Transcript
Naomi Denson (00:00) Declan. Hello there. How are you? Good. How are you? I’m doing pretty good. Hanging in here. Hi, Greg.
Naomi Denson (00:16) Letting them in.
Naomi Denson (00:24) Hi, Melissa and Andy. Hi… happy almost Friday. Yeah, how?
Gregory Campbell (00:32) Are you guys?
Naomi Denson (00:32) Good. How are you? Good. All right. I hope you guys are having a good week. So far. I first wanted to check in with Greg. I saw you guys going back and forth on the baptist import. Is that about ready to go?
Gregory Campbell (00:51) Yep. Thanks, Naomi. Hi, everyone. So I did make a couple changes here. Let me go ahead and share my screen. I highlighted in blue, the tabs that were imported into medallion. So let’s able to see my screen now. Yes. Okay. Perfect. Yeah. So the providers were imported as well as the group profiles, practices and external accounts. So those are all in medallion. No issues here. I did see before we load the provider practice groups, there’s one provider here that isn’t found in medallion, that’s C johnson?
Melissa Mendez (01:34) Okay. That might have been accidentally left on there from, if they’re not on that first provider tab, I think it’s okay to leave them out. I’ll double check with them. But, okay.
Gregory Campbell (01:46) Perfect. Yeah, I don’t see them here on this first providers tab. But if you don’t mind double checking, happy to look if we can create a profile for them.
Melissa Mendez (01:53) Okay. Awesome. Thank you.
Naomi Denson (01:56) Melissa. Do you want me to go ahead and run the caqh import?
Melissa Mendez (02:00) Yes, that would be great.
Gregory Campbell (02:04) Awesome. Okay. So all these are good. And then I noticed the recredentials tab showing… one provider that’s not in medallion, there are error messages here in this column, just explaining what the issue is.
Naomi Denson (02:19) But.
Gregory Campbell (02:20) the main one is each of these recredentialing dates, the recredentialing deadline, the initial cred date, and the latest cred date will need to be populated before we load the recredentials. So whenever you’re ready for this one, we can load this as well. And then for the enrollments, this… tab, we’re going to have to, and this is something Naomi and I can take offline. We have a pair mapping here that we’ll need to just go through and verify all of the mappings from the pair names provided to what the pair names would be within medallion. So once we have that and then also all that’s the reason behind each of these highlights. Let me see if anything else is airing out. Oh, provider id. It looks like these are blank. Do you want me to just add not available for these? If you don’t plan to utilize this field.
Melissa Mendez (03:17) Yeah. I think that that’s probably fine. Okay?
Gregory Campbell (03:22) Yeah. If you do decide to add a location specific provider id for your enrollments, we can just edit this before loading. And then the practice information, we’ll need this to match one of the practices that was added. We do have this tab here. You can reference meta based practices. So these are just all the practices that are currently in medallion for baptist. We’ll what these lookups are doing is checking against all the ones that are currently in medallion just to verify that practice does exist since it’s going to create an association between the provider enrollment and that practice location. So once all of these match, these highlights will go away?
Melissa Mendez (04:07) Yeah. Okay. Yeah. No worries. I had noticed that several, I think all of the enrollment tabs had at least one required field that was missing. So it wouldn’t be importable, but I do know that they are still working on some of… those tabs. So once I get complete data, I can, I’ll hand over the template to you again so that we can do another batch of import.
Melissa Mendez (04:35) But I also want to meet with them and have a working session with them either today or tomorrow. So I will try to get answers on whether they have this information. Okay?
Gregory Campbell (04:47) Perfect. Yeah, thanks, Melissa. Once you have that ready, just let me know. We’ll go ahead and work on the payr mapping for you. Okay? But we did get a ton of stuff loaded. So if you have any questions for that, definitely let me know. And once you are able to get a working session, no rush here. We can go at whatever pace is best.
Melissa Mendez (05:07) Okay. Awesome. Yeah, I did just log into medallion before that, and I saw that all the information was in there. So that’s great. I’m glad we at least have shell records for everything the.
Naomi Denson (05:19) Simulation ports are running now. Oh.
Melissa Mendez (05:21) Awesome. I was wondering if there was because I’m going to be out of office all next week, so I wanted to have a working session today or tomorrow with them ideally after the caqh import is done. Any idea how long that typically takes?
Naomi Denson (05:35) It could be by the end of the day or first thing in the morning. Okay? It goes automatically. They can take anywhere from one to four hours, but sometimes they go into a holding pattern while the integration is looking for the authorization on their end. So it automatically goes into a caqh authorization required while it’s working through that. But I’ll check it in a couple of hours and let you know. Okay, awesome. If any of them failed or anything.
