Transcript
Jason Zednick (00:00) hey, Dwayne.
DeWayne Hiebert (00:01) Hey, Jason. Good morning. Morning. How are you? Good. Sorry, I was occupied… on Monday?
Jason Zednick (00:11) That’s all right. Thanks for having me. Hello. I just.
DeWayne Hiebert (00:19) wanted to let you know as well. I will not, I will be out of the office next week. Okay. Yeah. So while we’re… waiting for others to join, would I talked to Bethany last night and kind of where she’s at with all the applications?
Jason Zednick (00:39) Yeah.
DeWayne Hiebert (00:42) And when a good time, you know, to meet? So, she said probably by the end of this week or early next week, she would complete all those for six one and she’s going to save at least one seven one for a walkthrough with you guys in the discussion. So I’d like to do the meeting when I’m available. Okay? So, would five P. M eastern on the 20 third work for your team?
Jason Zednick (01:16) Five P. M eastern on the 20 third. Let me find out there’s a little bit of difficulty. My leads, their workday ends at four. And if we could do four, that’s fine. I’ve already talked to them about that and they said that they would be able to do that five P. M. It’s a little later. So I just need to run by them.
DeWayne Hiebert (01:40) Okay. If it’s an issue, let me know. I know she has another job. So four is a little bit earlier for her. Yeah. With some advance notice, she could maybe make it work. Yeah, I need to check.
Jason Zednick (01:54) We said the 20 third, right?
DeWayne Hiebert (01:56) Yeah.
Jason Zednick (01:57) Okay. Yeah, I’m sort of thinking the same thing and that may be true on our side as well. I don’t know, you know, they might be able to make five work because we have a couple weeks here to figure that out. Okay? So I’ll run it by them. Yeah.
DeWayne Hiebert (02:14) Let me know. Yeah.
Jason Zednick (02:16) That sounds great.
Jason Zednick (02:26) Dwayne just want to check back in on the delegation agreement if you’ve had the opportunity yet.
DeWayne Hiebert (02:32) No, I haven’t it’s on my list. I’ve got it’s. It’s number six in line right now. So it is in it’s moving up.
Jason Zednick (02:42) That’s great. All right. Yeah, I could respect that. And… then I had sort of a, let me let Tanisha in.
Jason Zednick (03:05) Hi, Tanisha. Good morning.
Jason Zednick (03:14) So… I’m sorry, go ahead, Tanisha. I was saying, good morning. Yeah. Hi. How are you? How’s it going? So general announcement, our support team email is changing. It will now be help at medallion co. I don’t know if I’ve told y’all this yet. So just help H, ELP at medallion co.
Jason Zednick (03:40) And that’s it just the email’s changed. That email address is live now. So you can already make the switch starting the fifteenth. The old one will no longer be monitored. But, yeah, that’s it just help at medallion co that’s the switch. And then my other item for today?
Jason Zednick (04:13) My team flagged… this for me. And I’m just gonna sort of present it to you as they presented it to me. This is about New Jersey medicaid. So, there’s two sort of questions. One… of them is, we were reviewing the, you know, letters that were forwarded by Don and Tanisha, by New Jersey medicaid. And we looked into one of them, which was for Rolando Sousa’s application. And I’m just gonna sort of like read what, was explained to me. So, John tedeschi’s ownership percentage in medallion is listed as 10 point three eight, and that’s what we put on the applications, New Jersey medicaid’s saying for whatever reason that it doesn’t match previously submitted ownership. So, we really just sort of wanted to like clarify… confirm that 10 point three eight is the right number. And then we can sort of go from there, with the state, but we just want to make sure we had that correct?
DeWayne Hiebert (05:33) So… that ownership does change from time to time and it changes when advocare adds new owners because.
Jason Zednick (05:50) they.
DeWayne Hiebert (05:52) would dilute the.
DeWayne Hiebert (06:01) So, let me just see what… latest is here.
DeWayne Hiebert (06:23) It’s actually now with the latest report that just came out for April first, it is 10 point six six three. I’m playing three.
