Transcript
Peter Bosworth (00:00) hi, Felicia. Hi, Alyssa.
Alyssa Lawler (00:01) Good morning. How are you? Good. How are you?
Peter Bosworth (00:06) I’m well, thanks. Awesome. Yeah. Is it springtime in Georgia?
Alyssa Lawler (00:18) Well, actually, we are in Alabama. I,
Peter Bosworth (00:21) mean, sorry, Alabama.
Alyssa Lawler (00:22) Yes, Birmingham. Yes, it’s nice. It’s really nice.
Peter Bosworth (00:27) That’s awesome. I’m glad.
Alyssa Lawler (00:30) Good morning.
Peter Bosworth (00:32) Good morning, Alyssa. How are you?
Alyssa Lawler (00:35) I am. Well, how are you?
Peter Bosworth (00:37) I am well as well.
Alyssa Lawler (00:41) Very busy morning already.
Peter Bosworth (00:44) Yes, I guess, yeah, it’s almost noon where you are, but yeah… thanks for reaching out. I think the broad strokes of what you’re talking about with the pass through fee verifications… I guess.
Alyssa Lawler (01:06) Yeah.
Peter Bosworth (01:08) Yeah. So, I guess there was two things, but let’s start with that, so.
Alyssa Lawler (01:14) If.
Peter Bosworth (01:15) you have any examples that would be really helpful. So I can take it back to the team and we can sort through the invoicing part of it. Absolutely. Okay. Thank you.
Alyssa Lawler (01:31) I’m sorry, go ahead. I didn’t mean to interrupt you and.
Peter Bosworth (01:33) Just so like as soon as you emailed, we kind of synced with the team and confirmed that because obviously, we’ve been over this a few times and it’s just like operationally, we have the workflow written down correctly in the plan. So, I guess the distinction there being that this was like more of a mistake like an execution error rather than like a process that’s incorrect.
Alyssa Lawler (02:03) Yeah. And that makes sense to me and sort of what I figured was the situation… and I also wanted to make sure that we did have it down correctly because I know we’ve gone back and forth and I wanted to make sure we were all on the same page. So that’s very helpful to know that is in our protocol as well… right? I went through and Felicia looked at this as well. And I sort of divided it out by some different categories. The first one being this college transcripts… and I think that’s what I initially emailed about. And these, when I’m looking at it, this can all be verified by the licensure or board certs for physicians and then licensures for the mid level, the app providers.
Alyssa Lawler (03:09) Right.
Peter Bosworth (03:10) So, the protocol is to use licensure as education verification for apps rather than board certs or transcripts as you said, yes, okay.
Alyssa Lawler (03:24) And so I ended up on that invoice, the different ones… and I added them all up and there were a total of 29 of those that were transcripts… on there, okay? For a total of 745 dollars and 25 cents.
Alyssa Lawler (03:49) And I don’t know if you have it open in front of you, I can share my screen. If that, would, you know, be easier. That would be great.
Peter Bosworth (03:58) Actually, I wasn’t able to track down this invoice.
Alyssa Lawler (04:03) Yeah. Give me just a second. Let me see if it’ll let me, I had to dial in today. My computer is being a little temperamental. Okay? Can you see this?
Peter Bosworth (04:13) I can.
Alyssa Lawler (04:15) Awesome.
Peter Bosworth (04:18) Okay. So, I’m looking for anything that says college transcript?
Alyssa Lawler (04:24) Right. So here’s one, right here, this Allie fancher, college transcripts, Allison crotwell, college transcripts, Amy flowers… there’s 29 in total.
Peter Bosworth (04:45) Okay. And so basically, because these are apps, are these like we should be using the license, correct? And are they mostly NPS or it doesn’t necessarily? Yeah.
Alyssa Lawler (05:06) I think for the most part, they are mostly crmps. Yeah. Okay.
Alyssa Lawler (05:16) In fact, I think all of them, there may have been one pa, but I think all of them were crmps?
Alyssa Lawler (05:31) Okay. And then if.
