Transcript
Vanessa Persha (00:00) hi, Courtney.
Isbath Ligali (00:05) Hello?
Vanessa Persha (00:19) Hello, brie. Hello, isbath.
Isbath Ligali (00:21) Hello? All right.
Vanessa Persha (00:24) Bear with me. I am coming from another meeting. I’ve been in back to backs like all day. I actually wanted to see if we could look at changing our cadence to Thursdays just because my Wednesdays are so backed up and I always like, I get in a backlog situation getting your updates into your spreadsheet.
Isbath Ligali (00:53) That’s fine with me, brie.
Brianna Humphrey (00:55) Okay. That works for me.
Vanessa Persha (00:57) Okay. That would be awesome because, yeah, I’m like just Wednesdays are brutal. Let me see. Let me just double check because I have.
Vanessa Persha (01:13) Every other Thursday, I have a meeting in the afternoon. I want to just check and see what time it is. So I could do a three to four on… Thursdays. Is.
Isbath Ligali (01:28) that Easter standard time? Yes, that’s fine with me. That’s two to three years, my brie.
Brianna Humphrey (01:34) Yep, that works. Okay?
Vanessa Persha (01:36) Perfect.
Isbath Ligali (01:39) Hold on. Actually, I think I have an implementation for all that though that time one second.
Kourtney Mankowski (01:45) Wait, tell me the time again?
Isbath Ligali (01:48) It?
Vanessa Persha (01:49) Would be from three to four Eastern Time could?
Kourtney Mankowski (01:52) You do anything like earlier in the day on Thursdays because our afternoons for Thursdays are usually pretty crowded with like leadership meetings. So, nobody like no leadership would be able to go. Okay. Let me check.
Vanessa Persha (02:10) I might be able to do 11 to 12 Eastern Time on Thursdays.
Isbath Ligali (02:19) 11 to 12 on Thursdays is fine with me.
Kourtney Mankowski (02:28) Yeah, that should be… Eastern Time. We could do, I mean, and again, this is like me, who’s not mostly around, but even Steven, he will have an every single Thursday cadence of 11 at 11 30. So, 10 30 to 11 30 might be better, but he.
Isbath Ligali (02:44) doesn’t hop in all the time he barely hops in though.
Kourtney Mankowski (02:47) Okay. I mean, these are your meetings, not mine, just letting you know, yeah.
Isbath Ligali (02:52) I think that I think the 11 to 12 is fine.
Vanessa Persha (02:54) Okay. Perfect. Knowing that I don’t have updates in this in the spreadsheet for you today. Do you still want to go through and talk about urgent items or do you want to move it, move today’s? Call to tomorrow?
Isbath Ligali (03:12) Can we still run through them? Yeah.
Vanessa Persha (03:14) Absolutely. And,
Isbath Ligali (03:16) then, I know we have something on the agenda that Kourtney wanted to ask? About? Okay? So, even if you don’t have updates, maybe like us, we can provide like further like clarification on why we added them, to the spreadsheet.
Vanessa Persha (03:27) Yeah, that makes sense. Let me quickly before I forget, change the cadence for next week’s, call weekly on Thursdays from, I love it.
Isbath Ligali (03:38) If Stephen responds and says that doesn’t work for him, then we can entertain a new time, but he, I don’t want us to make a permanent decision on like.
Vanessa Persha (03:48) On his schedule? Yeah.
Isbath Ligali (03:50) Because his schedule is so crazy, okay?
Vanessa Persha (03:53) I said 11 to 12, right? Yes. Okay. Eastern Time?
Vanessa Persha (04:02) Okay… perfect. All right. Let me share my screen.
Vanessa Persha (04:14) And let me know where you want me to start. Okay.
Isbath Ligali (04:19) So, I know that for line 80, you’re gonna flag to peop. So we haven’t got, I’ll wait for tomorrow for that. Okay? Perfect.
Vanessa Persha (04:31) And I know.
Isbath Ligali (04:33) All the ones that you say you’re gonna flag, for line 94, they did, I did provide an update there for line 90.
Vanessa Persha (04:41) Four. Yep. I did share that back to peops already. So we can, we’re good to mark that complete? Okay?
Isbath Ligali (04:46) Great. I’m gonna skip.