Jason Zednick (06:41) Okay. Well, that’s a bump. You got a bump. Yeah, I mean, that makes sense. I understand. Like why it would change. I’ll update that in medallion to 10 point six six three. And I’ll confirm that number with the team. We’ll see what the state says. I’m not sure what the hang up is, but.
DeWayne Hiebert (07:08) Yeah, but that, you know, that would be the response is it changes periodically, right? As the ownership mix, but, you know, the top ones are the top ones. We probably need to just have a process to update you on a monthly basis when that new report comes out.
Jason Zednick (07:27) Yeah. Well, actually, it’s a good point. The other two, their percentage will have changed as well.
DeWayne Hiebert (07:33) Yeah. Remind me, who do you have that in front of you? Who the other names are on there?
Jason Zednick (07:38) I can get it real quick.
Tanisha Roebuck (07:40) Mishic, and,
Tanisha Roebuck (07:42) yeah, I was going to say mishic, and I forget who the other one is, chase, no,
Tanisha Roebuck (07:51) Oh, why is this on the tip?
Tanisha Roebuck (07:52) Of my tongue? Yep, this is bad, like, we know it, alright.
Jason Zednick (07:59) You want to know what it starts with? Yeah, I’ll.
DeWayne Hiebert (08:03) get it. If you say, it.
Jason Zednick (08:05) Starts with a B.
DeWayne Hiebert (08:08) Mark, mark.
Tanisha Roebuck (08:11) This?
DeWayne Hiebert (08:12) Is.
Tanisha Roebuck (08:16) the advocate of jeopardy, I’m telling you, but it’s.
DeWayne Hiebert (08:23) ugh. Right. So, mishic, and bacol. I can’t.
Tanisha Roebuck (08:27) remember what I did yesterday, but I can remember this stuff somehow.
DeWayne Hiebert (08:32) So, mishic is six point… five, five, nine percent. Let me go back now. I forgot what tedeschi was, but… tedeschi was 10 point six six three.
DeWayne Hiebert (09:02) And bacol.
DeWayne Hiebert (09:13) Mark bacall is… hold on.
DeWayne Hiebert (09:36) Six point two three nine.
DeWayne Hiebert (09:44) And this is as of April now.
Jason Zednick (09:51) All right. Great. Yeah, I’ll take that.
DeWayne Hiebert (09:52) Back. Do you need something official? Should I send you an email or something?
Jason Zednick (09:58) yeah, it wouldn’t hurt. I’m just going to have my team like, you know, reach back out and explain like, hey, it changes. I sort of anticipate some pushback, but I’m just sort of guessing there. And then we’re just going to have to take it from there. I don’t know why they would all of a sudden.
Tanisha Roebuck (10:20) I feel like I remember you guys having this problem before.
DeWayne Hiebert (10:23) Yeah, we had, and I know Don’s not on, but we had a whole,
Tanisha Roebuck (10:27) a whole thing a little?
DeWayne Hiebert (10:30) Squirrely depending on who, right?
Jason Zednick (10:35) Yeah, who?
DeWayne Hiebert (10:36) Does the applications because there for a while, like a few years ago, right? We had an issue with, well, we need to provide the list of everybody, yeah.
Tanisha Roebuck (10:50) That’s.
DeWayne Hiebert (10:50) right. And so, I mean, we actually, we ended up, Don, pursued that with a manager over there, and then we actually had a call with somebody in legal and compliance with medicaid.
Jason Zednick (11:02) That’s a whole thing my,
DeWayne Hiebert (11:04) God, and then they finally, you know, agreed that what we were doing was appropriate. And so… we put it to bed for a while but things.
DeWayne Hiebert (11:20) Things… bubble up once in a while. So, yeah.
Jason Zednick (11:25) Yeah. Well, hopefully the question from medicaid was more of a like, hey, this is different and not, yeah. Oh, hey, this is wrong. In which case, they’ll probably just be fine. That’s what I’m hoping so.
DeWayne Hiebert (11:38) Yeah, hopefully. Yeah.
