Transcript
Naomi Denson (00:00) hi, Abby.
Abby Meagher (00:01) Hi, how are you?
Naomi Denson (00:03) Good. Happy Friday.
Abby Meagher (00:05) I’m excited about.
Naomi Denson (00:06) It aren’t we all, it’s been a week.
Abby Meagher (00:09) I know it definitely has.
Naomi Denson (00:13) It’s just you so far? Do you know if we’re expecting anyone else to join today?
Abby Meagher (00:19) I believe Lisa is out and I think Angela is coming where’s Angela, and then… I haven’t heard differently, but I’m assuming Sharonda will be on.
Naomi Denson (00:36) She responded maybe. Okay. So, we’ll see, I’ll.
Abby Meagher (00:41) send her a teams message, just checking in.
Naomi Denson (00:45) Okay.
AngelaMendenhall (00:49) Hello?
Naomi Denson (00:50) Hello?
Kunal Parwani (00:51) We do.
Naomi Denson (00:54) Have KP here, he’s reviewing the appointment entities sheet that you guys shared for import and I believe he had some questions or follow up?
Kunal Parwani (01:06) Yes, okay.
Naomi Denson (01:08) And I know Abby, you’re the one that filled that out, I believe.
Abby Meagher (01:12) Yes, Lisa gave me the information to enter and then I entered it into the spreadsheet.
Kunal Parwani (01:20) Okay. Do we want to wait for others or do you want me to just start with that Naomi?
Naomi Denson (01:26) I don’t think Lisa’s coming today that’s correct. Do you want to just have him review his findings to see if you can make the corrections? Or if you want to take that back to them?
Abby Meagher (01:37) Yeah, that sounds good. Okay.
Kunal Parwani (01:39) Okay. Sweet, give me just a sec. I’m going to share my screen. My tab is a mess. So, please don’t judge me.
Abby Meagher (01:49) That’s okay.
Kunal Parwani (01:51) Okay. So this is the wait, can you guys see my screen? Yep. Yes. Okay, perfect. So this is the tab that you guys have filled out pretty… much from these lines.
Kunal Parwani (02:03) I essentially created a duplicate and kind of normalized the data to be able to import and take a look at it in a more cleaner way. I think everything that you entered in the appointment entities should be good. The only pieces that I want to call out are the ones that obviously we did not enter. And those are all highlighted in the columns that you need to fill out. But everything else that you did enter, I did kind of manipulate that a little bit and moved stuff around just to keep it a little cleaner. So definitely review this in terms of the data. So, for example, advocate… as the parent entity, you had the address for advocate in the children. So I kept it there, but I essentially moved the address to the parent as well. So for example, if you look at, if you take a look at this tab, you’ll see advocate has that address now as its own address. And then obviously, under its, these three, let me highlight that. So under these three, that address also exists under the parent entity to link that. Yeah. So the only parts are the parts that are missing. Okay? But yeah, if you have any questions or anything like that, please feel free to reach out. And, yeah.
Abby Meagher (03:31) Okay. I believe Angela, maybe you can correct me if I’m wrong. I assume all the hospitals are the aco, the accountable care organization. So I’m assuming that solves that missing information, but I could be wrong.
AngelaMendenhall (03:52) Yeah, I’m not 100 percent on the answer to that either. Okay. So we’ll have to, we’ll… have to double check that.
Naomi Denson (04:05) Okay. Lisa.
AngelaMendenhall (04:06) Next week?
Abby Meagher (04:08) That sounds good. Okay?
Kunal Parwani (04:10) And then just a small call out. I know I highlighted these like columns and they do say optional, they are technically optional for me to import like I don’t require them to complete the import, but we will require them downstream. So I’m just collecting that data upfront. So you don’t have to worry about it being, you know, tasked out or asked later down the line.
Abby Meagher (04:31) Okay. That sounds good. Okay?
Naomi Denson (04:38) Anything else? KP?
Kunal Parwani (04:40) No, that was it. That was an easy one.
Naomi Denson (04:45) Okay. That was pretty much all I have right now other than, you know, there’s still the last group of providers. I think it was Nevada that Haley was going to confirm to be invited. I haven’t heard from her yet on that. Okay? I got the healing hearts providers loaded. I had emailed Sharonda to see if she wanted us to go ahead and do caqh bulk imports for them or if you guys were going to handle that as part of the onboarding process when you’re ready?