Peter Bosworth (05:34) you don’t mind just for my own sake, can you just remind me on the logic? Basically is the logic that they couldn’t have gotten this license without the college, education, correct?
Alyssa Lawler (05:52) Right.
Peter Bosworth (05:53) Okay. That makes sense.
Alyssa Lawler (05:54) Correct. And the licensure… commissions also verify education before they issue the license. I know 100 percent the state of Alabama does. So, it has already been verified by the state of Alabama before the license is issued.
Alyssa Lawler (06:16) Okay. And that does mesh up with ntqa as well.
Peter Bosworth (06:33) Okay. Got it. So we… I will, is there any way you could email me this excel file? Yeah.
Alyssa Lawler (06:52) Absolutely.
Peter Bosworth (06:54) Thank you. Sorry, there’s a bit of like a left hand, right hand thing with the accounting team?
Alyssa Lawler (06:59) I understand. Okay. Yeah, I can send this over to you. And if it would help, I can highlight the ones that fall into that category. Okay? If that would be helpful?
Peter Bosworth (07:12) So, I was just gonna, I guess I was just going to, is pretty much everything that says college transcript fall under that rule or are there ones where we accurately?
Alyssa Lawler (07:22) Okay. No, they’re all college transcript, the other one that I think falls into that as well. Let me see if I can find it.
Alyssa Lawler (07:34) Parchment university docs right here on this, Kimberly winborn. If I can talk, I believe that those are college transcripts as well. So, those would be like the two things it would be under as far as I can see.
Peter Bosworth (07:58) Okay. Wait, and so, sorry, you just said this, but there are some that do say college transcript where we were actually supposed to and correctly verified the college transcript.
Alyssa Lawler (08:10) I did not see any that should have had college transcripts pulled. These are all crmp or POS.
Peter Bosworth (08:23) Okay. Like Kimberly… so Kiesha’s, an RN, Kiesha, Stinson, Kimberly winborn.
Peter Bosworth (08:34) So, do RNS fall under?
Alyssa Lawler (08:38) We do not credential, RNS? All of these would be crmp level, okay?
Alyssa Lawler (08:54) RNS also don’t have caqh profile. So we wouldn’t be able to pull anything on them if they were just RN level? So.
Peter Bosworth (09:03) Kimberly winborn is a doctor of dental medicine. So I think that one we should have verified.
Alyssa Lawler (09:14) No dentists fall under the licensure issue as well. That might be one we need to stipulate because they do not complete the internships, residencies. They are just licensure. Now, if they go for dental surgery, I guess it could fall in there. So I can maybe see that, but I don’t have this provider pulled up in front of me to look and see what you know, they did. So I can see maybe that, but definitely the crmp and the pas, the mid levels, we wouldn’t need the transcripts on.
Peter Bosworth (09:53) Okay.
Alyssa Lawler (10:01) Hey.
Falesha (10:03) Alyssa, I’m looking at some of these transcripts and they are behavioral health like the lpcs, which again, we wouldn’t need transcripts for those because the licensure, you know, primary source. So yeah, some of them are lpcs, licsws, but as you said, we still wouldn’t need that transcript. And.
Alyssa Lawler (10:25) I believe that is in the protocol as well. The only ones that we do need transcripts. I’m sorry that we do need transcripts for training verification would be MD, do that kind of thing, but we do need to verify that.
Peter Bosworth (10:44) So, I have the list of provider types that require board certifications.
Peter Bosworth (10:52) Because that’s like another thing that’s going on, right? And would that list be different than this advanced practice? It would be the same list? Yes. Okay. So what we ended up doing was we made the list of all the provider types that just like do require board certification verification, and therefore also do require transcripts… right? Is that an accurate statement like that? Those two lists would be the same? I?
Alyssa Lawler (11:31) Would say, yes, if they do not have a board certification, I can see them pulling transcripts.
Peter Bosworth (11:40) Sorry, say that one more time?
Alyssa Lawler (11:42) If they do not have a, if they are on that list and they do not have a board certification, then, yes, I can see pulling transcripts for that. Okay?
Peter Bosworth (11:57) Well, so that list?
Alyssa Lawler (12:06) Okay.
