Transcript
Seth Weidle (00:00) hi. Can you hear me?
Seth Weidle (00:08) Can you hear me? You are muted? Not sure if you?
Rohan Sharma (00:11) Yes, thank you. Thank you. How are you?
Seth Weidle (00:15) I’m doing well. How are you doing? Is it, Rohan? Did I say that right?
Rohan Sharma (00:18) Yes, yes. Rohit is also going to join this call who’s that Rohit, he is looking. So he is also going to join this call.
Seth Weidle (00:30) Gotcha. All right. I’ll keep an eye out for him. Appreciate you hopping on here. I have us down for 15 minutes. Does that time frame work for both of you?
Rohan Sharma (00:40) Yeah. Let’s see. I think you have scheduled this meeting for 15 minutes, right?
Seth Weidle (00:48) 15, yeah, 15 minutes. It’s a short introduction call and we can wait for Rohit before we… get too much into it.
Rohan Sharma (00:58) Yeah, initially, you have 15 minutes are enough. So what all medallion do like serving like credentialing services as well as software?
Seth Weidle (01:15) Well, so medallion at a really high level is an end to end solution for credentialing licensing and payer enrollment. It’s really meant to be a tool to pretty much outsource the credentialing process. So… just to give you a little, just to take a step back, this meeting today will just be kind of learn about the remedy, learn about some of your goals, what it is you’re looking for? What are some of the things that like prompted you to look into a tool like medallion, answer? Any questions? Share a little bit more about how medallion does solve those problems. And then if it sounds like medallion is a good fit for what it is you’re looking to do, we’ll get you scheduled with a product expert who will be able to give a much more detailed conversation as well as loop in anyone on your side involved in the decision making process to understand a little bit more about the organizational shift that you might be looking at. So, I’m going to start by just maybe learning about you if you want to share Rohan your role, and then what it is that kind of prompted you to reach out to medallion for the remedy?
Rohan Sharma (02:31) Okay. So before we start this meeting, Rohit is asking, how can I add him? I,
Seth Weidle (02:38) don’t see him in the waiting room. Let me here. I’ll share the link in the chat. You can send that to him.
Rohan Sharma (02:44) Sounds good… bye.
Seth Weidle (02:56) Just drop the link in the chat for you to go ahead and invite him… yes… be.
Rohan Sharma (03:25) Let’s wait for a while.
Seth Weidle (03:37) Did I see on the form that you’re credentialing manager for the remedy, mental health? Yes?
Rohan Sharma (03:44) I filled out this form and submitted this request and I spoke with, my director, like I have raised one inquiry to understand what medallion all can do because as much as I know, we are not looking for outsourcing our credentialing work although we are pretty much aware like medallion is taking care of or all the works and specifically credentialing or RCM billing and everything.
Rohan Sharma (04:10) But we are looking for, we are looking for use more over the medallion software we have in house, our team, but we want to use, your software so that we can easy our life for example, for caqh, we have right now, we have like 55 providers if you talk about currently, but we are going to add 24 more providers like end of this month only. So we may expect like 100 plus and 150 plus in this year, crossing my fingers. Hey… Rohit.
Seth Weidle (04:46) Hi, Rohit.
Rohan Sharma (04:50) You are on mute if you are talking? Yes. Hi, Rohit. Hello.
Seth Weidle (04:57) Thanks for joining. Yes, appreciate it. Rohan was just sharing a little bit more about kind of, the mindset and the approach for looking at a tool like medallion. So wonderful to have you here. Rohit. What is your title?
Seth Weidle (05:18) You are muted? I don’t you did mute again. So I’m not sure if you’re saying anything, Rohit.
Rohan Sharma (05:21) Is working as a director, it seems he’s traveling. So he’s working as a director. Yes, with remedy. Yes.
Seth Weidle (05:29) Okay. Gotcha. Oh, not able to hear anything.
Rohan Sharma (05:37) Rohit. Are we not audible? You are on mute? Hello. Yeah. Now, now, you are audible.
Seth Weidle (05:46) Okay. Can you hear us? You can hear us now… let,
Rohan Sharma (05:52) me connect my earphones. Yes, we can see some noise behind… you know, vafroham, kalcha said we… may expect.
Seth Weidle (06:09) Gotcha. What?
