Transcript
Kyle Bettencourt (00:00) hey, good morning, Casey.
CASEY C SIMPKINS (00:04) Hey, good morning. How are you today?
Kyle Bettencourt (00:07) Doing well. Thank you. How’s your Friday starting off?
CASEY C SIMPKINS (00:10) So far? So good. Can’t complain? Wouldn’t do any good if I did?
Kyle Bettencourt (00:15) I like that attitude there. I’ve got garrison on the line, my director as well.
Garrison Goodman (00:24) Yeah. If I started complaining, Kyle would just tell me to shut up, yeah.
CASEY C SIMPKINS (00:30) I know how you feel. Yeah, just a heads up, guys. I’ve got a nine 30 call. I was at it. It’s kind of the last minute. So, if I disappear on you, that’s why?
Kyle Bettencourt (00:41) Yeah. Okay, great. Hey, Doris.
Garrison Goodman (00:47) Might be on mute there.
Dgprince (00:52) I am. Good morning. I apologize.
Kristen Jacks (00:55) Not a problem.
Kyle Bettencourt (00:57) Morning Kristen.
Kristen Jacks (01:00) Hi, good morning.
Kyle Bettencourt (01:02) Happy Friday.
Kristen Jacks (01:04) Happy Friday to you. All right. I’m going to warn you. I’m going to go on camera but there’s a glare from the sun like directly onto my computer in my office. So I’m going to look like I’m in a shadow, but I promise you, I am here.
Kyle Bettencourt (01:20) Okay.
Garrison Goodman (01:22) Thanks for the heads up. Yeah, no judgment on this side.
Kyle Bettencourt (01:27) I.
Kristen Jacks (01:27) can’t figure out how to angle it’s? Just, I have these arched windows in my office at home. See as you can see, I’m like in total black right now and the arch of my window, the blinds don’t cover that Archway. So the.
Kyle Bettencourt (01:40) sun shoots directly.
Kristen Jacks (01:41) In and I just look like I’m in just complete silhouette. So I apologize, I am here.
Garrison Goodman (01:48) I don’t know you.
Kyle Bettencourt (01:48) Look great. I don’t know Kristen this gives.
Garrison Goodman (01:50) Our meeting.
CASEY C SIMPKINS (01:54) A bit of a CIA vibe, I know.
Kristen Jacks (01:56) Oh, yeah. Like you can’t see my face? Yeah.
Garrison Goodman (02:01) It’s funny. I had a similar, I recently relocated my office to one of the upstairs rooms which didn’t have curtains. So I had the same problem. So, like any good person does you know, or a Guy who’s trying to solve a problem? I go on Amazon and buy the first curtains, I see and I learned very quickly that they’re supposed to look a certain way and supposed to touch the floor and so my wife didn’t get new ones?
Kristen Jacks (02:25) I know I need to use and actually connect. So I’m using my laptop camera because my laptop’s over to the left and I have my big screens towards the right. So I just use my camera always on my laptop. It’s just easier, but I really should probably set up my other camera on one of my bigger screens so that maybe the sun, but I don’t think it’ll change it’s. Just, I love my arch windows. They are beautiful in my house and it’s perfect for my office, but it’s just, yeah.
Garrison Goodman (02:50) I think you should stop doing morning meetings.
Kristen Jacks (02:53) Yeah, not good for the morning meetings. Yes, the morning sun coming directly in.
Kyle Bettencourt (02:59) Well, cool. That sounds good. I think, is that everybody from the sentara side?
Dgprince (03:05) Where is, you know what? Let me, let me get. We are waiting.
Kyle Bettencourt (03:08) For a couple still. Yeah, I.
Dgprince (03:10) was going to say, let me go see where they’re at. Let me check with the Cole real quick. Cool. And then Ron as well. I’ll check with them. Thanks.
Garrison Goodman (03:18) While we wait where’s everybody based?
Kristen Jacks (03:23) We are in Virginia. I know I’m in Virginia. Doris is in Virginia. Yeah.
CASEY C SIMPKINS (03:27) Same Virginia Beach.
Kristen Jacks (03:29) Yeah, she’s in Virginia. Yeah.
Garrison Goodman (03:31) That’s near HQ for y’all, right?
Kristen Jacks (03:33) Yep. Yes. And.
Garrison Goodman (03:36) us, we’re all spread over spread out, Kyle’s in Austin. Are you in Dallas right now?
Kyle Bettencourt (03:43) Dallas?
Garrison Goodman (03:44) I’m in New Jersey outside of Manhattan and Noah’s in Madison, Wisconsin.
