Transcript
Andrea Godfrey (00:00) hello?
Peter Bosworth (00:01) Hi, Andrea. How are you?
Andrea Godfrey (00:03) Good. How are you?
Peter Bosworth (00:05) I’m doing well. Thank you. Looks like we have mark as well. Hi, mark. Hey… how’s it going? Good? Excellent… anybody else you’re expecting from your side or this is the rest? Okay, great. Well, thanks so much for making some time. I wanted to just touch base and kind of review some historical consumption trends with that. Meditelecare has been using medallion share kind of where we stand in the contract and then… hopefully just kind of have a discussion on what the next year looks like for you all in terms of credentialing. And, yeah, kind of a jumping off point from there. So, is there anything else you would like to cover on today’s? Call?
Andrea Godfrey (01:13) No, I just think I need to understand like the overconsumption like what we’re actually being charged for?
Mark Merten (01:18) Yeah.
Peter Bosworth (01:21) Yeah, absolutely. We can get into that. So there was… what we’re this is a, this slide kind of shows your consumption to date.
Peter Bosworth (01:32) So, right now, you have 73 providers on the platform. We’re doing ongoing monitoring for them. And we just noticed that you’re using more credentialing files than purchased in your contract. This is totally fine. I just wanted to call it out, and we just wanted to have a discussion to better understand where, if there’s any like growth on the horizon that’s necessitating more credentialing files or like we’re basically wondering if your hiring is like outpacing what you originally thought at the beginning of the contract… and just like what that looks like?
Mark Merten (02:15) No, it seems it’s being counted differently than it was in the past.
Peter Bosworth (02:24) Being counted differently… could?
Andrea Godfrey (02:28) You say more about that? Just rewind this is like per year, right? Because I know like our contract’s for two years, but this is 75 per year, not. Yeah, that’s what for two years, this is per year, so.
Peter Bosworth (02:40) You have a two year contract going from 321, 25 to 320 27. Your contract resets tomorrow. I also just want to clarify like we’re not saying that you owe medallion money or anything like that, but you’re, and I’m sorry, I was using if my email, yeah, I just want to back up there. So you are 50 percent of the way through the contract. The contract, year two of the contract starts tomorrow. You are only slightly over in terms of consumption. And if you remember from the renewal conversation, there’s a clause in the contract called SKU flexibility. And so, because you’re able to like slightly over or under consume in each year of the contract at no penalty. And because that, we make that mark at 120 percent. So, because you are 106 percent, there’s no… true up invoice or anything like that. We just wanted to have a conversation.
Mark Merten (03:47) Yeah. I think the part of our confusion is, and I’ll share kind of like just an email thing here that might shed… light on this because we were during the con. Well, can I share my screen?
Peter Bosworth (04:02) Oh, sure. We.
Mark Merten (04:04) Gotta figure out how to do that.
Andrea Godfrey (04:08) Yeah, we’re teams people not zoom. We don’t really use zoom go.
Mark Merten (04:12) There share… let’s see.
Mark Merten (04:21) I guess I can come over to screen one share.
Mark Merten (04:30) And then pull this over.
Mark Merten (04:39) Okay. So, we were looking at this, trying to kind of understand, you know, what? Whoops I pulled over the wrong email and this is going really slow. Maybe it was here, yeah.
Mark Merten (05:10) So, we were going back and forth with Myra on like how many trying to understand like, you know, the numbers… and I’m gonna find this thing here. So, do you see how in a year we had used 47 creden, but there wasn’t this re, there’s not this re, credentialing line anymore.
Peter Bosworth (05:34) That’s correct, is.
Mark Merten (05:36) That because you guys are combining re credentialing and credentialing?
Peter Bosworth (05:40) That’s correct?
Mark Merten (05:42) I think that’s maybe.
Andrea Godfrey (05:48) And is that called credentialing and cqa? Now that’s like what it’s called now?
Peter Bosworth (05:53) That’s correct? And,
Andrea Godfrey (05:55) that’s what we’re overdo like that’s where we’re going over?
Peter Bosworth (05:59) Right.
Mark Merten (06:03) Yeah. So, so… the 75 is, so.
Peter Bosworth (06:11) The 75 is just the amount of providers. It’s like a soft, it’s the fee to have the providers on medallion, the software seat, medallion core, is that, and then the ongoing monitoring is, yeah, us running the sanctions checks continuously.
