Transcript
Larissa Brefka (00:00) oh, there you go. I was going to see if Lorraine is joining. I,
Kyle Rice (00:03) don’t see her as of yet. Do you know if she’s joining today? I spoke with her earlier. She is no worries. We’ll give her a couple minutes here. Do you?
Larissa Brefka (00:13) Want to start the renewals as I will take care of it anyways? Yeah.
Kyle Rice (00:18) Absolutely. I just want to check in. We had a little bit of a mess for Brianna K hill’s Massachusetts RN, the intake team did not move it through with her expiration date of excuse me 415, but it looks like Massachusetts is allowing for late renewal. Should I ask the team to push that through and see if we’re able to renew?
Larissa Brefka (00:41) Yeah, I didn’t remember what’s wrong with her? Yeah. Okay. We took, I asked her if she does some logins. I’m unable to get these accounts. She said she was going to call them because I think the problem was the login, right?
Kyle Rice (01:00) Yeah, I think the login was originally not valid but the team had logged in and was able to.
Kyle Rice (01:05) I just had our intake team verify it and I verified it myself as well. So we should be good to move forward with a late renewal.
Larissa Brefka (01:11) For her, we don’t need anything from her. It’s just to the renewal. Oh, okay. So, yeah, okay.
Kyle Rice (01:16) All right, perfect. And then I just had the, the team, move her DC and Minnesota applications, forward to the licensing team. Okay? Make this a little bigger as well. And then for, Christopher rogers, the Pennsylvania prescriptive authority and NP application were sent to him for review and approval. Elizabeth neighbors for her, Florida nurse practitioner was sent to her for review and approval for Elisa Garcia’s, nurse practitioner in Florida. We were just requiring her completion of the preliminary questionnaire and CE attestation.
Larissa Brefka (01:51) Okay.
Kyle Rice (01:52) For Kai yarbrough’s, Arkansas, Lindsay Delaney, and then Mary gamble, for the Arkansas, Arizona and New Mexico, we just needed a CE attestation, for Mary gamble’s, Florida, RN, multistate, we sent that application to her for review and approval. And then Mary’s, Indiana nurse practitioner, renewal was in process with the board.
Larissa Brefka (02:15) Okay. And then,
Kyle Rice (02:16) Molly woolham, her nurse practitioner in Texas, the enrolls in process with the board, her Oklahoma nurse practitioners is requiring a new collaborative agreement. I,
Lorraine (02:27) already sent it to a new provider. I let your, whoever’s working on it know that the person that was supposed to sign it is not going to sign it and that she has a new supervisor. They said to add that to the form. I want you to verify that would be the process.
Kyle Rice (02:43) Yeah, that should work. That should work for that. Okay?
Lorraine (02:45) So, it’s been sent out. I’ve got, I think it was to Brian.
Kyle Rice (02:49) Brian carpenter. Okay. I gotta.
Lorraine (02:50) Check, I can’t be positive, but I know, I think it was sent out to Brian. I sent a follow up on it today, all right?
Kyle Rice (02:58) Perfect. And then for Molly’s, Arkansas, nurse practitioner, we’re just needing a CE attestation from her, and then her, Arkansas prescriptive authority just cleared intake and was just assigned to the team for population.
Larissa Brefka (03:13) Perfect. That will follow up with everyone.
Kyle Rice (03:15) All right, perfect. And then something.
Lorraine (03:17) Now, because I just sent her something about her New York. So, I just sent her, you don’t have to worry about her. I just sent her the thing about the questionnaire.
Larissa Brefka (03:27) perfect. And then,
Kyle Rice (03:29) Lorraine, I just completed the email switch for those 59 providers that you identified. Except for Holly Williamson, she has two profiles. For whatever reason. She’s the.
Lorraine (03:41) manager, she is, she’s actually not seeing patients, if you can change… if you can change both, that’s fine. I can change one of them. It’s not just change the one that has her licenses, the one that’s administrator that was used separately so she could look at her team.
