated her yet. But when she gets to that 90 day mark, we’re gonna put her on an escalation. Okay. Yeah. So if it does make you guys feel any better, this report, I run it again every Monday. And then I go through this and review it with your account specialist. So I filter and look at when the first app was submitted? When was the last app submitted? If we needed to resubmit it? And that’s what’s driving the escalations? So anything that’s been submitted more than 90 days ago, those are being put on their… on the radar or on our agenda for them to submit the escalation. Is.
Isbath Ligali (34:23) that just for Texas or all, like all PE all?
Vanessa Persha (34:26) PE… and I, well, when, I mean, all of your priority payers or anything that I’m noticing has an abundance of aging lines. So like I forgot which one of these is, this is Iowa is not a priority payer for you. But I did notice that there were a ton of lines that were aging. So I added it to this tracker for monitoring. Thank.
Isbath Ligali (34:51) you. Thank you. Also just as a heads up for you, we’re hiring another specialist because right now, Brianna handles our priority states. We don’t have a bandwidth. I don’t have the bandwidth right now for someone for me to like monitor all our non priority states. So our new hire is going to be doing that. So there’s going to be eyes on our end on the non priority states as well. So if perfect.
Vanessa Persha (35:10) If.
Isbath Ligali (35:11) we see if she sees like missed, like if that new hire sees like missed updates or things that don’t make sense. She’ll go to support with it, not directly on our agenda because your agenda is specifically for escalated items and priority states. Yeah. But if she does see a pattern, we will bring it to the agenda because there might be something broken in the system. Yeah.
Vanessa Persha (35:32) Absolutely. And I do monitor that as well. So if you guys are still seeing my screen, like I, you know, I have let me fix my thing here order.
Vanessa Persha (35:44) Here. So the oldest enrollment you have processing right now is at 161 days in terms of like in a follow up status?
Isbath Ligali (35:54) Actually,
Vanessa Persha (35:56) that’s not right? I think I have a filter applied here, but in any case, you know, these, this is what I’m using to track like chunks of enrollments. Like this is what flag brought my attention to Texas, right? We saw, I saw a ton of Texas, same thing with Iowa. I saw a ton that were sitting in these statuses and so that’s what will prompt me to add them as a specific line item to review every week with your account specialist. Okay? So I may still add, like I said, even though it’s not a priority payer for you. If I’m seeing a bunch of items that are sitting out there outstanding, I will track those for you guys.
Isbath Ligali (36:40) Okay, great. Sorry, I was responding. No, no.
Vanessa Persha (36:42) Worries, New Jersey medicaid looks like we haven’t really seen a lot of movement on approvals, but they are reviewing those. We have seven in process two that are in needs client attention. This one, maybe one, I think this one I just talked about with your account specialist that she’s going to send this one through a QA too, just because the volume, you know, all seven and the nuances with New Jersey medicaid. She was going to ask the QA team to jump in and give her a hand on those. And then Iowa looks like we’ve had a couple more approvals trickle in, still 19 processing one in needs client attention… Massachusetts medicaid. I have no concerns with. We don’t even have any in process for you guys right now, that one was approved, but we do still have one in needs client attention or on hold if you guys want to look at that one. Virginia… medicaid. We have one processing. Looks like two were completed over the last week. And those four I shared with you, three of them are in needs client attention. One of them was with intake. I think I have.
Isbath Ligali (38:01) A question before? Sorry, before you hop, I really love this dashboard. I did send an email, but you’re probably crazy busy. Is this just for like you internally or is this something? Yeah, I really like this and I would love to use it for my weekly leadership poll. Yeah.
Vanessa Persha (38:14) So, I was thinking, I was trying to think of a way I could show you how to build it using the reports that you can get out of medallion because you do have these same buckets here so that you could create that. Are you comfortable with doing power queries at all in excel? I.
Isbath Ligali (38:36) Don’t even know what that is.
Vanessa Persha (38:37) Okay. So, I know like Steven could probably without a doubt.
Isbath Ligali (38:44) Steven does excel in his suite. Yeah.
Vanessa Persha (38:46) So, he would essentially just need to build like a power query where you could export the enrollment request report out of medallion every week. Then you essentially like save it to a designated folder. It has to be the same file name every time you export it and save it. And then when you go into excel, he can build it for you so that it pivots the data out. Just like this. All you have to do is click the refresh button after you save that report and it will duplicate it for you. Like every week, it’ll show you how your numbers have changed. Can this?
Isbath Ligali (39:23) Also be done with licensing? I know I have.
Vanessa Persha (39:27) To check what your licensing report looks like. I have time this week where I’m going to meet internally with one of our technical solutions people just to make sure that my data pulls correctly for licensing. So once I get a grip on my reporting, I’ll be able to show you how you can duplicate it for yourself. Okay?
Isbath Ligali (39:46) I’m definitely going to pull him and ask him to do this because, yeah.
Vanessa Persha (39:51) This has made a huge difference in how like the flow of my weekly meetings with your account specialists go like I’m able to just go boom, like we cover all of this in 30 minutes, believe it or not. So it’s been great, but Tennessee medicaid, we still have seven processing, one in needs client attention… and Indiana medicaid, we’ve had a couple approvals come through but still 13 processing and two in needs client attention. You may notice a few in here where like the totals you see start increasing even though you haven’t requested new lines. That is because I was finding that some of your medicaid’s came in under custom payer names. So it wasn’t medicaid, Indiana across the board. So I went back to my pivot tables and included some of those variations of the payer names, so that’s why you’ll see some fluctuation there.
Isbath Ligali (40:49) Okay. But yeah, okay. This is beautiful. Thank you so much, Vanessa. Yeah.
Vanessa Persha (40:55) No problem. This is, but this is actually like the kind of work I love doing. So, this always gets me excited like to bring it all together. But yeah.
Isbath Ligali (41:04) Bree, do you have any questions?
Vanessa Persha (41:06) I do not. And.
Isbath Ligali (41:08) I’m also actually let me just see, just want to make sure before we drop… okay, for line one five. I will just say that I did leave a note in the task for both of those providers. Akilah and Kelsey, just asking the specialists to leave instructions on how to create one. Because I’m pretty sure these providers didn’t create Florida portal logins for medicaid. Okay. All right, all.
Vanessa Persha (41:34) Right. Okay. And I can ask them especially even if we just start with your priority payers, if they can create task templates, or anytime they create portal logins, like just create the instruction page and have it ready to paste.
Isbath Ligali (41:47) Automatically. Yeah, because it’ll just make it easier enough for the, and then we won’t have to do the back and forth because I’m pretty, I’m willing to bet like I’ll reach out to the providers, but I’m willing to bet they don’t have it.
Vanessa Persha (41:57) Okay. All right. Yep. We’ll start with your priority payers and then we’ll work down the list from there.
Isbath Ligali (42:02) Thank you so much. Have a great week. Yeah, no problem. Thanks.
Vanessa Persha (42:05) Ladies. You have a great week. We’ll talk to you next week, bye bye.