Transcript
Jordan Tantleff (00:00) how’s it going today? Not able to hear you for some reason?
Jordan Tantleff (00:17) Still can’t.
Jordan Tantleff (00:22) no, yep. I can hear you now. It’s.
Rae Tompkins (00:26) like you take your headphones out, put them back in, but then you have to like select 15 different settings to redo.
Jordan Tantleff (00:32) Sounds good. Felt like the verizon commercial there.
Rae Tompkins (00:38) I know happens every time I unplug these things, I might as well just leave them in. It’s. Too much of a headache to figure out what I did. I don’t think either of them accepted this call, so.
Jordan Tantleff (00:53) Yeah. I was hoping moli specifically was going to hop on just so I can start having that conversation with him. If he’s not, I’ll kind of sidebar with him. Okay?
Rae Tompkins (01:08) He accepted the operations… call today… but that doesn’t normally mean he joins, but.
Jordan Tantleff (01:20) We’ll give them. Oh, there they are. Oh, perfect.
Jordan Tantleff (01:31) Hello. How’s it going?
Jordan Tantleff (01:44) Moli, I think you’re on mute if you’re able to hear us.
Chandra Mouli (01:50) Can you hear me yes?
Jordan Tantleff (01:52) I can. How’s it going?
Chandra Mouli (01:54) Good, sir. How are you?
Jordan Tantleff (01:56) Good. I feel like it’s been a while.
Chandra Mouli (01:57) Give me one minute. Okay? Yeah.
Chandra Mouli (02:15) True… I get to see you guys or no?
Jordan Tantleff (02:23) I feel like I haven’t seen you in longer than?
Chandra Mouli (02:26) That… so, are you guys coming to California?
Jordan Tantleff (02:32) I am not, I believe fletcher is going out there from a medallion side of things, but I think who else? I’m sure, Derek, our CEO, who I believe you’ve discussed with before he’ll be out there as well. Yeah, should be a good showing.
Chandra Mouli (02:51) I hope so.
Jordan Tantleff (02:53) Have you ever been out there?
Chandra Mouli (02:55) No, no. I haven’t been to this place, but I think Valerie and I will be there, perfect. And then we’ll see how it goes.
Jordan Tantleff (03:06) Looks like it’ll be a good time.
Chandra Mouli (03:09) Hopefully. Yeah, absolutely. All right. So I have one item that I wanted to really discuss with you guys.
Chandra Mouli (03:19) There are going to be additional things that is coming up. Valerie and I have been working. Our pass through costs are kind of doubling and tripling. Okay? If you look at January, it is for December until December. It was RS, it went up to 38 grand. Now for feb, it went to 90 grand. I have told them to stop that invoice. Have Valerie do while I had allowed the invoice to process for January which has been paid the 38 grand. I don’t have a reason to believe this 90 grand, which is a shocker for me. We have not budgeted for that. And when we signed up with fletcher, I will also talk to fletcher too. We gave, I think you also know, we worked on the projection on an average of 15,000 dollars is what we anticipated and we worked, and… fletcher also mentioned, yeah, it will be the 15 grand and stuff, but in reality actual, this is going 80 90 grand which is not giving us any leverage of coming into medallion. Okay, let me put it in a very simple state now that the verisys also comes under the same pricing and same thing. And… I should have some motivation or I should have something to really work with you guys to do it. I did not sign up for this pass through cost. This is one and then second item. There are numerous manual tasks that our team needed to do which we are going behind. I don’t know, my team tells me that they have discussed this several times with your team. So I asked them, I have an internal call scheduled which I will be discussing with them. What are all those tasks? Because we were not to do any of those tasks. With verisys. We were very comfortable and we were never in the situation. But today, we are lagging behind something as behind as even 20 days to, on the credentialing end your operation or your business folks. I don’t know whether they realize this or not… that cannot go on. I will come back with very specific examples and the issues for you guys. And then we needed to have that the working meeting to determine whether this is something that you guys will do it or take it forward. So I needed that help and please let us know by any standards, 90 K pass through cost is not going to be allowed. I don’t know, maybe in a good faith we would have agreed, some of those on the pass through which I said initially I had inhibition not to take it because with verisys, we have negotiated in a way that until it becomes us 25 dollars, they don’t charge anything to us. Okay? And the biggest element of coming to you guys is when you collect all the information, when you query for all the information or take it, the shared cost should eat away this pass through on other things. The whole idea is to repurpose it that’s how the cost reduction that comes down. But this is counterproductive. The way I see this is a counterproductive. And I keep getting every second day, third day, an email saying that the invoice is pending invoice is pending because it is exorbitantly high and it takes time and effort at our end to do the research and then say, yes or no. We, we will not be able to approve that invoice of 90 K because our average of pass through has traditionally been 15 grand and one 38 grand, which I allowed. And this one I just cannot allow. So my request would be that you should take that up, with your operations team or whoever is the team and discuss and come back to us. Otherwise, I need to really rethink our strategy of work distribution journey. Yeah.
