Transcript
Nic Schisler (00:00) hi, Adele. Hi, Nic.
Rasencio (00:02) How are you? Good?
Nic Schisler (00:04) Yourself? I’m.
Rasencio (00:05) doing well. Thank you.
Nic Schisler (00:06) Call to call.
Rasencio (00:09) Yeah.
Nic Schisler (00:10) I was on, Connor and I have a previous implementation call before this one and I haven’t been able to be on it the last couple of weeks because I have another customer call scheduled for the same time. Always. I feel like I’m like always double booked lately.
Rasencio (00:25) Yeah, yeah.
Nic Schisler (00:30) Hi, Nic.
Niccole Russell (00:32) How are you?
Nic Schisler (00:35) Good. You? Hey, Connor.
Connor Morley (00:36) Hey, everyone. All right. Let’s go through this payr scoping.
Rasencio (00:55) Hey, guys. How are you? Good?
Connor Morley (00:57) How are you doing? Renee? Hey, Kenzie doing good. Okay. I think we wanted to dive right on in and cover some of the payr scoping payr mapping. So I’m going to let Niccole jump on in with that… and we’ll try to map all the payrs in medallion and make sure that we have everything all set for our operations team… right?
Connor Morley (01:33) Can you see that? Yep. All?
Niccole Russell (01:36) Right? Perfect. All right. So, for the ones in red, I just have those marked, no enrollment was needed. So we don’t need to add those into medallion. For medicaid. We have medicaid, Colorado. Do you agree? Yep. And then medicare, we have medicare, Colorado. Do you agree?
Connor Morley (01:58) There, Nicole, when we’re going line by line, can we also go over to the special to the instructions as well to confirm that there are no non standard enrollment processes?
Niccole Russell (02:11) Yes. Yeah, I can do that. Let’s see.
Niccole Russell (02:18) Actually, I’m going to leave this one. Hang on… roster. Actually, I probably need to leave that one too. Actually. Let me just do these.
Niccole Russell (02:41) All right. So, those are going to be, they’re not special here. So, she’s marked it where it is. And just so you know, anything marked yes, has already been added to our project plan as well. All right? For tricare, lakewood location, we have tricare west. Okay? For wellcare, Colorado. We just call that wellcare, yep… anthem, blue cross, we have anthem, blue cross, blue shield, Connecticut. Okay? Harvard pilgrim, not farmington, we have harvard pilgrim healthcare, correct? Humana, is humana, Medicaid and medicare. Those are for Connecticut. So, I think we’re we agree there… tricare for life. We have tricare for you. Okay? All right. Blue cross, blue shield, Florida. We have Florida blue. Okay. Yep. Okay. Devoted health plans. We have devoted health. Okay. All right. And then medicaid and medicare for Florida. Just like this… simply healthcare, Jax, only, we have simply healthcare. Okay. All right. And then tricare, east, humana, military, same.
Rasencio (04:12) Correct. And you hopped over Oscar, but Oscar’s correct?
Niccole Russell (04:18) Do what? Now? Sorry. Oh, I did skip over that. Thank you. Humana. We have humana, and then medicaid and medicare for Massachusetts. Is that okay? All right?
Niccole Russell (04:36) Revere medical. We have revere medical. Okay, united health or uhc is united healthcare for us. Administration systems research. We have asr, physicians care. Okay? It.
Rasencio (04:54) Should still be the same, I believe.
Niccole Russell (04:59) If you find that doesn’t work for you, just let me know. Okay… well, I think we’ll be importing after this, right? If all is agreed upon. So, if you want to do a little bit of research before, then just let me know. Okay. And then we have Aetna, Blue cross, blue shield of Michigan is blue cross, blue shield of Michigan. And then hap, is health alliance plan of Michigan. Okay? Humana is humana… Mclaurin, is mclaurin health plan for us. Okay? Medicaid and medicare of Michigan. Okay. And then meridian health plan.