Kristen Jacks (03:49) Oh, wow. You guys are all over the place we?
Kyle Bettencourt (03:51) Are, yep. So.
Garrison Goodman (03:55) We’re kind of like a weather team if you want to know what the weather’s like in the United States, just ask us. We’ll give you real time. I got, yeah, I’m a little cloudy and windy today, Noah. You’re probably still in the middle of winter… Kyle, you’ve been heating up, I think.
Kyle Bettencourt (04:12) We’re hoping for nineties. Today.
Garrison Goodman (04:15) Nineties. Oh, man. There we go.
Kyle Bettencourt (04:16) It’s wild. It’s very bipolar. I’m not from here originally. So, I’m still getting used to it, but it can be like 30 degrees on a Monday morning when you wake up and then like 100 by that Friday.
Kristen Jacks (04:27) And where are you specifically?
Kyle Bettencourt (04:29) So, I am in town, weatherford, Texas. Oh.
Kristen Jacks (04:33) In Texas? Okay. Yeah, yeah. Our Virginia weather has been like that as well freezing in the morning then it’ll get warm and then it’ll drop 35 degrees within like two hours like it’s been so wonky.
Kyle Bettencourt (04:47) It’s hard to plan a day around that and you’re just like I don’t I have no idea what to expect by lunchtime here.
Kristen Jacks (04:52) Yeah, yeah.
Dgprince (04:53) I was going to say we can get started. Ron had a conflict, so he’s going to be like a little late, but he said, go ahead a little. He said he may be 15 to 30 minutes late. So go ahead and get started.
Kyle Bettencourt (05:02) Okay. That sounds good. I figured. Thank you. Yeah, I know the goal for the call today is really to focus on the demo. I figured we’ll just kind of reorient sort of what we took from, sorry, the conversation from last week. And then Casey, I know you’re kind of joining the conversation here. So just to quickly introduce the medallion side, my name is Kyle. I oversee the sentara relationship here from a sales perspective, joined by Noah who’s a solutions consultant, technical counterpart. And then my director garrison joined the call as well. And then just out of curiosity what’s kind of your involvement with the credentialing and enrollment function at sentara?
CASEY C SIMPKINS (05:43) I’m in the managed care contracting department, and our team handles the facility provider, enrollment and ancillary providers. So basically we credential the hospital entities, the home health, ascs. All of those with the payers.
Kyle Bettencourt (05:59) Got it. Okay. That’s helpful. So, yeah, like I mentioned, the focus will be a demo today, but just to quickly recap the conversation from last week, you know, we understand that sentara is bringing credentialing back in house. You have a pretty large footprint among your providers today. 2,500 active providers across 12 hospitals, 500 plus sites of care, all being managed by a team of I believe 21 today in the credentialing staff. And then some of the key pain points that you guys are kind of currently experiencing is, you know, one just the, I think just kind of a lack of automation right now. There’s a lot of manual data entry caqh mismatches are very time consuming. Ultimately, just a lot of administrative burden over around these, excuse me around the process today. And then with the expected growth that you guys have, you know, coming down the pipe, obviously looking for ways that we can leverage technology to run more efficiency efficiently, rather, you know, ultimately reduce turnaround times, I think is a stated goal that you guys mentioned from just getting providers activated. And then we can also help you with accuracy, you know, getting ahead of things for recredentialing, making sure that you guys are remaining in compliance. So I’ll kind of pause here. But does that sound accurate as far as sort of where you guys are at with the project and what you’re looking to get from the call today? Yeah.
Dgprince (07:29) Definitely. And I know like I said, Melinda has, you know, asked us to look to see where we can leverage AI technology, whether that be internal or external. So again, you know, just trying to see what we can do to try to help us. So, yes.
Kyle Bettencourt (07:43) Okay, great. Yeah. And that real quickly before we pivot to the demo, that kind of answers one of the initial questions that we had. So just… on like the bigger picture for sentara, we’re just trying to see like where this function kind of lies from a I guess just strategy standpoint. And then, you know, I think I mentioned the last call, I had a chance to listen to one of the podcasts a podcast that Melinda was on, which sort of prompted us to reach out around like touchless revenue cycle, but I guess is like implementing AI and finding automation. It sounds like it’s pretty top of mind. Is that sort of like an organizational wide goal or what are some of like the I guess top initiatives? And where do you see this maybe aligning to you guys’ initiatives today? Well?