Jordan Tantleff (08:22) I will do some digging into why that one was a bit higher because I do remember the exercise we did of kind of estimating what the pass throughs would look like over the year with medallion. I think for like the first year, we estimated like close to 400 grand in total or something along those lines. So I have to pull up that document that we put together and just work with my accounting team to see, you know, what costs are coming through from a pass through perspective.
Chandra Mouli (08:48) We, we did about 180 or 200 grand, which is working out approximately 15 grand. We, we gave all the pointers took all the invoices, all the pointers. So it’s not 400 grand. It is, it is of the order of about 200 grand or so. And, and why would I sign up for a 200 grand more when all the pricing is same and somebody is giving me this. So you need to dig through internally and then come back to me why these numbers are high? I see Valerie here, Valerie, any comments you have?
Valerie Lewis (09:27) No, but we, we’ve completed the review of the, that invoice and scheduled to meet with muli to kind of go over it on Friday. So I can send you our findings of the ones that we don’t agree with or the other ones, right? To see how much of a difference that is as well that.
Jordan Tantleff (09:47) That’d be helpful if you can send that over. I mean, you say, I don’t agree with, I’m assuming it’s like boards that you guys don’t recognize, or verifications you guys don’t recognize. Is that what you’re referring to?
Valerie Lewis (09:57) That? And then some of them are duplications, right? So, like a nursing board, you’re charging us four times, but they only have one certification as far as we can see, right? And then when we look at the packet, there’s only one certification. So we’re kind of finding some things like that as well, Jordan, and, you know, so those are kind of just some of the things that we’re finding either it’s a board we don’t recognize or we’re being charged multiple times for one board and we’re not understanding where the feet, the additional verifications are coming from, got.
Jordan Tantleff (10:30) It got, if you could. Yeah, if you could send that my way, that’d be super helpful for me to go to accounting with just to better understand kind of where we’re coming from on these pass through fees as well. So I can take that away as an action item. And then the second point you’re talking to Molly about kind of just the more manual work that I’m sure you have balance teams going through here. This… was likely if I had the guests tied to like, the state requests that are coming through. And, right now, we’re being sent state requests for, you know, providers belonging in states that they’re not actually, you know, licensed in which is, you know, resulting in our automation being kicked off, us doing outreach to the provider in that state where they’re not, you know, applicable to whatsoever, which is causing provider abrasion, as well as us archiving files and kind of restarting, the request itself. I know Nico, is very interested in if we can get into contact with someone from the, it or automation team and just kind of start working upstream to see how we can kind of get ahead of this, these incorrect states being sent our ways. I think that would alleviate a lot of the issues that we’re seeing today, but.
Valerie Lewis (11:42) The issue that we’re having is not the incorrect states Jordan, I mean, we’ve been sending incorrect states to verisys right? It is more of verisys works the file. They don’t archive it and require us to resend it. That is where the manual work is coming in for us, right? When you’re archiving and you’re archiving a lot of our re, creds, I can’t send them back to you now, right? Because of the time it took for you to identify that there was an incorrect state. And then you notify me that you’re archiving, they expire next month. So I can’t resend them back to you, right? And so historically with the other cbo, they collect what they can and they send it back to us incomplete, right? They’re not solely, you know, we do say it there in Ohio, but if they can’t verify an Ohio license, they verify what they can and send it back to us incomplete, right? And then note that, hey, wasn’t unable to verify the Ohio license. We take a look but all the verifications are there. It’s not a I’m stopping processing. And now you got to resend this to me, right? With the correct state. That number one, I’m sending it to you manually so that’s taking time. And then number two having to look that up, flip that provider, go back and figure out what status he’s in so he can come up on the report. So it’s just a lot of work, right? Right.
Jordan Tantleff (13:06) I don’t know if you know the answer to this like top of your head, but like, I guess what verifications do we run? Like what, where’s like the stop gap for the state verification, and then like the verifications thereafter, yeah.