Niccole Russell (05:49) We have Michigan, meridian. Okay. Molina is Molina health care? All right. Pace north, we have pace north here. Okay? Railroad medicare, we have railroad medicare, Uhc, and vaccn. We have va, community care network from optumserve.
Rasencio (06:19) Okay. I think for… that one, it’ll have to be, I don’t know if it’ll have to be two. Typically, when we’ve done the uhc enrollment, we do it through the uhc portal and we’re able to select from the uhc portal, that va plan and we haven’t had any issues with it. So, that one, I mean, I’m not sure it may just need to go through uhc.
Niccole Russell (06:45) Okay. I’ll mark no here and we’ll look into that a little bit more. Okay?
Rasencio (06:49) All.
Niccole Russell (06:49) right. Let’s see. Edna, Alena health. We have Edna. Okay. Blue cross, blue shield, Minnesota. First health, Edna, we just have first health. Okay. Health partners is just that… hennepin health is just that, Humana, choice care. We just call it humana. Okay. Medica is medica, medicaid and medicare. Minnesota. Wow… we have those. Okay? Railroad, medicare is just railroad medicare. That one matches south hill, the south country health alliance. That one matches for us. Okay? Tricare west, that… one matches ucare matches. And then, is it the second that’ll be the, so I’ll mark this one now for now. Yeah. Okay. And then Aetna is Aetna… anthem, blue cross. We have anthem, blue cross and blue shield, Nevada. Okay?
Rasencio (08:07) All right. Actually, Nevada, we can remove, I didn’t even realize that Nevada was still on there. We’ve closed our Nevada clinics.
Niccole Russell (08:16) Okay. So we can remove this whole plan.
Rasencio (08:21) Remove all of the plans from the entire state of Nevada.
Niccole Russell (08:27) Oh, all of the payers.
Rasencio (08:29) Yeah. We closed our Nevada clinics. So we’re no longer there.
Niccole Russell (08:32) Okay.
Rasencio (08:47) All right, line one, oh six is Nevada as well. Thank you.
Niccole Russell (08:56) Okay. Let me just mark, no there. And then we can all update the notes over here in just a moment. Okay. All right. And then we are in New Jersey. So I have Aetna. Aetna. Whole health is still Aetna. Okay. Amerihealth, is amerihealth… humana, is humana… independence. We have independence blue cross. Okay. Then medicaid and medicare for New Jersey. Aetna is Aetna. Amerihealth is amerihealth… horizon, New Jersey health. We have horizon blue cross, blue jersey, blue shield of New Jersey. Okay. And then humana matches… magnacare, we have magnacare. So that one matches and then medicaid and medicare,
Niccole Russell (10:07) Uhc, we have unitedhealthcare. Okay. Aetna matches, anthem.
Niccole Russell (10:19) What’s going on here? We have anthem, blue cross, blue shield. Okay. All right. Cdphp, we have capital district physicians health plan. Okay.
Niccole Russell (10:40) Humana matches. And then we have medicaid and medicare for New York… Oscar matches.
Niccole Russell (10:55) Tricare for life. We have tricare for you. And then 1,199, seiu, we have that same thing added on funds. Okay. And then Aetna matches, anthem, blue cross… and then… cdphp, again, capital district physician’s health plan. Okay?
Rasencio (11:52) I think, the anthem, now, we got an update, on… there, the anthem, blue cross blue shield for New York. That one will just go to it’ll. Go through the, whatever the standard application process is for anthem, in New York, it’s no longer through that catholic health system. Right now, the only payer we have going through catholic health system is uhc for New York.
Niccole Russell (12:23) Okay. So, just use our standard process here.
Rasencio (12:25) Yep. Okay.
Niccole Russell (12:27) I want to highlight this. We’ll add now.
Niccole Russell (12:42) Care… and you’re good with the naming convention of that. Yes. Okay. We have, fidelis is fidelis care. Okay. Alright. Humana is humana, magnacare matches medicaid and medicare, New York… Oscar matches.