AngelaMendenhall (05:20) What was?
Abby Meagher (05:24) That? Angela?
AngelaMendenhall (05:24) Sorry, I was going to write it down so that we can ask, we can check in with Sharonda and ask her.
Abby Meagher (05:29) Okay.
AngelaMendenhall (05:31) You said bulk caqh import for those healing hearts, right?
Naomi Denson (05:35) Yes. And then a couple weeks ago, Sharonda had mentioned a DC practice that she was going to be sitting. Is that the same one or? I haven’t seen that there was a separate DC practice that she said she had the data delivered to her and she was working through it and was going to send it to me, but that was a couple weeks ago. I don’t know if that’s still on the radar that’s going to be sent over because once the appointment entities are loaded and we do a training on the appointment request process for when you guys are ready for that. Essentially we’re done with implementation. So I just want to make sure that we’re covering everything.
AngelaMendenhall (06:16) So, the DC group looks like it’s mcknight as far as I can tell under the groups.
Naomi Denson (06:23) And let me see like in medallion. Yeah. Okay. So, we had already done the mcknight, but it had sounded like there was an additional DC practice that you guys were acquiring? That was going to be a different set of data. Okay.
AngelaMendenhall (06:45) Yeah. We’ll have to check on that with her because I don’t see another DC group added in here as of yet.
Naomi Denson (06:55) So,
AngelaMendenhall (06:55) maybe that hasn’t been.
Naomi Denson (06:57) Yeah, it wouldn’t be in medallion yet because we haven’t received the data to load so that’s what we’re waiting on so that.
AngelaMendenhall (07:03) Spreadsheet, just kind of like you just had up KP, is that where she needs to that data would be entered for you? And she would send it over to you guys?
Naomi Denson (07:12) Yeah, but I know that we had discussed like future import needs and possible additional costs that would come with that.
Naomi Denson (07:21) So they were supposed to be discussing the API build for you guys to own loading that information. So, I know her and Harrison said last week that they were going to take that offline and regroup to figure out where they were.
AngelaMendenhall (07:36) API build. Okay? Then, yeah, we’ll have to, I would have to get short with Sharonda or we would have to. So maybe a follow up email would be good because she’s in another meeting that she can’t get out. So.
Naomi Denson (07:49) Yeah. Sorry. Yeah, no problem at all there. And then just seeing there’s 16 tasks open right now in the system, possibly blocking enrollments or caqh management requests for moving forward. So didn’t know if you guys had any questions on any of the tasks that are open, or so just kind of, yeah.
Abby Meagher (08:13) I’ve been kind of working on those. Also circling back super quick. Sharonda was able to message back and say yes to bulk import the caqh for healing hearts providers. Okay. And then as far as the tasks bucket goes… can I have you look at Susan smith?
Naomi Denson (08:39) Susan smith? Yeah… it.
Abby Meagher (08:48) Looks like her and the medallion agent have been going back and forth about her taxonomy code.
Naomi Denson (08:57) I.
Abby Meagher (08:57) did also try to update her taxonomy code myself in caqh, but it’s not giving me it as an option to change it to what npps has. So I’m not exactly sure how to handle that one.
Naomi Denson (09:13) Okay.
Naomi Denson (09:24) So, npps has just the straight pediatrics taxonomy code… but let’s see.
Naomi Denson (09:44) He has.
Naomi Denson (09:53) So it’s now it’s updated in pediatrics, or it’s updated in caqh. So, npps and caqh and npps… and medallion match and we need to figure out caqh… update because that is that her correct one is the it.
Abby Meagher (10:13) Should be the pediatrics one, but caqh isn’t giving that as an option to update it to. So I’m not sure how to go about that.
Naomi Denson (10:25) So, the other one are we let’s see. She’s a nurse practitioner. So, the other taxonomy that it was three six, three LP, zero, two, zero, zero X nurse practitioner. Pediatrics… let me show you where my screen go.
Naomi Denson (10:48) They’re just googling the other one that was in the task. This is nurse practitioner pediatrics.
AngelaMendenhall (10:57) She is, yeah, I mean, she’s labeled as a nurse practitioner and a medallion, so.
Naomi Denson (11:02) Yeah. And that might be why caqh… is not allowing her to, because she’s registered as pediatrics.
