Transcript
Naomi Denson (00:00) hello?
Naomi Denson (00:05) Hello?
Naomi Denson (00:35) Hello?
Naomi Denson (00:42) Naomi. Hi, everyone. Hi.
Karen Mok (00:48) Victor… man.
Naomi Denson (00:55) May is here. Hello? Hi, everybody. How’s it going? Good? How are you? Good? Is Tamela joining us today?
Rene Dillow (01:13) She’s told me she’s planning to, I know she’s traveling, but she said that she was going to try really hard to attend this meeting. Okay? So, if you want to give her a couple minutes, yeah, we’ll give her a couple minutes and if not, you know, you can start. Yeah, I.
Naomi Denson (01:29) think Karen just had some things for you and Tamela that she wanted to run past you.
Rene Dillow (01:35) Okay.
Naomi Denson (01:40) While we’re waiting, giving Tamela a couple minutes, I just wanted to check in Victor on the updated import template for the request for south Texas spine.
Vxt001 (01:53) Yep. What about it? Have you?
Naomi Denson (01:55) Completed that yet?
Vxt001 (01:58) No. Okay. I was waiting for us to see if we can nail down this lease office space before I actually pull the trigger on all that.
Naomi Denson (02:07) Okay. All right. Just wanted to check in on that, make sure I didn’t miss anything there. Yeah. All right. And.
Vxt001 (02:16) Then I’ve got a hard stop at two. One of the questions I had is on the anesthesia entities that we don’t currently manage. I don’t know how those are going to be rolled into medallion or who’s overseeing that… or has that been even mentioned? I.
Naomi Denson (02:40) Saw something about it. I think Brian, was that from you? Yeah.
Brian Blackburn (02:47) I think it was a question over to Tamela because we never had any on the clinic side, any insight into those anesthesia, and I think it was a question that we had early on in the implementation process that Tamela’s team would manage the anesthesia groups in the implementation, but I don’t know where we are with any of that.
Naomi Denson (03:09) Okay. Yeah. I saw, I found the email that you had sent on Monday, Victor. I was like, I know I saw it somewhere. Yeah. So you’re going to be doing enrollments for those groups… as well, Victor just.
Naomi Denson (03:30) I would, I.
Vxt001 (03:31) would, yeah, I mean, I guess so, but I didn’t know how any of that anesthesia was being done, so.
Naomi Denson (03:36) Right.
Vxt001 (03:37) Or who was kind of overseeing that?
Naomi Denson (03:41) Yeah, I haven’t heard anything on it recently. I’ve just been going by the groups that are on the tracking sheet.
Naomi Denson (03:53) Let me see. Are there any?
Rene Dillow (03:55) I think that we’re waiting for the data migration to move over for the anesthesia groups at the cbo currently overseas.
Brian Blackburn (04:07) Does that include Victor?
Vxt001 (04:10) I can’t remember that’s like ap that’s like aps?
Rene Dillow (04:12) Oh, yes. Aps. And then the surgery centers that have their.
Vxt001 (04:17) That bill under the.
Rene Dillow (04:18) Center, they bill under the center, but have a separate mpi. Yep. Yeah.
Vxt001 (04:23) So, we’re looking to do just a data migration into medallion for those entities.
Rene Dillow (04:28) Yes. And then of course, whatever data doesn’t make it over, we can clean that up. But yes, that is my understanding. Okay?
Naomi Denson (04:36) I don’t see any of those groups on the tracking sheet. So, can we make sure that those are added to the correct side so that I can make sure their organizations are set up and get the payer process scoping for any nuanced like all the mpi rules… around?
Brian Blackburn (04:54) The billing?
Rene Dillow (04:57) Yes. Can you do me a favor? Can you send me the link to the tracker again please?
Naomi Denson (05:09) I just put it in the chat for you. Oh perfect. Thank you. Awesome. I don’t see Tamela?
Rene Dillow (05:16) Yeah. So just go ahead, yeah.
