Transcript
Rae Tompkins (00:01) hello?
Rae Tompkins (00:42) Hi Alyssa.
Alyssa Lawler (00:44) Good afternoon, Rae. How are you?
Rae Tompkins (00:46) Good. How are you?
Alyssa Lawler (00:49) I’m good, grateful. It’s Friday. Hi, Amanda. Hello. Bye Jessica.
Alyssa Lawler (01:03) Hello?
Rae Tompkins (01:09) Do we have Falesha?
12055679172 (01:13) I am, but I, for some reason, I can’t join a phone and I’ve tried like a couple times but I’ll keep trying. I know, yeah, I can join by phone but not, you know, by zoom, but I’ll keep trying yeah.
Rae Tompkins (01:33) No worries. Zoom can be so temperamental. So, I totally understand. No worries at all.
Alyssa Lawler (01:39) Technology is a love hate relationship.
Rae Tompkins (01:42) Absolutely. You never know, it took me a second too on our end to get it to pop up today. I think it just picks and chooses when it wants to work. So.
Alyssa Lawler (01:50) I think so too. I agree.
Rae Tompkins (01:53) Alrighty. Well, I wanted to go ahead and get started. I don’t have too much on the agenda this afternoon, but wanted to keep everyone updated on some of the items that we’ve been discussing via email, the abms initial certification date. There is a product solution underway to capture that initial certification date that’s populating on the abms certification. So I’ll be sure to keep the viva team updated as soon as that goes live so that we’re capturing the true initial certification date and not the most recent. So, thank you for flagging that to our attention. Awesome additionally the medicare enrollment due to the custom nature that this isn’t something we’re currently scoping for other clients investigation is still underway. Didn’t want the team to think I forgot about that. Ask, but I will definitely provide an update as soon as we kind of work with our ops team to see if that’s feasible and something that we’re able to support moving forward.
Alyssa Lawler (02:46) Fantastic. And.
Rae Tompkins (02:48) then the ncqa audit documents based on the previous information you just provided, and thank you for providing that the specific audit report details I’m working with our team to see if that’s something that we can provide. It wasn’t something that I was easily able to compile in our ncqa certification documents. So I’ll be in touch to see if that’s something that we can provide or provide more information there as soon as possible.
Alyssa Lawler (03:14) That’s great. Thank you. And like I said, if you cannot share, that is fine, but… we just want to make sure we’re doing our due diligence.
Rae Tompkins (03:23) Absolutely, totally understand. I flagged it to our team and I will be in touch. I think the certification captures all the things that we were audited on specifically. I know we have a survey coming up in a couple of weeks, so I’ll be able to provide even more up to date information, but double checking on the specific details of that audit report and I can definitely follow up with an update.
Alyssa Lawler (03:44) Wonderful. Thank you, you’re welcome.
Rae Tompkins (03:47) And then I know we were unable to get the it team on the phone for the Json split conversation. So as soon as you’re able to get that team, we’re happy to invite Nico back so that we can kind of continue the conversations there on what that project would look like internally.
Alyssa Lawler (04:04) Thank you. I appreciate it. They have apparently a big project going on right now, so it will probably be mid may before they can pick back up with us, but I will keep you up to date on that.
Rae Tompkins (04:15) Perfect. That works for me. Did we have anything else, operation specific, platform specific? Anything else that I can help with today?
Alyssa Lawler (04:25) I had two things. One, I wanted to circle back on the remaining files that we talked about last time… and Felicia, you’ll have to help me out on this one because I know that there was an email that came across and I am not 100 percent sure that I went back and looked at that. The correct email we’re still pending about five, 10 Ish of those files. Is that correct? Yes… perfect. Are you okay? And then I know this?
Rae Tompkins (04:57) Was one of the more recent reports that I had was provided and worked with our operations team to get their feedback on Felicia. Are you able to identify if the names of the providers are on this report or were there other ones we were questioning?
12055679172 (05:13) Okay. Let’s see. I think.
Alyssa Lawler (05:16) This is, it wasn’t it.