Naomi Denson (11:14) This is for pediatricians under allopathic and osteopathic physicians. So, this is the physician taxonomy. So that’s probably why caqh isn’t allowing her to update it because it’s not an applicable taxonomy to her profession type. Let’s see.
Abby Meagher (11:34) Yeah. I guess I’m not sure because Sharana had told me to always go off of what mppes has. So I’m not sure I guess how to… decide which one is best.
Naomi Denson (12:07) Yeah, this is limiting her specialties and her taxonomies to only nursing because she’s registered as a nurse practitioner. Yeah, because the other ones are.
Naomi Denson (12:29) Yeah, that’s probably what the blocker is because caqh won’t allow her to select that taxonomy because it’s not her correct practice… type.
AngelaMendenhall (12:41) Well, the strange part about that is that neppes is allowing her to select that. Yeah, even though you’re stating that it’s associated with an actual physician, not an MP. So that’s a little strange. I would figure that they would have it as her NP, as opposed to… the physician taxonomy code. Then that’s.
AngelaMendenhall (13:11) Yeah. So what happens if we can’t change it? If we can’t fix it in caqh, but we don’t want to change it from what nepi says, right? We want it to match that.
Abby Meagher (13:21) Right.
Naomi Denson (13:45) She can always update in pez… because I know it’s either, you know, update which one is correct, but it’s strange that npez, let her.
AngelaMendenhall (14:06) Yeah, that’s the weird part about it because like I said, I would figure they would have it correct? Like, you know, which the one that it should be as her primary. So that’s a little strange.
Abby Meagher (14:20) Yeah, it.
Naomi Denson (14:21) Is I’m trying to?
Naomi Denson (15:11) Yeah, since they can have, if you’re a physician with several specialties, yeah. So.
Naomi Denson (15:19) You are one of the following and do not have a license and you must include a letter. Yeah, they can choose, she can add a taxonomy code… to it. So I would start with probably in pez?
AngelaMendenhall (15:38) Okay. Maybe asking her to add the one for the NP.
Naomi Denson (15:42) Yeah, because that’s why you can’t update it in caqh because it’s not a NP, valid taxonomy code that they have mapped. So currently, she’s registered as just a pediatrician a physician.
AngelaMendenhall (15:57) Okay. So we’ll ask her to add that to her npes or nepes whatever it’s called, and then we can add them both in medallion as well and then everything should be cleared for her.
Naomi Denson (16:11) Yes, it should, I’m looking pediatric. Yeah. So yeah, pediatrics, a pediatrician.
Naomi Denson (16:28) Yeah, this is from the American board, not the nurse practitioner board certification for medical doctors and dos. So she probably just needs to update npees to the NP one. This is my… I think.
Abby Meagher (16:51) There is an email exchange currently with Susan. I’m reading from just this morning. So she’s unable to get into her npes and sounds like this issue has come up for a few providers and how we should manage taxonomies. So, I think what we decided was now that I’m just reading this that we’re going to pause on her end, but I’ll have to double check on that.
Naomi Denson (17:26) Like pause her enrollments.
Abby Meagher (17:28) Like pause like not do anything further on her end is what I’m understanding, but I’ll have to clarify on what they mean because I think that’s the last step that Susan has to complete her profile.
Naomi Denson (17:43) Yeah, because it looks like there’s like they would only be tasking. Yeah, there’s three requests in process that are waiting for the correct taxonomy codes. So let me know if we need to stop those requests. Okay. Looks like there’s still an intake. So you guys haven’t actually met consumption with that yet. So we can still stop them without you being charged for them. But we don’t want her to complete that task and it would pass intake. And then you decide, you know, you don’t need them anymore.
Abby Meagher (18:12) Okay. I think another provider I was having issues with was the other taxonomy code that’s sitting in there, dr Mohamed, el khatib.
Naomi Denson (18:34) All right.
Abby Meagher (18:37) His taxonomy code in enpes, is general acute care hospital. Nothing about pediatrics necessarily. So I don’t know what we would want to do for that one.
AngelaMendenhall (18:53) He’s a medical doctor though, right? Abby.
Abby Meagher (18:56) That is correct.
AngelaMendenhall (18:57) So his should probably be changed to that two zero eight, zero, zero zero or whatever it is. The pediatric one for MDS and dos?
Naomi Denson (19:05) I’m going to check what he has not showing what he has in caqh unless it’s that same one.