Rohan Sharma (06:10) Do you do here? You are taking care of all the software requirements. What do you do? And we are absolutely happy to answer all your questions before you initiate or before you get to know about what is our requirement?
Seth Weidle (06:25) Yeah, you actually shared a lot of the initial information that I was looking to gather. So that number of providers, you said you currently have 55 and I’m assuming they’re all like in the therapists provider types.
Rohan Sharma (06:40) If we talk about a specifically speciality, our provider speciality is we are dealing with behavioral health. It could be like a nurse practitioner and psychiatry… chiropractic, yes. But soon as I said, right now, we are 55 and we are about to have 25 more providers very soon, and we may expect like 100 plus like or 150 plus. Crossing my finger once again touching wood. We may expect like 100 plus providers very soon. So we are looking for some sort of a software who will take care of all our patients. Are, you know, critical, like if you talk about caqh, we need all the information. We should be like on our toes. Whenever we have one document which is about to expire, yes, something? Hey, all… right. All right, Rohit, I got a message so you can just, I would say unpair your bluetooth and just listen us out. And if you have something, you can put something in or if you have any question, you can put in the chat, gotcha.
Seth Weidle (07:51) And are you only in Minnesota or did I see that you’re expanding into South Dakota?
Rohan Sharma (07:56) Yes. And Wisconsin too. We are right now in Minnesota, Wisconsin, and South Dakota and taking care of, medicaid, all commercial payers.
Seth Weidle (08:05) Are there any plans for any other states in addition to those three?
Rohan Sharma (08:12) We are still, we are expanding, we are planning, but yes, okay. No companies right now.
Seth Weidle (08:17) Okay. And then, do you have an idea of how many payers you work with when it comes to the insurance companies?
Rohan Sharma (08:25) Let’s take it, 10, 10 to 1,510.
Seth Weidle (08:28) To 15 payers? Yes, for payers? And are all of your providers that all 55 that you currently have? Are they all enrolled with those payers now, or is that something that you would look to expand and try to add more providers to those that payer mix?
Rohan Sharma (08:44) So, if we talk about the current situation, all the providers are already contracted with the credential, with the respective payers, all payers, but yes, we may see re, credentialing or as I said, in the beginning of this meeting, we are like 25 providers are about to join and three recently last week joined. So we are like growing very fast.
Seth Weidle (09:07) Yeah. And.
Rohan Sharma (09:09) We want to settle everything. So we are not looking for any services from medallion. We are looking for a software. We are weak at life. Yeah.
Seth Weidle (09:20) So that’s where unfortunately medallion’s not going to fit. The one thing I’ll say is everything you mention is what we do when it comes to licensing credentialing, cvo, credentialing, payer enrollment, ongoing monitoring, delegated credentialing that’s what we do. But medallion is a end to end. So we would take on your credentialing process, give you insights and key and you would be able to monitor, but we would, medallion would be the tool actually moaning all of the outcomes. So, we would do the credentialing. We would, we have a bi directional sync with caqh, where we would be collecting all the provider info and then putting together the credentialing packets and then as well as getting them enrolled with the payers.
Seth Weidle (10:07) But if it’s if you are not looking, we don’t provide a self serve option. We don’t put out a software. We are the end to end service agreement. So we would be a we’re considered a cvo. So unfortunately, if that is kind of the deal breaker, we won’t be able, to provide what you’re looking for.
Rohan Sharma (10:29) Oh… I did some Google, I, and I got to know medallion also provides software. So that is why I, I’m thinking to just.
Seth Weidle (10:39) Right. Yeah. So you would. So if you were to enter an agreement, you would still get the medallion software where you would keep track of all of the things, that are, that you, are, that where the ongoing monitoring, would be on where the license and expirables and notifications and alerts would be seen. But the actual credentialing, we would be doing that on our side. So the software is really just kind of a way for you to keep track as well as add new providers, add new payers, things like that. But in the terms of actually doing the credentialing and doing the payer enrollment, medallion would take on those outcomes.
Rohan Sharma (11:16) Oh, okay.
Seth Weidle (11:20) So, yeah, it doesn’t sound like we’re probably the best choice if it does become one of those issues where you’re expanding so much that you do need to outsource it, love to pick the conversation back up.
Rohan Sharma (11:36) Okay. If we talk about specifically charges. So what would be the charges? If we are going to like you are responsible of everything and we think, okay, let’s do it.
