Transcript
Brandon Bradshaw (00:00) hey, how’s it going, Fran? It’s going good. How are you? Good. I was just about to let everyone in but I was waiting to see if you and there’s Connor. Okay. You are. Hey, Connor, how you doing? I’m gonna start letting people in if you’re cool with that. All right. I… think we’ve got about seven people here. It looks like. I think I.
Connor Morley (00:27) don’t know why zoom has just started muting me automatically when I join meetings because I feel like I’m talking for a good five minutes on mute every single meeting. It’s.
Brandon Bradshaw (00:38) interesting because I’ll when I ask you, do you want to come in muted or screen off? And all that I like make sure I’m all like off everything or like, you know, like I am right now and it still does that to me too. Like puts me back. It’s crazy. Hey, everyone. How’s it going?
Annette Craig (00:54) Good. How are you doing?
Brandon Bradshaw (00:56) Well, hey, hello. Good to see you. All right. Do we have the whole crew here just making sure everyone’s in?
Debbie (01:05) It’s Debbie, I’m good. Hey, Debbie. How are you doing?
Brandon Bradshaw (01:09) Well, it’s just, you know, another Tuesday. It’s my daughter’s birthday actually. So we’re going to get through the day here. And then we’re going to go celebrate.
Debbie (01:18) So, yeah, that’s nice. She just.
Brandon Bradshaw (01:21) turned five. So she’s like, you know, that age where it’s just like birthdays are awesome. Yeah. All right.
David Moreno (01:31) Brandon, where are you? I’m kind of curious what do y’all do for birthdays?
Brandon Bradshaw (01:35) Yeah. Well, I live, so, I live on, actually, I live on an island just north of Seattle. So, and right now, unfortunately, with the springtime, it’s like one day, it’ll be beautiful and sunny and like sixties degrees. The next day, it’s 45 and just pouring down rain. That’s just how it is. I feel like, in the springtime here. So, and we got one of the rainy days today. So we’re actually, my son has a performance today like a choir performance. So she’ll get to go. We’ll go and enjoy that. And she’ll love that because she loves music. She loves singing herself. And then we got her. She’s all into unicorns and butterflies and princesses and all that. So she doesn’t know that we have like a bunch of unicorn themed stuff that we’re going to be busting out for her when, she gets home. If it was like a beautiful day. We usually do like there’s some beautiful since we’re on this island. Beautiful like beaches with parks and just everything’s like right there pretty much on the beach and like shelters and all that. So we’d have like usually a party but it just, it landing on a Tuesday and having rainy days for the last like week. It just did not really work out well for us in that. All right?
David Moreno (02:46) Annette, do you know if Kelly’s.
Annette Craig (02:47) going to join? I, well, and I know she’s just back yesterday was her first day back and I saw Stephanie on there. Let me see if I can just shoot her a quick email. I didn’t know if she was, I… let me just see if I can.
Brandon Bradshaw (03:03) Oh, she just commented in the in.
Annette Craig (03:05) The chat here. Oh, did she? Okay. Yeah.
Brandon Bradshaw (03:08) It looks like she’s trying to call in but it’s not working. So she’s going to be on mute, but sure we’ll keep an eye out in the chat for you, Stephanie, just to make sure we don’t miss anything.
Annette Craig (03:18) Kelly was not, yeah. Let me just, I’ll send.
Brandon Bradshaw (03:25) And then while you’re doing that, any questions or anything? Just top of mind for you all just before we really kick off the call today. Just anything that we can answer any refreshers you need on anything?
Annette Craig (03:38) So, I think I was hoping that by Friday last Friday, we were going to have the payer information to you. However after it was pulled from our, we pulled it from our emr, it was not accurate. So I have now asked CHS community health systems to pull it out of mdstaff. Because that’s a separate model than what we use for the credentialing piece for the medical staff credentialing piece. So they are working on that now. And as you also are aware, they’re working on our export of data for Moses Taylor regional and Wilkes barre general. I do know Stephanie is on and she’s been working on the spreadsheet. No one has had any luck to get into their database. That was is currently not turned on. So she’s been importing information into the spreadsheet, but obviously she’s one person and it’s very cumbersome. So.