Peter Bosworth (12:14) I think if you send this to me then I can work with Ray, okay… to kind of audit it.
Alyssa Lawler (12:23) Yeah, that would be great. There’s a couple on here as well that I wanted to point out that have Ana board… certs that are pulled, which would fall under that as well. But one of them I know is a physician. So I’m not sure why we would pull a nursing… board license on a physician.
Peter Bosworth (12:53) Do you know the physician’s name?
Alyssa Lawler (12:57) Lincoln is the last one, is the last name LINKIN… KEN, I apologize. Is this it Felicia? Correct? Yes.
Falesha (13:12) Lauren Lincoln? Yeah, yeah, she’s an MD.
Peter Bosworth (13:19) Yeah, it looks like she’s an MD and she has a DE a and a CSR, I wonder if somehow we were verifying, no… we’re in Lincoln a. A.
Peter Bosworth (13:49) Do you mind highlighting that one?
Alyssa Lawler (13:52) Yeah, I will. Thank you here’s. Another one Corey Mitchell.
Alyssa Lawler (14:05) Ana Alicia, I don’t have with my screens going on, I don’t have that pulled up. Can you see it? Yeah, he is.
Falesha (14:15) It’s a… crnp, yeah, that one is.
Alyssa Lawler (14:20) Yeah, we would not have needed that. No, we could just use the loss. I’m sure.
Falesha (14:26) And I see a couple others. I’ll just look up real quick.
Alyssa Lawler (14:32) Off now.
Alyssa Lawler (14:48) But yeah, basically, I just want to make sure we’re all on the same page and make sure the protocol reflects, you know, what we’ve been discussing.
Peter Bosworth (15:02) Yeah. I mean, this is more than a few. So I’m glad… we got on the call. I thought this was maybe like less than 10 or something.
Alyssa Lawler (15:15) It’s quite a few. And then I have one more question on the same line. Okay? Line of thought for you. These that are nsch. That is the national something clearinghouse? I think it’s in relation to education. Is that correct?
Peter Bosworth (15:40) Sorry, the nsch?
Peter Bosworth (15:45) Yes.
Alyssa Lawler (15:48) This is the national student clearinghouse, yes. So, there are 88 of these on here. And I’m thinking some of them may fall under the same category as the transcripts because these are crmp… LPC that kind of thing. And just the license would suffice. So, I wonder if we’re going through the nsch, rather than pulling transcripts when it’s just the license would suffice as proof of education.
Peter Bosworth (16:32) Okay. So it’s the same issue?
Alyssa Lawler (16:36) I believe so.
Peter Bosworth (16:38) Verifying education?
Alyssa Lawler (16:41) When the license would suffice for these non physicians?
Peter Bosworth (16:58) Okay. Yeah, I’m not sure exactly on like the difference between when it would say college transcript and nsch, but it seems like the end result is the same. It’s verifying education, yeah.
Alyssa Lawler (17:20) I believe so.
Peter Bosworth (17:22) Yeah.
Peter Bosworth (17:27) And this is all… I know we, I need to re sync with like I just asked our team to connect again because clearly… there’s some disconnect on why. And I’m wondering if it’s like, is this above… like… this isn’t like non compliant or anything by doing this in Alabama?
Alyssa Lawler (18:01) Correct. So, this would be in line with the ncqa guidelines. I went back and looked into that. And as long as the licensure commission is verifying education, then it is adequate PSP… okay for education.
Alyssa Lawler (18:23) So, if we can do this without having to do the nsch, that would be great. It would be different if it was the amount like an npdb like a two dollar and 50 cent amount. But some of these are, you know, right at 20 to 50 dollars, some of them that I’m looking at, they have been run multiple times for the same thing. And I’m not really sure what’s going on with that… like here’s one right here, this Harsha Cole, we have two requests for college transcripts… one on the third and one on the fifteenth. Some of them are being run same day duplicates. I just, I feel like I need some kind of clarification to better understand this… because it does get costly.
Peter Bosworth (19:24) Yeah.
Falesha (19:26) Greenhill, Clay, greenhill is an example of one… that was run several times,
Alyssa Lawler (19:37) Try that again.
