Transcript
Amanda Hedges (00:00) hi, Amanda. Hello?
Rheta Larson (00:03) How’s it going?
Amanda Hedges (00:04) Oh, it’s going. How are you? I’m.
Rheta Larson (00:06) doing well. Thank you for asking. I was playing around with some of the reports before you joined in and I just lost my whole screen. So, I’m re, adding them so I can show you what options we have. But I know from our conversation via email that was one of the agenda items you wanted to go over is just looking at automated reports for Nevada. And then I had a few other updates for you, but I can give you the floor for anything important that you want to hit first before we go over those. I.
Amanda Hedges (00:41) Don’t think I have anything. The only thing that popped up last week was we have two, we had two Nevada medicaid’s get approved, and medallion had put on the tasks about updating the mfa so that they could link those providers. And Nevada is annoying and they’re not like Ohio where they can have more than one mfa. And so, since I didn’t want to switch it from my phone number just because I didn’t want to lose all access to it, I had spoke to Denise about it this morning too for the linkage. I think I’ll probably just handle that little aspect of it just because that way I don’t have to lose access completely… and I don’t think that changes anything on your end or anything. But I just want to let you know.
Rheta Larson (01:31) Okay. Was, I’m trying to pull up the example. It’s.
Amanda Hedges (01:35) for, it was for Kat, Catherine ontiveros. I think her name is, and Alice Wilson.
Rheta Larson (01:41) Okay. I can use that. And then I will.
Amanda Hedges (01:45) Oh, sorry, Alice? Sorry. Oh.
Rheta Larson (01:48) I put Allison… Wilson, and,
Amanda Hedges (01:53) I think hers was actually tied underneath Catherine’s which was weird. So you might need to look up Catherine for that one… with the C?
Rheta Larson (02:02) Yeah.
Amanda Hedges (02:03) It’s like C a THERINNE, I think, yeah, and that was for that one. Yeah, that medicaid. Yep. So they said, just let know the effective date and I said I can do that and I let them know, okay?
Rheta Larson (02:21) Perfect. Yeah, I think that’s okay. But you’re saying you want to do this for all medicaid and Nevada moving forward, correct? I think.
Amanda Hedges (02:28) So, just because, I still need access, I need to be able to access it whenever I need to look up anything for Denise. So I can’t lose, complete access, to the Nevada medicaid. And so, if the, and that’s what’s so annoying, I wish it was more like Ohio because Ohio, we have it set up with medallion’s, email and my phone number, so we both can get in, but Nevada’s annoying and they only put one phone number in at a time and I was like, yeah, I don’t want to give up my number because I still have to go in there quite a bit to check on stuff for billing purposes. So, and I don’t mind handling the linkage part. It’s really easy. It’s just literally a matter of going in, adding our number and then, you know, submitting it. So, I don’t mind doing that.
Rheta Larson (03:15) Okay. At least for the task sake, however, cause I know they’ll task you every single time I’ll partner with the team and let them know that will be changing and you’ll handle the linkage and keep the phone number the same it.
Amanda Hedges (03:28) Would be the only thing that’s nice though is that when I do get those tasks, it prompts me to know that I need to go in and do the linkage part. So, I don’t know if there’s a way to maybe update the task. So,
Rheta Larson (03:43) Yeah, I can, I,
Amanda Hedges (03:44) can like send out a task for that, I guess. Yeah.
Rheta Larson (03:49) We can have the team continue with the process and then just update the description here to say like, hey, now, it’s time to do X y and Z. Let me see, cause that would just be specific to your organization. So I can’t guarantee 100 percent of the time that will occur, but at least it’s a trigger that you still get it. Yeah. And,
Amanda Hedges (04:08) even if, like, if we can’t do that and we have to just keep it like, I don’t mind also just getting the same notifications I am and just saying, hey, fyi, I’m not updating the mfa. I’ll go in and complete the linkage, like whatever’s fine. It doesn’t matter to me.