Melissa Mendez (06:02) Okay, great. Thank you. No.
Naomi Denson (06:05) Problem. And then speaking of baptist, any other information that came back on the credentialing piece on the committees or no?
Melissa Mendez (06:15) Not on the committees, they sent me an email that they had received from npdb saying that the request was accepted by medallion. Do you still need their dbid? I had asked them for it? Yeah. Okay.
Naomi Denson (06:33) Well, let me check really quick and see if I… got that yet.
Naomi Denson (07:01) Yeah, no, I have not received the dbid yet. So I will still need that. Okay. Yeah. Okay. For the monitoring and for any credentialing packets that we might do.
Melissa Mendez (07:12) Okay. I will check in with them on setting up committee reviewers and their dbid. I think just when I talk to them face to face, it’s a little easier. Sometimes my email’s just, yeah. So I will ask for that. Okay? And.
Naomi Denson (07:31) Then for the other two priority and southwest, their profiles still look exactly the same. They haven’t done any, southwest hasn’t invited their providers, and neither of them has added any existing enrollments manually.
Melissa Mendez (07:44) Yeah. Do you?
Naomi Denson (07:46) Know what the need is there for pay enrollment? If any? I?
Melissa Mendez (07:49) Did talk to so priority healthcare. I had been working with their HR manager to get the credentialing information in there and they just have two provider profiles that are not 100 percent complete. Yet one of them just needs to go in there and sign the agreements. So they’re really close. The other one has like a few documents that they need to upload. So I asked her to nudge her providers again to see if we can get those complete. But she is just not familiar with pay or enrollment at all. So she was trying to get the information from the CFO. I’ve been emailing the CFO. Have not been getting responses, Mia or the HR manager and I met on Friday because she received a huge spreadsheet of information from the CFO that she was hoping we could use. It was incomplete inconsistent. You know, I asked the HR manager if I could maybe take a look at it so that I could kind of try to decipher it and like dig into it on my own time. And then she got back to me saying that the CFO didn’t want that to be shared with me. So I did finally get a response from the CFO. They were kind of, they were just like we’re in the middle of another implementation. We’re also in the middle of our annual audit. Why is this necessary? And so I was trying to explain that you all will be doing all of this on their behalf because I don’t think she understood that it was that we needed this information as like a baseline for you all to have everything so that you can now start doing payer enrollment on their behalf. So, you know, I tried to explain the workflow. But if you have any suggestions or, you know, I was hoping maybe you have like a quick overview video that explains the process because, you know, I’ve looked at the videos that you have online that are kind of very specific to one thing like this is how you track like your status or like this is how you do this exactly. Or like this is what the like payer enrollment terms mean. And so I don’t know. I’m just trying to get her to understand, you know, how much easier this will be for them once we finish the implementation, but we really do need the information from her. And the HR manager has been trying to work with me but she just doesn’t know, she doesn’t have that background either. And so, I’m kind of struggling to get that information.
Naomi Denson (10:17) Is she not understanding what information we need or why we need the information?
Melissa Mendez (10:22) I’ve clearly outlined the information we need and I tried to describe why we need the information. So, I’m not exactly sure what.
Naomi Denson (10:33) The issue is, do you know what if anything like lpca has communicated to these centers about medallion? Well?
Melissa Mendez (10:43) Yeah. I mean, we had had like information sessions with the health centers, but that was more so with the CEOS. And so I’ve been trying to get a meeting with the CFO but it sounds like she’s just very overwhelmed with other things right now. So, hasn’t wanted to meet with me and she just told me keep working with the HR manager and she can come to me as needed for additional information, but it’s just not really working out. So, I’m not sure how much her, do.
Naomi Denson (11:15) you know, who’s handling their enrollment right now? Is it the CFO or do they have like a credentialing manager or credentialing enrollment team?
Melissa Mendez (11:24) I doubt it. They’re a really tiny health center. So I think it’s probably all falling on the CFO to do the enrollment stuff. And then the HR manager handles credentialing.
Naomi Denson (11:33) Yeah, I think, I mean, it could be beneficial to tell her like, you know, like… just get an idea of where and how they’re tracking the enrollments as they are completed, submitted, everything like that. And then, you know, emphasizing that once she shares that information with us in the format that we need it to load it to medallion, it’ll all be stored there. Then she can, you know, have medallion as a source of truth for all of their providers and their group contracts. And then, you know, for any future work needed as well. I don’t know if we have any like overview. Like are you talking like a demo of the platform or like, yeah, I.