Isbath Ligali (04:48) I skipped everything before 94 because we’re I’m gonna wait for your update, okay? For line 96. I’m gonna skip that too, because you flagged it and we’re just waiting for a response for line 97. I see that you put it back to us. Ask pte to submit verification… and the RN, license line on whole sense three five.
Vanessa Persha (05:10) Oh,
Isbath Ligali (05:13) was that supposed? Is that supposed to be pending medallion?
Vanessa Persha (05:16) That’s back to me now. Yep. Yeah, that should be back to me now… and line 90.
Isbath Ligali (05:25) Eight.
Vanessa Persha (05:29) This one was 498. Yep. I flipped that one back to me. Okay? Nine.
Isbath Ligali (05:33) 99. Brie, can we call 99?
Brianna Humphrey (05:38) You can skip this and let me review.
Isbath Ligali (05:40) Okay. One one.
Brianna Humphrey (05:44) Actually, yes, I did flag them. So, yes, we can, okay.
Isbath Ligali (05:52) Line one one, you’re checking with peop. So we’re waiting for a response. So we skip that… we’re following with dr, ace, brie. What about one two. Do you want us to skip and review at another time?
Brianna Humphrey (06:08) Skip, let me, yeah.
Isbath Ligali (06:10) No, no worries. No worries.
Brianna Humphrey (06:11) Review that?
Isbath Ligali (06:14) We’re skipping that one three as well. Skipping one four… will tas, provide login, we can skip that one five. I don’t know if they for line one four. I’m sorry, well, for line one five, I asked in the tas, I’m not sure if they provide an update. I’m checking right now.
Vanessa Persha (06:38) Okay. I did take this one back to our team and ask them to draft like a task template for instructions. I just haven’t had a chance to look and see if they’ve updated the tasks yet.
Isbath Ligali (06:58) Okay. I can review that. I’m not sure what the I’ll check.
Brianna Humphrey (07:05) I want to say one or two. We did, I know isbath you had updated the task as I’m reviewing now, and I did confirm with dr Henderson. She did not receive the pin. So we need confirmation from medallion that it is going to the correct email because it looks like the one is not the correct one that’s listed. Oh.
Isbath Ligali (07:24) They put a wrong email. They put it. Okay. Yeah, yep. Okay.
Vanessa Persha (07:28) I’ll circle back with them on that one. I think I have an update for her. I just like I said, it’s in my agenda that I haven’t had a chance to look at yet.
Brianna Humphrey (07:37) Yeah, that looks like they put cambridge.
Vanessa Persha (07:39) Oh, geez okay.
Isbath Ligali (07:44) I think we can close my, I think we can close actually, leave it, you know, five, I’ll review it. Okay. Line one, six pending client response to take the, yeah, yeah, she.
Vanessa Persha (07:57) Gave me a response that I haven’t looked at it yet. What did she say? Carebridge? She sent me a really long message about this. So she said.
Vanessa Persha (08:15) Knowledge, it’s required that providers enroll with medicare before Texas medicaid. However, some providers… some provider apps are definitely not for.
Vanessa Persha (08:34) Okay. So, she’s saying that some kind of waiver would need to be requested if the provider is not enrolling in medicare for Texas.
Isbath Ligali (08:46) So, where did that waiver come from?
Vanessa Persha (08:48) I’m looking right now.
Vanessa Persha (08:59) It’s it sounds like we just need to select no on the application for medicare and then that should automatically trigger a request for them to implement a waiver. Maybe, let me see.
Vanessa Persha (09:24) So, the following is a prerequisite. So, if you select no for medicare enrollment, you have two options to select one. Is I certify my practice is limited to individuals birth through 20 years of age. I understand medicare certification is obtained.
Vanessa Persha (09:50) Okay. So basically, if you only treat pediatric patients, then you can get a waiver, but if you treat… clients of all ages, then you’re attesting that the type of care you render is not recognized by medicare for reimbursement. Those are the only two instances where they’ll give you a pass.
Isbath Ligali (10:13) Can they double check whoever’s working the apps with the lead? Can they double check what they’ve been doing? This is like, this is not our first Texas medicaid application. So, the way they’ve been filling it out before is how they should continue this. And this is not the first time this task has come up. And we’ve had to like go around and say, turn around and say, hey, like medicare is not a prerequisite. So, however, and I’ve been receiving, I’ve been receiving… completion notification from medallion on medicaid, Texas medicaid. So, however they’ve been filling out the application is how they need to proceed.
