Transcript
Nic Schisler (00:00) hi, Aaron. Good morning.
Nic Schisler (00:09) You might be on mute. Good morning. Hey, good morning. I also see. Is it also you trying to enter the meeting invite with human resources or is that somebody else I should let into the meeting?
Erin Montgomery (00:21) No, that’s me. I don’t know why I’m giving it to you. Okay? I don’t.
Nic Schisler (00:25) know why that’s okay. No worries. And I invited John too. He and I connected briefly on Friday morning and he just thought it would be best to kind of have you a part of this discussion because he couldn’t answer some of the questions that I had. So he didn’t accept the invite. Do you know if he’s going to be joining this morning?
Erin Montgomery (00:45) Oh, my God. I don’t know. I believe he said he was okay. We.
Nic Schisler (00:54) can give him a minute or two before we get started. Did you have some good time off last week?
Erin Montgomery (01:01) Yes, I did good. I visited my mother.
Nic Schisler (01:04) Oh, very nice. Okay. Where about in Virginia? Is she?
Erin Montgomery (01:10) Fredericksburg. So she’s about an hour and a half away from DC. Yeah.
Nic Schisler (01:15) Super familiar with that area. I’m actually from outside of DC originally. So, when we go back to Maryland, once in a while, we drive right through fredericksburg on 95, it’s a, very busy little area down there. It’s gotten much busier over the years.
Erin Montgomery (01:30) Yes.
Nic Schisler (01:40) Maybe while we wait for John, I think you could probably help me a little bit still. So, this is all coming from what we discussed the other week in that first implementation call where you all rose to us that you’re having some monitoring being done today by provider trust and potentially looking to consolidate everything into one platform, right? And so, I had some conversations last week with John and via email with you and thank you very much for sending me the invoicing as well too. And we’re.
Erin Montgomery (02:17) still.
Nic Schisler (02:19) trying, I think we’re locking some clarity as to the monitoring that’s happening today. So I can actually go and put pricing together essentially. And that’s why I tried to have a call with John last Friday and he was like, I think we need Aaron for this. So here’s what I know and here’s where I’m helping you can help me essentially. So from an employee standpoint, I know that… they are providing some type of monitoring for you all today. When we offer employee monitoring, medallion can only offer oig and Sam essentially. So that would be like very similar to how the invoice is today with writeaddress that would be like one SKU with the amount of employees that we need essentially and then your price, right?
Erin Montgomery (03:12) Okay. So.
Nic Schisler (03:13) Then the second piece is when I’m looking at the invoice is let’s see if I can make this up a little bit and bring it over here. So when I’m looking at this monitor… oig, state exclusion, state sanctions, and state license verification. And then the Dea license verification, what does oig and state exclusion is fine, right? Like obviously, we can support that from looking at state licenses, Dea licenses, controlled substances, if you need that et cetera. But what is this state sanctions monitoring that they’re offering? You? Do you know what that means? Is that npdb is that some type of medicaid? I’m just curious if, you know.
Erin Montgomery (04:04) State sanctions licensing? I’m not too familiar with it. I know that I used to do it manually. Okay?
Nic Schisler (04:16) If you’re able to find out from them, if you’re able to drop them a note, just say, hey, I know we’re paying for X, like can you explain what the state sanctions is? I think that helps me at the end of the day here’s, where we’re at… we would offer one light item which would have a price for employee monitoring as I mentioned, which would be oig and Sam. So these are the other monitoring solutions that we offer. And I think it’s really going to come down to whether we give you pricing for ncqa compliant monitoring or the comprehensive monitoring. The only thing about the comprehensive monitoring piece is I don’t know if it’s going to be overkill for you. All right? Like do you need deathmaster? Do you need ofac, et cetera. So if you don’t need that, I think we would probably have to bump you back to what we could do is if it’s just if you need Sam oig, and then licensing for well.
Erin Montgomery (05:21) We definitely need Sam and oig, and we need that for everyone within the agency both.
Nic Schisler (05:27) Employees and providers, correct? Okay. Correct? Now?
Erin Montgomery (05:31) For the providers with medallion… are you tracking anybody? Are you tracking licenses now? If they have mpis or we’re.
Nic Schisler (05:45) not tracking any of that when you say tracking, like when they’re up for expiration and ensuring that maybe they get renewed. Essentially, we are not, that is not currently within the agreement today essentially. And so what we can let me just stop, am I sharing my screen with you? No. Okay. So, sorry about that. It’s okay early on a Monday, right? What we can.
Nic Schisler (06:33) We do have a tool here though, that is called… license expiration monitoring essentially.
Erin Montgomery (06:42) So,
Nic Schisler (06:42) if that’s more of the idea of what you think you need and what I mean by that is, and if it’s helpful, I can send this to you via email.
Nic Schisler (06:54) So that means that we are essentially tracking for anything that might need to be potentially renewed… but we don’t we aren’t handling any licensing for you all today.
Nic Schisler (07:11) That’s the only thing we’re just strictly handling provider… enrollment for you all.
Erin Montgomery (07:20) Got it. Okay. So, I.
Nic Schisler (07:24) don’t know if it’s turning into like a bigger conversation where you have providers and they have licenses that need to be renewed, and we need to potentially discuss that as well too. We can certainly do that. But from my standpoint, it sounded like this was just strictly monitoring essentially. So.
Nic Schisler (07:47) This is what?