Brandon Bradshaw (04:40) Yeah, I know this initial part is and so I totally feel you on that as well. I would say, well first, I wanted to say, thank you for just a heads up there. We, I appreciate Annette you sending over the roster information. So just wanted to let you know what the roster information as well as the, let me make sure I have the name of it right here. It looks like you sent over the payers process scoping yep file. So we got that over to Retta who is your engagement manager, which I’m sure you’ll be hearing from shortly and if she has any questions or just following up with you on that, that’s her wheelhouse over here. So wanted to let you know, thank you for sending that. We got that pushed over to her to start processing. And then, yeah, like you said, the main thing, Retta just actually emailed me and said, thank you. So, okay. So she’s seen it. So I can confirm that. Now, the other thing is yep. Just like you mentioned, sounds like we’re just waiting on that data. And I know that’s been cumbersome as you said, and a little bit more of a just a hard process. But as soon as we get that, we want to make sure that we’re moving on the timeline that you all came with. And that was talked about during the sales process as well. So as soon as we get that, we can start pushing forward efficiently here. So we’ll just keep an eye out for that. Are you thinking? Is it still kind of up in the air? Are you thinking maybe more like the end of this week then? Well.
Annette Craig (06:00) I was just looking back at the email from MD-Staff on the export from the medical staff credentialing side and the work orders in. And he said once it was going to be exported, he’d be back in touch because he wants to make sure our credentialing software vendor wants to make sure that it’s all inclusive because we obviously need our archive providers to come over as well. So he said he would send us the file to review. So, you know, I’m hoping they would have it by the end of this week, but, you know, I’m at we’re at their mercy. So.
Brandon Bradshaw (06:32) Yeah, yeah, I understand that. Okay. Cool. Well, just keep me in the loop where, you know, we’ll keep an eye out from you, Annette, and any questions or if you have any updates, just let us know as well. And then from the credentialing side, Connor, is there anything else just wanted to ask you that we need from then or was it just the data at this point? Still?
Connor Morley (06:54) Right now, I would say the priority is the data import template absolutely in order to get us moving into a quick go live sooner than you know, we give like a three month implementation time span just off the bat. But if you can get us the data import template completed sooner, then we can move a lot quicker. I just wanted to add like the three tabs that are going to be also a high priority on that data import are going to be the providers tab, the group profiles tab, and then the practices tab. In general. In order to load all the other tabs, we need those three complete first because those are the base records of your provider profiles, your group profiles, and your practice location profiles. And we need all of that to do the payr enrollment. We’re going to need that to do credentialing. Those are really the key kind of data elements that we need. And typically, what I’ve seen that’s worked really well with some of our implementations as well. Is once we get that data loaded into the system providers groups and practices, we can actually start to train you a little bit more because the system is a little different. It’s got information that you will recognize. And then it might take a little longer to load in all of your existing or your active payr enrollments and your inactive payr enrollments as well. But in order to get started and start doing net new providers and getting them your new hired providers, credentialed and enrolled. We really do need those practices groups and provider information that being said, you sent us over a lot of your credentialing information already, which has been a huge help. So we’re going to take about another week and a half to review those and let you know if we have any questions on them. I think once we finish that review, we’ll go in and we’ll kind of piece out what parts of those 13 forms that you sent us would be already included in the provider profile of medallion, not included but can be added as a task or as a part of that credentialing workflow. And then what would be more left towards your HR it system like the it forms we typically don’t include those within medallion. So we’re starting to work on that process as well. And we’ll put together essentially an operating procedure that you’ll sign off, make sure that we have all the right verifications. We have all the right delineation of privileging forms, all the right acknowledgements and things like that in the system too.
Annette Craig (09:42) Now, I know Connor in one email this week or last week. I think when we were going back and forth, do you want each facility to send their delineation of privilege forms or not at this point?
Connor Morley (09:56) It’s better to have them. Now, it does raise a question of when you are credentialing providers. Do you want to credential them to one entity, tenor health as a whole or to credential them and have to choose like the scranton Wilkes bar location versus the other two locations?