Naomi Denson (05:18) Okay. Karen, do you want to just run past Renee?
Rene Dillow (05:21) Yeah, I’ll answer what I can. And if it’s something that I have to that we need to show Tamela we can, but I will try my.
Karen Mok (05:28) Best. Yeah, I do think it’s something we may have to show her but, okay, yeah, I can do my best here. Okay. So just for some context, what we’ve been working on is trying to translate all of the dops into kind of standard for you all. And I showed a few times ago that we are creating net new forms for all of you. And the issue is like the forms themselves across all the entities are not always standardized or normalized in terms of how you call different privileges or procedures. So what we have done is like we will adjust the forms, we can extract and normalize the names across all of the dops. Because from our side, we’re trying to create a standard model for you all. And if, you know, you have three different entities and they’re calling breast biopsy, like three slightly different things that gets really hard for us to manage. So we kind of propose like calling them all breast biopsy. Does that make sense as like a standardization? We’re trying to do? Okay. So we’ve done our first pass at that. And we’re kind of at the point where I can show you the before and after and we basically just want to know like what level of approval do you guys want to have in terms of the changes we are proposing? So I’ll give you an example. We picked like 10 dops as an example. So here’s just the form, this is the entity, these are kind of the privileges. So this is what like our system has recommended as standard language for orthopedics, and then if you want, you can compare kind of the original dop document to this. I have to open up two windows to do this. But let’s see if I can grab it real quick by sharing my full screen. Give me one second… one. Maybe this will work. Yeah. So I have two screens here. I have kind of what we changed. This is I’m going to be very open with you all a bit of a tedious process. So I think the real question is like, do you guys want to review every single change that we’ve made… and you know, not everything has changed and I can’t flag, I can’t flag for you. Like what exactly was changed? So for example, we have like arthroscopy here and you see how it’s like listed out as separate. We just kind of did arthroscopy, shoulder, arthroscopy, elbow, arthroscopy, wrist. So that’s like an example of a change that we have made to try and standardize the naming across all of the? Privileges, does that make sense? It?
Rene Dillow (08:17) Does. And I think that part that’s fine. Okay. You just listed it separately for each type of arthroscopy. I don’t see any issue with that. Yeah.
Karen Mok (08:28) I think the question is, do you need to review all of the changes we’ve made across all? You guys have a lot of forms. So it’s like, you know, seven forms. Yeah, I.
Rene Dillow (08:38) understand. I.
Karen Mok (08:39) Don’t know if you guys have time for that. So, one option is you trust us?
Karen Mok (08:43) Yeah, yeah, which is the best case scenario. And if we see things kind of along the way that need to be fixed, we can definitely do that. The second option is like we can give you, this interface basically that we made and let you go through it, but that might take time.
Rene Dillow (09:00) Maybe we can just do some spot checks or something. Yeah, like you.
Karen Mok (09:03) Can check these 10 because that’s like an example because you all are going to know best what things are called. We’re not going to know that for you all. So I could send this to you and you could check the 10. And if it looks good, we can be like, okay, like we want to move forward but definitely doing 700 forms. Seems hard for anyone. Yeah.
Rene Dillow (09:23) Yeah, but I, you know, I understand about wanting to standardize it across the board. That makes total sense and it’s a lot easier. Yeah. So why don’t you do that? Go ahead and send this to us? And then I’ll talk to Tamela too, and I’ll just double check with her. If she, I don’t think she’s going to want to look at all 700, but again, I can’t speak for her, but I’ll definitely discuss it with her.
Karen Mok (09:50) Okay, perfect. Thank you. I’ll do that. You’re welcome. And then, my other question is we are working on a product enhancement to have committee voting in platform and we’d love to if we can schedule like 45 minutes with, I think the right folks might be you Renee? I think who knows most about committees just to get to show you what we have in mind and get some feedback. Would that be all right, as a time we could find with you? Oh.
