Transcript
Yclark (00:00) hello? How are you? Hey, Yolanda, hi, can you hear me?
Rheta Larson (00:09) I can hear you fine. Can you hear me?
Yclark (00:11) Yeah, I was going to send you a meet and invite is Friday, good, Thursday or Friday or what day is good for you?
Rheta Larson (00:20) Let me look at my schedule real quick. Thursday. I have availability after four… P. M CST or… between 11 a. M. Sorry, 11 30 a. M to 12 30. So I have about an hour between that time.
Yclark (00:42) Central Standard Time.
Rheta Larson (00:43) And then Friday, I’m pretty open. So any day or any time on Friday outside of 10 and.
LaShunda Chapman (00:49) 10 10.
Rheta Larson (00:52) 30 and 11.
Yclark (00:53) Okay. So you can do like a nine on Friday. I’ll send you a meet and invite?
Rheta Larson (00:57) Yeah, that works all.
Yclark (00:58) Right. Good. Perfect.
Rheta Larson (01:01) I think I did answer back to your email thread. I just wanted to make sure there wasn’t anything in particular you wanted me to review on the credentialing workflow? I’m not sure if Peter or Naomi covered this with you, but I’m happy to see if I can also loop them into the conversation. Cool. Yeah, if there’s any part of that, just let me know. I’m not sure what questions you have there. So I just want to be prepared for that.
Yclark (01:31) Okay. All right. Thank.
Rheta Larson (01:33) You definitely. Hello? Hey, how’s it going? Doing well? Thank you.
Yclark (01:45) Okay. I.
Rheta Larson (01:46) Don’t know if we are waiting on everyone else from Hamilton… but I can give everyone a few more moments or give you all the floor to kind of address anything that you want to chat through. I know last week we talked about the facility percentage threshold. We pushed all those forward. So if you go into burton too, you should be able to see all of those facilities now in light and working. Those requests have been moved. But yeah, anything I can help you with anything I can look into further for you or address?
Yclark (02:29) Okay. I’m going into medallion a little bit.
Rheta Larson (02:32) Yep. I’ll share my screen too. So I know burton was this one and then the payers tied to them, they’re all now in processing, nothing is in intake anymore.
Yclark (03:12) I can barely hear you, Lashonda. I can’t hear you.
Rheta Larson (03:19) I can hear you okay, but yeah, I think she was stating that was the only concern she had and there was nothing else outstanding on her end. But just to reiterate, I know I already closed the loop with you via email at this time.
Rheta Larson (03:33) We can’t customize the facility profiles for those thresholds. But like I mentioned, in the meantime, you can proceed with the request without that information. So I would just say if you see something that’s stuck in intake or you’re seeing that it’s pending for quite some time, this is the time that we’ll use to address any of the payer enrollment requests. So however you see fit on the ongoing cadence or structure you want me to do these, I’m happy to kind of go through line by line with you on some of these or priority ones if they’re specific payers, whatever fits y’all’s workflow. But essentially, I’ll push those through with the PE team as they’re entered. And nothing else is outstanding. So.
LaShunda Chapman (04:26) If we submit an application.
LaShunda Chapman (04:32) I assume it’s going to be held for that information? Should we just like give you a heads up that hey we submit an application for this payer, can you go ahead and push it through or, yeah?
Rheta Larson (04:44) As long as the profile is pretty much completed because I know that was the other part of your question. Like the list tied to what intake uses for those. So that would be my only call out there. Like obviously, if the profile is at zero percent, we would just need to make sure that some of the requirements for the profile is completed. So, what the team uses during that intake review is the facility details, the accreditation site visit, if it’s not accredited hospital bidding arrangement and facility officials. And if those things are test out to you or it’s not applicable that’s where for whatever facility you’re referencing, just let me know. And then I can blanket that statement to intake so they can disregard it in their vetting of files. So, yeah, any new requests that move forward, feel free to add it to this agenda as like a line item and then I can keep it on my radar to address live with you all. Does that answer your question? Yes. Okay. Gotcha. Perfect. Well, with that said, I don’t think I had any action items from last week aside from those two items. And I responded via email. I know we’re planning to set up time for Friday early morning, Yolanda, just to go over that deck. And then in the interim, I don’t think I have any other outstanding emails or support tickets. Do you all have anything you want me to look into that’s processing currently for the enrollment requests?
Yclark (06:26) And then you said to go in and add all the clias into all the facilities if?
Rheta Larson (06:35) They are not there? Yes, I would encourage you to do so. I thought the clia numbers were, I thought I already added those. Do you have examples on some?
Yclark (06:49) Let me look when you.
LaShunda Chapman (06:53) Go to Whitmore lake. Click on clia. It’s there… facilities, north point, clia, the number is there… McFarland, clia, that one’s missing?
Rheta Larson (07:10) So, McFarland is.