Mark Merten (06:27) And is it one charge per provider no matter how many states they’re in?
Peter Bosworth (06:32) In terms of medallion core?
Andrea Godfrey (06:35) The ongoing monitoring?
Peter Bosworth (06:37) Yeah, all of those are just priced per provider per year. Okay, they could be in as many states as.
Mark Merten (06:44) So, 75, because you can tell, obviously, we don’t really go over 75 providers… turnover… wise, Andrea, we haven’t had 25 plus nine… turnover? I don’t think.
Andrea Godfrey (07:05) No.
Andrea Godfrey (07:10) Do you have a report Peter that you could share with us? That’s showing like?
Mark Merten (07:14) What consists of the 109?
Andrea Godfrey (07:16) Yeah. Oh,
Peter Bosworth (07:19) yeah, absolutely. So, all of this is, yeah… I can.
Mark Merten (07:26) Or?
Andrea Godfrey (07:28) I could share my screen like I’m in our account and I’m in, you know, under usage, but I don’t know where like on my dashboard, I’m just seeing the upcoming details, but maybe it’s just the way I’m filtering it.
Peter Bosworth (07:43) Yeah, I can pull it up in a way that, is… visible for everyone. So, this is all available… to you in the platform?
Andrea Godfrey (07:56) Yep. That’s where I’m at. Yeah.
Peter Bosworth (07:58) So, usage account, then usage. And then I came down to consumption details.
Andrea Godfrey (08:06) Yep. And.
Peter Bosworth (08:07) Then I just selected credentialing and cqa as the SKU, and then on or after three, 20 25. And so now this view is exportable as like an excel or a CSV and so this is going to make up the number of files that are counting towards consumption, just… so you have that.
Peter Bosworth (08:39) And obviously, so, like if there’s a, if it’s not hyperlinked, I think this means the provider was deactivated, Megan, assant, Just for context there, how?
Mark Merten (08:50) Come, she’s deactivated?
Peter Bosworth (08:56) Are you asking me?
Mark Merten (08:58) No, that was just a question for Andrea, but.
Andrea Godfrey (08:59) I don’t know. She’s up there too. She’s listed again?
Peter Bosworth (09:09) Oh, yeah. Maybe it had to. Re.
Mark Merten (09:14) Because she hasn’t been here a year, So maybe that’s why we’re getting charged twice for some people.
Andrea Godfrey (09:20) Yeah, it’s like I’m like almost want to rip this out and see what we’re… being double charged for. Yeah.
Peter Bosworth (09:30) Yeah. So this, you can, I can export this and send it to you.
Mark Merten (09:37) If you’re able to send it to me right now, I can just do a real quick thing on it.
Peter Bosworth (09:57) I just sent it in zoom. Oh,
Andrea Godfrey (10:01) we should only really be looking at this from what time frame?
Peter Bosworth (10:05) From 320 25 onward?
Mark Merten (10:08) Okay. That’s what it has. It filtered as too. Yeah. Okay. One… second.
Mark Merten (10:24) Let me save it.
Peter Bosworth (10:43) Yeah, I mean, we’re more, so just kind of making you aware of this. I transparently, my templated email is maybe a little bit alarmist in its language and not.
Mark Merten (10:55) Oh, okay. I appreciate it. Awesome.
Andrea Godfrey (10:57) Yeah.
Mark Merten (11:03) Well, yeah, we were just concerned like, wait, you know, how have we gone over so much?
Andrea Godfrey (11:09) Yeah.
Mark Merten (11:10) Because we, when we got it, we were like, well, we got about the right number, but I do see here. I think, well, let me count. Yeah, this is part of what’s happening is I can share my screen, share. We’ll go to screen two. It looks like share. So like this person’s… on here twice, this person?
Peter Bosworth (11:53) Yeah. So a few thoughts on this on duplicates. I mean… one, when there’s well, let me take a look at something really quick.
Andrea Godfrey (12:31) This happened last year too, mark?
Mark Merten (12:34) Yeah, no, it’s just totally confusing. It’s like, yeah, why?
Peter Bosworth (12:42) So, what? So there’s a, of the number of you’ve highlighted a few, you’ve highlighted a few. And for the majority of them, not all of them, but a good chunk of them, there’s a file where one says archived and one says, closed. Yeah. And what happens is we are a cvo who has to follow ncqa standards. And so, when a file is not voted on by committee within 30 days of the file being completed, it’s moved to archived.