Rene Dillow (10:19) Yes, absolutely. And you know, what I might do too is bring in our senior clinical director, Christy geiger, because she oversees like the dops, and she’s probably better at the committees than I am actually, but, okay.
Karen Mok (10:35) Perfect. Do you think we could schedule that now or do you want, to make it easier?
Rene Dillow (10:42) No, go ahead and schedule it now. Okay?
Karen Mok (10:47) Do you have some availability next Thursday after this meeting? Three PM eastern?
Rene Dillow (10:55) I do. Let me double check my calendar real quick.
Rene Dillow (11:07) You said next Thursday? Oh, I, yes, I’m going to be out. The I’m going to be out the 20 second to the 20 fourth, oh.
Karen Mok (11:16) Okay. How about the 20 first? What’s your availability look like?
Rene Dillow (11:20) Let’s see. Oh, yeah, I’m really? Yeah, I have a lot going on that day. Okay? 20 eighth. Yeah, the twentieth would be good. Okay?
Karen Mok (11:33) What, what time works for you on the twentieth?
Rene Dillow (11:38) Is two 30 Eastern Time?
Karen Mok (11:40) Yeah, that’s perfect. Good.
Rene Dillow (11:42) All right. Okay.
Karen Mok (11:44) Sounds good. I will schedule that.
Rene Dillow (11:47) Okay. And,
Karen Mok (11:48) I’ll let you, I’ll let you have invite permissions if you want to invite Christy.
Rene Dillow (11:52) Okay. Thank you all.
Karen Mok (11:53) Right. Thank you so much. I appreciate it. I’ll send those over to you by email shortly all.
Rene Dillow (11:58) Right. Well, you’re welcome and thank you.
Karen Mok (12:00) Yeah.
Rene Dillow (12:05) I have a question. Okay. It was well, actually a couple of questions. One was one of the, our senior VPS. He was asking. He said, can the regional vice presidents be set up with regional access to their facilities in medallion?
Naomi Denson (12:22) I mean, they can be added individually to each of the organizations if they need access.
Rene Dillow (12:27) And that would be the administrator, the main administrator on the account, right? That?
Naomi Denson (12:32) Would do that. Yeah. So they would, anyone who’s already an admin user on the account can add them. Okay? As an admin… to each one. So they can use admin users can use the same email in multiple profiles where providers can’t currently. But if they already have an admin assigned in medallion in that platform and they want, you know, their tenants centers, they want access to their 10 separate organizations, they can definitely add them in there.
Rene Dillow (13:07) Okay, great. Thank you. No problem. And I know, and forgive me if I don’t have this… right here, but can you send out the emails again to the admins that are set up in a medallion because there’s a few of them that told me they didn’t get the emails and I don’t even know, have you granted access to the admins yet?
Naomi Denson (13:31) So, they, if they were on the tracking sheet with the primary HC contact or backup, HC contact, those are the ones that were invited when we created the organizations. Let me just look at one as an example real quick and make sure that it’s added. Do you have an example of somebody who said they did not get access?
Rene Dillow (13:57) Yes, actually.
Naomi Denson (13:59) Which center are they with?
Rene Dillow (14:08) Oh, I just had it. Sorry, one second.
Rene Dillow (14:30) I think it was, one… of them was intermountain health, altaview… surgery center.
Naomi Denson (14:42) Altaview surgery center or?
Rene Dillow (14:43) It might be under, you know, what it might be under a different name. They have a legal name.
Naomi Denson (14:48) I’m showing. Okay, yeah, it looks like they were added, but the invites didn’t go out. So, let me go through each of the orgs and make sure the admin invites are going out and.
Rene Dillow (14:59) Actually, there’s been a, there’s been a change. Well, no. Do you have, did you have it, did you have Chet oxborough, or did you have Jaden wright as the administrator Jaden?
Naomi Denson (15:10) Wright?
Rene Dillow (15:10) Oh, that’s right? That’s correct? Okay?