Rheta Larson (04:22) Great. Awesome. That portion. I think I have a clear understanding there. So I’ll work on that with the team. Is there anything else you want to address for medicaid Nevada?
Amanda Hedges (04:37) I don’t think so. I’m currently, I had reached out to medallion to see what the deal was with hpn and why our group was getting denied and they weren’t able to find out any information because hpn’s being very elusive. So I have reached out to someone and I’m hoping to hear back soon. So I might be, once I get some clear information, I might be requesting… that again, but yeah, other than that, Nevada’s pretty good. Okay?
Rheta Larson (05:07) Yeah, definitely. Let me know if there’s anything we can explore further with the team or help support you there as well.
Amanda Hedges (05:14) Hpn’s just being really elusive. I don’t know what their deal is.
Rheta Larson (05:18) That was for the group one you said, yeah?
Amanda Hedges (05:20) Our group, they keep denying saying all they’re saying is they won’t panel, our group, but we don’t they won’t tell us why. So I’m just trying to get to the bottom of why they don’t want us.
Rheta Larson (05:29) Gotcha. No. I am kind.
Amanda Hedges (05:32) of rude at this point. I’m.
Rheta Larson (05:35) happy to explore further with the team as well or see if we can get someone on the line or we might have a contact there that we can also try. But I will definitely keep you posted if I hear anything.
Amanda Hedges (05:45) Perfect. Yeah, that’s good.
Rheta Larson (05:49) Yeah. Then you had flagged three providers, Tiffany Myers, medicaid, that one was pending for quite some time. I think these were all in the same bucket where there were practically more than 90 between 90 and 120 days. So typically, if there’s anything that’s exceeding that the team does prioritize that, that’s part of their workflow. Naturally, Tiffany Myers, in particular, it looked like the pair had come back and asked for specific corrections made to the application. So those were just made and they’ve been sent back to the payer. So now we just need time for processing, okay? But you are able to see those notes in the line as well. This one was medicaid, Nevada. And then,
Amanda Hedges (06:36) and I do go in and check those. Those are very helpful to the notes to see kind of where stuff’s at? Okay?
Rheta Larson (06:42) Perfect. So then you have a clear understanding of that. It looks like that was just submitted as of today. If I’m not mistaken. Yeah, four nine or at least our last note was, I think the corrections were done a few weeks prior. The additional information is uploaded to the portal. So yeah, we’re just waiting on the payer to take receipt and acknowledgement that like what they had asked us to correct has been completed. So that one’s moving as expected. This one for Natalie silver summit. That one was completed as of the 20 fourth of March. And then the effective date was listed as 12 125. So that line is now closed. This one is the same as Natalie’s the same payer, but this one is still processing. I was trying to see because I saw there was a lot of back and forth with the application. So this one’s on my radar with the team. I meet with them twice a week. So I’ll make sure I bring this one up. When I have my next discussion with them. I don’t know why they keep going back and forth with the application. Let me pull up that provider again. I think they were in like particular statuses. But then it was actually submitted. So one the application has been submitted, it’s not submitted. And I think that was one of your questions and maybe one of the open tasks… from a while back or one of the notes. But I do think that there was a cost for like a resubmission and that’s where I’m trying to explore further with the team why there was so much back and forth between the processing portion of the application. Was it just still paying? So I think there was a resubmission for one reason or another. I’m not sure but I’ll definitely have an answer for you guys since I hear back from the team on that. So I did a quick scan of everything that was in processing for more than between the 90 and 100 day mark. And I think there’s a total of nine that fall into that bucket. So the team is actively working on those to make sure that one, there’s nothing wrong from our end like we’ve submitted everything correctly. So we’re kind of just doing a quick audit of some of those. And then two, we’re trying to reach out to the payers to see, hey, what’s going on? Why is this taking so long? Is there anything that we’re missing here to push these along? Okay, I can share those nine with you. Let me see if I can pull it. I have a different view on my end.
Rheta Larson (09:33) Over nine requests.
Rheta Larson (09:40) And I’ll share my screen again. Okay? So it looks like this was for Christine… Catherine Tiffany, which we talked about, Christine.