Vanessa Persha (10:48) Okay. Yep, I will have them take a look at that. I have a feeling they’re selecting the second option that says the services they render are not reimbursable by medicaid. And.
Isbath Ligali (10:59) then I also did, I saw the task and I, like, I did leave them a note. I said this is not, this is not required for Texas medicaid. And I closed the task and it does see, it does show that the both for these both of these providers, that their status, it has changed to pay and processing. So, I guess, the specialist took that and ran with it. They left an update today. Okay?
Vanessa Persha (11:23) All right. Yeah. I’ll dig into that one a little bit deeper.
Isbath Ligali (11:27) Okay. I’ll flip it back to you. Okay. And then… what passcode is this referring to? Okay. We’re going to get one oh seven. I guess you’re waiting for something?
Vanessa Persha (11:44) Like be more specific. So, I don’t I’m not sure if they’ve had a chance to update it yet?
Isbath Ligali (11:49) That’s okay. We can skip it. Okay. Okay. So one one oh eight, brie, I’m going to give the mic to you because that you added it?
Brianna Humphrey (11:57) Yes. So we did receive a letter for Bianca posada, that her Ia medicaid was rejected. Okay. And medallion, it’s stating I haven’t checked today, but it was stating the last update was from three 31 stating it was still in progress. Okay? And the rejection was prior to that.
Isbath Ligali (12:19) Okay.
Brianna Humphrey (12:20) So, yeah.
Isbath Ligali (12:21) Brie, did you submit this to support yet?
Brianna Humphrey (12:25) I believe so, give me one second. Let me just review.
Vanessa Persha (12:27) Okay. I was just going to ask if you haven’t yet. Yeah, I think I did Friday, okay?
Vanessa Persha (12:35) If you have your ticket number by chance, if you wouldn’t mind adding it here, then I can search for it in our platform and see why that hasn’t been updated.
Isbath Ligali (12:46) But they’re not responding that’s why you posted it here in this agenda brief.
Brianna Humphrey (12:51) I’m trying to get the LNC request but it’s just going blank for me. So I’m going to try again in a second. But yeah, I did add that Friday. Okay?
Vanessa Persha (13:01) Yeah. If you can just add that ticket number, I’ll look into that and escalate internally, but just a reminder Iowa medicaid, we do not receive their correspondences for requests for additional information or anything like that. You guys just recently asked us to change the correspondence email to the credentialing at carebridge email. So you guys will have to send those through to support. Anytime you get a request for additional information, denial letters, approval letters. You’ll just have to send those over to us via support.
Isbath Ligali (13:39) Vanessa and I just see the same line for Bianca. Posado. I don’t know if this makes a difference. The line was completed on 410. So maybe they got the information that they needed because it’s showing in medallion that their enrollment was completed. That’s scary. Why would it say maybe we can just confirm and make sure?
Vanessa Persha (14:01) Yeah. Let me add a note here.
Vanessa Persha (14:17) Okay. I’ll take a look at that and.
Isbath Ligali (14:19) Then before we jump to one nine for 110, Bree, can you work with the provider on that?
Brianna Humphrey (14:25) Yeah. Give me one second… one. What is it? 110?
Isbath Ligali (14:31) One nine. I’m sorry, 110. Yes.
Vanessa Persha (14:33) 110.
Isbath Ligali (14:35) Yes, thank you. And then one nine. I’ll give you the mic.
Brianna Humphrey (14:41) I did already reach out to Bernetta on that, but, and then you said for what line?
Isbath Ligali (14:49) No, you’re just one nine that’s it. And then I’m giving the mic to Kourtney, for 110, no.
Kourtney Mankowski (14:54) One nine. Okay. One nine.
Isbath Ligali (14:58) It’s.
Kourtney Mankowski (14:58) all right. Okay. So we need to change our business address in total. So we do have nine two six north or nine two six main street. And we are moving addresses to our other location that we already have, which is five, one great circle road. And our address for nine two six main street will be Nolan void as of July first this year. So we still have a couple of months, but right now it is listed for our address, for everything in medallion, each individual provider, every single license, everything we have. And so my question for you is when businesses change addresses, is there a way for medallion to do like an oversight like carebridge’s address is now this, and then it updates everywhere or does everything have to be updated individually or how can we like?
