Transcript
Sara Shelton (00:00) hi, Sarah. Good morning. How are you?
Rae Tompkins (00:03) Hi, good. How are you doing? Okay?
Rae Tompkins (00:19) Thank you. Hello. How are you?
Sue Hallum (00:27) Good. How are you doing?
Rae Tompkins (00:29) Doing good… there’s, Christy. Hi, Christy. Good.
Sue Hallum (00:35) Morning. How are you?
Rae Tompkins (00:36) I’m good. How are you?
Sue Hallum (00:38) Good, good.
Rae Tompkins (00:42) I think we’re just waiting on shanglir, okay?
Rae Tompkins (01:07) Just for sake of time, we can go ahead and get started and I can fill her in once she’s able to hop on. But I wanted to let the team know that I’m configuring internally those cred gaps that was flagged. We’re expediting that to make sure that that’s taken care of once that’s configured the caqh import should be successful and not, you know, flag those gaps from previous years that aren’t applicable at the moment. So, I apologize that that’s currently happening, but we’ll prioritize that internally to make sure that it’s updated and that those files can be processed out of the caqh queue?
Sue Hallum (01:41) And can you check to see if there’s is this going to be like an?
Rae Tompkins (01:45) All of?
Sue Hallum (01:47) Our files like you’re not checking just the covenant ones that I flagged, but.
Rae Tompkins (01:52) No, it’ll be for all.
Sue Hallum (01:53) Okay, great. Yes, yeah. I figured that was a glitch. I was, yes.
Rae Tompkins (01:58) We definitely don’t take into account gaps from the 19 seventies. So, I apologize and thank you for flagging that to our attention. And I’ll make sure that that’s prioritized and I’ll provide an update to the team as soon as possible. Okay? And then in regards to Modesto faulkner, showing on the invoice, I’ve passed that over to Nick. He’s investigating that internally, and we should be able to provide an update as soon as possible.
Sara Shelton (02:22) Okay. Thank you. You’re welcome.
Rae Tompkins (02:26) There was an email sent to Sean glier on 413. So that was Monday, which is a pre archived list. These are providers that we received confirmation. They’re no longer with their group. So I just wanted to flag that to see if we can get a response if we don’t archive them once we get that response, the outreach continues to happen. So we just don’t want to there she is.
Sara Shelton (02:49) Hey, on that report.
Sue Hallum (02:50) The.
Sara Shelton (02:51) ones that have left the group and stuff that you sent over to Sean glier, can we get the mpi number added to that report by chance? Yeah.
Rae Tompkins (03:00) So, I’m collecting that information as support gets it, but I can definitely go into the system, pull the mpi that way. Whenever I’m sending it over, it has it.
Sara Shelton (03:09) Okay. Because that helps us, we haven’t the other system that we use. We actually turn it into that system. It helps us make sure we’re turning the right one. Yeah, in case we see like a, you know, a Bob williams or, you know, a smith that would help us out.
Rae Tompkins (03:27) Absolutely. I’ll make sure that that’s added. Hi, how are you?
Sue Hallum (03:34) Good. How are you? My apologies for I just stepped here waiting for it and our time just passed sorry.
Rae Tompkins (03:41) No worries. We were just going over that pre archive email that I sent on Monday. I’ll go back and pull the mpis for those providers and resend it. That way. There’s a fresh copy.
Sue Hallum (03:52) Okay. Speaking of the archives, now, once you remove those, like let’s say I send you a list of archive providers that needs to be worked. Do you guys remove them from that list? I don’t know if you mentioned that already, but it seems like it haven’t been removed like those providers still on that list.
Rae Tompkins (04:11) Yeah. So when a file is archived, they remain enclosed. And then whenever we re, request it, so there’ll be two entries for one provider, one under the request queue and one under closed. So they don’t drop off. They.
Sue Hallum (04:24) Are closed but still under archives shouldn’t, they just be closed and removed from the archives because when I try to run a report, it seems like I still have to keep sorting this big list of what I need to work and what I can’t work.