Kyle Rice (04:03) Okay. All right. I can do that. Perfect. And then just a quick credentialing update. Randy kerlark and Taylor Rutledge are ready for committee. Got it already.
Lorraine (04:13) Passed the committee. What’s going on with the other ones? That was what I was asked.
Kyle Rice (04:17) I just checked in with the team this, just before we hopped on, they were working on the license verifications for the remainder of the providers, since they had about 20, 20, at least 20 per, clinician. So, those should be finalized here shortly.
Lorraine (04:30) Shortly being when, hopefully in the beginning of next week because they moved the meeting again, yeah.
Kyle Rice (04:35) Hopefully in the next, hopefully by, by end of week here. And I’m going to keep a close eye on this for you guys.
Lorraine (04:41) I can say by Monday, estimate by Monday, Tuesday, they should be, in ready status. Yes… I’m going to tell them by Tuesday, they can be ready status because the meeting was moved to hold on. I think it’s next Thursday, okay?
Kyle Rice (04:59) That sounds good. And then, I saw here too, we wanted to do a review.
Lorraine (05:04) Wednesday. So definitely, can’t be any later than Tuesday?
Lorraine (05:12) Sorry, go ahead Doris.
Kyle Rice (05:16) Do we want to do a review of the analytics screens as well? Yes.
Lorraine (05:20) We do, we do because that’s changed around and I’m not sure what it all means now, all right, let.
Kyle Rice (05:26) Me just pull open twin here and then we should be, I will just get this going.
Kyle Rice (05:41) All right. So, we have… eight custom reports for you guys that are currently enabled in the analytics section, under the licenses. So, this is going to show you guys as total requests. It’ll break down there’s just, I believe there’s just an update to this earlier this week as well on the ninth. So this is going to display your requests by, everything that’s at the board, everything that is, with client and then, all the applications that are currently with medallion. So you can break these down here below. So you can see the current status just based on these requests. This is just the, the pivot table from that, chart above.
Kyle Rice (06:22) So if you want to click into any of these, it’ll take you directly into that applicable service request. Below, this is the completed request. So it’ll show the completed licensing requests, to date. And then this is broken down by month over month. So for, do. So, it just breaks down the consumption here for like the renewals. So, it looks like we’ve completed about 74 renewals for this month of April. 61 new license applications, and then five, five active prescriptive authority registrations, and then six, compact license requests. And this is the, the pivot table for that below, that will link you to the, the new licensure requests. Below, that is just some additional analytics that shows the turnarounds, yeah, turnaround time, so, total turnaround time. So turnaround time by status. Looks like we’re taking about 13 days from requested to intake, complete, 18 days from intake complete to applications submitted. About 11 average days or, excuse me, median days from applications submitted to PSV submitted, which means all verifications have been ordered. And then just about 28 days for the license to be submitted from, that PSV submitted status. And then if you want to review the chart below, it kind of shows the requests, month over month, for the current service requests, with that current turnaround time. And then below that, this will probably look familiar to you guys. This is the turnaround time, within the last two years, this pulls in all historical data, from the status PSV submitted. So the time that all verifications have been sent, to the time that the boards are taking to issue the license. So, I see Georgia, like North Dakota is on the high end here. Puerto Rico, Texas as well. Below, this is the upcoming expirations. So this will show regardless if, auto renewal is opted in or out, for any upcoming expirations, month over month here. And then I believe that is all for the licensing… the payr enrollment tab is going to look pretty similar, to the licensing tab.
Kyle Rice (08:39) So it’s going to show similarly the requests in process, requests that are processed by client third party. And with medallion, it’s going to show our completed enrollment requests, month over month. And then below, this is the pivot table for that, as well as the median turnaround time, and calendar days. So requested to income, to intake, requested to complete. And then just some additional statistics there and turnaround time by month. And then this shows the median time with payers, with New York, emblem health. I believe that’s, that’s what we have in process for you guys right now. And then this is the, the pivot table for this below.