Vanessa Persha (15:45) So I think if you update it at your group profile level, any provider that’s associated to that group, like it will feed down into that practice information… in terms of updating payers. Is… this like is it a correspondence address? Is it a billing address? What is that? Like, how are we using that for your payers?
Kourtney Mankowski (16:16) I need to look in at it more because I’m not exactly sure it’s listed in like everybody’s everything.
Isbath Ligali (16:22) Let me pull up the profile that’s.
Kourtney Mankowski (16:24) our main address… right now.
Isbath Ligali (16:28) I’m looking at the carebridge medical group PC. So for that group that I do see nine, I see it as the mailing and billing address, 926 main street… and then let me just check another group.
Isbath Ligali (16:49) That’s up for the New Jersey one too.
Kourtney Mankowski (16:53) I mean if I simply update the address, which I can do, I can see that the mailing address, like I can change it, mailing and billing. But if I just simply change the address here, that’s going to like change everything.
Vanessa Persha (17:06) Yeah. So if you update the mailing address and the billing address in the group profiles, that’s the only place where those addresses exist in medallion. So at the provider level, you may only see it because they’re linked to that group. It’s pulling in from the group information, and I can confirm, let me go, look at a provider profile and just make sure changing.
Kourtney Mankowski (17:33) Them right now.
Vanessa Persha (17:34) Yeah. And so, in terms of updating payers, yep, we would need to notify them of the billing address, billing and mailing address changes and caqh would have to be updated with that. So, first steps is it has to be updated in medallion in the profiles first, then we can send a request to the caqh team to update all of your provider caqhs, then we would have to do, you would have to submit demographic updates.
Isbath Ligali (18:10) For every single payer that’s what I was trying to avoid?
Vanessa Persha (18:14) Yeah. So I’m trying to think, I.
Kourtney Mankowski (18:18) Updated the medical group pca. So if you can then take the next step, then to notify the caqh?
Isbath Ligali (18:24) Quick question. Sorry, which you please hold? Let me share my, can I say sharing quick back really quick Vanessa?
Vanessa Persha (18:31) Oh, yeah. Sorry.
Isbath Ligali (18:33) I’m glitching guys.
Vanessa Persha (18:34) No, no, no, you’re fine. I was like mentally spacing out because I was trying to think of how this process goes in my head.
Isbath Ligali (18:41) It’s going to be a big lift. Are you seeing my screen?
Vanessa Persha (18:45) No, of course. Not.
Isbath Ligali (18:47) Why would you please hold?
Vanessa Persha (18:51) I’ll and I’m going to connect with our PE ops team because most payers, if you send them a group demographic update of the billing information, they would apply it to every provider associated with that group that.
Isbath Ligali (19:06) Would be, that would be amazing. So, Kourtney, you said you did it for which group I’m sharing my screen?
Kourtney Mankowski (19:13) I did it for carebridge medical group PC, can?
Isbath Ligali (19:16) You do it for Kansas and New Jersey as well? Yes.
Vanessa Persha (19:19) You guys want us to start using that address today?
Isbath Ligali (19:23) Yes. Yeah. Okay. All right. It’s better.
Kourtney Mankowski (19:26) That we start. Now, that way we can make sure that by July first, we’re not sending anything else to nine to six main street. We own both offices and we currently have people for like our people at both offices, but like as of the end of, I think June first, even they’re going to be moving out of that office. So there won’t be anybody in the nine to six office. But July first is our complete cutoff date from using that office for anything?
Vanessa Persha (19:47) Okay. So we can likely start submitting those demographic updates beginning may because they usually require no more than 60 days advance notice for demographic changes.
Vanessa Persha (20:07) Oh, what was I going to say?
Isbath Ligali (20:08) Before we start submitting the demographic updates in medallion, can you reach out to, I guess the lead, I think you just said you’re going to reach out to the lead to see before we even start submitting on the app because if that could be done at the group level and then the medicaid could trickle down instead of us or medallion doing it, wouldn’t that be better?