Rae Tompkins (04:38) So there are two, there are two things in platform. There’s terminating a provider which is completely removing them from the medallion platform. And there’s archiving a provider, which means we were unable to finish the work. We’re providing the information to American health to review. So if providers need to be termed and deleted completely, we can do that. But right now we’re archiving them so that you’re able to see visibility into what we were able to complete until we got confirmation. I.
Sue Hallum (05:06) Understand what I mean? I guess I’m confusing you. So if they’re archived because they need additional information like a Coi or they need to update caqh for that purpose. And I get that information updated and I say these providers were archived, but now they need to be worked. Do they come out of the archive status?
Rae Tompkins (05:31) No, there’ll be two. There’ll be one. A workable file will be reprocessed but one will still remain enclosed in archive. Okay?
Sue Hallum (05:38) That’s why I’m like why is this list not changing? And I still have to, each time I have to work the archives, I have to figure out, okay, which one I need to work and which I can’t work? It’s just a lot.
Rae Tompkins (05:50) Yeah. And that’s just for visibility into, you know, we’ve already worked this file here’s. Why we stopped it. So if you feel that list is too many, and as we’re processing files, if you want us to terminate… and re import, it’s just a different step we’d have to take. But the archiving, is it’ll be, you know, like you said one in archived one under request?
Sue Hallum (06:14) Yeah. I don’t want them terminated because it’d have to be reworked. It’s too much. It’s just, okay. Okay. Thank you.
Sara Shelton (06:26) And.
Rae Tompkins (06:26) then for the expedite request for Bo bigelow, that one is in process with our operations team. So I’ll provide an update as soon as that one is pushed forward to the ready queue.
Sue Hallum (06:34) Thank you. And.
Rae Tompkins (06:36) Then Jesse gray, he was the provider with the mpi issue. Again, I did confirm with the team that our best practice is to pull the opt out using mpi and not full name, as if it was flagged in Jesse gray’s file. So I did confirm with Nick, there was a credit issued for that one so that one will be back in process by our team?
Rae Tompkins (07:02) Did anyone have any questions or anything I could help with today?
Sue Hallum (07:07) Hey, Rae, I do have a question. So with those outreach… there were two issues, the work history, but then it was also saying it was a caqh import error.
Sue Hallum (07:21) Is.
Sue Hallum (07:21) that a default reason or what does that specific reason mean when they just get a caqh import error? So.
Rae Tompkins (07:31) That just means that the import wasn’t successful because of an issue. So, in that case, it was a caqh import error because of the work history. So the two are tied together.
Sue Hallum (07:42) Okay. So it’ll always basically have that caqh import issue with whatever issue is?
Sue Hallum (07:48) Exactly. Okay.
Sue Hallum (07:49) Good to know. Thanks you’re welcome.
Sue Hallum (07:53) Rae. Let me ask you a question when it comes to work history. How far back are y’all, reviewing work history?
Rae Tompkins (08:00) It should be gaps no more than six months. So it shouldn’t be the ones that are previous like sue had flagged in that email. So we’re working on getting that updated and it should only be from a six month period moving forward, but.
Sue Hallum (08:16) Are y’all, also reviewing like five years last five years of work history or y’all going back to initial?
Rae Tompkins (08:24) Oh, it’s five years.
Sue Hallum (08:25) Okay. I was just trying to figure.
Rae Tompkins (08:27) out. Sorry, I was stuck on the gaps. It’s a five year work history look back. And then the gap should only be six months or more.
Sue Hallum (08:33) Okay. Thank you… you’re, welcome.
Sue Hallum (08:40) Oh, there was another provider. I think I emailed it to you, Sarah too. I’m not sure it was Daniel gold. Hold on a second. That initially seemed like it was in the system. And then I didn’t see it anymore, and that provider was approved initially with our previous cvo. And I think it was one that was sent over during the transition, but, yeah.
Sara Shelton (09:11) We’ve come across a couple providers that we submitted over in the initial load.
Rae Tompkins (09:17) That.