Niccole Russell (13:18) Uhc, we have united healthcare. What was that? Wellcare? We have matching wellcare, Aetna matches, anthem, blue cross that’s Ohio… anthem, blue cross, blue shield of Ohio. Okay. Beach street, we have Clare to formally multi plan. Perfect.
Rasencio (13:45) Okay. And,
Niccole Russell (13:48) then buckeye health plan for your buckeye centene here. Okay. Caresource matches… we just use healthspring instead of cigna, healthspring. Okay. Department of labor, we use United States department of labor offices for worker comp programs.
Rasencio (14:09) Okay.
Niccole Russell (14:12) Healthsmart benefit solutions. We have healthsmart ppo network. Okay? And then humana matches, medical mutual matches, medicaid and medicare for Ohio.
Niccole Russell (14:33) Melina, we have Melina healthcare. Okay. Paramount health insurance. We have paramount. Okay. Summacare matches, the health plan matches, And then blue cross, we have blue cross blue shield of Oklahoma. Okay. Community care matches… health choice, and we just added on the state there. Okay. Humana matches medicaid and medicare for Oklahoma. Okay?
Niccole Russell (15:20) Bye. Oh, so where did the name go? Oklahoma? Complete health that’s exactly what we have. Okay. And then Aetna including first health, we call that first health.
Rasencio (15:36) Okay. And now, I know typically for us when we have to go through it because it is Aetna and first health, typically, we have to do Aetna and then once we get the approval for that, it goes, then we submit it for first health. I just want to make sure that both of those are included in that enrollment.
Niccole Russell (15:53) Let me make sure. Okay?
Niccole Russell (16:00) The cells.
Niccole Russell (16:20) And then amerihealth, we have just that. Okay. Highmark blueshield, we have highmark bluecross, blueshield… humana, matches, independence… bluecross, blueshield, we just have that independence bluecross, okay. Medicaid and medicare for Pennsylvania. Tricare east, we have tricare east… Baylor, Scott and white. We have Scott and white health plan. Okay? Blue cross Texas.
Rasencio (17:04) Yeah.
Niccole Russell (17:07) Oscar health. We need to choose Oscar. We got medicaid and medicare for Texas… well care matches, Aetna matches.
Niccole Russell (17:25) And that’s blue cross blueshield of Texas. We’re good there. We’ve got medicare, Texas. Good there. Same thing. Medicare, Texas. Good there. All right. Peterson pho. We just have Peterson health. Pho. Okay. Aetna, better health also known as Coventry, we have Aetna, better health of Virginia. Okay. Medicaid and medicare of Virginia.
Niccole Russell (18:04) Aetna matches, anthem, blue cross, we have anthem blue cross blueshield of Wisconsin. Okay. Independence physician network that matches us, medicare and medicaid of Wisconsin. MHS, we have MHS health, Wisconsin. Okay. And Molina is Molina healthcare? Okay? And then uhc is unitedhealthcare on our end. Okay. All right. So, the only two that I need to look into, did you want me to look into the other one that you weren’t sure because we have Aetna here, first health, I’ll look into that one. I’m going to update this one?
Niccole Russell (18:57) I’m going to look into this uhc vaccn.
Niccole Russell (19:12) I think it was an Aetna one.
Rasencio (19:36) I think that was it. Yeah. I think it was just the uhc and the Aetna.
Niccole Russell (19:40) One. Yeah. Okay. Perfect. I will take that back to my team and see what’s going on there. Okay? Get confirmation over to you. Great. All right. Thank you. You’re welcome. I will stop sharing. Connor, take it away. All right. Thanks, Niccole, you’re welcome. Okay?
Connor Morley (19:59) So, the payer mapping, we are all set with that. Adalee’s working on loading the rest of your enrollment data. I don’t think we have any questions coming out on that enrollment data just yet. One other thing, I know it’s been a while. I think I had sent out a copy or an example of our credentialing packet. And then I apologize. I… must have misplaced or missaved your credentialing policies. Do you mind resending those credentialing policies? Yeah.