Dgprince (08:29) I can speak for us. I’m not sure because again, I wasn’t part of all those larger AI conversations, maybe you were Casey, but I know as a whole, we are definitely trying to leverage to make sure that again you can add staff, but you can only add so much staff. So what we’d rather do is have our very qualified staff is work the detailed things that need to be worked. If it’s mundane repetitive things that can be done by technology and be done well, then it’s best for us to use that technology to do that and allow our staff to do the things that need that personal touch or need that deep dive to get things fixed. So that’s my understanding, Casey, but I don’t know if you have something more.
CASEY C SIMPKINS (09:14) Yeah. I mean, I think that’s kind of the overarching vision. Sentara does have kind of a overall system goal that I would say widely embrace AI and leverage that technology where we can. I mean, it’s part of our annual system goals now. So I think anywhere where we think the technology can be useful and it can demonstrate its capabilities, I think there’s certainly interest.
Dgprince (09:40) Agreed.
Kyle Bettencourt (09:42) Awesome. Well, that’s yeah, good to hear. I think, you know, you guys will love what you have to see with medallion, but that is kind of what one of the main things that we can help you guys accomplish, right? Is to allow your existing team that’s talented, but maybe being bogged down by, you know, all this manual data entry and, you know, manual follow up and, you know, allow them to focus on things that are more important and impressing to the organization. So, yeah, excited to kind of show you what we have here. And then real quick before we jump to the demo, I actually just put together sort of like initial projections… that we could help on the revenue acceleration piece. I know that was, you know, that was top of mind as well, but it looks, I mean, pretty significant and just kind of how we got to these numbers here, right?
Kyle Bettencourt (10:27) Was based on the current base of 2,500 providers… 40 percent growth on 2,500 1,000, sorry, 2,500 would be a 1,000 providers, which I kind of extrapolated over three months. On average. We help customers reduce turnaround times at a minimum of 30 days. Oftentimes you know, it could be upwards of 60, but… you know, if you apply that across a 1,000 hires over three years, that equates to about, you know, 33,000,000 dollars of potential revenue acceleration. So just… want to kind of like, I don’t know, throw that out there and get your thoughts on if this is directionally accurate in your opinion on some of these numbers here. And then just get your thoughts on that as well.
Dgprince (11:20) And you’re saying like a 1,000,000 dollars per day per loss and you’re looking at that as across the health system as a whole.
Kyle Bettencourt (11:29) Correct. Yep. So based on adding a 1,000 providers over the course of three years, this… is kind of the provider mix that I leveraged to kind of get to that 1,000,000 dollar number. So, you know, all this are just kind of best guesstimates or so… I guess, would you say, is this like an accurate ratio… provider mix or is this, am I maybe way off here on any of these numbers or assumptions? I’d.
Dgprince (11:58) have to go back and look, I don’t know if, you know, off the top of your head, Kristen or Casey, but I’d have to go back and look, I can’t say for certain. I mean, we do have a large apb that a lot of physicians come in. Yes, very heavy apbs. Yeah, it’s very heavy on the ap, on the medical practitioners as opposed to our physicians recently, but can’t say, well.
Kyle Bettencourt (12:18) Yeah, that sounds good. And, you know, one of the things we can do, you know, if you guys like the technology and think this is something that you want to pursue is work with you on kind of getting the details of, you know, some of these different variables here and then come up with a number that is actually real for sentara… because.
Dgprince (12:38) if you promise 33,000,000, they’re going to look for 33,000,000. And I’m oh, yeah. I am not comfortable with that number just because again, they can start the, providers can run the care, the hospitals can get paid. It doesn’t slow down those things. What it does slow down is the, you know, professional component pieces and we’ve never written off 33,000. I mean, 33,000,000 dollars. You know what I’m saying? And so again, I, you know, I’m just nervous that someone’s going to look at that and say, well, wait a minute. You’re losing 33 point 7,000,000 today. Where’s that at, we haven’t seen that and, you know, they’re going to again, they want to be able to have bookable revenue.
Dgprince (13:17) You know what I’m saying to make sure that, they can, we can improve by that amount. So that just that to me seems high. So I would need to really understand the who, what and the why. Yeah.
Garrison Goodman (13:27) Doris, we’d love to work through that with you because that becomes the exciting piece and we’ll get down to like your specific payers, which states and your timelines. But the overarching theme is like, hey, we can speed up someone actually being able to bill and practice by 30 days. Then there’s a revenue component at play and it’s not that you all are losing revenue today. It’s more like, hey, there’s an opportunity to have everybody start working significantly faster.
Dgprince (13:54) Yeah. And this looks very familiar to the… dr Bundy. I’ll call it, you know, Kristen with axuall, you know, remember the big giant numbers that were put out there. But then we’re not really seeing them. So again, I just need to make sure that if we promise something we’ve got to be able to deliver it?