Amanda Hedges (09:52) Catherine’s just got approved like last week or something or the week before. So that one should be done too. I think they’re just waiting on the, I think that one’s falling in a weird thing where it’s not that two weeks. So they haven’t done the approval yet, but hers is good. So on their next follow up, they should have an approval for medicaid. Yeah, because that’s one that I had to link myself and I just very recently sent over that information. So that one should be done soon. Okay. Oh, great.
Rheta Larson (10:20) Yeah. If you see that at any point because our follow up cadence is so specific like two or one week, you’re more than welcome to flag those and we can close them promptly if it hindered you from doing anything.
Amanda Hedges (10:29) No, it’s good. It’s because I, that one too though, I think I… submitted a follow up thing because for her, it’s really weird when I did the effective date or the linkage, it had the wrong address. It didn’t have the rancho address. And so I submitted an update questioning… how do we change the address to the correct one? Because I don’t know what that today address was that was in there.
Rheta Larson (10:59) Okay. That’s also good feedback. I can… double check and I don’t.
Amanda Hedges (11:06) remember where I put it, I think I put it on the follow up for the linkage… that task or whatever. Okay?
Rheta Larson (11:14) I’ll include that into this follow up. I mean, they’re already working on some of these.
Rheta Larson (11:19) I just have a processed update for you for some of those, but I just wanted to flag like these are a part of that bucket that falls into that. Yeah.
Amanda Hedges (11:28) Yeah. But if there’s any other… yeah.
Rheta Larson (11:33) Yeah, mostly Nevada different mix of payers, but if there’s anything in particular, like if there’s any priority payer or state that you need me to ask the outside of this. Let me know. Okay. All right. I’m just going to make note of that one Catherine.
Rheta Larson (11:56) And then we can partner with the team. Perfect. Yeah, I.
Amanda Hedges (12:01) just randomly remembered that one. Yeah, it was the Tenaya address, and I was like that’s so weird. I was like, I don’t know what address that is.
Rheta Larson (12:07) I’ll double check just to see if that was an error on our end or if that was what was relayed to us in the.
Amanda Hedges (12:13) like maybe she was already like had an application out or something for a previous employer who knows?
Rheta Larson (12:19) Okay. Any other questions on any other open peer enrollment requests, anything I can dive into on those lines?
Amanda Hedges (12:28) Not right now. No, no. We’ve been doing okay.
Rheta Larson (12:33) Great. So now I’ll navigate to the automated report. So I think I’m just trying to also wrap my head around what exactly the ask is here because there’s a few things you can do from your standpoint on the payers tab. You can export any of these requests directly from the platform. So if you needed to specifically pull medicaid Nevada, you can open those requests and then, you know, export these five to an excel spreadsheet or however you see fit when you go to the report builder that’s different.
Amanda Hedges (13:06) Yeah. And that’s where, so that’s where me and Denise were talking to Nevada and we’ve pulled reports for them, but it’s time consuming when we have to do a report builder every week for them because they’re so specific. And so we were just hoping that maybe there was some way to set up a report that would be automatically sent to me that I could send to the team or something. I don’t know if that’s even an option. But what they’re looking for is basically all of the Nevada staff, a… sheet showing who like all the payers that everyone’s enrolled with, who’s pending with payers and what payers and like effective dates and stuff is basically what they’re wanting.
Rheta Larson (13:50) And effective dates? Yeah, because you can set that up to, I think you can pull this. So we’ll do I’m just going to do a few payer state provider… and?
Amanda Hedges (14:06) Like I’ve had to pull it from this before, but it’s such a pain in the butt to do it every week for them that I was like, I mean if I have to do what I will, it’s not a big deal. But I was like if we can somehow get it automated because that’s kind of what we had with the platform we were using before modio for Nevada specifically, they would send out, they would send me a like a spreadsheet basically that I could just forward to the team. So they had it because they do different meetings throughout the week. And so when they have that at their fingertips to be able to see it’s easier than them having to reach out to me constantly.