LaShunda Chapman (07:11) Missing… Hamilton, Maine is missing… lapeer, missing… Yolanda, this information is in the enrollment.
Rheta Larson (07:27) Folder? Okay. Hamilton flint, clia is missing?
Yclark (07:33) Yeah, it was just a few in there that was missing quite a bit. What was the last one after lapeer? You just said, I’m sorry?
Rheta Larson (07:41) I can’t remember, you can go in and check. I’m sorry. Okay. Hamilton.
LaShunda Chapman (07:45) Clia, that one is there? So, yeah, you just have to kind of spot check them. Okay, burton. So it’s only a couple that.
LaShunda Chapman (08:11) Okay. I can do that. I think Lisa also uploaded the clia certificates too. So.
Rheta Larson (08:18) If so, you can just, you see.
LaShunda Chapman (08:21) How they uploaded it?
Yclark (08:22) Here. Yep. I see how they, yeah.
Rheta Larson (08:28) Add and then upload document there. Thank you. Of course. Yeah, thanks for checking there. Let me know if you run into any issues with that or if there’s anything I can help you further for support. And then I think we’re moving on pretty much everything that’s in request. I know there’s six outstanding tasks. So I would just flag these to any of the providers that are provider tasks or any of the admin tasks. Looks like there’s a handful or four admin tasks here for these particular payers, Nicole, verisys, and tukwida, so I would just make sure that anything we haven’t completed… which it looks like some of these are done today or sorry on the 10. Yeah.
Yclark (09:18) We sent her an email to complete it. So I’ll follow back up with Lisa to see if that one is complete. Okay?
Rheta Larson (09:27) Perfect. Yeah. Let me know if there’s anything that you see is like stagnant here and you need us to push forward. It looks like there’s six that are in our bucket. So I’ll get the team to post those. But other than that, I like to just call out any of the open lines, you can quickly overview the enrollment request. So it looks like there’s 82 processing. So, meaning our team is actively working on them, whether that’s application submission or following up with the payer directly that’s what the statuses would kind of represent and give you detail on where we’re at there… the five that need attention, that would mean that is back in the client’s bucket. So we need something from you all which I’m assuming it’s those tasks that we just went over, some of these are just requesting additional information tied to those requests. And then we have 47 now completed payer lines writer enrollments. So that’s kind of like scope of these… on hold and stopped on hold, represents to us that you all have asked us to pause on this for whatever reason, not necessarily marked it as stopped. So once you decide you want to pick these back up, I would just need confirmation so we can move them back to an active status. I’m sorry you said we asked you to stop, yeah on hold. Either. It looks like actually these are pending dependencies. All of these fall into that bucket. So you disregard what I said. I misspoke on hold can be one I.
LaShunda Chapman (11:05) saw medicaid. I’m like why are we blocking medicaid? No?
Rheta Larson (11:08) You’re fine. It looks like these are pending other dependencies. So for pay or enrollment. Anyway, there’s variations there. If y’all ask us to put something on hold because you’re trying to get something internally that’s what the status could potentially be used for. But in this case, it looks like they’re only on hold because they’re pending or blocked by another request. So you’ll also see those fall into this bucket but no action for you there. These will automatically flip once those dependencies are completed from the other payers.
Rheta Larson (11:41) But hopefully this helps you kind of like break down where we’re at with some of these. I know at least from my perspective, I like to look at for our structure kind of just the payer list. What is priority for y’all, if you’ll have different payers, which ones? And then I am happy to like kind of prioritize those and go through each one and just make sure the notes are following according to plan. Anything with like higher requests. I tend to prioritize as well. Like Michigan meridian, there’s eight there. So that indicates to me that you’ll have a need for that. And then this is where you’ll be able to dig into like our last outreach follow up where we’re at with those notes on the request for some of these… Questions concerns?
Yclark (12:35) So on those tasks, if I ask a question, is anybody monitoring? Because I haven’t gotten any response for the one task that I had. When you go to all tasks, it was one for Jaquetta gray. It was the request group demographic. And when I clicked on it, I… read the notes.
Rheta Larson (13:04) Oh, you’re asking? Yeah, oh yes. Yeah.
Yclark (13:07) So I’m trying to get assistance with that because.
Rheta Larson (13:11) Okay. Let me flag this one. So our team is instructed whenever y’all, pop in a note here, or if you mark this as completed, the goal internally is to make sure that we respond within 24 hours. So if you’re not seeing that definitely flag it to me and then I can help the team kind of action. Some of those we have internal reports. They’re pulling. So I don’t know if this one just fell through the cracks, but I’m going to add it to my list and have them respond to you today.
Yclark (13:40) Thank you.
Rheta Larson (13:42) Definitely thanks for flagging it.
Rheta Larson (13:56) Okay. Any others you want to flag?