Lorraine (09:21) So, talk a minute for me with emblem health? Because I’ve seen now that they’ve sent another message on another provider that the panel is closed as of January and they’re not doing anything. What, what, there are other things that are stuck in different places, they’re going to be gone from us in July.
Lorraine (09:41) So, they’re going to close out. We’ll have nothing specific going on except the, New York, I’m closing out New York medicaid, closing out New York, medicare, and I’m, submitting a new application for both in California. I’ve already got documentation that I requested for those. So, actually, if you can go ahead and close out, or do you want me to do it? Close out those applications for New York, I’ll do the submission for the new California request. All right?
Kyle Rice (10:15) So, we want to close out, all medicare, all medicaid for New York. Yep. All right. I can get those closed out for.
Lorraine (10:21) us. And then I need a new application. Well, I’m going to submit it now. Okay? So, when we did the medicare, we only did an application. I think if you go to the payer for New York, medicare, we did, Lisa, and then we did two providers. I think for New York medicare, I know Lisa was the main one because… she’s doing the company. And then, we did, troncoso, we did only three, I think providers for New York.
Kyle Rice (10:55) Let’s take a look here, medicare.
Lorraine (10:58) New York?
Kyle Rice (11:02) Why is Lisa Shaw not showing up on here? Go?
Lorraine (11:04) To, is it that one or New York under the New York medicare?
Kyle Rice (11:16) I don’t see one for Lisa. I see the group enrollment in here, but I don’t see the, Lisa Shaw in here. Let me see if that was completed.
Lorraine (11:24) No… can’t be completed because we still have the documents, remember that they were missing. Yeah. And this is, yeah, this.
Kyle Rice (11:32) Is not for, emblem health, correct? No, I think that might have been, for the group enrollment for her. Yes, the group enrollment. Okay. I gotcha. Yeah.
Lorraine (11:40) There it is. There it is. We did, Alex… neighbors, mcdonald… Galen, and the zika, and Lisa, I think that you don’t list Lisa because she’s the owner of the company. So, it’s done under her name, but she’s not a provider. Gotcha. She signed all the documentation. She’s the,
Kyle Rice (12:03) she’s the delegated official then.
Lorraine (12:05) Delegated official. Okay. That makes sense.
Kyle Rice (12:07) Right. So.
Lorraine (12:08) I’m going to… I’m, going to get five providers to put to the medicare. How many did we do for medicaid? Give me one?
Kyle Rice (12:21) Second, just making a quick note here that we’re going to close out ny, medicare and medicaid lines if I can type today.
Kyle Rice (12:45) All right. I apologize. What was the, the ask there medicaid?
Lorraine (12:48) How many providers did I add when we did medicaid? I know we decided we’d just do a small group then because that way, once the group got started, then we could add more later on. So medicaid, we did the same five people. Yeah.
Kyle Rice (13:03) Looks like the same five, same set. Yeah, same five. And then Lisa’s group… and these are all okay to, to move to an active event. Yes. Okay.
Lorraine (13:13) Yes. And when you hit the brick wall on the emblem provider, close out the request, we’re not going to pursue it. So, if there’s somebody that’s still going and they’re doing their work because some of them got through. So, if they’re still working, but once it hits the wall, whatever that is, we’re not going to pursue it. Okay, perfect. Because they’ll be gone. Come July, right? Awesome. We’re not submitting anybody else. And under any of, the only other plan that was active was ccok, and we’re not at adding anybody there right now. Okay. That sounds good.
Kyle Rice (13:54) Awesome. Do we want to anything else with payers or do you want to finish the analytics review?
Lorraine (13:58) You can go with the analytics. Sorry, I just wanted to get that straight forward. Okay? So,
Kyle Rice (14:03) this is the current credentialing. It looks very similar to the licensing and payer enrollment kind of analytic dashboard. So it shows our total requests here. Just to note. I did pull dr Goel off this morning and archived his file. So we stopped credentialing there. This shows the current request by owners. We know we have two in two in committee two that are pending signature on their attestation. And then the seven that are still.