Garrison Goodman (14:12) Yeah, for sure. We would co, create that with you, right? Like how much would we expect from a speed game from an accuracy gain, you know, and just get down to like the individual processes as well. Yeah. Because like with our, you all can stand behind it, yes.
Dgprince (14:27) Because with our actual tool, what, it was, you know, same thing trying to bring providers on faster quicker and get them there. And we’re… really not bringing them on any faster because again clinicians can start, they can, you know, because again they’re able to work, they’re board certified, they’re licensed to do it. They can deliver care. We just may lose the revenue on the back end. So again, just being very cautious yep.
Garrison Goodman (14:52) Okay. Nuances to every business. And so we’ll make it about yours when we go through that. But if we’re directly aligned on what the goals are, then we’ll absolutely build the business case first yep.
Dgprince (15:04) I could definitely see, I can, I could definitely see us saving a 1,000,000 a year. I mean, right out the gate because again, credentialing is key. And again, we’re you can easily lose a 1,000,000 a year very easily. If you do not on the provider side, you know, if we’re not getting those providers enrolled, if you’ve got a 30 day delay or a 45 day delay and you’ve got specialties, it doesn’t take long, you know, to lose a 1,000,000 dollars.
Dgprince (15:26) So again, I could see us, you know, reducing that loss, you know, of a 1,000,000 a year on the provider side, but again, we can deep dive into that more.
Garrison Goodman (15:37) Fantastic is.
CASEY C SIMPKINS (15:38) It fair to say that it’s not just denials Doris, but it would also be patients that aren’t able to access them. So those wouldn’t show up as denials because they never walked in the doors.
Dgprince (15:50) Right, right. And that’s the other thing that to me is going to be key guys because this is where my team gets beat up every day, you know, Kristen and the rest of the team especially those who are working our box, who takes the calls, you know, what we tend to find. And again, it goes back to poor Casey. I’m pounding him and his team to try to help me with some of our payers, where we’ve done the credentialing. We’ve been told that they’re enrolled, but unfortunately haven’t loaded them in their systems, patients having to reschedule their surgery for the second time or third time because we’ve been unable to get the hospital’s been able to get the authorization because they still show that provider as not enrolled, you know, in their system even though we have the information. So again, it’s that kind of stuff patient access that’s key as well. Making sure we expedite that, get the approvals, get those things in so the patients can select the physician, which I think is where you’re going with the 33 point 7,000,000 being able to get that there so they can select the provider, see the provider, and also have patient reducing or eliminate those patient care access issues. And.
Noah Laack-Veeder (16:58) So, Doris kind of typically, when I’m talking to organizations when they kind of bring up that use case, you know, every delay that happens, right? Is like if it’s going to take 10 days to get them rostered, like if we can do 10 days faster that’s going to expand that patient access, is that kind of how you’re thinking about it? That these delays could be like delays within enrollment can lead to delays in that patient access it?
Dgprince (17:19) Can it absolutely can. And then it also the delays also often sit with our payers. So again, I may send them the I’m going to make up the story for the roster. So if I send them the roster today and we get the approval date from a month ago, you know, or whenever it may be. But they don’t load it for 60 or 90 days that’s a patient care access issue or even with… a direct enrollment, we submit everything and it, it’s in the process and it’s there. But then they don’t load it into any of how payers are. You’ve got you’ve, got credentialing, you’ve got claims and you’ve got the revenue payment cycle, which then often they have a separate referral authorization system. So it’s loaded in one but it’s not loaded in the other three. And then we start hearing those patient care issues. So again, it all seems like it’s credentialing, but a lot of it is outside of our control. They’re credentialed. We’ve got the proof that they’re credentialed, but now you’re just trying to get the payer fixed, if that makes sense? Yeah.
Noah Laack-Veeder (18:20) And then, with that whole process, maybe Kristen and Nicole, you can speak to this as well. But a lot of organizations that I talk to that’s a big part of the job is following up with these payers kind of just. And so, is that like a big time commitment for you all today? Yeah?