Naomi Denson (15:13) Perfect.
Rene Dillow (15:14) I’ll.
Naomi Denson (15:14) go through each one and make sure that they’re being invited. Okay? Because when we created all of the cbo center organizations, Jim did that via an API set… up to auto create them and add the admins in. So I’ll have to just go through and verify that the invites go out. Okay?
Rene Dillow (15:43) Well, the data file, I’ve been working with our internal it team and they plan to either send the sample data to Jim’s team either Friday or by the latest Monday.
Naomi Denson (16:06) Okay. So, like the full file should be ready by Monday. Well?
Rene Dillow (16:11) I think they’re going to send a sample file just to make sure before… okay. Okay, we’ll make sure that we’re it’s… meets the expectations.
Naomi Denson (16:27) Okay. Yeah. We will look forward to seeing that. Okay. Awesome. And then I did have some open questions on the center for orthopedic surgery in Baldwin templates that Tamela had sent me. I sent her emails and sent follow ups earlier today to just double check and confirm on those. But Baldwin’s imported for the most part. We’re just still missing some start dates on some providers.
Naomi Denson (17:04) And then I think… Tampa pain relief, Tampa, pain, tprc, Brian reached out to me about some dol enrollment updates… that they’re needing.
Brian Blackburn (17:25) Dol? Enrollments. Yeah.
Naomi Denson (17:27) Department of labor enrollment updates that they’re needing what they’re referencing… as their need sounds more of like a maintenance update and not a true enrollment need. So I’m waiting to hear back from my pay enrollment team on if we handle those. Typically, we don’t just handle the maintenance licensing updates with payers, but I don’t know how it works with dol. So I’m waiting to confirm on how they would request that if we do handle those. Okay, I did loop you and Victor into the email because she was asking how to do that. So I was hoping that you guys could or you or Victor could jump in and share the training library and walk them through it when they do have enrollment needs.
Brian Blackburn (18:13) Okay.
Naomi Denson (18:15) And then just wanted to check in. You had said, I think it was last week about… anderson Shapiro, onboarding some new providers and having some upcoming enrollment needs. Is there any update on that? Yeah.
Brian Blackburn (18:28) We’re waiting on the provider to sign the agreement so that’s just on hold.
Naomi Denson (18:35) Okay.
Brian Blackburn (18:38) I have a question also related to tprc, she’s throwing me a question actually right now in the chat for the providers caqh, I know we’ve done a caqh import with them. Do they also need to enter in caqh usernames and passwords for each one of these providers as well?
Naomi Denson (18:59) Yeah. So it does flag the external accounts section with the caqh username and password as a requirement in the provider’s profiles. One because you have caqh management enabled, and two, because our teams will verify caqh before they submit enrollments to payers, yeah, to prevent any delays or, you know, kickbacks from the payer asking for updates or, you know, licenses expired in there or the practice location isn’t showing. So they will do a quick review before submitting to the payers. Yeah. Okay. We do understand there are providers that are not going to share that with us. They would just be tasked out to make any updates to caqh as they’re called out from payers. No.
Brian Blackburn (19:43) It’s fine. I just got inventory of those. I think we’ve got some reference to them in the old credential, my doc for this practice. So I’ll circle back with Roz on that one.
Naomi Denson (19:54) Okay. Perfect. And then just as a recap on Renee’s and Tamela’s side, Bahamas surgery center for orthopedic surgery, the surgery center, northern Ohio, erie and Baldwin other than revamp are the ones that we’ve received data to import so far outside of the MD-Staff file. Do we know any upcoming needs for the tjc credentialing for them… like that are going to be coming in as soon as… in the next couple of weeks or, I know Tamela had said there were some centers that were preparing their data import templates ahead of the MD-Staff because they had some upcoming needs.
Rene Dillow (20:44) Yeah. They have, a joint commission survey surveys coming up.