Annette Craig (10:24) Well, and David, you’re still on the phone? Is David on the phone? I’m here because we are three separate and I, you know, talk over me whatever we’re three separate tax ids, correct? Yep. So truly, as, you know, I don’t know. So as people are credentialed, do you want them as the tenor health foundation, and then they get privileges for whatever specific entity they’re going to or?
David Moreno (10:57) Let’s take this for a decision. We’ll ask like Tarun and some others, how we want to do this. When do you need an answer medallion on this?
Connor Morley (11:07) I would say within… about two weeks would be a good time frame for an answer. And just to put things into perspective, we can do a lot of things to accommodate whatever path you want to go with. If you go with a one tenor health entity that you are credentialing providers with, we can then have you specify the delineation of privilege form for an individual location within that entity. Or you can just choose one location and that delineation of privileging form separately. The caveat of going the one general entity approach is that it will just show up when we’re going through the re, credentialing of tenor health. Overall. It won’t specifically call off in that re, credentialing scranton, Wilkes bar location. But, and this is where it gets a little complicated because we and I want to make sure that we, it’ll make more sense once we load all your data and you can see it within the provider profile. We do link them to that group tax id that you would have as well as a specific practice location outside of the whole outside of the credentialing piece. Does that make sense? There is one group’s practice provider linking. And then there’s also your re, credentialing with the entities. And typically the entities match up with your, or reflect your group profile strategy? So your tax id strategy?
Annette Craig (12:51) We have. Sorry, did you, Brandon, did you see Debbie was trying to get in, Debbie, Amelia from? Did you just admit her into the I.
Brandon Bradshaw (12:59) Did. Yeah. It just comes up very small in my screen. And so I totally missed it. I apologize.
Annette Craig (13:04) Okay. So that’s the difference then. Okay?
Connor Morley (13:09) And if it helps, I can also show you an example. I, for me personally, it’s like I, you know, it’s hard to kind of get a picture of it when it’s you know, just words. So I’d like to share my screen really quickly and show you what I am kind of talking about. Okay?
Annette Craig (13:28) That’d be great.
Connor Morley (13:29) Yeah. So this is just a general medallion demo. Org. So every provider that you have will have its own group and practice linking. So we can go in and we can see for this provider, they… would be associated with a particular practice and group. And then on the credentialing side, this is where the entities would come up which typically mirror your groups. And when you look at the scheduled re, creds that are coming, you would also be able to see what organization they’re re credentialing with. So if it’s tenor health as a whole, or if it’s scranton, Wilkes bar location specifically, and you’d be able to see when they’re coming up in terms.
Annette Craig (14:33) of so on that same tab and I’m just so what tab would the revals come across if somebody needs to be revalidated for payers? Is it the same tab?
Connor Morley (14:43) No, that would actually be under our payers tab. So we would see active enrollments. And then there would be a revalidation date. Okay?
Annette Craig (14:52) Okay.
Connor Morley (14:53) One thing I do want to call out is in general, we don’t automatically schedule revalidations. And the reason we do that is because for a lot of commercial payers, they just pull the information directly from caqh, it’s a silent process. We don’t necessarily need to do that revalidation. So we don’t want to charge you for a reval request when it’s not needed. But for your medicaid’s your medicare’s those typically are something that I think you have to do yearly. I don’t know specifically about Pennsylvania and Ohio… but typically, what I’ve seen is they happen more frequently and they’re almost required yearly, but we can confirm with Reta, on that.
Annette Craig (15:36) All right. So, can you go back? Can you go back to the credentialing? Excuse me? Okay. So if we were under one entity, we would only see… the re, creds under one entity and we wouldn’t see Wilkes barre, scranton and Sharon regional. Is that correct?
Connor Morley (15:54) Correct. You would just see tenor health.
Connor Morley (16:04) So something to think about, you don’t need to decide today if you’d like any more clarity or if you’d like us to kind of type up a summary as well. We can do that and send that along in the notes for today. But you will also have access to those group profiles which are your different tax ids right here associated with the different practices in that group profile. Sorry, and then the different providers who are employed… and working at those practices and under those groups.