Yclark (13:59) Let’s see once this is done, please review and sign. No, because Lisa is working on the codes. We sent her an email. So we’re just waiting on a signature from her. Okay?
Rheta Larson (14:16) Yeah, that.
Yclark (14:17) Was the one I was working on? The one I just gave you. So. Okay. And then let’s see full of facilities.
Yclark (14:36) Now… some of the sites, the facilities had the existing license at 100 and nothing was in there. And then like for this one, when you go to the Hamilton north point clinic, the existing license says zero.
Yclark (14:59) Let me go in here and look at this one. It’s one of them… let me go in here.
Yclark (15:07) Which one was it? Boy? McFarland? One of them had an existing license in there… facility and clinic… go through. What type of licenses do we need to plug in there? Because all these are at 78 percent the facilities, I’m trying to get them to 100 percent. So we talked about the site. But what else are we doing with the existing licenses? I,
Rheta Larson (15:47) don’t see any existing licenses on those that have 100 percent. But really that spot, you said that’s the provider information, didn’t you. Yes. So that spot is tied to provider details… like if they have a provider detail, but I see here that this is adding add existing licenses affiliated with this facility.
Rheta Larson (16:11) Y’all have like particular licenses with those facilities. What type of license it would be like a state license for some of these providers? Do you have providers… Hamilton north point clinic? Jonathan, it looks like he has an existing license in Michigan. He’s an MB, is his Michigan medical license tied to that facility?
Yclark (16:47) His is tied to Clio. Well?
LaShunda Chapman (16:50) That’s his mpi, she’s talking license. So I don’t think any of their license would be tied to the.
Yclark (16:55) Facility? Okay?
Rheta Larson (16:58) Then, yeah, if it’s not, then you can just skip that for now. I don’t think that’s one of the list requirements for the team. And I like I said, we can’t like it’s all or nothing for right now, on this side, we’re working with our technical team for future improvements there, just to like make sure we can customize those. But at least for now in filling the files, what they’ll vet is the facility details, the accreditation site, visit hospital admitting arrangements, and the facility officials, so you can disregard that portion.
Yclark (17:32) Okay. If.
Rheta Larson (17:34) There isn’t any existing licenses tied to the facility… that’s the only way that I would think about it in this nuance case, but personally, I haven’t seen other clients use it in any other way. I can check with my team. But, yeah, that’s kind of the.
LaShunda Chapman (17:49) Last time you said you didn’t see any other clients?
Rheta Larson (17:52) That, yeah.
Rheta Larson (18:00) But does that answer your question here? Yes.
Yclark (18:03) I guess we’ll just be at the 78 percent that’s the highest we can go.
Rheta Larson (18:09) Yeah. And again, no harm. No foul. Our team is aware of that we’re using based off of what is in our kind of review. It’s not.
LaShunda Chapman (18:18) Preventing us from moving forward with any enrollment with the payer. So it’s okay. Okay. Yep.
Rheta Larson (18:24) It’s okay. Okay. We’re missing this, so we can’t you know, process your application or? Okay, thank you. If that were the case, intake will flag it or the team will flag it. So, if we get something into processing and then it turns out the payer is asking for X y and Z, our team will ask you to then upload it and it’s not going to hinder the submission of it, but it might just prolong or delay the actual processing of an issuance status or the completed status. Okay? And unfortunately, when you are dealing.
LaShunda Chapman (19:01) with payer enrollment, you’re kind of in the reactive state because all of them are different. They’re going to all request different information. So it might be, I think 78 percent for the facilities is good. If everything… is, you know, once we get those clia numbers uploaded and all of that, we should be good to move forward. And then you could probably just focus on the providers and the outstanding tasks. But I think as far as like the facilities and I don’t think you’re going to get them any further than that. If we get more information to feed into the system, great, but it’s not preventing us from moving forward, okay? On the facility side.
Yclark (19:46) Okay.
Rheta Larson (19:50) Perfect. But great questions. What else? Anything else I can address live with you all… I’m all set. I don’t have any.
Yclark (20:03) Questions. Wonderful. Yep. I’m all set for now. If I have anything else when we have our one on one, I’ll go over it with you. But mainly, I wanted to go over that, credentialing the process, what we do versus what you do. I sent you that attachment. So, yeah.
Rheta Larson (20:23) I will take a look at it. I know Naomi and I don’t know if you were on that kickoff call with Naomi when she held that conversation with you all, she was implementation manager over at Hamilton. So I’ll just quickly partner with her. If I need her support, I might add her, but otherwise, I should be able to field any questions that you have.
Yclark (20:44) Okay. I haven’t met her. She was before my time.
Rheta Larson (20:47) Okay. Gotcha. Great. Well, thank you so much. I hope you all have a lovely day and I look forward to speaking with you on Friday. Okay? Thank.
Yclark (20:55) You. Thank you. Yep. Bye.