Naomi Denson (20:50) Okay. I just didn’t know if we should be expecting any appointment requests for those centers anytime soon or I’m going to run the caqh imports on the providers that have been loaded so far, and double check those, make sure the admins have been invited, and then we can invite providers, but I just wanted to make sure that our privileging team and Karen they have the dops and everything ready that we would need for those centers first.
Rene Dillow (21:25) Yeah. I’d have to ask, yeah.
Naomi Denson (21:27) And then, I don’t know if you saw my email earlier this week, Renee, I think it was northern Ohio. I was going in to start building the committees for these. And there’s some of them that are not on that VC approver sheet. So, I don’t know what their committee members are. So.
Rene Dillow (21:43) Northern Ohio. I think that’s a different that’s the one that doesn’t fall under us. So that’s probably why they’re not on that committee sheet that I share with you. Okay? So it’s probably a Tamela question. Okay? All.
Naomi Denson (22:01) Right. I just want to make sure that those are built up and ready as needed. So we’ll follow up there. I’ll.
Rene Dillow (22:10) reach out. They’re welcome. Oh, I’m sorry, I didn’t mean to talk over you. They’re welcome to use that spreadsheet that I have. They want to add their name. They want to add their information, yeah.
Naomi Denson (22:18) I think revamp just sent it to me directly in an email, okay? But I just wanted to confirm if they should be on that sheet or if I was missing them somewhere. Okay? But other than that, I don’t have anything else, right?
Rene Dillow (22:35) Now, actually, I’m sorry, actually, I just remembered one more thing Tamela wanted me to mention that. Can we get training scheduled as soon as possible? Yeah.
Naomi Denson (22:48) Yeah, the tjc appointment training that we were holding off on?
Rene Dillow (22:52) Yes, she wants to start that especially since, these centers that are almost ready to go live? Yeah.
Naomi Denson (23:01) Let me see.
Naomi Denson (23:12) We do Tuesday at 12 noon central. Yeah.
Rene Dillow (23:21) So, how about this? If you, could you send the availability? And then she’ll get back with you. She just wanted to get that started, yep.
Naomi Denson (23:31) I absolutely will take care of that. Okay?
Rene Dillow (23:33) Thank you.
Brittany’s IPhone (23:34) Naomi, will you include everyone on that? Just because I know we had a couple team members that need to see the platform and start that process as well. Yeah.
Naomi Denson (23:42) I’ll include the base members, in these calls and then you guys can forward the invite as needed.
Brittany’s IPhone (23:49) Perfect. And, and I had a question if, as you guys are reviewing opt in bop forms. Is that review tucked into the process that you’re going through at Tamela and Renee? Or is that something?
Naomi Denson (24:02) No, we have that separate call, Brittany, okay with Karen there’s? Karen. Yeah, Karen, oh, go ahead. Yeah.
Brittany’s IPhone (24:13) We had that separately with you, Brittany. Okay. Do you, is there a status update on how that import is going? I can check with my team just to confirm. Yeah. Okay. I’m kind of just waiting to hear what questions you have, or what the timeline might be on there? Because we’re pretty close to having all our C, I mean, we are, we have them, our caqh ids. I just need to merge them into our data import template, and then get that over, to you guys and then we’re like ready to start moving forward a little bit more aggressively. So… okay.
Naomi Denson (24:47) Yeah. Karen, if you could check in with the team, on where we are with optum. And then Brittany just keep me in the loop on, you know, where you guys are with additional data and timelines? Perfect.
Brittany’s IPhone (25:00) I just need to merge the information. So, just got to take some time to do that, and then we’ll be ready to start moving forward. Okay?
Naomi Denson (25:10) Thank you. No problem. Anyone else have anything to add? Hey?
Vxt001 (25:14) Naomi, this is Victor. One more time. Hey, Victor, the new provider that was credentialed with that solus, the new payer that we have. You said you had to add the individual payers, but I can’t to or the individual providers to, once I’ve set up the group or the payer, do you have to wait till the actual profile is set up for, the provider first?