Melissa Mendez (12:15) Guess I was thinking yeah, like a demo of maybe not necessarily the whole platform but at least just the payer enrollment function of like this is how you submit a request for payer enrollment. And this is how, you know, like then you’ll be able to track it step by step and then medallion will notify you when it’s been done. And like medallion is the one that’s following up with the payers have.
Naomi Denson (12:37) We done our payer enrollment training yet. I think we did something brief, maybe we.
Melissa Mendez (12:42) did do the like payer enrollment request and credentialing request training. Yeah. So I do know, I’m familiar with all that. So I tried to just like outline that in an email and, you know, my next idea was like I’m going to email the CEO, the CFO and the HR manager and try to get a meeting with all of them together so that we can kind of just make sure everyone’s aligned, we.
Naomi Denson (13:06) Still have the recording from that. I want me to resend it to you resend. The, what the recording from the training, like the payers?
Melissa Mendez (13:16) Oh, sure. Yeah. I thought that had expired, but if you still?
Naomi Denson (13:20) Have it. Okay.
Melissa Mendez (13:22) Sure. Yeah.
Naomi Denson (13:27) And then, so that’s priority, what about southwest? Is it the same? Yeah, southwest?
Melissa Mendez (13:32) Louisiana, I just have not heard back from. So I think my, let me call them because my emails are just not getting responses.
Naomi Denson (13:42) Okay. And then any of the new centers come through yet?
Melissa Mendez (13:47) That’s a question for, Andy.
Naomi Denson (13:50) Have you heard from any of the newer centers that might be coming on no?
Andrew Principe (13:54) Nothing yet. But we did clear some of the kind of executive level issues that we were dealing with. And I have a meeting with Yvette right after this to go through the committee stuff and rolling out the new health centers. So getting them their contracts in hand, their sub licenses in hand next week. So… okay… perfect. Cool. Yeah.
Naomi Denson (14:19) So maybe we can, you know, finally get back to step and running and get something to get you some value back with medallion and start doing some work for them. And then I’ll send you that recording of the pay enrollment platform overview. So they probably already can get an idea on how it’s helpful and what the platform actually is and what they can use it for. So hopefully it’ll push them to get us their data and, you know, maybe be able to breathe easier and stop thinking about the other things that are on their plate that are related to that work because I’m sure, a lot of it is. Yep, yeah, awesome. Thank.
Melissa Mendez (14:58) You.
Naomi Denson (14:58) Any other questions that you guys had for me or updates? Nope. I.
Melissa Mendez (15:05) don’t think so. I was going to say I’m out of office all next week. So, Andy, I was going to ask them to cancel, but I don’t know if you would want to keep the meeting and join next week.
Andrew Principe (15:16) Why don’t we hold at least till Wednesday, the time and this way if I do get any questions or if anybody, you know, if they sign on the dotted line, we can talk about what next steps would be for some of those new health centers.
Naomi Denson (15:30) Okay. Yeah, just let me know if you, by Wednesday. If you want to keep or cancel the meeting, I’ll keep it in place for right now and we can do… whatever you need to do with that. And I hope you enjoy your time off, Melissa, thank.
Melissa Mendez (15:45) You. And then one other scheduling thing. So, the week after April thirtieth, Andy and I both have a conflict at that time, so, I was hoping we could find a new time that would work.
Naomi Denson (15:56) Let me see April.
Naomi Denson (16:11) You have like an idea of what your availability looks like? We?
Melissa Mendez (16:15) Can do that same Thursday, push it an hour later, if that works.
Naomi Denson (16:21) So move it from 11 central to 12 central. Yes, I can do that.
Melissa Mendez (16:26) Okay, awesome. Done.
Naomi Denson (16:33) Alright. Anything anything else coming up?
Melissa Mendez (16:37) No, I think that’s all I had. Okay? Alright.
Naomi Denson (16:41) Well, I hope you guys have a great rest of your week, a fun weekend and Melissa, enjoy your pto or your out of office, whatever you’re doing?
Melissa Mendez (16:49) Yeah, I’m gonna be in Mexico City and I’m yeah, very excited for it. So, I’m really happy. Thank you so much for getting that data in there and doing the caqh import. That way, I know I can meet with them this week and not next week. So that’s great. Thank you.
Naomi Denson (17:05) Yes, perfect. And I will check in on the caqh import in just a little bit and let you know how it’s going. Okay? Perfect. You guys have a good day.
Melissa Mendez (17:15) Thanks you too. Bye.
Naomi Denson (17:17) Bye bye.