Vanessa Persha (20:28) Yes. Yeah. So, I’m going to get confirmation just to make sure because that would like… your consumption would go through the roof if you had to do that for every provider.
Isbath Ligali (20:41) So, every provider for every payer is wild. Yeah. So.
Vanessa Persha (20:46) Let me talk to them and also flag them for this so that when they see the discrepancy in the platform that they know it’s an intentional address change. We also need you guys to update your W9 since it’s affecting the billing address. So we’ll need updated W nines attached for your groups.
Kourtney Mankowski (21:05) I thought they did that. I thought that was to my knowledge from us that’s already been done. We.
Isbath Ligali (21:11) didn’t get it. LNC didn’t get it because we didn’t I didn’t upload it to medallion, Marie, where?
Kourtney Mankowski (21:17) Did, no, you guys didn’t get it. Where does it come from? Because I’m sure I.
Isbath Ligali (21:21) think legal, Eric Olson. Yeah, I’m sure he has it. She’s definitely right. In fact, if we don’t if by you changing it right now and I start submitting PE requests, we’re going to start getting flagged by medallion with tasks saying that the W, it doesn’t list the new address? Is it where? So Kourtney said she just changed. This, is it where Vanessa, that is not showing the new address yet? Like under this provider… it’s still showing the 926 address.
Kourtney Mankowski (21:53) And I did change it for the group.
Kourtney Mankowski (22:00) All right. Let me look at the W9 stuff and figure out how.
Vanessa Persha (22:03) Is that… their practice? I think that’s their practice that’s their practice address. That shouldn’t be the group address.
Isbath Ligali (22:15) It wouldn’t update in the practice area?
Vanessa Persha (22:19) No, because those are listing their physical practice locations, not the.
Kourtney Mankowski (22:30) Like that address will not be applicable at all anymore as of July first.
Vanessa Persha (22:35) Can you? Okay, hold on. So if it’s a medical practice, in addition to being your billing and mailing address, then in your practices tab, under your group profiles, you will also need to, yep… wow. If it’s a practice address, you are going to have to do demographic updates for the practice for the providers. If it was just a group address… we wouldn’t have to know like we likely would not have had to do any individual provider changes. But if that address is an actual physical practice as well, then yes, we’re going to have to submit demographic updates for the practices… for provider practice addresses.
Isbath Ligali (23:26) So, in,
Vanessa Persha (23:28) your bottles of beer in the.
Kourtney Mankowski (23:29) mall, 99 bottles of beer that’s what it’s going to be?
Vanessa Persha (23:33) In your under carebridge medical group, where is that practice located? It’s at that nine nine two six main street. This is.
Isbath Ligali (23:43) Old, this is what we don’t see patients that I don’t even know.
Isbath Ligali (23:51) Never.
Kourtney Mankowski (23:51) Easy. Yeah, do.
Vanessa Persha (23:53) You see patients at that address?
Isbath Ligali (23:55) We don’t no.
Kourtney Mankowski (23:56) But it’s what’s used for it’s. Used as our primary practice address, because that’s where like that’s where we’ve started.
Isbath Ligali (24:03) Cute. Yeah, I.
Vanessa Persha (24:07) don’t like that. So those 56 providers under that group that have enrollments linked to that address are going to need a demographic update.
Kourtney Mankowski (24:18) Is it just that, can you scroll down? Let me see. Is there any other one that uses nine two six in here? No, we had that one right there, 86 there.
Vanessa Persha (24:31) Yep. 86 providers times, however many per pays.
Kourtney Mankowski (24:35) We can’t just change this right here. And then it reflect everywhere, no.
Isbath Ligali (24:39) You still need to notify the medicaid? Yeah.
Vanessa Persha (24:42) And I was going to say, do not backspace through any practice details because any existing enrollments you have associated with that like we would, you’re essentially overwriting the data. So we would lose the ability to create the timeline of when that address termed. And when the new address started.
Isbath Ligali (25:09) So, but it’s okay that she made this change just now, right? Yeah.
Vanessa Persha (25:12) At the mailing and billing address, it’s fine. Just as long as you quickly get that, W9 in there. Otherwise your tasks are going to go through the roof.
Kourtney Mankowski (25:20) I’m asking Eric for it now just to see.
Isbath Ligali (25:23) Where we’re at… is that address?