Andrea Godfrey (13:25) Okay. Which I knew about, but that’s I don’t think that’s happening like it happened once, but that was like before this contract started. Yeah.
Peter Bosworth (13:39) So, I mean, all of these files that say archived, those… would be there’s about 15 of them.
Peter Bosworth (13:55) That’s just explaining.
Mark Merten (13:56) That.
Mark Merten (14:04) so, so the archived ones though shouldn’t count right towards the count anyway… if they’re then basically just unarchived and voted on, yeah.
Andrea Godfrey (14:16) Because nothing’s done, and that’s not true all the time because sometimes they can’t even they’ll just hang out in requests… and, you… know, they’re not their file’s not even ready. And then I think they’re getting put over to archived. Does that make sense? Like the credentialing? They can’t even start credentialing until the provider’s like has gone in there. Like they reattested everything’s up to date and it shows that their profile’s 100 percent like if it’s not, it just hangs out in requests. If they’re like due like if they’re coming up for recredentialing, so, it’s like they’re not even being credentialed, they’re just like hanging out there and if it expires, I knew that before, but that hasn’t happened. So, I’m not sure what’s going on.
Peter Bosworth (15:14) Yeah. So, I mean, if there are like specific examples where you are referring to that. So like Colette duffy, is that?
Peter Bosworth (15:24) I mean… yeah.
Mark Merten (15:29) Or maybe we just don’t understand how it works. That’s probably my guess is if we’re one of the only people seeing this happen, maybe… there’s something we’re not understanding.
Andrea Godfrey (15:43) Yeah.
Peter Bosworth (15:53) Yeah. Let me, let me take it back. I’m not.
Peter Bosworth (16:02) I’m not exactly. So basically a request is archived though when the application has been completed and then there’s no action on it for 30 days. I can like go back and cross reference this list with what’s marked as archived in medallion to see if there’s any discrepancies.
Andrea Godfrey (16:23) Yeah, because I don’t mark it as it just goes automatically and I can actually find proof where I have, I think I reached out to support because I was working on a file and then all of a sudden, it wasn’t there. I didn’t touch it and I went in and if I go into look at everything, I could see, she was archived and I’m like, why is she archived? I didn’t move her there and it wasn’t expired, it was still there and it was really strange and I see that happening. Sometimes. So, can I share my screen? I just want to make sure I’m understanding.
Peter Bosworth (16:56) Yeah. So that process will happen automatically. It’s.
Andrea Godfrey (16:59) not, yeah, but sometimes it happens when it shouldn’t.
Mark Merten (17:04) That’s my guess. Andrea, is there something that like we just don’t know?
Andrea Godfrey (17:07) Yeah. And I thought I understood it all, you know, like, so… like for example, can you see my screen?
Mark Merten (17:15) Let me stop there. I’ll stop.
Andrea Godfrey (17:19) Can you see now? Yeah. So like Amelia, she just was great and she got her application.
Andrea Godfrey (17:27) She hasn’t even started with us yet, right? We have 90 days from ncqa, we have 90 days to keep the file like current, you know, to credential her within a 90 day frame. So she completed the app on February seventeenth. Credentialing finished it on February nineteenth, but she’s not going to get voted on until our next meeting. So does this mean this is going to go to archive because there’s no deadline. So these like any new credentials, there’s no deadline I have to meet. So they shouldn’t be archived and then they get flipped over to committee. Like I manually will push these into committee like the day before the committee.
Andrea Godfrey (18:09) So are you saying like because it was marked ready, credentialing finished on February nineteenth. So March nineteenth, it’s going to be archived automatically. I haven’t seen that happen. And these are new initial credentialing.
Peter Bosworth (18:27) Yeah, transparently. I need to, I need to find more kind of like language internally on how we define the process for archiving files. So,
Andrea Godfrey (18:37) I can do that. And so the request these get filtered in automatically, they refresh. So I know, and I like it. So I literally, I requested Olga because she’s new. So any new ones I’ll you know, hit request, any requests I don’t they’ll automatically come in here and filter and I see the deadline and I make sure that these are voted on before the deadline always. So I don’t know what would prompt like a recredential to be complete, like have two files which is archived and complete because we’ve… never voted on past the deadline… here because I make sure of it, you know… yeah.