12055679172 (05:18) Yeah. There are quite a few on here that are still showing. Okay, you know, that request status… and some of them are a little bit older?
Rae Tompkins (05:31) Okay, perfect. Yeah, let me.
Alyssa Lawler (05:34) I know Ray, you and I discussed one via email yesterday, and it was one of the education issues that was going back and forth. And I reached out to the provider’s office to see if I could help with that as well. Okay? But I guess my question is at what point do we say? Okay, we cannot get this information. We just have to leave this at incomplete or failed or whatever we’re going to call it.
Rae Tompkins (06:05) Yeah. So I think based on what I’ve researched internally, that was what was shared via email kind of that project that’s incoming in regard to those incomplete files.
Alyssa Lawler (06:17) So,
Rae Tompkins (06:17) they won’t be sitting forever with that update that’s coming. And I’m going to find that email super fast just so I can make sure I’m getting the team the right information… and.
Alyssa Lawler (06:28) I remember seeing that. But like I know that there is a status currently… were they moved to closed where they’ve reached out several times and haven’t, got a response, right? What is the threshold for that? So.
Rae Tompkins (06:44) Those are files. So whenever you’re in platform under credentialing, there are two statuses there’s application complete, and application incomplete. Our team is working files that have everything that we need, you know, to start the processing. Those are the files that we’re outreaching to obtain the cois, the education, and those are the files subsequently that are moved to the closed and archived. But incomplete files don’t follow that same cadence because they’re not yet workable by our team.
Alyssa Lawler (07:13) Okay. So that’s the distinction. So incomplete would be ones like caqh is expired to begin with?
Rae Tompkins (07:20) Exactly. Or there’s missing fields, it could be missing fields attestation. The import was never successful.
Alyssa Lawler (07:28) So,
Rae Tompkins (07:29) whenever a caqh automation kicks off, it automatically provides the file into the request queue and I can pull up platform just so you can see… where to kind of toggle between files that are workable by medallion and not workable. That kind of gives a little bit more visibility into the files that are sitting in that queue.
Rae Tompkins (08:02) So, if you’re in platform?
Rae Tompkins (08:07) Need to put credentialing under this admin view. But essentially, once you’re in platform under credentialing, there are two tabs. Let me log out of this view, so I can show you this is my view. So it may look a little bit different for just for sake of show and tell… under the request queue, there… is a status here.
Rae Tompkins (08:37) A little bit over… application complete and not application complete. So anything deemed application complete is a workable file by medallion. So that’ll populate… currently, there are 221 requests that are being actively worked by our team. And then subsequently, if you filter to not application complete, these are files that are not yet workable by our team, but some back end work is happening and that may be in the caqh folder. But what you can do for example, if you’re wondering William ward, what’s going on there? If you scroll here to go to caqh app import dashboard… if you pull up that provider… I’m having a bit of issues on my side with that folder. But if you go to the caqh dashboard, it’ll tell you where they are in process and what’s pending in order for it to move to application complete.
Alyssa Lawler (09:41) Okay. I think that’s where our confusion, was the incomplete versus complete and closed, right? I think that’s where our distinction and our confusion was. So the ones that are on the list right now that we were talking about, we’ve been emailing back and forth about, they are capable.
Rae Tompkins (10:04) Of.
Alyssa Lawler (10:05) being worked, they are capable of being worked, but maybe we just haven’t they haven’t got everything back yet.
Rae Tompkins (10:13) Yep. So it looks like just for example, one of the providers on this list is, that was shared back to viva was Sarah Witt, so her application is deemed app incomplete and it looks like we’re missing the caqh explanation for a missing Dea.
Alyssa Lawler (10:33) Okay. So that wouldn’t be able to be worked. So it’s just sort of sitting there for right now, right? Right?
Rae Tompkins (10:41) But with the update that deas aren’t required, let me get this one resynced. I want to take a look at this list since we got those deas reconfigured in platform. So now that we know that deas aren’t required for pas, I’m going to resync this profile and it should catch back up to exclude that verification. Okay?