Vanessa Persha (25:29) Like that’s what we used as the primary when enrolling providers. Yep.
Isbath Ligali (25:38) I don’t fully understand because when I let me see when I submit.
Isbath Ligali (25:52) It doesn’t show me the address here, I guess. Yeah.
Isbath Ligali (25:58) It’s like this one example uses Arizona. Is that the address? Can she hop in?
Vanessa Persha (26:07) Who’s that?
Isbath Ligali (26:08) Henderson?
Vanessa Persha (26:09) Oh, is she in?
Kourtney Mankowski (26:10) No, she cannot. They’re in my main leadership team on site? No, they cannot.
Isbath Ligali (26:17) Let me.
Vanessa Persha (26:18) Go look and see. Hold on. Let me see if I can pull the payers at the practice level. So, we said carebridge medical group PC, had that practice?
Isbath Ligali (26:34) I’m going to stop sharing sorry.
Vanessa Persha (26:54) Nine, what was that? Address? Nine two six main?
Isbath Ligali (26:59) That’s the old one. Kourt, can you drop the new one in the chat? So that she just has it?
Vanessa Persha (27:31) There is 115 existing enrollments across providers and groups that are associated with that address. Can.
Isbath Ligali (27:40) you tell me? How were you able to pull that so?
Vanessa Persha (27:43) I went to your existing enrollments?
Isbath Ligali (27:48) Okay. And.
Vanessa Persha (27:50) Then I applied a filter for the practice location?
Isbath Ligali (27:54) Okay. And.
Vanessa Persha (27:55) Typed in nine two six main.
Isbath Ligali (28:00) There’s two. So I’m just going to click. Did you click both of them? Yes. Okay. I don’t know why there’s two, but, okay.
Vanessa Persha (28:08) And it’s showing.
Isbath Ligali (28:10) Yep, 115 now.
Vanessa Persha (28:12) If you have any that are still in process for that address, we would have to let them finish. Like if they were location ads, we’d have to let the ad finish first, then go in, add the new address and term the old, okay?
Brianna Humphrey (28:29) Live love laugh. That would need a demo update as well, right?
Vanessa Persha (28:32) Say that again? Bree.
Brianna Humphrey (28:34) So, the ones that you’re saying are in process, we need to do a demo update for them once those are completed too. Yes. I’m going to log off for today.
Isbath Ligali (28:42) I’m quitting, I,
Vanessa Persha (28:44) can, let me go in and see if I can do a filter on practice for your enrollment requests. Okay? It’s practice location, nine two six care bridge?
Vanessa Persha (29:11) There’s four processing and one in needs client attention. So, not bad. Four are, There are new provider enrollments for Tennessee… medicaid, one is for wellpoint Tennessee.
Vanessa Persha (29:40) And these are still fairly early in the process. These were just submitted at the end of March or early February for processing Vanessa.
Isbath Ligali (29:48) Quick question for the ones that are processing, why can’t they just go? I think, I know the answer to this. I was going to ask, why can’t they just go into like the portal and make the change, but it’s not only making the change, it’s also documents that were submitted. That. Was I selling everyone? Maybe my next company will go with medallion. I will see you later. This is going to be.
Vanessa Persha (30:14) This was a violent shove into management, huh, isbath?
Isbath Ligali (30:17) Oh, my God. All right.
Vanessa Persha (30:22) Let’s what we can do is, you know, if you want to download that report from the existing enrollments, I literally.
Isbath Ligali (30:28) Just did that? Yeah.
Brianna Humphrey (30:29) Wait, how can I do that? Because I know I’m going to, I’m.
Isbath Ligali (30:32) already going to, I’m going to share with you. But if you go to existing enrollments, okay? And then filter, yep. And then you go to practices type in nine two six. You’ll see two options. Click both of them nine.
Brianna Humphrey (30:47) Two six. Okay. Yeah, I see them. Yeah.
Isbath Ligali (30:49) Click on both of them and then apply and then you’ll see you should have 115.
Vanessa Persha (30:54) Okay. Hold on… if.
Kourtney Mankowski (30:57) our corporate insurance. So, our corporate insurance has already been changed to this address. That’s like where the W9 would come from, correct? No, where does the W9 come from?
Isbath Ligali (31:08) Eric said, no.