Naomi Denson (25:38) Yes. Yeah. They have to have a provider. They have to have a provider profile.
Vxt001 (25:41) Profile first. Okay?
Naomi Denson (25:42) And the platform to create an existing enrollment to create?
Vxt001 (25:44) Okay. I just want to make sure. Okay, I think, yeah, because I think there’s only two that were ready, but they’re mid level. So I don’t think they’re credentialed. I think they just credentialed the MDS, so I don’t think that applied just yet.
Naomi Denson (25:59) Which group was this? Tprc? I remember seeing the email tprc. Yeah, yeah.
Naomi Denson (26:11) And did you confirm that the providers don’t have a profile? They’re in there?
Vxt001 (26:17) But they’re not, they’re all like red status, they’re not. Oh.
Naomi Denson (26:21) Yeah. So they don’t have to have a completed profile. So, let me just look here. Okay?
Roxanne Womack (26:30) So, Tampa.
Naomi Denson (26:32) Payne, so let’s see groups, all right, payers… which, what was the payer name that you added?
Vxt001 (26:43) Solas, S o L a S.
Naomi Denson (26:49) So, you added it as the group. So to add it to the provider, if they already have a profile in here, whether it’s complete or not, you add the enrollment select provider. Oh, okay. You choose the provider here. You can start typing their name. Okay? Select the group that they’re linked to, and then choose the payer just like the group, you just have to make sure that provider is selected.
Vxt001 (27:10) Okay. Instead of the group? Okay?
Naomi Denson (27:11) Yes, perfect. I got it. Thank you. No problem.
Karen Mok (27:15) Brittany, I did actually have a question for you. If I can just share a form. Real quick. One thing we noticed with some of the other facilities is that they have age like adult or pediatrics as kind of a layer on top of, I guess associated with each procedure. Do you have that?
Naomi Denson (27:33) For your.
Karen Mok (27:35) specialties, do you know? Because we didn’t see anything around like adult or pediatrics for let’s say like this one, which is internal med?
Karen Mok (27:51) Oh, she’s still here?
Naomi Denson (27:56) Hello? Yeah, she’s not here anymore.
Roxanne Womack (28:01) Oh, okay.
Karen Mok (28:03) Renee, do you know if like adult or pediatrics should always be on all the forms or is that kind of specific to each specialty?
Rene Dillow (28:11) My understanding, it should be on all the dop forms for us?
Karen Mok (28:17) Okay. Good to know. Thank you, you’re welcome.
Roxanne Womack (28:22) Naomi, this is Roxanne. I’ve just got a quick question for a follow up. I don’t think I have seen or maybe I’ve missed an update on the interface between medallion and provider trust. I realize we may not have time to get into the status of that in this call. But if I can get an email with an update on medallion, where that stands, you know, what’s outstanding. I have gotten word from provider trust that MK Brantley who had been one of our contacts is no longer with provider trust. And so, if you need anything, I want to be able to get you connected to the right person to provide that information.
Naomi Denson (29:10) Right. Yeah. I’ll have to check with Amy Walsh on that, the account manager because I think she was owning those conversations and she’s out of office right now. But let me make a note for her when she gets back to review… that. Okay? Thank you. No problem. Anybody else have anything before we drop?
Rene Dillow (29:38) Oh, just a poor warning. We had a couple of facilities. They changed out their committee members again. So I’ll be updating that information for you today. Okay. All.
Naomi Denson (29:49) Right. Let me know when that’s updated.
Rene Dillow (29:51) I will, I’ll share it with you again and let you know.
Naomi Denson (29:54) Okay. Sounds good.
Karen Mok (29:56) Okay, all.
Naomi Denson (29:57) right. Thank you.
Rene Dillow (29:59) Welcome. Everybody. Have a good day, everyone.
Naomi Denson (30:01) Have a good day.