Falesha (19:38) Green hill? Yeah.
Alyssa Lawler (19:44) I’m struggling today. Let’s try doing the whole thing. There we go. Okay. Clay greenhill. So nsch here is two on the eleventh and two on the twelfth through the nsch… and a college transcript. What kind of provider is that Felicia?
Falesha (20:09) Let me just check that really quickly.
Falesha (20:17) He’s an LPC.
Alyssa Lawler (20:23) So, that would have been something that we could have just done with a license verification.
Peter Bosworth (20:28) And none of those would have needed to happen, no.
Peter Bosworth (20:40) Okay.
Peter Bosworth (20:44) Yeah, I think I… need to connect with our accounting team. And if you’re able to send me, yeah, just obviously don’t spend too much time on it, but like color coding or highlighting some of the ones that are problematic, then… I can paint a picture to our accounting team.
Alyssa Lawler (21:09) Yeah, I will do a few of them. So you have the general idea. And then I also have it already broken out in my notes of, you know, the items we’re concerned about. I’ll include that as well. One final thing I wanted to ask and this is just something that I wanted to make sure I was clear on. So we’re sending these over as with the state of Alabama on our request template.
Alyssa Lawler (21:36) so, theoretically, they should only be pulling licensures for the state of Alabama, correct? Unless a different state is stipulated there.
Peter Bosworth (21:51) That I’m not, I think when you have providers… that are licensed in multiple states, the verifying of their licensure in other states is also part of the process.
Alyssa Lawler (22:08) Okay. I thought my understanding was that if that’s why we were listing, Alabama was the only Alabama information was pulled and there’s not a whole lot of these, but I noticed three for Mississippi and one for Louisiana and we 100 percent don’t have any Louisiana providers that would be like on the line or anything like that. So I just didn’t know if that was the case or if I was misunderstanding how that works. Yeah.
Peter Bosworth (22:44) I know that like in the general medallion world, not, it would count just because we would need to verify providers licenses that are not in just the state that they practice in case there are any like issues with that in that state. But if we had made like unique arrangements with viva, I need to… confirm with Ray.
Alyssa Lawler (23:07) Yeah. If you could check with Ray on that and see that was just my understanding and I could be wrong on that, but there are just a few. And the only reason I even noticed them is because they were on the invoice and so they’re charging 30 dollars for Louisiana, 27 50 for Mississippi… and most states allow you to verify online… without, you know, a charge.
Alyssa Lawler (23:36) So it just sort of caught my eye that this might be something different. So just trying to verify and understand on that.
Peter Bosworth (23:46) Okay.
Alyssa Lawler (23:52) But I can definitely send this all over to you sort of in one email. So it’s a little bit easier to ingest if you don’t mind doing some research into it.
Peter Bosworth (24:04) Yes, that would be great. And I will.
Alyssa Lawler (24:10) Follow up.
Peter Bosworth (24:11) With you. Yeah.
Alyssa Lawler (24:14) That would be great. I’ve already requested for this to be paid through our accounting department. So it is on the way. So, if we work out some kind of credit or something after it’s been discussed… with your team, then we can pick back up at that point. But at least we’re getting it pushed through at this time.
Peter Bosworth (24:37) Okay. Yeah, I’m definitely going to that’s. Definitely what I’ll be discussing with our accounting team.
Alyssa Lawler (24:44) Fantastic. Felicia. Is there anything that you wanted to add that I may have forgotten?
Falesha (24:49) No, along with the out of state boards. I did see a North Carolina but no.
Alyssa Lawler (24:57) Okay. See. I missed that. So, yeah, just something to check into.
Peter Bosworth (25:04) Okay. Well, I will follow up with you both after I meet with our accounting team.
Alyssa Lawler (25:12) Fantastic. Thanks so much for your opportunity. Thank.
Peter Bosworth (25:15) You both. Yeah, thanks for pointing it out and appreciate it.
Alyssa Lawler (25:21) You have a good day. Have a good one you.
Falesha (25:23) Too. Take care. Bye, bye bye.