Seth Weidle (11:50) Yeah. So if you’re looking at the, so it’s all based off of what would be needed. So we do have a minimum annual contract value of 50,000 that’s where we start our contract levels. Now, if you have more payers that you’re looking to expand upon and you have more licensing in multiple states within the coming years, that 50,000 is going to increase dependent on volume, it is an a la carte type approach where you would pay for what you’re actually needing when it comes to credentialing. So if it’s just licensures, then you would only pay for that. The thing is though you would have to have enough licensing that it would come out to a minimum of 50,000 annually that’s where we start the conversations.
Rohan Sharma (12:42) Okay. And if you talk about 15,000, which means 1,000, 250 dollars per month, right? So we’re all covered under this amount, like you will take care of all our providers. Again, how many providers you said depending on the number of providers. And I said right now we are 55 and we’re expanding. So how many providers you are going to cover in this amount?
Seth Weidle (13:08) That would be something that we would have to, that would have to be discussed and contracted out in the event that it would be the right tool for what you’re looking to do. I wouldn’t be able to give you the exact amounts today. I can only, the only real information I’m able to actually surmise is we have a base value contract of 50,000. Anything beyond that, it would take a detailed kind of look into your current process discussing, you know, what payers you want to get everybody enrolled with. If there’s re, credentialing with your current providers, things like that are all going to factor in. So, unfortunately, I wouldn’t I’m not able to give you an exact amount.
Rohan Sharma (13:52) It’s one 515, right? Say that again? I’m saying you said one 515,000 dollars, no.
Seth Weidle (14:00) I’m sorry, five, zero, 50,000 dollars annually.
Rohan Sharma (14:07) Oh, okay. 15,000, which makes 4,000, 166 dollars per month. And under this amount, you will cover end to end credentialing?
Seth Weidle (14:20) Yes, full service?
Rohan Sharma (14:22) Yeah, it’s a full service, but you have, you cannot disclose or you have no information, how many providers you are going to cover under this amount?
Seth Weidle (14:34) We would, we would cover well, so let me go back. The pricing is based off of what all you would need for each provider. So, if I here, I can bring up my calculator. So you have 55 existing providers. You’re looking to add 25. And you said let’s.
Rohan Sharma (14:55) do example 100 providers say that again? I’m saying let’s take it as an example of let’s make it 100 providers if currently we have?
Seth Weidle (15:06) Currently, you have 100, I’m.
Rohan Sharma (15:08) saying, let’s take it as an example.
Seth Weidle (15:13) Right. And in this example, what do you want your provider count to be? I.
Rohan Sharma (15:18) Want to handle all our credentialing things, credentialing, re, credentialing caqh and all the documentation, everything… full service full.
Seth Weidle (15:31) Service and you have, okay. So your current number of existing providers, 55, correct? Yes, number of new providers and added annually, 100, correct?
Rohan Sharma (15:49) Okay. Let’s okay. Okay. And number of?
Seth Weidle (15:53) Existing direct enrollment payers. So, how many payers do you currently have? That are existing?
Rohan Sharma (16:01) 10 10. Okay.
Seth Weidle (16:04) Any delegated? Do you have any delegated? Payers?
Rohan Sharma (16:09) What does it mean? Delegated? Like?
Seth Weidle (16:11) Yeah, delegated means that you can actually take on the whole process of credentialing and payer enrollment for the delegated payer? So the payer says we trust you enough to do all of the credentialing and fit our needs. I’m assuming probably no, no. Okay. So that, so.
Seth Weidle (16:42) All right. So that would be, you would want credentialing, ncqa, new providers?
Rohan Sharma (16:52) Full work, end to end credentialing?
Seth Weidle (17:02) So, that would based off of my just quick calculations, you’re looking at 265,000 dollars annually.
Rohan Sharma (17:15) To take care of all 100 provider credentialing, re, credentialing, ceqh, license everything. Yes… for how many providers for 200? Sorry, how many providers?
Seth Weidle (17:28) 151 155?
Rohan Sharma (17:34) Oh, okay. Okay. All right. Thank you, Seth. I’ll see what we can do. I’ll discuss the same thing.
Seth Weidle (17:43) Okay. Appreciate it.
Rohan Sharma (17:45) Thanks, Seth. Thank you. Yep.
Seth Weidle (17:47) Have a great one. Bye.