Kourtney Mankowski (31:10) I mean, I messaged Eric, but.
Isbath Ligali (31:12) that’s where it would come from. Yeah. Oh.
Kourtney Mankowski (31:14) So, he needs to be the person that updates that address and then sends us a W9.
Isbath Ligali (31:18) That’s the last time I needed a W9 that’s where I reached out to.
Vanessa Persha (31:23) Yeah. Usually your legal or your finance teams manage those. Since this, your Coi, you just said your Coi has been updated too. So we need your cois updated in medallion. I would recommend that we get the cois updated before we trigger the caqh updates, because then they can just do both at the same time. They can update the cois and the billing and mailing address?
Isbath Ligali (31:58) So,
Brianna Humphrey (31:59) we don’t have to, do, we don’t have to upload the cois independent like individually, right?
Vanessa Persha (32:04) Do you have one main group Coi that applies to every provider? Or does each provider get their own face sheet each?
Isbath Ligali (32:13) Provider gets their own face sheet, however, I’m looking at one now and the nine two six is not even listed on the Coi… please hold, I’ll show you. So, is this something that we would need to update? Because it’s not even listed here.
Brianna Humphrey (32:30) But I think when I submit them isbath that it is on there.
Vanessa Persha (32:35) What is that? The 22 century boulevard address?
Isbath Ligali (32:38) This is because we’re under carillon, well, this is like a carillon, I guess, address or whatever. But the nine two six isn’t here.
Kourtney Mankowski (32:47) I wonder if it used to be right there. I think it was right there where it says insured.
Isbath Ligali (32:54) This is our most recent one and it’s nope. Okay. So.
Vanessa Persha (33:01) If your Coi does not have or, I’m sorry, even if your new cois are going to change in any way with the address that’s listed on the face sheets, those will have to be updated, the corp address. So, if you guys are getting new cois that say whatever carillon medical, but it has that new address on there, they’ll need to be updated.
Isbath Ligali (33:32) The solution that you came up with before, when you said that you’ll check with the medicaid and see if that can be done with the medicaid. That still doesn’t apply for changing the practice locations.
Vanessa Persha (33:44) What do you mean? Sorry, when?
Isbath Ligali (33:46) You stated that you can… like you’ll reach out like you’ll reach out to, I guess a medicaid lead and ask them if any medicaid can do it at the group level and they could trickle it down like the address change Instead of us submitting, W, I mean, instead of submitting demo updates on each provider, you stated that you, yeah.
Vanessa Persha (34:07) That would only be applicable to the group address or I’m sorry, the mailing and billing address, any provider that has it listed as a practice address that would require a provider demo update? Okay?
Isbath Ligali (34:25) Okay. So, right now, we’re waiting for the W9 and… possibly.
Vanessa Persha (34:32) Coi face sheets, possibly?
Isbath Ligali (34:34) Coi, and then we’ll get back to you, but thank you for making my day. No problem. I.
Vanessa Persha (34:44) don’t take pleasure in it.
Isbath Ligali (34:46) I know it’s okay. It’s okay.
Vanessa Persha (34:47) So, I was just going to say for the cois, if you guys end up needing to replace those, we can update your group Coi as like the main Coi in the platform, but any individual face sheets you guys would have to manually attach today, we don’t support any type of bulk import for individual documents.
Isbath Ligali (35:10) Yeah, I remember. Do Django, right? You’ll do that at the group at the group? Yeah.
Vanessa Persha (35:14) Yeah. And then once all the individual provider cois are attached in the platform, we can trigger that kickoff to caqh to go in and the caqh management team to do the updates to your provider caqhs?
Brianna Humphrey (35:28) Do we have to do it individual? Because I swear at medallion, we used to like, there was organizations that did it at a group level, isbath.
Isbath Ligali (35:34) But the thing is if it has, if the provider’s name has to be on the, on the certificate, you can’t do it. You can’t it can’t be, it can’t be generalized?
Vanessa Persha (35:44) No.
Brianna Humphrey (35:44) I’m saying, but we can’t have like we can’t just use the group one, like we.
Isbath Ligali (35:48) Have to have the individual, you can’t because the providers, only, the provider’s name can be on for us. Only the provider’s name can be on the Coi, gotcha. Gotcha. You know, yeah, I remember what you’re talking about because it’s the easiest way. Yeah, but because each provider’s name has to be on each Coi that’s the only that’s the caveat. Yeah.