Jason Zednick (11:41) There is a second medicaid question… also for Alonzo Sousa’s application, I believe. But also others, we’ve gotten pushback on this for others. So, New Jersey medicaid has I’m just reading what was explained to me that we cannot submit a 20 first century cares act application and an application to link a provider to a group because cca… did not bill a fee for service. It’s mco. Only they won’t do both.
Tanisha Roebuck (12:14) Can you say that again?
Tanisha Roebuck (12:16) That’s correct. And I have a question regarding that too, that’s so funny that you mentioned something like that. Yeah.
Tanisha Roebuck (12:22) Can you say that again?
Jason Zednick (12:25) Yeah. Let me just read it like as it was written to me. Yeah, submitting there a second ago. So, New Jersey medicaid has stated that we cannot submit a 20 first century cares act application and an application to link a provider to a group. 20 first century cares act providers do not bill medicaid fee for service. They are mco, only what we are receiving pushback on other applications for this.
Tanisha Roebuck (12:50) No, that doesn’t make any sense. So.
Jason Zednick (12:52) If we know which one we need to submit, we can correct and resubmit.
DeWayne Hiebert (12:59) So, I guess what they’re a non billing provider for medicaid?
Tanisha Roebuck (13:06) Yeah. What kind of doctor is this? Who I?
Jason Zednick (13:08) Mean, sorry, I believe Rinaldo, is one of them, they said there were others, I can find out who those others are, that’s awesome. Roman.
Tanisha Roebuck (13:16) Polovoski is another one and they actually want him to be non billing again. So, they asked me to do a request to make him straight medicaid and she just emailed me and said she needs him to be non billing.
Tanisha Roebuck (13:30) So that’s one of them, the office emailed you like?
Tanisha Roebuck (13:32) Yeah, the office billed Emily.
DeWayne Hiebert (13:35) Got it. So, I mean, it sounds like if it’s a non billing provider, they just need the 20 first century cures act and not the application. I mean, that sounds Jason like what they’re… telling you…
Jason Zednick (13:59) That, that would make sense? I?
Tanisha Roebuck (14:03) Have an id for Roman polovosky, I think I’m saying that right? Already for NJ medicaid?
Tanisha Roebuck (14:10) Yeah, and it says partially complete. So, he was already enrolled, but he was non billing. So, Emily emailed me and said that he needs to be straight medicaid.
Tanisha Roebuck (14:22) Oh, so she wants him to be billing now?
Tanisha Roebuck (14:26) Right. But as of today, she just emailed me again and she said, oh, you changed your mind? I’m so sorry for the confusion. When I initially spoke to the hospital rep, I thought he would need to be billing, but per recent email, it seems that that’s not the case. Could you please cancel the current request and resubmit application as non billing?
Tanisha Roebuck (14:47) Okay. So, he doesn’t have to do anything, then he can stay the way he is. So they don’t have to do anything.
Tanisha Roebuck (14:53) Okay. But my question for Jason, is, it says partially complete. So I just want to know what do I need to do or what needs to happen to make sure?
Tanisha Roebuck (15:02) He stays?
Tanisha Roebuck (15:04) Non billing. Yeah.
Tanisha Roebuck (15:05) I get what you’re saying for.
Tanisha Roebuck (15:06) Polivosky, the other ones, I’m not sure.
Tanisha Roebuck (15:09) Yeah, yeah, right. I see what you’re saying. Okay?
Jason Zednick (15:13) Yeah. Let me come back to that question, okay?
Tanisha Roebuck (15:16) I know we were chatting. I’m sorry?
Tanisha Roebuck (15:17) I’m sorry, I just, I didn’t want to.
Jason Zednick (15:19) Lose you while you were talking about.
Tanisha Roebuck (15:20) It, no, yeah. Yeah, that makes total sense.
Jason Zednick (15:23) I do have the email from, well, I.
Tanisha Roebuck (15:28) guess if you guys didn’t complete anything, you can just leave him the way he is in there because you didn’t actually submit anything and he’s currently listed as non billing like you can kind of cancel what you started. I.
Tanisha Roebuck (15:40) don’t know.