Kristen Jacks (18:41) Yeah, of course. I mean, that’s a big, the one of the biggest things that we have to do and everything that Doris just said is what we are battling. You know, right now, all of the processes we put in place, the technology we currently have is all well and good but then when we put it in the hands of the payer, and then we’re sitting ducks. So, you know, it’s not much to do other than to push to get our stuff loaded or figure out what’s wrong or, you know, what, why we ended up getting a denial or why things are still sitting in a bottleneck with the payer. But all of our pieces, you know, are in that’s the, big meat of it. Another big portion of it again is specific things that are outside of our control that we’re just waiting on a practitioner’s licensure their Dea, any of those things that, you know, them signing off on their medicare surrogacy, it doesn’t matter what we put in place to pull that information as quickly as possible if they haven’t applied for it yet or they just applied for it. We’re sitting and waiting as well. So that’s kind of where the hesitation comes in from you here, Doris. And, you know, myself, even when I said it in our last meeting, you know, there are certain things that are outside of our control. It doesn’t matter what, the process, what the technology we put in place, we just tend to have to wait on a lot of it. And our other system, axuall said all these things about potential revenue gain and all this timeline shrinkage. And we’re not really seeing it because the same stuff that we’ve always had to wait on. We’re still waiting on. We’re just waiting on it in a new system if that makes sense?
Noah Laack-Veeder (20:14) No, yeah, just and just so I’m just so I’m hearing you, it sounds like, look… there’s even similar to the caqh annotations, there’s like a list of 700. There, there might be a list of 500 applications we have to follow up on. And there’s just such a long list of follow ups. That like that’s. If you want to follow up on everything that’s going to be a very large time commitment, correct? And then also kind of from what you’re mentioning too is like, I think credstream as you mentioned doesn’t really automatically track any of the status. So then you’re also being like who have we reached out to? Who haven’t, we reached out to? Which ultimately just the organization of that can be pretty resource intensive. Yeah, credentialstream.
Dgprince (20:56) Does there’s workflows?
Kristen Jacks (20:57) There’s things in place that we’ve built, but it’s one brand new to us. So that learning curve for the team to get used to that. And I will be the first to admit in general, it is what it is. It’s better than what we’ve had. It’s just not as quick on the automated side of things as I would have expected it to be when we went through demos and the original implementation of stuff. It’s a lot of you.
CASEY C SIMPKINS (21:23) Know data.
Kristen Jacks (21:24) Entry, a lot of work Nicole had to do on her side to build it. It’s just not what I had necessarily expected. And the same thing with actual our clinician wallet. I think it’s a great tool. I think it’s helpful for the applicant, but it’s not magical. It doesn’t do things that.
Dgprince (21:41) Yeah. So it doesn’t have the AI crawlers or technology which I think Noah, you guys, I think that was some of the things that you all were talking about. So like some of the follow up of things, it may be like our waystar on the revenue cycle side. If there’s a follow up that’s needed, you can put a timeline in there and I’m going to make up my story, cigna, typically, I’m going to make up the story. It doesn’t mean it’s true but cigna, you know, typically approves in… AI technology to go out and do that follow up and ping it and look at the system and see if it’s approved. And if it is, bring back that approval to us and let us know so that we can now move on versus a person doing it that’s what we do with our revenue cycle today. We have all the bots that go out there and act like humans and call or do the crawlers just on the website to check the status of it and then feed it back to us. But there’s a denial. It returns a denial. And my staff instead of having to sit on the phone to call, they look at that denial and go, they need additional information. Now, I still probably have to call because I need to go figure out what the additional information is. But if it is a simple, you know, patient had no coverage on data service. Wow. We’re going to run an eligibility check real quick, see that, reach out to the patient. They’ve got new insurance here. It is knock it out the door, but we didn’t have to sit on the phone, talk to somebody or go to the payr website, figure it out, then come back, we could actually take those items and be actionable at that time. So that’s what I’m excited to see. Those are the types of things that you all offer so that we can again leverage staff to do real work versus having to go Fish, figure it out, then go do the work. Yeah.
Noah Laack-Veeder (23:11) I love how you mentioned that. And, you know, I definitely want to show you this just anchoring back to the kind of general framework. I mean, you set that up really well. I think it sounds like there’s parts of the organization that is utilizing AI and it’s working extremely well, kind of with the RCM piece resources are actually doing the real work and there’s going to be real impact. Like if you can do these things, it’s ultimately, I guess what I’m trying to show today is kind of how we can reduce a lot of those mundane tasks. And just so I’m kind of aware and thinking of them all Doris, Kristen, and Nicole, when I think mundane tasks, I think like the quarterly caqh at a station, the picking up the phone and calling payers and waiting on hold. It is scanning portals to get statuses. It is manually running some primary source verifications. It could be copying and pasting data into payer applications that’s kind of when I hear mundane tasks that’s kind of like what I think of, are there any other ones that, you know, are just because I know we said the process works pretty good today, but like if you had a wish list of, hey, can we just get rid of these mundane tasks, are there any things that I missed from?
CASEY C SIMPKINS (24:24) That, can we scrub payer provider directories?