Rae Tompkins (13:17) So automation kicks off as soon as we get enough information in platform. But once we, you know, notify and discover that license discrepancy is when the outreach stops and we’re archiving, val, I have asked our support team to halt that process while we kind of come up with a better solution. And that is on my agenda for today just to kind of talk through the expectations of like what would it look like? Because currently, as we archive it, the automation is pulling verifications manually right now, which is included in the partial packet that’s sent to caresource. So like you are seeing visibility into things that were run prior to us notifying or being notified that license is a discrepancy, but it’s definitely on top of mind in part of our conversation for today just to kind of game plan as a team. What would caresource like that to look like? Whether that be it come over on the CDT or the files marked incomplete. So I’d like the opportunity to just kind of wait to talk about that just directly with the team on our call this afternoon. But I think the biggest thing is just figuring out the best way for our team to handle those files once we get the notification that there’s a discrepancy with a provider’s license. But to Jordan’s point coming into it with, you know, Nico’s able to support and discuss if caresource has a technical contact so that we can try to understand how that data can be imported correctly to kind of make sure we’re getting the correct data and, you know, there’s no additional… outreach required on the caresource team.
Valerie Lewis (15:00) Yeah. I mean that’s fine. We’re in the process of possibly upgrading our Symplr system right now. So everything any API that can be created is at a.
Valerie Lewis (15:13) Stop, right? Because we’re going moving from a web based platform possibly, right? So because they’re sunsetting the current version that we have for Symplr that we’re going to move to a new platform. So there is no discussion to be had right now with what we currently have. But I know that… some of the discussions to.
Chandra Mouli (15:36) Watch is breaking about.
Valerie Lewis (15:38) Our current system at the end of this. So we do, I’m having I have bad. So I don’t start not sure what you heard Ray, but we’ll talk further at the other.
Jordan Tantleff (15:48) Meeting. I think what I heard is Symplr, the current Symplr being sunset. There’s a new system coming in place. So I kind of we.
Valerie Lewis (15:54) kind of got to.
Jordan Tantleff (15:55) Wait to have those conversations once that’s in place?
Valerie Lewis (15:58) Yes. Yeah, perfect.
Rae Tompkins (16:00) Well, we can definitely scope on our call this afternoon in the short term. What that best solution would be, you know, because we understand, the amount of lift, that takes. And again, our support team having to archive those requests receiving those requests. So just kind of alleviate that on both sides, the best solution so that we can.
Valerie Lewis (16:20) Yeah. So that’s the biggest thing for me right now. But there were some other things that I’ve provided for muli, such as you’re using as… a solution?
Rae Tompkins (16:34) Value cut out again, but was that one in regards to utilizing caqh as the source of truth.
Valerie Lewis (16:41) It’s not raining here. So I’m not sure it’s not raining here. So I’m not sure why my system is acting up, but there are some other items Ray that I’ll discuss at the two o’clock and maybe I just need to shut down and restart my computer. So there are some other items such as the caq, you guys using caqh as a source of truth, you know, and then your medallion system, not being able to reconcile our providers because you don’t have all the providers on the medallion list that’s something you and Sherry have been working on. Yeah. And you.
Rae Tompkins (17:12) Know, there’s definitely opportunities for custom.
Valerie Lewis (17:16) Okay. Yeah.
Rae Tompkins (17:19) Perfect. All of those items are on our agenda for this afternoon. But in regards to the reconciliation report, you know, we can explore custom reporting opportunities and there is a current report that pulls all the data that caresource is looking for. However due to the volume, there is a little bit of a lag between day and day. I believe the file that Sherry had flagged, there was an issue with that file not populating but that hopefully that issue is alleviated and we shouldn’t have that issue moving forward but can definitely provide a little bit more context at our call this afternoon.
Valerie Lewis (17:54) Sounds good.
Jordan Tantleff (17:56) Is there anything else you guys are hoping to cover today?
Valerie Lewis (18:00) No, nothing.
Chandra Mouli (18:02) Else? I thought, okay, I should communicate these two items more to come once you get it and then please advise your finance team to, not to send any more follow ups until we resolve this. I just do not have the budget to approve 90 grand, 95, 98 grand. Something like that that’s just insane for a pass through cost. Let.
Jordan Tantleff (18:29) Me, I’ll take that one personally and go to the finance and accounting, val, if you can send over that kind of report that you guys had that run. And I’ll take that as well, just like kind of level set with them and see what’s going on there. Okay?
Valerie Lewis (18:43) Sounds good. All right.
Chandra Mouli (18:47) All right. Thanks guys. Thank you for your time. We will keep engaging. Thank you.
Rae Tompkins (18:52) Absolutely. Have a good one. You too. Thanks bye.