Tanisha Roebuck (15:43) If that makes any sense?
Jason Zednick (15:46) Here, let me show you the email from the state… because.
Tanisha Roebuck (15:52) Currently, he’s non billing with medicaid and that’s how they want him to stay. So you don’t have to submit anything, right? Is that yeah?
Jason Zednick (16:04) Just one second.
Jason Zednick (16:18) Here we go. Here. Is the email?
Jason Zednick (16:25) Yeah… yeah. We cannot process both the group application and the 20 first century application. You have to rely on one or the other cannot be linked to a group and be a 20 first century provider.
Tanisha Roebuck (16:40) They are medicaid only.
Tanisha Roebuck (16:47) The group a.
Tanisha Roebuck (17:03) I don’t understand that.
Tanisha Roebuck (17:20) I’m trying to think of how you could get that answer.
Tanisha Roebuck (17:39) It’s almost like it sounds like they tried to enroll him like a group and like a provider, which doesn’t make any sense. But nothing else makes any. I don’t know. That doesn’t make any.
Jason Zednick (17:49) Sense. Yeah. I don’t know. I don’t know either…
Tanisha Roebuck (18:01) Because you should be able to enroll him and then link him to a group.
Tanisha Roebuck (18:09) So, what was the group app for? Maybe maybe that’s the question?
Jason Zednick (18:14) Well, let… me see if I can figure out what?
Tanisha Roebuck (18:20) Group application they were submitting because maybe that was the problem, like.
Jason Zednick (18:24) Right. If I can figure out what request this was attached to maybe.
Tanisha Roebuck (18:29) That, yeah, there you go. That might because he can’t be a provider and a group. Like I get what they’re saying, like maybe they did. I don’t know.
Jason Zednick (18:40) Start here. Just give me one second while I Fish.
Tanisha Roebuck (18:49) Like they tried to submit him like a solo. I don’t know. Bye.
Jason Zednick (19:55) Okay. This was for.
Jason Zednick (20:03) Christopher brown, new provider enrollment, New Jersey medicaid?
Jason Zednick (20:14) That was what this was in response to.
Jason Zednick (20:37) And then here, let’s look at.
Jason Zednick (20:46) What was submitted and let’s see. He might be onto something. I don’t know. So, yeah. So, this is the Christopher brown enrollment. This is the email. Now, we got the same one I just showed you here right here. And so, I wonder where’s.
Tanisha Roebuck (21:14) he’s non billing too, isn’t he?
Jason Zednick (21:19) Here’s the first slide… application cover letter. He’s.
Tanisha Roebuck (21:29) got an awesome.
Jason Zednick (21:48) So, this looks all right to me. I’m not terribly familiar with the application though. And then let’s see. I think there’s another there’s more materials number 24. Yeah, a bunch of here’s the app again application cover letter. Yeah, this is the same app… probably corrected or something. And then there’s another 20 fifth century cares act.
Jason Zednick (22:39) Is this the right application?
Tanisha Roebuck (22:45) Of that? I don’t know. Yeah, I didn’t manage medicaid?
Tanisha Roebuck (22:50) Yeah, that I couldn’t tell you, but it looks right? But, you know, would.
Jason Zednick (22:56) Don, maybe know better. Oh.
Tanisha Roebuck (22:58) That says institution Don.
Tanisha Roebuck (23:00) Would know. Yeah, she.
Tanisha Roebuck (23:02) would.
Jason Zednick (23:02) probably, yeah, I’m looking at that. She’s out today, but yeah, why not? Okay. Let’s let me package this in an email. I’ll include all y’all email’s done, and I’ll ask her to look at.
Tanisha Roebuck (23:14) What we.
Jason Zednick (23:16) submitted for Christopher brown and see if that matches what she expects. Because if you’re right? Lisa, and it’s just that we’re submitting the wrong thing and that’s why they’re confused. Yeah, maybe.
Tanisha Roebuck (23:27) It’s just the wrong app. Maybe there’s an individual provider app?