Rasencio (20:42) Not a problem. I’ll draft up the email now. Thank.
Connor Morley (20:46) you very much essentially, we just want to make sure that we have everything that is included and turned on. I don’t foresee any issues you have comprehensive monitoring. So you will have basically anything that can be included on the credentialing packet, will be included for death, master, medicaid, exclusions, preclusions, all the above, if you’d like. And the only other piece was if you have any delineation of privileging forms, let.
Rasencio (21:31) Me… we do have… I’m going to include that in the email, we have our privileges form like our full privileges letter, letting them know that they’ve completed credentialing?
Rasencio (21:53) Let me just see. Let me pull up the documents I’ve got.
Connor Morley (22:04) So, can I ask in your typical workflow? Does your committee… vote before they’ve specified the privileges? Typically, I think we’ve seen that the new… hire would fill out the privileges before the committee votes.
Rasencio (22:31) How it works with our company is the privileges are essentially all the same. They’re spelled out in the collaborative agreements that we have that they sign with their physicians prior to their start date. It’s typically sent out. Once we start the credentialing process, we’ll send it out via DocuSign for the supervising physician and for the provider to sign. And it just spells out what those privileges are. That way once they go through the credentialing process, they’ve already acknowledged that this is what they’re responsible for. So once credentialing is completed, then it’s just us saying, okay, everything’s been checked off, everything’s there. There’s nothing we need to follow up on. They’re approved for privileges.
Connor Morley (23:18) Okay. And is it the new hire or the supervising provider who fills out that privileging form?
Rasencio (23:26) It would be our team that fills out. I’ll send you a copy of it of what it looks like. Those collaborative agreements. Our team fills it out. We submit it to the provider and to the supervising physician. We also get governing body approval, which is essentially the medical director, the clinic manager and the regional director sign off essentially saying, yes, we’re granting this provider privileges… at our clinic. And then in that collaborative agreement, it spells out specifically what those privileges are.
Rasencio (24:08) Okay. All right. No problem. Now, it varies from state to state depending on what those state requirements are. I think there’s only one collaborative agreement we have that encompasses two states together. But just to kind of give you an idea of what those look like. I’ll just send one. I don’t want to inundate you with like 15 different documents for the same thing.
Connor Morley (24:37) No worries.
Rasencio (24:55) Also sending over, we have our clinic managers do an id verification… because when we had our last meeting with joint commission, they were like, we need somebody to verify this id in person. So we had to create a form for them to photocopy that photo id. And then the clinic manager would sign off saying, yes, the person on this id is the person who showed up in person to sign all of their employment records. So that’s it’s a copy of that form. We also have our reference forms that we send out for our three peer references that they provide to us. We send out this document for them to complete.
Rasencio (25:43) Let’s see. Okay, I’ve got those four now, I need the collaborative agreement and.
Connor Morley (25:54) That id form would be done by your credentialing administrators or?
Rasencio (26:00) It would be done by our clinic managers.
Connor Morley (26:02) Clinic managers. Okay.
Rasencio (26:07) Okay. Yeah. So when we have new providers that start, there’s going to be a number of things. Obviously, the bulk of their credentialing information will be loaded into medallion just through that process alone. But because we still have additional documents that we need to have them fill out and sign, we’re also going to send an email out to them just saying, hey, we also need you to fill these out. And then we would just upload those manually to medallion. That way we have record of them.
Connor Morley (26:38) Okay. That makes.
Rasencio (26:39) sense.
Rasencio (27:11) Double checking to make sure I entered everything. So there’s our credentialing process, governing body, id verification, reference form, privilege letter and the collaborative agreement. Great. So I just sent those over in the group email, so everybody should be able to see those Renee.
Kviser (27:33) What about the credentialing authorization agreement?
Rasencio (27:40) Correct. Thank you, Kenzie.
Rasencio (27:47) That’ll be a separate email because I already sent the other one.