Abby Meagher (19:14) I think there was an issue with his caqh also where I couldn’t change it or couldn’t do it. I can’t really recall, but that was just another one that I was stuck on.
Naomi Denson (19:25) Yeah, because median chose, he’s board certified in pediatrics.
AngelaMendenhall (19:31) Yeah. So his, we need to ask him to change his to that pediatric one… for medical doctors. Yes?
Naomi Denson (19:38) His caqh says the pediatric one for medical doctors.
Naomi Denson (19:46) Okay.
AngelaMendenhall (19:53) Okay. So we’ll need to email him. I’m writing that down so we can email him Abby and ask him to.
Naomi Denson (20:00) Yeah, that’s weird because his taxonomy in npez has him registered as a hospital, not as a specialty. So it’s saying that he is a rural registered as a rural hospital himself. Yeah. Okay. So definitely npez needs to be updated on that one because he’s not, yeah, a hospital that doesn’t apply to him.
AngelaMendenhall (20:20) Okay.
Naomi Denson (20:23) Unless he’s also a building, right? Yeah.
Abby Meagher (20:27) That is interesting. Okay. Sounds good.
Naomi Denson (20:32) Yeah. Okay. Yeah, service is provided by a rural general acute care hospital. Not at a, so silly. Okay. Yeah, that one should fix that one. Okay?
AngelaMendenhall (20:51) So we’ll get that one fixed and then I think we can do the same thing with Susan, just have her change it to the NP, and then we can list that in caqh, and then we can also list it in medallion. And then she should be good to go as well. Well. Yeah. Sorry, Abby, you said there’s an email going with them. So we’ll just update through that email. OK, we’re good to go with the bulk caqh import for healing hearts, then we just need to find out about the additional DC group and the API build, correct?
Naomi Denson (21:22) Yeah. If they’re going to build the API for future import needs because we’re getting, we’re nearing wrapping up implementation. So we won’t be doing any more imports, OK? For you. So, the plan was for you all to build the API, OK? To easily transfer that data over without manually entering it or incurring additional costs for us to do those?
AngelaMendenhall (21:48) Gotcha. OK. So we’ll follow up on all of those things. We had… a question. We were going to try to ask Sharonda first because she might already know the answer to this, but I think just us just getting into being a little more familiar with medallion under the groups. I’m… sorry, under the payers, sorry about that and the enrollment requests for the groups.
Naomi Denson (22:24) Under enrollment requests, let me get there. Okay?
Naomi Denson (22:37) Okay. Under payers under group?
AngelaMendenhall (22:40) Yeah.
AngelaMendenhall (22:46) So, we noticed that. So I believe that there’s an issue that the zp central is not… well, now that says new group enrollment. So we thought that they were not enrolled as a group and that was creating an issue for some of these.
AngelaMendenhall (23:12) Sorry enrollment the, oh gosh. What am I trying to say?
Abby Meagher (23:16) I think you already said new group enrollment, Angela. I think Naomi, what we’re stuck on is, are these groups zp central? What is stopping them from being enrolled with cigna blue cross blue shield, Alabama. Is that something on our end that we need to complete that says it needs client attention or?
Naomi Denson (23:42) Yeah, if it says needs client attention, that means there’s a task. So looks like they sent the agreement to you and you need to sign it or review and sign it to complete the contract. So we submitted it to the payer, they sent us the agreement back and we sent the URL to you to sign the agreement. So there is a task there. Okay?
Abby Meagher (24:08) Do you know where that gets sent to? I’m, just trying to figure out if that gets sent to like Sharonda or like to… legal in our company or where that gets sent to?
Naomi Denson (24:23) So we put the URL here for you guys to access it, and then you guys would designate who needs to sign it on your end? Okay?
AngelaMendenhall (24:37) And then when these enrollments are going through, like we can see the group says zp central, but like for Alabama, they’re still, and please forgive me. I’m still trying to learn all of this but they’re still based technically running and working under urgent care for children, which I can see when I go to zp central. Like those are the practices that are associated with the providers? Like the correct locations. So when these are going through, are they going through as the uc for C or the zp central? I’m just a little confused right there, if that makes any sense at all?
Naomi Denson (25:18) What do you… so you requested it under this group? So this is the group that we’re requesting the enrollments for? Okay. So this is the group profile associated with it.