Vanessa Persha (36:04) The type of policy that you guys have requires individual limits. Okay. Understood. All right.
Isbath Ligali (36:12) We’ll connect guys. I might put some time like 15 minutes or 20 minutes on our calendar after this. Vanessa, is it okay if we move forward? Yeah, for what? What 11… we received, dr Henderson received correspondence that her application was denied. And I sent the ticket on four six, but there four six to support, but there hasn’t been an update. I’m just gonna pull.
Vanessa Persha (36:38) It up. Is that Maryland medicaid?
Isbath Ligali (36:42) Maryland medicaid? Yes. Okay.
Vanessa Persha (36:47) Let me reach out to support and find out what’s going on with that one?
Vanessa Persha (37:02) I’ll take that one back to support.
Isbath Ligali (37:08) Yeah. I’m looking at the request now in medallion, and it says still processing, but like we received that it was denied. So I don’t know what the discrepancy she literally received that email from Maryland medicaid. So I don’t know what the discrepancy is. Okay. All right. And then all of these are just like support ticket escalations for various different reasons for 112. Kenzie. Loving, do you want to go through it or would you just want to read it? And like leave notes?
Vanessa Persha (37:33) Yeah, I can read through these and leave some notes. I’m looking through them right now. Yeah, I can look at those,
Isbath Ligali (37:41) I stated if there were a priority restate, I try to like put like in bold if it was a priority state. And then Mitch did tell Steven that even if it’s a priority state and we leave it in the tracker for you, we should still be submitting a support ticket so that the ops team on your end can track it. So, I’m submitting, I do, we have been submitting support tickets even for escalation items. So we’re doing it in both places with support and with you. So that and, I, I’ve been adding the support ticket number there as well for you. Okay?
Vanessa Persha (38:13) That’s helpful because then I can typically like just resolve it via support and say, hey, I need this done now and they’ll go in and they’ll do it right away. Okay?
Brianna Humphrey (38:21) After this meeting, I’m gonna venice, I have a couple Florida that I added that I’ll add on here too. That I added to that. I have support tickets with. Sorry.
Isbath Ligali (38:31) Yeah. And before we close out just on, my nine online 117, I’m concerned because again, Amanda pervera’s line, her Florida medicaid line has been processing since last August as we already know, blah, blah.
Isbath Ligali (38:45) And I thought the last time we spoke when I saw it was in QC. So me and you thought that, you know, once it’s with QC, it’s going to be once a completion. But now we’re getting flagged for deficiencies again. I’m concerned on why we keep getting deficiencies, let.
Vanessa Persha (39:00) Me go look Florida medicaid?
Brianna Humphrey (39:12) Yeah, there was a couple Florida medicaid that I noticed like.
Isbath Ligali (39:15) That, yeah, but,
Brianna Humphrey (39:17) I’m gonna add them. So.
Isbath Ligali (39:46) Go see what the QC findings were here.
Isbath Ligali (40:21) My reaction every day I’m.
Vanessa Persha (40:25) trying to like it keeps, I see the statuses like toggling back and forth between following up, ready for medallion review, following up, ready for medallion review. And I’m not seeing anything related to closure of the QC. Let me dig into this one and look, I’m gonna, we have a spreadsheet with all the audit findings. Let me look at hers and see what their findings were specifically.
Vanessa Persha (40:51) Thank you. Yeah, I’ll update this spreadsheet perfect.
Isbath Ligali (40:55) And then we just say she’s gonna add a little bit more. Yeah, I have three because even noticing some things that we picked out before the cat and they’re reoccurring again. So I just want to make sure one day and one sound? Okay?
Vanessa Persha (41:11) Yep. And I will scrub all of those with the audit that was done and just see what those findings were. Thank.
Isbath Ligali (41:17) You so much. No.
Vanessa Persha (41:18) Problem. All right.
Isbath Ligali (41:20) Ladies, everyone’s good, Courtney, I’m gonna call you.
Brianna Humphrey (41:23) I’m good. All right.
Vanessa Persha (41:24) All right. Enjoy the rest of your day, ladies. All right. Bye bye.