Rasencio (28:19) Actually two separate things. So we have our vivo credentialing acknowledgement which is essentially and we’re going to have to revise it obviously to include medallion. Now. So this is just the one that we’ve been using up until now. I’m going to have to update this so that they’re signing off, saying that, you know, they recognize medallion is going to be part of our credentialing process and they’re going to respond to outreaches. But we also have a provider signature log that we require them to print out and actually put a wet signature on… especially for a lot of our other. I know New York is the exception. They have to actually mail that in. But there’s some other like, I know New Jersey medicaid, we can just kind of stamp that wet signature on it and they’ll accept it. So we do have copies of those signature logs. So that’s another thing we get them to sign.
Connor Morley (29:12) Got it. Okay. So it has to be an actual wet signature, correct? Can’t be like an E signature, correct? Yeah?
Rasencio (29:20) I think I’m trying to think off the top of my head, I can’t remember if it was, I think it might have been Oklahoma or Pennsylvania. I, it’s typically medicaid that requires the wet signature. If I’m doing group updates or group revalidations, they want wet signatures on a provider document, just showing us all of these providers are linked to our group and they have them sign off on it. And so we just use that as part of that process. Okay? Otherwise, it takes us far too long to get providers to sign and send back documents to us.
Connor Morley (30:04) I hear that. Okay. So once we kind of take a look at your information… on the group enrollments and credentialing process. We have the governing body, and then you also have the collaborative agreements.
Connor Morley (30:27) We should be okay. I just want to double check.
Connor Morley (30:38) Your bylaws or your process right now?
Connor Morley (30:48) Just to confirm because I think with your credentialing process… and I think we had kind of discussed this a little bit before when… you’re making the credentialing request, would you like to specify a specific group or would it just be going to vivo infusion as a whole?
Connor Morley (31:23) If you’re talking, you might be on mute.
Rasencio (31:28) Thank you for that. It depends. So, and 95 percent of the time I’m going to say it would be vivo infusion as a whole because again for our providers, I mean in states where we have multiple groups, we typically enroll them or we credential them for all groups and all payers for that group. But to the exceptions to that are in Texas and Minnesota, we do have physician group practices there. I want to say 99 point nine percent of the time in Minnesota, any new hires that we get on are strictly going to be for infusion services only. However there may come a time where we have to do it.
Rasencio (32:14) They do try and separate those providers so that they’re not crossing. So it’s like they’re not seeing patients as a physician group practice and at the infusion clinics. Though our contracts are the same.
Rasencio (32:32) It’s messy. It’s kind… of the same with Texas as well. We have four groups in Texas.
Rasencio (32:39) Two of those groups are infusion services. Only one of those groups is physician group practice only, and one of those groups is physician and infusion services. So those would be the only states where I could see there would be an exception to that where we would want to do it by the group rather than vivo infusion as a whole.
Connor Morley (33:02) Credentialing process different for that group.
Rasencio (33:07) For the physician group practice for… our physicians themselves, not necessarily the mid level providers for the physicians themselves. We’re doing the added step of verifying hospital privileges, making sure we’re verifying the intern… fellowship residency information. Typically that’s pulled off ama… when we do those verifications. But that’s really the only addition to it for our mid level providers who are seeing patients at the physician group practice. We have separate collaborative agreements that obviously spell out different privileges because they’re not doing infusion treatments. They’re actually following care for patients. So it’s a different collaborative agreement for those physician group practices providers. So it’s slightly different. Not there’s not like 20 additional tasks that have to be done. But there are slight differences.
Connor Morley (34:11) Okay. So then I think what it sounds like is we can create one single entity for vivo infusion, and then two more for one for the Texas physician group and one for the Minnesota physician group.
Connor Morley (34:27) Okay? When you’re making the request, you can choose just vivo infusion as a whole or you can choose vivo infusion and Texas or vivo infusion and Minnesota. And then the credentialing packet would be different. It would for Minnesota and Texas would be different. It would follow that additional… step for those.