Connor Morley (16:48) So this is where I was kind of saying it’s a little different where I can go into this group profile and I can see all the providers associated with this group right here, but it doesn’t have that like recredentialing date here. Okay?
Connor Morley (17:13) So a little food for thought and a little takeaway for your team. How would you like your entity for entities for credentialing to look?
Brandon Bradshaw (17:27) Annette, thank you for showing that Connor, like Connor said, I’ll follow up with a summary on that as well in my follow up email and just let you know like within two weeks that’s when we’re looking for a decision there as well. So that’s unless Connor there’s anything else that was mainly what we wanted to show you today and just get some more information on in regards to the data and all of that. But otherwise we’ll go ahead and give you some time back here unless there’s any other questions from the team at all?
Connor Morley (17:58) I did have a quick question on those archived providers that you had mentioned, Annette… what kind of information would you like to load into medallion for those archived providers?
Annette Craig (18:13) So for the archived, you know, obviously facilities call all the time and I’m not talking so much about pay or credentialing. I’m talking about medical staff credentialing, you know, dr cross was on medical on the medical staff there. What were the dates? You know, what was his initial appointment? When did he resign? Is basically what we need to know for the archives. And then also because we are totally electronic, you know, our archives need to come over with the files because that’s the only thing we have for them. I guess is what I’m saying, you know, we’re totally 100 percent electronic with MD-Staff. So, but it’s basically affiliations legal requests, you know, as if lawsuits sometimes come up, you know, years after the doctor has left, and then they ask for their full credentialing file and items from it.
Connor Morley (19:06) Okay. Yeah. That makes perfect sense. We can load in privileging information to that provider profile, old credentialing packets, we can load in start and termination dates too for work history validation. I just want to clarify… because when we do that and Brandon, this is something that we’re going to have to keep an eye on when we load those archive providers, we can only edit their profiles if they’re active, which takes a seat up, which takes a seat on your usage. But we can also deactivate them very quickly after we’ve loaded them. So once we’ve loaded all the data, we would just deactivate them. They would be archived. You can.
Brandon Bradshaw (19:52) Run reports. You can pull.
Connor Morley (19:54) information on them… and they won’t take a seat up for usage. They would just be essentially archived in the system. So it’s just, there will be a little bit of a period where there might be more.
Brandon Bradshaw (20:10) Providers and more.
Connor Morley (20:12) Seats than you have. But it shouldn’t affect billing or anything like that because we’ll deactivate them before they count towards any seats. Okay? And Stephanie was.
Annette Craig (20:26) Just asking and is David on the call? So verge, I know I think David or Tarun was trying to set up something with verge because Stephanie has archived providers in her system which is currently not up and running. So how do we get that information over?
Connor Morley (20:45) How do you get the archived information over? So it would be the same process as just getting your active providers. We would need that information put into the providers tab. And then if you could just denote which providers are archived… versus which are active and.
Annette Craig (21:05) Connor, I was just, is David still on the call?
Annette Craig (21:07) I don’t see him on the call. Yep, yeah. Have we had any other luck? I know, Ryan? I don’t think still working on it. We’re still working on it. They’re still working. Okay? All right.
Brandon Bradshaw (21:28) Good catch there, Connor. Anything else to note at all from your end? Connor?
Connor Morley (21:37) That’s all I can think of right now. I’m sure I might have something more for you next week?
Brandon Bradshaw (21:43) All right… perfect. Well, thank you for covering that Annette or team. Anything else that you need from us or any other questions?
Annette Craig (21:56) I don’t have anything. I don’t know anybody else have anything.
Brandon Bradshaw (22:00) I don’t have anything now. All right. I don’t see anyone else coming off of mute, Nicole. Thank you. All right. Well, like I said, we’ll follow up with a summary as well, and we’ll keep an eye out for any data or any emails we send over our way. But otherwise, thank you so much for your time today and hope you enjoy the rest of your Tuesday. All right. Thank you. All right. Thanks guys. Thank you. Bye y’all, bye.