AngelaMendenhall (25:33) Okay. And then I see that there’s practices listed under there and.
Naomi Denson (25:37) Then, yeah. So we’re tying these practice locations to it.
AngelaMendenhall (25:40) Okay. And then, so when we’re asking for the provider to be enrolled, it’s grabbing this group with the correct practices that are associated with the provider. So it is still essentially that address that they’re working out of. Yeah. Okay. Yeah.
Naomi Denson (25:56) We’re tying those practice locations to the group profile under the new, the tax id and the npi?
AngelaMendenhall (26:03) Okay. Which is… not okay.
AngelaMendenhall (26:13) Okay.
AngelaMendenhall (26:18) Okay. I just had that question. I’m sorry, like I said, I’m still trying to learn all of this. So, my apologies, but thank you for helping and explaining.
Naomi Denson (26:29) Yeah, absolutely. And then the blue cross blue shield of Alabama one, this one, they have the facility application package. Why is it going as a facility? Should it be a facility?
Naomi Denson (26:47) I don’t know what this is actually… organizational. Let me ask about, please review and sign the attached forms within three business days. New group enrollment. Okay. Let me dig into this one because I don’t know why they would be doing a facility… application… instead of a group. Okay. So let me flag this one.
Naomi Denson (27:32) I want to flag that one to see why it’s being multi specialty pediatric. Yeah, I want to figure out why they are preparing a facility application for that one. But, and this one is blue cross blue shield of Illinois.
Naomi Denson (28:07) Oh, it’s because this is probably needing. Yeah, we need the Illinois medicaid enrollment to be completed first. Two requested managed medicaid line of business on here. So, we need the groups… Illinois medicaid.
Naomi Denson (28:39) So that I don’t.
Naomi Denson (28:45) yeah. There’s no Illinois medicaid enrollment information in here for the groups. So they’re either asking you to provide the existing enrollment information or request an Illinois medicaid, if you want that managed medicaid line of business on there. Does that make sense?
AngelaMendenhall (28:59) Yes. Okay. And,
Naomi Denson (29:02) the other one is just an intake.
Naomi Denson (29:12) Okay. Bye KP. Yeah. So there are tasks here… blocking this one, and it didn’t take.
AngelaMendenhall (29:24) Maybe it says a different name list if you pick it up.
AngelaMendenhall (29:30) If you miss it, I’ll east Memphis.
AngelaMendenhall (29:37) Okay. So that’s a taxonomy issue as well. It looks like.
Naomi Denson (29:42) This is the let’s… see.
Naomi Denson (29:54) This is pediatric and adolescent medicine is what the npez registration is under the group is registered as this, Group profile, task, business name, discrepancies, business name undocumented. Your npez has this… update with the following, so they want you to update npez with the rest of the name to match the legal documents. I guess… what is that?
AngelaMendenhall (30:27) Pediatric, east Memphis? Okay?
Naomi Denson (30:33) Yeah, because that’s what’s on your W9. Oh, okay.
AngelaMendenhall (30:43) So… this might be a very stupid question, but I’m not familiar with nepes or going in there or changing anything… who can change that for the group then? Would it maybe just be whoever created it?
Naomi Denson (31:00) Yeah, or whoever has Ina access to the group. So like a Pecos, like with Pecos, like npez is managed through the other one to maybe need to check with Sharonda to see who has access to the npez for that group. Okay? Or the Ina account to sign in?
AngelaMendenhall (31:24) Okay. Any.
Abby Meagher (31:30) Discrepancy. I do have a login for that. So I don’t know if I could try to request… access to change that. I am not sure. I’m only familiar with like doing it for specific providers, but I haven’t even done that yet. So I’m not sure what the procedure would be to do for like a whole.
Naomi Denson (31:56) Group. I assume it would be similar, but I’m not sure either.
AngelaMendenhall (32:02) Yeah. Maybe we can jump on later, Abby and log in to see if that’s available for you to get that updated. Okay? And if not, then we’ll have to go to Sharonda to figure that out. Okay?
Naomi Denson (32:17) All right. I’m going to ask about that blue cross blue shield one.
Naomi Denson (32:26) All right. We are over time. Anything else you have questions on it’s? Okay. No, I think we’re I’m good. Okay. All right. Guys. Well, if you need anything else, just let me know. Thank you, Naylee. Thank you. Bye bye.