Rasencio (34:56) Okay.
Connor Morley (35:03) So, I think we should be OK there… but let me summarize that. And then I’m.
Rasencio (35:13) going to put it into?
Connor Morley (35:14) Our sop and show you what it’ll look like.
Rasencio (35:18) OK, perfect.
Connor Morley (35:23) All right. That’s all I had for today, Renee, did you have any questions for us?
Rasencio (35:34) I know that Kenzie put together a list of things that because we have our credentialing specialists going through and just kind of updating the things that we know we already have for these providers.
Rasencio (35:48) And when the providers go in instead of them having to fill out a bunch of information that we already have, they can just fill out the information we really need them to. So in that process, Kenzie’s found a couple of things she wants to follow up with you on. So I’ll give her the floor now.
Kviser (36:09) Starting off, is there a way that certain elements of the application? For example, the mailing address? Is there a way that we could have that standard inputted on your end? Like a mass update? Because all of the providers will have the same mailing address, which is our corporate entity. So if we just go into, for example, dr mandelden’s application.
Kviser (36:41) And then under profile on the mailing address is?
Connor Morley (36:51) I forget where this one is. But I know it’s right here. Yeah, the mailing address?
Kviser (36:56) Yeah. Is there a way that we could have that inputted for all the providers on your end?
Connor Morley (37:02) And it’s the same one, Adele, is this something that we can do through the API? Yes, we can, yeah.
Kviser (37:13) In addition to that section, it would be, I think it’s the same, it’s for the outpatient… the fcvs would be a standard? No.
Connor Morley (37:31) I don’t remember where fcvs is.
Kviser (37:35) Right there, practicing information?
Kviser (37:41) And then the standard answer would be clinic based. Plus if we could just hit the edit button to show the options and then Renee, would this be okay to have it set as clinic based?
Rasencio (37:57) I’m okay with that because while our supervising physicians obviously are hybrid because they have their professional practices that they operate out of for our credentialing purposes. Only we do not do telehealth, they are clinic based. Only… Niccole. Do you guys have a recommendation on that? I mean when you guys do the credentialing and the enrollments, it’s just going to be for our group, not their practices? Again, the only place that would differ is in those clinics where we do have physician group practices. So, those two groups in Texas and in Minnesota?
Connor Morley (38:37) Yeah, Niccole. Do you know if that, I mean that should be fine. We are only credentialing for your organization. When you make requests. It’s not, we’re not credentialing for the, any, everything that the provider could be associated with. Okay, correct? That should be fine. I just don’t know if this is something that we can populate… automatically or bulk upload. That might be a question for Adalee. But let me just take some notes. And at least I’ll also take some screenshots to make… sure that we have all of the pieces… of information that you want bulk uploaded.
Rasencio (39:22) So, one second.
Connor Morley (39:28) And Kenzie, the,
Kviser (39:32) next section would be the malpractice, but it also impacts the existing licenses on caqh, a provider could have expired Coi certificates and we archive them, those expired Coi are inflating the expired… notifications on the malpractice, because they’re showing expired, even though in caqh, they’re showing archived.
Connor Morley (40:14) Gotcha. Niccole. I remember there’s a reason that we ask for archived… malpractice. I cannot remember it off the top of my head. I think it does have to do with either payer enrollment or credentialing.
Niccole Russell (40:37) I’ve never used an archive for payer enrollment. Yeah.
Connor Morley (40:40) So, I believe it does have to do with some verifications with credentialing.
Connor Morley (40:50) I know a lot of.
Rasencio (40:50) The time, sorry, Connor, I know a lot of the time. Sometimes they just want verification that there’s been no malpractice suits or anything like that during credentialing, which is why we keep copies of their just the insurance document. That way. If you have to go back and check on those, you can… we just want to make sure it’s not going to show up like it’s not going to keep flagging us that there’s an expired document.
Niccole Russell (41:15) It will on your.