Noah Laack-Veeder (24:27) Yes. Yeah. Tell me more like what?
Dgprince (24:29) Pay.
Kristen Jacks (24:30) Your directories, yes.
Noah Laack-Veeder (24:33) What would that do for the organization?
CASEY C SIMPKINS (24:36) So one of the challenges that I’ve got on my side is particularly for our locations, is I’ve got to, I’m, going to have an intern this summer? Literally go out to every payer provider directory website. Look up all of my facility based information and see if it matches our internal site to care grid. Do we participate in all the products that we think that we participate with? Are all of our off campus locations loaded? Are they even up to date? It would be nice if there was the ability to go out there and query the portal to see all right, what sites have fallen off, what sites haven’t been updated.
Noah Laack-Veeder (25:17) It’s very interesting process today. Yeah. And so if I’m hearing that correctly, it’s today, it’s the visibility into which locations… are both the provider associations, and maybe more just like the group associations that’s just hard to keep track of and keep updated, right?
CASEY C SIMPKINS (25:38) So, like one of our main hospitals might have 50 off campus locations. Yeah, maybe 20 of them are loaded and the other 30 aren’t you know, I have no visibility in that today and trying to get the payer reps to give you that level of detail which you would think would be wildly easy is not.
Noah Laack-Veeder (26:00) It’s a lot of work. Yeah. And so, Casey, the, what I typically hear kind of how that shows up is like if let’s say a provider is going to a site and delivers services and it just doesn’t happen to be loaded. There might be some denials. Is that, is that showing up for you all there?
CASEY C SIMPKINS (26:17) Could be. So, you know, some payers, the agreement is very explicit. It only includes sites that are in the contract as of xyz date. So if a patient shows up, you know, and the site isn’t loaded, the payer could take a position of that site is out of network, right? Yeah.
Dgprince (26:34) Okay. I would also say it’s a distraction for our patients. So, a lot of things that I’m hearing now, Casey is okay, Doris prince is looking for. I don’t know a neurologist and I want to see what hospitals they participate. I look and there’s not a hospital near me but Riverside or bayview has one right down the road. So by center, I’m going to go to bayview, you know, type thing because they are looking in those directories and saying what’s most convenient for me, what’s most convenient for my family? Where can I go? And I think that’s part of it too kind of like the marketing side of it. So they’re trying to see if we’re in because if I participate with anthem and I pull it up and I don’t see it that they’re at center Lee, which is five minutes down the road from my house. But wow, I can go over here to, you know, like I said, bayview and they’re right here or whatever it may be. I think that that’s part of it too, is, I think we could be easily losing patient patients coming to us because they don’t see us in the directories. They don’t see the information there. Does that make sense 100?
Noah Laack-Veeder (27:34) Percent. Yeah. So, so I know, yeah, thanks so much. I mean, I look, I could talk to you all about this all day and if you guys want to, I’m happy to definitely want to make sure I show you the platform. So just orienting… what I’m hoping to show you. So last time what I heard is kind of like in spirit of this touchless revenue cycle, it’s automating these mundane tasks so we can do the things that really matter. The things that I was going to cover today was going to be that caqh burden the data collection delays, also the pay or follow up delays kind of that whole end process route with the enrollment and also highlighting how we can go from manual tracking in credstream into more automation. Ultimately, what I’m trying to show you is at least, a taste of, hey, this is how medallion can help with these. And then ultimately, we’re not going to get through everything today. But I’m hoping that what this could lead to is additional validation where we want to dive deep kind of like garrison said, dig into the workflows a bit more and just understand where else we could incorporate medallion. So does that sound like a fair plan? Yeah?
Dgprince (28:46) Yeah. And if we need more time, we’ll set it up. Yeah, real.
Garrison Goodman (28:50) Quick, Casey, we know you got to jump off, but anything you want us to make sure that we cover that we haven’t touched on today, we’ll happily send over the recording of the demo as well to you.
CASEY C SIMPKINS (29:00) In a prior life, different logo on the head. I did credentialing. I can tell you I’m used to seeing credentialing software handle professional data, but I haven’t seen a lot of credentialing software, handle organizational data. So I would like to have a view of that part of the product. The functionality of that part of the product. It’s the world’s a little bit different on the facility ancillary side. So I, I’m confident that you can get there, but I want to see some examples of that. So if it’s screenshots or if we want to set up like a another session, I’m happy to hop on guys. Okay?
Garrison Goodman (29:36) All right.