Rheta Larson (14:39) Yeah, that makes sense. Okay. And then you said you needed Nevada specifically or?
Amanda Hedges (14:43) Is it? Yeah, just Nevada and?
Rheta Larson (14:46) Then all mix of payers, right? Yeah. Yep. It’s.
Amanda Hedges (14:49) basically, I just want to see like each provider, what payers they’re active with and who they’re pending with.
Rheta Larson (14:54) Active active and who, and also not just who’s completed? Okay, gotcha.
Amanda Hedges (14:58) Mainly, they want, who they’re active with, but I think that if they, if there was an option to see who they’re pending with would be great, but at least seeing who they’re active with, so that they know like therapy wise, what insurance they can take and all that.
Rheta Larson (15:13) I would say unless I’m missing anything else that y’all might need, this might be a good.
Amanda Hedges (15:18) Start, we have it.
Rheta Larson (15:20) Filtered by the state I’m going to filter specifically by completed because this will then show you like who specifically has completed airlines for Nevada and an effective date. Do you need anything else that I’m missing on these?
Amanda Hedges (15:37) I think that looks good. That’s pretty much what they’re looking for is the providers and what payers they’re active with. Okay? So.
Rheta Larson (15:45) Then when you save, well one, you can export this. And then when you save this report, you can name this like Nevada or whatever. I’m just going to put test and then you can email this to all specific admins. And then you can run this automatically to be scheduled to go to you each time. So if you want these same things, it’s going to ask you like how frequently do you want this daily? Do you want it weekly monthly quarterly? And then it will tell you like what date you want to start this on. And then you can save that, and then it would automatically blast out to your admins. Perfect.
Amanda Hedges (16:17) So then once I do that, if I do a weekly cadence, then say I set it up for Monday. So every Monday it’ll pull this report and it updates as it’s as medallion’s updating, and then it will just send it to me, right? Yeah.
Rheta Larson (16:29) So if you choose next Monday, your report will run each Monday beginning on the day you select it.
Amanda Hedges (16:34) Oh, perfect. That would be great. Okay. So I can just do it right from there, then I can just set it up myself yep.
Rheta Larson (16:40) Yeah. So just go to the saved reports tab. You’ll name the report however you see fit, and then just answer these questions on who you want it to go to. If you just want it going to you, you’ll run it automatically and then determine how frequently you want that to go out. So you don’t have to always pull that over. Perfect.
Amanda Hedges (16:55) That’s exactly what I was looking for. Okay? So, could you send me, is it possible for you to send me a little snippet of what you pulled? Just so I know the information that you pulled for the requests? Yeah?
Rheta Larson (17:08) And definitely play around with this. If this isn’t like if there’s more things you need pulled to this, you can add whatever you see fit. But I’ll export this one. And then… I’ll save this screen share. I think I can put it in here. Let’s test that.
Amanda Hedges (17:38) Perfect. That’s exactly what I needed. There’s. That one. Then I can kind of alter it to however there needs if there needs change or anything. Yep. And.
Rheta Larson (17:46) then I know when you export sometimes it can be a little bit laggy. So I actually haven’t received it yet. But depending on how many lines there are, just give it some time. And if you still don’t receive it, get it, try and check your spam to make sure it didn’t go to any other folder, but the request will be emailed to you. And then you can just open it in your email each Monday morning or however cadence.
Amanda Hedges (18:07) You want? Perfect. That is exactly what I need. Great. Well.
Rheta Larson (18:11) I’m so glad that worked out. Like I said, you can export the same information directly from here, but it’s not in that automated format. It’s just downloading it, exporting it to safy or whatever. And that’s what.
Amanda Hedges (18:25) I’ve done. And it works for like especially if I need to see specific things, but I was like, I don’t want to do this for you every week. It’s a lot to do. So the fact that I can set it up that’s perfect.
Rheta Larson (18:35) Yeah. And it’s not just the payers, you can do anything. So if you’re looking at specific providers or any licenses that y’all, are managing, like you can save anything you see fit for y’all’s, internal work. Perfect?