Jason Zednick (23:31) Right, right. I don’t know though. Yeah, I’m just not familiar with the app myself. So that’s what I couldn’t say, but that makes sense. Let me, yeah, let me package that up and shoot it over to Don… and have her… because that would be a very… I almost prefer that it’s a Symplr explanation. It’s easier to pick. So, yeah. Okay. And then I’m sorry, Tanisha, what was your?
Tanisha Roebuck (24:00) Mine was Roman holuboski from southern. So I probably killed it.
Tanisha Roebuck (24:11) It’s kind of different. It’s just that she wants him to be non 1,000,000,000, but I requested an application and it’s partially complete. So she just wants to make sure he’s non 1,000,000,000 again.
Jason Zednick (24:32) Postpone it up now.
Jason Zednick (24:38) So you submitted the request to make a billing and we want to undo that. Okay? Let me see if we can if it’s possible to cut it… off at the pass and correct it or because it’s already partially complete. It may be too late in the process and we may just have to submit another request. Okay? But let me find out. Okay? And then I can let you know.
Tanisha Roebuck (25:07) All right. Thank you so much.
Jason Zednick (25:09) Yeah, of course. Of course. Okay. All right. We are just about 10 o’clock anything else?
DeWayne Hiebert (25:18) Yeah, I have two things. Yeah. I wanted to talk about it real quick. So, one is, I was just trying to do some updates on pediatric health. You’d given me updates the other week… and.
DeWayne Hiebert (25:39) it’s their demographic updates.
DeWayne Hiebert (25:46) I saw that one of the providers.
DeWayne Hiebert (25:58) Salvatore sassino… when the demographic update was done for him with magnacare which says it’s processing.
DeWayne Hiebert (26:18) There was a… an individual?
DeWayne Hiebert (26:31) Provider group agreement that… was done for him… for this demographic update. And, you know, we have a group agreement. So there should have been… there should have been no individual agreement that was signed because that doesn’t even reflect, you know, our group terms. So I’ll share my screen real quick.
DeWayne Hiebert (27:17) When you go back here…
DeWayne Hiebert (27:29) This provider participation agreement was done… which is not needed. Doesn’t reflect, right? The terms of our group agreement. So I just want to make sure that we just do the, you know, demographic update there’s. No.
DeWayne Hiebert (27:54) Need for this agreement.
Jason Zednick (27:59) Yeah. Okay. I will flag that as an error and update our documentation… to… make it explicit that is not necessary. I’m trying to look it up.
DeWayne Hiebert (28:21) Excuse me for a second. I need to… aha?
Jason Zednick (28:46) Yeah, I’m not sure why they did that at all to begin with. That’s not even documented in our like normal standard instructions for… a demographic update.
Jason Zednick (29:11) It is for a new. Okay. Yeah, I see what happened. This is just a mistake. I’ll flag it and get it corrected.
DeWayne Hiebert (29:24) Okay. Thanks, Jason. Sorry, but I had to take that call. Yeah, no worries. The other thing I wanted to just, I was looking at the license renewals for four 30. So we have, I think six license renewals and I guess I just wanted to make sure we are on track for those. And if we’re not figure out what intervention is needed to make sure those are done timely. So I have the list of six, maybe I can just send an email with those six names, yeah.
Jason Zednick (30:03) Send an email and I can follow up and.
DeWayne Hiebert (30:07) On Friday just if there are any barriers for these, figure out what needs to be done because I want to make sure that we don’t have any issues with these renewals.
Jason Zednick (30:16) Yeah, that sounds good. I can take a… look and assess.
DeWayne Hiebert (30:22) Okay. All right. That’s what I had? All right, great.
Jason Zednick (30:28) Thank you all. Appreciate your time.
Jason Zednick (30:36) I’m just trying to look at my notes. So, help at medallion co, is the new support email I’m going to email, Don? I’m going to check with my team about 423 to meet with Bethany. And then I’ll follow up. Okay on Roman Salvatore and licenses. All right. Thank you all. Appreciate your time.
DeWayne Hiebert (30:57) Sure. Bye.
Jason Zednick (30:58) Have a good one.