Dgprince (29:37) Yeah. And just to get the feed into that too Casey, you know, along our side, it is a wish. I’ll say it may, it might be a nightmare for us but it’s a wish of the organization that they would like a centralized team who manages the credentialing across even like and maybe not in Casey’s area. But again, but for the rest of the system. So we have sentara enterprises. We got the hospitals that all have these divisional programs. Just like I mean right now, Chris and I are being pulled into therapy and for chiropractic, new care. I’m enrolling those. But again, for us, it’s a facility, you know, I’m saying but it’s physicians within the facility that now have to be. So again, we have to solve for that because we’ve never done it. But again, that piece is growing as well if they have a behavioral health program at the hospital for inpatient and outpatient. But now the providers have to be enrolled. It is facility enrollment. So we’ve got to make sure the facility is where it needs to be. But then we’ve got to make sure the provider needs to be. And we’re just trying to begin to wrap our heads around all that and say who, what, and how, but we’ll need to account for that as well. All right. I just wanted to throw that out there.
Noah Laack-Veeder (30:47) Yeah, no, thanks for saying that and I know Casey just dropped but we’ll find some time. I think that’s another whole world that we can help with. And happy to cover that. All right. Let’s get into a demo and then we all have the full hour correct. No one has a hard stop earlier. Also Ron saw you join, how’s it going? Going well? Looking forward to seeing the demo. Cool. Yeah. Happy Friday. It’s Friday, right? I’m not making this up with a new kid. I’m just like I sometimes forget what day it is. So I’m glad I remembered that at least. Okay. So that’s maybe the last joke I’ll make today but no promises. All right. Let’s get into this… as a new dad. I’m not sure if anybody else is a new dad here, but, or, you know, been a new dad or mom, my dad jokes are just kind of coming all the time.
Noah Laack-Veeder (31:45) Now, just it was a it’s contagious, it’s how you survive. Cool. Can you all see my screen? It should have your logo on it? What says? Providers? Yes. Okay. Excellent. So what I just want to kind of show you is what this provider experience looks like. And then Kristen, just really understanding from you and Nicole how this might be a little bit different and optimized from the current process. But ultimately, what I’m trying to show you is we don’t have to start from scratch with a provider and we can make a caqh import really quick in the case that they have a profile. And ultimately, either way how medallion can take that information and then push it back to caqh. So we’re not missing anything. So what this looks like for a provider is we can invite them to the system and just give them some basic information. Look. If you’ve got hundreds of this going on there’s a workflow we can go through, just load them all at the same time. But just seeing it from a one by one provider can just sometimes make this a little bit more intuitive. So I invite somebody enter in some basic information and then what happens is we’ll automatically send an email out to that organ to that provider. Now just to highlight something, it’s going to be white labeled to your organization, you might have some language that you really like to use and we have best practices as well. But what we do is the provider will click, get started and they’re welcomed into an onboarding flow. So this would welcome Naomi to medallion or to your organization. And ultimately what we’re going to do. Here is just make their first pass at information really easy. So they’ll get started. They’ll give some basic information or just basic instructions, but they can actually load data themselves from caqh without needing to remember their username and password. So what they need to remember is their caqh id. And this is something that Kristen or Nicole… you might have for your providers. So you can give it to them or kind of do this for them. But if you provide the caqh and social security number and you click verify, all their information from caqh is going to come directly into medallion. So when… Naomi logs in for the first time, what she’s going to see and what you’re also going to see on her behalf, just to kind of comment, you both have access to this information, right? The provider does as well as you, all of that data is going to be loaded into medallion. So just showing you what this looks like. Really quick. All of this information would come directly from caqh. So we’re talking about like the basic information, contact information, their professional information, their documents, everything that could be from caqh will automatically come into medallion. Now, why is this important? What this does? Is it makes it so our providers know like what we already have. But then from Chris and your standpoint or Nicole your standpoint, you’ll also know what gaps exist. So if something exists here, we’ll highlight it. So if I’m clicking here, you’re seeing that nothing’s coming up. If there are gaps, those will be populated in this tasks menu. So it’s like, hey, Naomi’s missing a couple of things. Maybe she didn’t give us a photo. Maybe she didn’t give us whatever it might be. All of that is going to be summarized for you. So you don’t have to remember, hey, what do I need to check again for us to be completed? It’s going to be summarized for you right here. So ultimately, the process just to summarize it is you don’t have to send emails back and forth with providers. You don’t have to figure out what information is missing. Medallion is going to ingest all the information that we have from caqh and tell you this is what’s missing. And so you have a plan to work with providers to get this done. So I just want to, I want to pause there talking about that initial provider onboarding experience. How is this comparing to the workflow today? To get that initial pass of data from our providers?