Rasencio (41:16) Expirables. Yeah. So that’s where we have the issue is if it’s going to constantly flag us saying, hey, this is expired. Well, yeah, we know it’s expired. It should be expired.
Niccole Russell (41:27) It will be, but typically, the things that I cover here is if you hit that little drop down the funnel on the far right of expiration, date. So I typically pull within 30 days like every call that we have. That way, you can actually see what’s coming up to expire, not what’s already in there that you may be tracking. I saw it come.
Kviser (41:50) Across when a provider who no longer has an active Dea, she’s a nurse practitioner out of Texas and her Dea is now archived, it shows expired, but we would do that. The same thing. Just look at the upcoming and not the past. Is that what you’re saying?
Niccole Russell (42:11) I mean, yeah, if you’re wanting to keep those documents in there and they’re going to stay expired, then absolutely, I would filter here, okay? Just to keep track within, you know. And again, I do bring this up. I actually call it out on our agenda once you’re transferred over to me. So I’ll have like what the expired document is coming up within 30 days… just so you can keep eyes on it, okay?
Kviser (42:50) That’s it for right now.
Niccole Russell (42:51) I have.
Rasencio (42:53) one that I wanted to bring up on the required documents for our physicians. One of the required documents is a residency diploma. We do not collect residency diplomas from our physicians. They’re not again… for the three groups that have physician group practices on it. We do those verifications through the American medical association site. So we’re able to see that verification there. We don’t need to collect the diploma and our, for all of our infusion clinics, they’re not, they just have a contract with our company. They’re not actually employed by our company. They’re not treating our patients that’s what all of our mid levels do. So we don’t require a residency diploma. Is there a way to deactivate that requirement in the system? Is it okay for us to ignore it? Would you guys still be able to process credentialing and enrollments with that?
Niccole Russell (43:53) Can you upload the verification just so it’s marked off?
Connor Morley (44:01) Absolutely. I could. Yeah. So Adalee, I don’t remember if we have the ability of removing this, but the other thing Renee is, if you have in your credentialing process for us to look at residency, then we do have to look at then we do have to have it. But I took a quick look. I did not see a residency diploma called out,
Connor Morley (44:36) Yeah.
Rasencio (44:40) But I, to, you know, go back to what Niccole said. I do run. So the verifications for our physicians for their board cert, I will do a verification through the abim. And I also do it through ama, because again, ama gives us that additional verification on their residency fellowship, intern, stuff like that. They do verify it there. I believe they also do verifications for God. My whole brain just glitched. I can’t even think of the phrase for it anymore. Any physician who’s received their medical degree outside of the country, ecfmg, there we go. It verifies that on the ama verification site as well. So, what I’ll do is I’ll just put that, ama verification in where the residency diploma is being requested.
Connor Morley (45:40) Okay. We should be okay. We can take that as follow up to see if we can remove it.
Rasencio (45:48) Okay.
Connor Morley (45:51) I’m not 100 percent sure… there’s.
Rasencio (45:54) a workaround. So it’s not, yeah.
Connor Morley (45:57) It’s not an,
Rasencio (45:57) issue if you guys can’t… we have far more mid levels than we do physicians.
Connor Morley (46:06) All right.
Rasencio (46:14) Yeah. And that’s all I’ve come across so far?
Connor Morley (46:23) Okay. That sounds good. We’re gonna take a look at the credentialing process and,
Connor Morley (46:36) I’m looking at… the full privileging form, it… doesn’t look like there’s a, any checks for them to actually make on… it like the credentialing… if I’m looking at the credentialing letter that you had sent the full privileges, Looks like something that they don’t necessarily like pick and choose their privileges, you know, those.
Rasencio (47:13) On the collaborative agreement, it assigns what those privileges are. They don’t get to the providers, don’t pick and choose which ones. Okay? They get. Yeah, it’s a blanket expectation.
Connor Morley (47:28) For.
Rasencio (47:28) all the providers, whatever’s on that collaborative agreement.