Nic Schisler (07:55) Can you see my screen now? Yes. Okay. So, these are the monitoring solutions that we offer. So you would need oig and Sam for… both providers and employees? Fine. We can handle that. Typically when we offer this ncqa compliant monitoring, we’re offering that for customers that are we’re handling their credentialing work for? And when I say credentialing, I mean, credentialing files, not pair enrollment essentially.
Erin Montgomery (08:29) So,
Nic Schisler (08:33) what I’m thinking we do here is, let me have some conversations internally to figure out if you can find out what state sanctions mean from provider trust, that would be super helpful. And share that with me. We obviously can offer you what’s also called employee license expiration monitoring if that’s helpful as well too. And I can send you a little bit of information on that. But I don’t know, if we’re not going to actually truly be handling the renewal of provider licenses, et cetera. I just don’t know, how… much that makes sense for us to be handling that for you, maybe just besides the monitoring piece. Does that, does that make sense?
Erin Montgomery (09:22) Yeah. So, okay. So ideally… the ncqa would knock out pretty much everything I would do… because I did an mpdb checks, Sam and oi, she state licenses, Dea license, provider trust handles.
Erin Montgomery (09:51) And I believe Doreen does the medicaid exclusions.
Erin Montgomery (10:01) So that would be ideal.
Nic Schisler (10:04) Just offering if we were to put pricing together for ncqa compliant monitoring. Yeah. Okay. If you still in the meantime want to find out what stank sanctions mean from provider trust. I think that just gives us both some clarity right now here’s, the other piece to this puzzle that I still think I need help with from you and John though is, so… I guess I’m trying to figure out like what your true employee count is, too, right? Because when I’m looking at the invoice from provider trust, it looks like it’s 1906 and I believe this number includes providers and employees. Essentially. Is that right? Yes.
Erin Montgomery (10:56) That number includes everyone in the agency if they’re intern, consultant… board member. Okay? So I.
Nic Schisler (11:07) think what I would need from you all is maybe just a re, confirmation of what the numbers would be because the way that our pricing works is it’s a tiered pricing model. So it’s based off of how much you need of something. So the more you need of something the better, maybe we can offer you from like a preferred pricing standpoint, if that makes sense. So I understand that for the providers, from a monitoring standpoint, I have confirmation from John that I can just use what we’re contracted for essentially. But I’m trying to get a better idea of okay, when we’re going to offer monitoring just Sam and oig for everybody within the agency minus your providers. I have that number, right? That’s 765. What is that? Like employee headcount essentially, because right now, if I did the eight 35 plus the 765, I think it’s like 1,600. It’s 1,600 exactly. So it’s like 300 people less than what’s on that provider trust invoice. And I just want to make sure that we’re capturing everybody that I’m not missing from.
Erin Montgomery (12:23) Like, so for provider trust, I give them an upload, I upload it like every two weeks maybe.
Nic Schisler (12:32) I see. So maybe it’s just grown over time?
Erin Montgomery (12:36) Yeah. So should we?
Nic Schisler (12:37) Use go ahead and I’ve.
Erin Montgomery (12:40) seen that the invoice you have is like two years ago.
Nic Schisler (12:43) So it’s.
Erin Montgomery (12:46) probably a little bit lower now. Okay?
Nic Schisler (12:50) Maybe maybe why don’t I let you reach out to if you could reach out to provider trust today, that would be great. So we can try and hear back if you can, maybe by the end of the day, send me what your now true just employee number is. That would be great. That way I can work on pricing and I can try and hopefully have pricing to you guys. Maybe by the end of the day tomorrow, at the latest, I think from John’s standpoint, if it all works out, he would like this to be a part of the implementation essentially and try and get it up and running and full disclosure, it’s almost the end of the quarter and I don’t want this to sound cheesy or anything like that. But towards the end of the quarter, I can just pull some different levers to maybe offer you some better pricing as well too. So that’s why I’m just trying to kind of at least get something in your hands. So then you all can make a decision essentially within the next week or so. Yeah. Okay.
Erin Montgomery (13:47) So, you want a true employee count? That means everybody, yes, in terms of consultants? Okay?
Nic Schisler (13:53) Yep. If you’re saying everybody in the agency needs Sam and oig, then, yeah, if the number is going to be a little bit lower than what’s at that invoice, then I think I’m just provider count. I’m good on. I think it’s everything everyone outside of providers that I need that count on because… we would need to do that for the monitoring would be for each year of the contract essentially. So it’s a three year contract. So then we would offer monitoring each year as well too. And then obviously, if you all grew from like an employee headcount number, like we track that. So if we need to do a true up invoice at some time, you’re saying, hey, we’re having more growth, we need to do an addendum to the agreement. We can do that.
Nic Schisler (14:34) So we can figure out that in time if you’re going to have that growth. But for now, just for the starting point, I think this is where I’m just getting hung up a little bit. OK, all.
Erin Montgomery (14:44) Right. I’ll get that information for you awesome.
Nic Schisler (14:47) Thank you. I appreciate it, Aaron, would it be helpful if I sent you this deck? So you can refer to it? OK. Yes. Give me a couple of minutes right after we conclude here and I’ll draft something up and I’ll send it to you and John in that thread… and then we can go back and forth from there after that. OK, thank you, Aaron. I appreciate you, you’re.
Erin Montgomery (15:11) welcome talk.
Nic Schisler (15:11) To you soon. Have a good week you.
Erin Montgomery (15:13) Too. Thank you. Bye.