Lorraine (14:31) Have two that are pending at the station. Lisa’s still pending. I thought that it was complete. I saw her thing today this morning that there wasn’t anything pending for her. Let’s see.
Kyle Rice (14:53) If she signed today, it may have not updated yet, but.
Lorraine (14:55) Let’s see. I don’t know, but I went to her profile and her, their attestation looked like it was done… to shop.
Kyle Rice (15:21) Oh, yeah. It looks like she’s done. I will ask them to get that in the process for her.
Lorraine (15:25) And who else was the other one Brian?
Kyle Rice (15:27) Brian carpenter? Yes.
Lorraine (15:32) That would be the bane of my existence. He’s very slow.
Larissa Brefka (15:38) He is, he doesn’t even show.
Lorraine (15:40) Doesn’t answer things.
Larissa Brefka (15:41) And he’s not available in slack. I mean, he might be, but he’s not.
Lorraine (15:50) He’s there right now. I’m gonna put something right now. Let me see.
Larissa Brefka (15:56) Yeah. I texted him for Pennsylvania and never.
Kyle Rice (16:04) Alrighty. Perfect. So let’s go down the line here with the credentialing analytics dash. So this is gonna show the completed requests which we know we have two in committee. And then down here, we’ll show the committee votes, no votes are yet since these are currently in process. And then this will show the median turnaround time once these are voted on and approved, and the turnaround time by month. So that’s gonna give you guys some additional data once we complete these credentialing applications. And then it’ll show the upcoming expirations and any expired credentials in here as well… just jumping into ongoing monitoring. So this is where you guys are gonna see the medicare opt out verifications, the npdb verification, Sam, and oig verifications, and the full sanctions log. This is just gonna take a second. These are usually pretty slow to load typically, but should be running the npdb continuous query for these as well as the medicare opt out and Sam and oig verifications. I know Darlene was looking for previously. She reached out to me in the last two weeks for a previous subset. So if you guys want to do a relative like a fixed date range for anything particular, you can just toggle that in the date filter there. And then if you need any outcomes that are pending attention, clear missing data. This will also toggle that in as well. This is gonna take a hot second to load here because there’s a lot of data this.
Lorraine (17:32) Part hasn’t changed this much except I didn’t know you could do the date range.
Kyle Rice (17:38) So give us a second to pop open or we can move forward. Just gonna give this a quick second here to load you.
Lorraine (17:45) Can move forward. This is more Darlene’s purview, she’ll come here and look, I look at the mpdp report when it comes in that they flag something. All right. So this is.
Kyle Rice (17:53) Gonna be your guys’ total provider summary. So this is gonna pull in all providers. This is a very handy report. It’s gonna show, oh, just toggled down something on here. So it’s gonna show the organization when the provider account was created, their last data, station, any deactivations, any termination dates, this is gonna show their credentialing status as well. So if you need to pull that in too, all their demographic information. So first name, last name, middle name, date of birth, gender, their email addresses, npi, all their medicaid and employment information, and that’s essentially gonna give a pull everything into their profile for reporting. So it’s gonna show their state licenses as well. So this is a pretty comprehensive report and also includes board certifications as.
Lorraine (18:47) Well.
Kyle Rice (18:48) And there’s some additional information in here as well. So if you guys need, this is exportable, you can also search for provider last names in here if you’re looking for a particular provider. And you can also filter by active or inactive. If you’re looking just to do an audit of any members in here. The task summary is going to give you guys all pertinent data surrounding task turnaround time. So it’s gonna show as it is populated. It’s gonna show the total tasks that are currently outstanding, which looks like our total tasks. It looks like 548. It’s gonna show the current tasks by owner. So it looks like we have 137 admin tasks and 411 provider tasks. This is gonna be the pivot table for the particular tasking. Hello one.
Lorraine (19:37) Thing?
Kyle Rice (19:38) Yes, we’re.