Alyssa Lawler (11:00) And then like up a little bit on the number 13 that Mandy wilhite, that is the one that you and I were discussing. And so, right now, since we’re unable to verify her education, it will just sit there for now.
Rae Tompkins (11:15) Well, once we reach the three attempts.
Alyssa Lawler (11:17) It’ll.
Rae Tompkins (11:18) be archived.
Alyssa Lawler (11:19) Okay. Yeah. Okay. So it’s three attempts within 60 days or 90 days or something like that.
Rae Tompkins (11:27) Let me reconfirm the exact number. I know our team outreaches, I think every five days, three attempts, and then once the file we’ve reached those final attempts, then we archive, but I can confirm that.
Alyssa Lawler (11:39) Okay. And I’m going to let me revise this.
Rae Tompkins (11:44) List because I do see this one is marked app incomplete. So I wonder if at one point it was, but now it’s been pushed to a workable file. Falesha, if you want to provide a new list of files that we have questions on, I can share that back with the team, but I’ll definitely get this provider, Sarah Witt re synced with that Dea exemption on file.
Alyssa Lawler (12:07) Sure. I’ll get it together. Thank you.
Rae Tompkins (12:09) Absolutely. And.
Alyssa Lawler (12:11) I think Falesha has a better grip on this than I do. But I’m still, you know, still trying to make my way around learning medallion and figuring everything out. So I very much appreciate the clarification. I had one other thing we are working with our, with symplr, payr, our contact there to get our process and everything ready to push information from that Json that medallion sends into payr for us. And she is working on mapping everything. So it matches up and she requested us to find a couple of lists of all the possible results that we may get from medallion for certain types of things like specialties. If we could get a list of all specialties that medallion would send over as a provider specialty… is there a certain place in the medallion dashboard that I could look, that would provide that to me? Or is that something that I just sort of need to email you the categories that we need. And maybe you could help me get that from the backside somewhere?
Rae Tompkins (13:22) Yeah. If you will email me the specific requirements of what you’re looking for, I think just for we capture the specialty through the taxonomy. So if we need a full list of all provider specialty, what I can do is we’ll pull a report of taxonomy codes and have it flip directly to specialty. But if you’ll provide that via email, I can get it to possibly Nico or anyone on our technical team to see if they can help me pull the specific specialties. Is it in regards for current providers or just any providers that would go through?
Alyssa Lawler (13:57) Anything, anything that might be sent to us. So the goal is to hit every option. So if something different comes in, it’s already set up, okay. And it will flow cleanly without rejecting for a mismatch.
Rae Tompkins (14:13) Okay. Yeah. I think the best.
Alyssa Lawler (14:15) So, I’ve got a couple of… I’m sorry, go ahead. I.
Rae Tompkins (14:19) Think the best solution would be for me to work on pulling that report of providers that are currently in platform, capturing their taxonomy and switching that to specialty. So you have direct visibility into anyone that’s currently in platform, what that specialty might come over as. And then I can work with Nico to see if there’s something else. We can provide maybe a comprehensive list of any possible specialties, but I can definitely work.
Alyssa Lawler (14:43) To get that to you, that would be fantastic. Yeah. Okay. I will go ahead and send you an email over this afternoon with that. There’s five different categories… but I think specialties is probably going to be the biggest list. Okay? Of options. Fantastic. Thank you, you’re welcome. And I think that’s all I had Felicia, Jessica, Amanda, anything on yours? No, thank you. Nothing on my side either. Thank.
Rae Tompkins (15:20) You.
Alyssa Lawler (15:20) All.
Rae Tompkins (15:22) awesome. Well, thank you guys so much. I will be in touch with some of the items we discussed today, and we will circle up on our next call is the 20 fourth. But if anything comes up in the interim, you know where to find me.
Alyssa Lawler (15:37) Wonderful. Thank you so much. Have a good weekend, you.
Rae Tompkins (15:40) Too. Good weekend. Bye bye.