Connor Morley (47:35) The collaborative agreement… doesn’t choose anything. It’s a blanket expectations… and duties kind of correct?
Rasencio (47:45) Okay.
Connor Morley (47:46) All right. I don’t have any concerns there… Adalee, it actually sounds like they don’t have any dop forms that we have to map. All righty.
Rasencio (48:02) Send over Connor. Just a blank copy of our physician group collaborative agreement. You’ll see in there. It also shows just those different responsibilities.
Connor Morley (48:19) Okay.
Rasencio (48:22) I just sent that over.
Rasencio (48:32) Specifically just for our physician group practices. So that’s the one for Minnesota. We have another one for Texas as well.
Connor Morley (48:41) But again, those are sent.
Rasencio (48:42) Out by our team because we have to send those via DocuSign. And then we’ll just upload those I did find in the system when I was updating.
Connor Morley (48:57) The provider?
Rasencio (48:57) Information, let me see if I can see real quick. It was in the section. Let me see maybe professional… history.
Connor Morley (49:11) Yeah.
Rasencio (49:11) There’s a supervisor section, and.
Connor Morley (49:14) So, I was able to.
Rasencio (49:16) Add supervision. So, any of the collaborative agreements they have on file especially for our providers who are in multiple states, I added each of those.
Connor Morley (49:26) Supervising relationships.
Rasencio (49:27) And then in that edition, I’m able to upload a copy of our collaborative agreement right there, okay?
Connor Morley (49:35) Perfect. I… gotta find like a, someone who would have a supervising physician.
Rasencio (49:42) Let me see. I worked on a couple of them today. I was in Florida, so I say Blanca Fernandez.
Connor Morley (50:04) Perfect. Collaborative document… collaborative… document? OK, that looks good.
Connor Morley (50:18) OK.
Rasencio (50:19) All right. Yeah. There’s not all payers ask for that collaborative agreement, but there are a handful that will sometimes come back and say, do.
Connor Morley (50:28) you have a,
Rasencio (50:29) collaborative agreement on file or a lot of the times for the Dea requirement that they have, and we’ll tell them our providers are not required to have a Dea. Our medical directors are obviously in our supervising physicians, but not our mid levels. So we have those in lieu of. And so the payers will accept that 99 point nine percent of the time and the off chance they don’t it’s typically, they’ll send us back a Dea.
Connor Morley (50:56) Form they.
Rasencio (50:56) want us to fill out, just saying this is what that relationship is, or alternating… responsibility got?
Connor Morley (51:07) It. Okay. Yeah, I, everything looks good with that. So, I think for the most part, for some of those documents, we don’t have to map those, but we can certainly create tasks if you’d like us to do that or if you’d like to just upload them when you’re making the requests, the credentialing admins can upload that those documents as well. I.
Rasencio (51:34) Think and Kenzie. I, you know, I welcome your input on here. I would like it to be a task just because it helps them keep track of everything that they’re supposed to have. And if something’s missing, they know to follow up on it.
Connor Morley (51:47) Agreed in the.
Kviser (51:49) notification report note that comes across to be able to catch that as well. Okay?
Connor Morley (51:58) That sounds good. And that would specifically be an org admin task. It sounds like. Okay, all right.
Connor Morley (52:11) Those are all the questions I had today. Do you have anything else for us? Nothing for me? Nothing like.
Rasencio (52:20) I said, we’ve got the credentialing specialist going in and just helping with the process of getting those profiles to update them as quickly as possible. And the dual hope in that one, they get familiar with the system and two, any questions that they could have may pop up during the next couple of weeks. So, we want to make sure that we’re.
Connor Morley (52:42) keep in touch.
Rasencio (52:43) With them. That way we can forward those questions along to you guys.
Connor Morley (52:47) Yeah, let us know if you hear anything. We’re happy to answer any questions that they might have. All right?
Rasencio (52:56) Well, thanks… everybody. Thank you. Bye. Thanks bye everyone.