Lorraine (19:40) still having an issue where a provider task that has an associated admin task, they’re not closing out. So if a provider does something, it’s not coming off the admin list. I’ll.
Kyle Rice (19:54) take a look and I can do some cleanup for that.
Lorraine (19:55) Take a look. I closed this week. I’ve closed two that were already completed by the provider, but it had not closed off the admin list.
Lorraine (20:07) I’m gonna try when I finish doing the training, the last couple of days of the week of April to go up, go through and clean up as much as I can on the task to make sure there’s no, you know, none of those still hanging around whatever else I can close out. But just so that you are aware that I’ve noticed already too on that list that the provider did the task and the associated admin task, didn’t close. Cool. I’ll.
Kyle Rice (20:36) take a look there, get those cleaned up for you guys. So this is gonna be the completed tasks month over month that you guys have done. So it shows that we’ve completed 507 provider or excuse me, 422 provider tasks for this month, 85 admin tasks. And this displays this month over month. And then this is the historical data below that. Lastly, we have two additional reports, the provider onboarding report.
Kyle Rice (21:04) So this is gonna show action for how fast the providers are completing their profile. It’s gonna show total providers in process, how many have signed up, how many have completed their release forms, and how many disclosure questions are still outstanding as well as the median turnaround time for this as well. This is a pretty simple report for very helpful for new providers to keep track of their onboarding and profile completion. And then Lorraine, this last report is the board certification summary report. I believe we just enabled for you guys in December. It’s called custom provider summary. So this is gonna flag any upcoming board expirations for review as well. Perfect.
Kyle Rice (21:53) Awesome. Any questions with the analytics section at all?
Lorraine (21:55) What about the ones that show already expired? Those are different. There’s. One that’s showing expired, Molly, yours?
Kyle Rice (22:07) It might be that she has the previous expiration still.
Lorraine (22:11) In there, it says there, it’s good till 20 30. Yeah. She’s good.
Kyle Rice (22:15) Till 20 30, but she just says it’s gonna pull in any previous board certifications they have listed?
Lorraine (22:20) So she’s supposed to delete that she could delete?
Kyle Rice (22:22) That up to you guys if you want to keep those in for historical data or anything like that, but it’s up to you guys if you want to remove or delete.
Kyle Rice (22:36) Awesome. Anything else? Top of mind for you guys this morning or this afternoon? I’m pushing us back a few hours here, which I should not be doing.
Lorraine (22:41) No, I don’t think there’s anything. I know it’s the end of the week. No, I don’t have anything now. When is our next meeting? I,
Kyle Rice (22:50) believe it is next Thursday, same time, one 30? Okay. If anything comes.
Lorraine (22:58) Up, I’m sure I’m going to be working with, Tamara. Oh my God. I’m sorry, tam, let me just keep it there. I’m having a rough day. I’m having a rough day and we’ll put it on the list so that we can talk about it then. Okay, perfect.
Kyle Rice (23:13) That sounds good. Yeah. If there’s anything else in the meantime?
Lorraine (23:15) It’ll be after our first credentials meeting too. So, any feedback that we get from them, I’ll provide at that time as well, perfect.
Kyle Rice (23:22) Sounds like a plan. Okay? Thank you very much. Yeah, no worries. Have a great Thursday, guys. Larissa enjoy the crayola factory this week. Thank.
Lorraine (23:29) You, you’re going to the crayola factory? I will. How cool? Is that? Yes, it’s close to Cayo, an hour and a half. Oh.
Kyle Rice (23:39) My gosh. I’m going to put that on my list. I’m always looking for stuff to keep my kids busy. So, yes.
Lorraine (23:44) It’s good for the winter, yeah.
Kyle Rice (23:47) Yeah, the winter, I want it to be hot out too.
Lorraine (23:49) Yeah, yes. Bye.
Kyle Rice (23:51) All right, guys.
Lorraine (23:51) Bye.
Kyle Rice (23:52) All right, guys. Take care. Have a great rest of your day. You too. Bye bye.