Peter Bosworth (19:26) I think, let me take this back to our credentialing team and get some more definition.
Andrea Godfrey (19:30) On here because I do think that… some are being archived on accident. Not for me. I don’t even know like why they get marked that way. It’s really odd and I’ve seen it and I put in a support ticket for it. I might even be able to find it. You can see, I chat with them quite a bit when I see things wrong, but I don’t want to hold you up but, I could probably find it… sure.
Peter Bosworth (20:03) Yeah. Let, me, let me bring this back, and get you some clarity on a, the kind of process definitions for archiving a file and then B.
Andrea Godfrey (20:16) Reconcile.
Peter Bosworth (20:18) reconciliation on like your consumption data and ensuring that everything is clean.
Mark Merten (20:24) Yeah. So, so Peter, I guess if you take out like, you know, all the duplicates, I think you’ll see we’re much more closely aligned, with that number… sure. And then, and then we just need help understanding like, hey, what if there’s something we need to do? Like maybe we need to move it from ready to committee? I.
Andrea Godfrey (20:44) don’t know, right? Well, it does automatically. It’ll move to ready automatically once the profile is all set and like credentialed, you know, it’ll just hang out until we, they need to vote on it. Yeah.
Mark Merten (20:58) But you’re saying we always do it, within from when you start it. Yeah.
Andrea Godfrey (21:06) It’s always voted on before the deadline because I know if you go past the deadline, it is going to just archive the whole request. I learned that. So.
Mark Merten (21:14) You’re going off the deadline that you’re seeing in the system, which makes sense to me. Yeah.
Andrea Godfrey (21:19) And we always make sure it’s before that.
Peter Bosworth (21:30) Yeah. So, let me just take this back. Okay?
Mark Merten (21:36) In the.
Peter Bosworth (21:37) export that I sent you? Yeah, there’s only.
Peter Bosworth (21:54) 18 archived files. So, let me just go through those. Okay?
Andrea Godfrey (21:59) So, this is interesting when I go on our platform here and I just look at the outcome as archived, this is.
Peter Bosworth (22:08) Yeah, it shows 15. I think my, I exported, yeah, my… filter might not have been correct… in any case, I’m sorry, this has been A little bit all over the place I need to.
Andrea Godfrey (22:29) And these ones that were archived in 20 24, these makes are in 20 25. I mean, some of these are before the contract date, but I know exactly why these were, and I have proof that there was some kind of system glitch, and I’ve had it saved and flagged in my email waiting for this moment in case we were ever going to be charged or red flagged for this because this was an issue and I have so many emails back and forth where it was the license liability. You know, there was some kind of change on your end and it wasn’t like the providers were trying to attest their probe, they were going in. I had one provider literally do it five times and it would say her profile was 100 percent and then it would, you’d go back in like a couple minutes later and say, nope, your malpractice… insurance needs to be updated and it was updated, everything was in there. It was just some kind of glitch, and these provider files did expire and I had to go back in and request them all again because then they took that off in the background now as it to be a requirement to have 100 percent complete like it was doing something with the expiration date. I don’t know exactly what it was, but it was something with malpractice insurance. So… those I do know about because I had to go in and request all of them again. Okay?
Mark Merten (23:55) Yeah, we go back to your agenda, Peter. It sounds like you got some things to go back to, kind of verify for us and we’ll we can adopt the way or adapt the way we’re doing things. But, but looking at its value, it looks like a lot of them like you said, like 17 or 18 of them are just need to understand what the, you know, why they’re showing up twice archived?
Peter Bosworth (24:22) Yeah, absolutely. So that’s… something I will own and take back, and get back to you on.
Andrea Godfrey (24:30) Great. Okay. Yeah.
Mark Merten (24:33) Perfect. Well, thanks for jumping on Peter. We did have, a question about there was like this new seven dollar charge on there and I kind of emailed Myra like you guys sent an email to, well, you thought it was maybe to me but I don’t know where you got the email address. We met you guys, I think in 20 23 and we had a, we bought brighter day health in 2018. I never actually had a mark Merton at brighterdayhealth. Com email. So I don’t know where it came from. But… you guys emailed mark Merton at brighterdayhealth. Com.