Amanda Hedges (18:49) And that might be kind of nice. So license is there, I would imagine I’ll have to play around with it. But is that for me? Like I could probably even do a report on licensures like that have dates coming up or, you know, like I kind of know who to check on for their licensures. I think you.
Rheta Larson (19:09) Can do that in the providers.
Amanda Hedges (19:12) Let’s.
Rheta Larson (19:12) see.
Amanda Hedges (19:17) Oh, perfect. Yep licenses. So I can probably do it that way and create a report to where I can see whose are going to have expiring licenses coming up. Yeah, for.
Rheta Larson (19:24) Expirables you can. And typically anything I think with an attached document. So, if we have a PDF document with any expirables, we’ll also be listed in the expirables tab. So like this might be a good section to like hit on and just see like, oh, who’s missing? What? Yeah, but any PDF document uploaded, you should be able to find some of that information. It’s just people name it such different things. Yeah.
Amanda Hedges (19:48) Yeah, but.
Rheta Larson (19:50) State license or state.
Rheta Larson (19:51) I think it’s just, I’m trying to find one… license application. It might not be listed as that, but that’s another point of reference. If you check through some of these, there’s about 217 listed. Yeah. But, yeah.
Amanda Hedges (20:10) As far as driver’s license, I never update those because they don’t really need them.
Rheta Larson (20:14) And getting.
Amanda Hedges (20:15) those from people is the.
Rheta Larson (20:17) real task. No, I understand. Y’all, are on ongoing monitoring though. Correct. Do, what are y’all, on ongoing monitoring? Yeah, ongoing monitoring for, I’m, assuming some licenses that y’all, do have ongoing monitoring for? Yeah.
Amanda Hedges (20:34) Like professional licenses, we should, I’m monitoring all of them. Okay. Yeah, driver’s license, not so much. Yeah. No, no.
Rheta Larson (20:40) No, this is specific to just the, their professional licenses with where they hold those licenses. And you’ll be able to see this information in the existing licenses tab. I don’t know if I went through that.
Amanda Hedges (20:52) I have used this actually cause I had someone that I wanted to double check.
Amanda Hedges (20:55) So I have used this too. So this, I would, I, if I don’t want, I don’t necessarily need a report cause I have used this before cause I’ll just sort it by expiration date. Yes. Okay. And that’s been helpful to see who’s kind of coming up cause there’s some, yeah, those are all inactive. So they’re going to be expired, okay?
Rheta Larson (21:11) Yeah, as long as you know that lives here and then you can see when our last validation occurred. And then you’re also able to pull the verifications and this kind of will highlight to you all will flag if it comes through the expirable or ongoing monitoring, will highlight to you like this needs attention. Anything with this needs attention… status is going to be a good place to start. Cause that means something’s funky here. We couldn’t find license and, or is expired or they have sanctions and we just action there. Okay. Perfect. Yeah. And those are the.
Amanda Hedges (21:46) ones that it wants me to put a license in but they don’t have one. So I had to just create the fake one. Oh, gotcha. For Ohio.
Rheta Larson (21:52) Yeah. What? Oh, that’s right? We already talked about that. Yeah, he’s aware of that. I know there’s a, there’s.
Amanda Hedges (21:59) a, there’s a workaround. Yeah. Okay.
Rheta Larson (22:03) Anything else you want to chat through on the reports or anything I can help you with there?
Amanda Hedges (22:07) No, that was very helpful. Perfect.
Rheta Larson (22:10) Well, if you find anything as you’re exploring the reports and need assistance, let me know. I’ll get back to you on some of those open payer enrollments that are outside the 90 days and then hopefully I’ll have a response for you soon. Most likely, it’ll be early next week, but, yeah, I’ll keep you posted there via email. Perfect. Sounds good?
Amanda Hedges (22:31) Great. Well, it.
Rheta Larson (22:31) Was nice chatting with you. I hope you have a good rest of your day. Thank you. You too. Bye bye.