Sara Shelton (09:18) aren’t on the platform. Interesting.
Rae Tompkins (09:23) Do you happen to have those names?
Sara Shelton (09:25) I can get you the other names? Yes. Okay. I can send them over to you.
Rae Tompkins (09:31) Shanklar, what was the one you had just mentioned?
Sue Hallum (09:33) Danielle gold, mpi is one eight, one, one nine eight, zero nine eight zero.
Sue Hallum (09:48) Okay.
Sue Hallum (09:53) I apologize to you guys. My allergies is.
Rae Tompkins (09:55) I totally understand. I keep having this horrible cough off and on it’s like I, it’s 80 degrees in charleston. I don’t want to cough anymore. So, one eight, one, one nine, eight, zero, nine eight zero.
Sue Hallum (10:13) Yes, weird.
Rae Tompkins (10:15) I’m not showing a record of a provider with that mpi in platform. If you don’t mind just sending me a list. I’m happy to investigate to see if they were imported if something may have happened with the import and I can definitely provide.
Sue Hallum (10:28) An update. Yeah, that was one of them. I think, okay, we can probably compile a list of providers that were supposed to be in the platform and then no… longer, I don’t know.
Rae Tompkins (10:42) Can’t find them?
Sara Shelton (10:43) Christine, if you can send me that list, I’ll compile it and let them know which file they were in, so they can investigate. Maybe it’s one file hopefully that didn’t get loaded or something, you know, quirky happened… if you all could do that for me, would.
Rae Tompkins (11:04) It also be possible if, when compiling that list, you provided the caqh id. Yes. Okay, perfect. I just want to double check to see if the caqh id was tied to an mpi. And there were, you know, another caqh user with the same mpi just to kind of investigate every possible situation to see if I can locate them.
Sara Shelton (11:25) Okay. That works. I can do that.
Rae Tompkins (11:28) Perfect. Thank you.
Rae Tompkins (11:34) Anything else I can help with?
Sue Hallum (11:38) I’m good. On my end. I think that’s it for me. Perfect.
Rae Tompkins (11:43) I’ll be in touch as soon as we get beau pushed forward as well as Jesse gray with that mpi issue. And then we’ll I’ll keep you updated on the flip for those gaps to make sure that those files are imported successfully and obviously provide an update as soon as we know on modessa, faulkner showing on the invoice.
Sue Hallum (12:03) Ray, I have a quick question. Sorry, where are we at? With our numbers? As far as how many we have submitted this month and what we can still submit? Like just numbers?
Rae Tompkins (12:16) I don’t have direct visibility into how many have been submitted. Are you speaking on a consumption basis or just how many more you can submit for this particular month? How.
Sue Hallum (12:26) many more we could submit for this month?
Rae Tompkins (12:29) I don’t think there’s a particular cap on how many can be submitted. I think it was more of just an operational planning to see if we could, you know, keep it at a certain minimum. Do you have an estimate of how many more you anticipate needing to be sent this month?
Sue Hallum (12:44) Not for sure. I know that sue has that list that she’s working on. But if Sarah has this list that she’s forwarding over to you, they’re recruits. But if there are some that are probably initials that we got to get done? If they’re a good amount, then I mean, just trying to gauge, but I want to say they’re probably recruits that just wasn’t imported.
Rae Tompkins (13:07) Okay. Yeah, no, we can definitely import more if needed. I can keep the team updated. I don’t think there’s a cap each month for how many that can be uploaded, it was more just trying to level set to operationalize, but definitely, we’ll take a look at that list that’s sent over. And if there’s any that need to be put back in process, I’ll make sure that they are.
Sue Hallum (13:26) Okay, perfect. Thank you.
Rae Tompkins (13:28) You’re welcome. All righty. Well, thank you so much, everyone. I hope everyone has a good day and let me know if you need anything.
Sue Hallum (13:35) All right, thank you, Ray. Thanks so much. Thank you.
Rae Tompkins (13:38) Bye.
Sue Hallum (13:38) Bye.