Mark Merten (25:11) No, you guys have never even known about brighter day health. Like, so it was very odd like, but you guys emailed something about, you know, a new fee… as being basically, you guys were getting charged more. And so, therefore, now you were going to pass that through as a pass through cost. But I guess my argument would be like if… it wasn’t a pass through cost before.
Mark Merten (25:44) You know, why is it suddenly now a pass through cost? So, you know what I mean? Like it seems like it’s more like changing the contract, but I mean, you guys are being flexible with us. I don’t want to argue about that point, you know, with going over, you guys are being flexible with us. I want to work with you guys, but at the same time, it didn’t feel good to not get the notice because you guys sent it to a mark Merton at brighterdayhealth. Com. That’s not us. And then next thing we know, we have new charges on an invoice. And then you said, well, we notified you guys of it and we’re like, well, no, you didn’t… but further, it’s like, where does that kind of stop? The whole pass through cost thing? It just seems slimy, you know, at face value, right? Like all of a sudden, hey, I guess we’re going to pass this through, you know? Yeah.
Peter Bosworth (26:33) I can provide more context on that. We’re also looking to have a little bit more like visibility into some… of our email blasts. I think they’re supposed to go to all admins on the account. I don’t know if you’re listed… there, but in any event, the caqh cost are you, I can provide more context on that. It’s basically, medallion has an integration built with the caqh with caqh. And so if a provider joins medallion, they have an option to fast track their profile completion using our sync with caqh. And historically, that’s been a feature that’s free caqh all of a sudden started charging us a bunch of money to leverage their API that’s the context of the email. The takeaway there is that there’s no charge incurred if you don’t use the caqh import feature. So I just wanted to call that out. I definitely do. Okay.
Andrea Godfrey (27:35) So that makes sense. But again, we were never charged before until now.
Mark Merten (27:39) Well, the email said that there was a cost to you guys, but your cost went up so that’s where I was kind of indicating like, well, if there was a charge and it just went up, but we weren’t charged it before. You know what I mean? So in other words, if I signed a contract with you or let’s pretend our contract expires permanently right now today and I sign a new contract with you guys for next year. And then next year, all of a sudden you guys are charging me this fee. It’s like, well, we just signed the contract with the understanding that fee didn’t exist… but now all of a sudden it exists right after I signed a new contract. It just doesn’t feel right? I mean, at the end of the day, anything can be considered pass through. If your Microsoft license costs go up or your utility costs. Well, that’s a pass through cost. But anyway, I’m… okay with that… it’s kind of smaller but just, can you make sure that you got the right emails?
Peter Bosworth (28:47) Yeah, yeah, absolutely. Especially.
Mark Merten (28:49) If you guys are okay with us, you know, not giving us a hard time on the overage. I won’t fight it, yeah.
Peter Bosworth (28:57) 100 percent and I will service… that and get your email on the listserv?
Mark Merten (29:03) Yeah, yeah. It was so weird. It was like at brighterdayhealth. Com. Like I don’t know the acquisition literally happened in 2018 and I never had that email address. So somewhere you guys must have gotten me associated, you know, like, right, yeah.
Andrea Godfrey (29:21) But I am an admin on the account, and I didn’t get that. I didn’t get any notification, which is even stranger, nor did Melinda.
Peter Bosworth (29:29) Oh, did you? Not? Okay. Well, no.
Andrea Godfrey (29:32) Okay.
Peter Bosworth (29:32) We will make sure I unfortunately.
Andrea Godfrey (29:35) I have to jump in. And now, I want to add mark, but I want to ask Peter, is there going to be a charge if I add mark as an admin?
Peter Bosworth (29:40) No, there’s no charges for admins. Okay? I would like.
Andrea Godfrey (29:45) For him to be an admin on here too, just so he could get emails like that, but I didn’t even get that email to make it even stranger. So.
Mark Merten (29:54) Yeah. You mentioned you got to jump.
Peter Bosworth (29:56) Yeah, I do have to jump, but I will get.
Mark Merten (29:59) You a kind of follow up there’s? Something different. We need to do in the system. We can do that like to prevent these things from archiving and showing up twice.
Andrea Godfrey (30:07) Yeah, yeah.
Peter Bosworth (30:08) Absolutely. Give you some direction on that. Thanks so much for jumping on. I appreciate it.
Andrea Godfrey (30:15) Yeah, we’ll try to hear from you all.
Peter Bosworth (30:17) Right. Take care. Bye bye.