Kristen Jacks (35:52) It’s funny. It’s a very similar looking system our actual system that we have, but yeah, the big piece is there’s no connector to caqh. So I would imagine that would be very helpful for an applicant to… let me ask real quick. Do you have to have or does the applicant have to have their caqh id and social, or can they put just their social in and pull it? You need those two pieces of information? Yeah.
Noah Laack-Veeder (36:20) Good question. So this was kind of a workflow. Like if it’s… like you want the providers to give that first step, like if you have let’s say, do you have like an HR system in addition that you use besides credstream that might have additional provider information like their caqh id? So we.
Kristen Jacks (36:41) do have an HR system, HR team obviously, who has a system called workday, but they don’t collect any of that caqh information. So the first I’m trying to figure out from here to what we currently have, you know, our clinician wallet would be the first point.
Noah Laack-Veeder (36:59) Oh, yeah. You talked about the wallet? Yes, right.
Kristen Jacks (37:01) Yes, that wallet is what we’re talking about when we say actual, and that is where the practitioner we ask them for all this information. So their caqh id, their login and password, you know, and of course, all of the other credentialing related info. So, you know, and they get an email just like you would be sending out to them too. They get an email saying, hey log into your wallet and provide all this info. So, I’m just trying to figure out, would that be, instead of, would this replace that? Or is it something that sits on top of the wallet? Or because I will tell you it’ll be a huge dissatisfier to have them log into a third place?
Noah Laack-Veeder (37:40) Sure.
Kristen Jacks (37:41) Technically, it’s a fourth place because we have their wallet today. We have their dop stuff. They have their criminal background there’s already three different places. We’re having a practitioner log in to provide information to us. And I have practitioners who have no idea what caqh is, who have no idea what their id is. So that right off the bat causes some delay because we are working with them to log into their caqh for the first time or ever, I guess for them, they have other people maintaining it for them in history.
Noah Laack-Veeder (38:12) Yeah, I think, I guess the question there and I guess, I mean ultimately, it’s going to depend. I think that’s something that we should discuss further. Like there are instances where let’s say the wallet is universally accepted and like we want to keep that and we like how that’s set up. Ultimately, what we would want to do is figure out how we can leverage that information to a medallion other organizations. What they figure out is like, well, the wallet actually has a lot of the information that’s already on caqh. So if I could just have them give me their caqh id and SSN, then I’ve automated that first piece of the wallet. So I think to answer your question, it’s going to be a matter of what’s in the wallet versus what would be in caqh. And if there is a match then I think where we might want to move into would be let’s just utilize caqh because it would remove some of that. But again, that’s something that we’d have to discuss further. But ultimately, Kristin kind of thinking about this, the broader piece of getting a lot of this data from caqh. It sounds like there’s no automated way to do it. So with your username and password, if there are gaps in the wallet, are you having to go out and get that information from caqh?
Kristen Jacks (39:29) So, we get access to their caqh account, right via their username and password. And then I have a person, I actually have a full time person doing nothing but reviewing their caqh profile. When we first get the request, doing exactly what you just said, filling in the holes, updating our sentara related information into it. So they can spend an hour and a half on one application, right? One caqh profile to update all that information. And then my other question is what we find and I think Doris might have mentioned this in our last meeting. We have a very large volume of locums, contracted practitioners. We have a very large volume of or I shouldn’t say very large. It seems very large but it’s growing of out of state practitioners who are covering multiple organizations and they have a contract with sentara. So their caqh is enormous. So when you had mentioned that you pull everything in from caqh, is there some like scrubbing capability there, or things where we can only pull out or utilize what we need? Because we may have a practitioner with a license in all 50 states, we may have a practitioner with 200 locations listed in caqh that we don’t necessarily need for our world. But I need a copy of their caqh for our delegated process. I don’t want a 200 page caqh application. So if you’re pulling everything in, does medallion, do you guys have a way to kind of scrub it so that we really only need the critical most current information on a practitioner’s profile?
Noah Laack-Veeder (41:08) Yeah. So are you seeing data import on my screen? Yes. So yeah. So ultimately, I think what I’m hearing is like, look, there might be tons of data in there. Some of it, there’s a couple of things like one, look, some of this is outdated. I don’t want to pull this in and we got to update it. And the flip side is like there’s information that we really don’t need to pull in. So when we do this import, you do have full control around what does get in and what doesn’t so you ultimately have that control and saying, look, let’s say kind of like what your wallet process would be is more or less this medallion data. Like this is what we have in the wallet. And this import from caqh says, well, this is what we have in caqh, which one do you want, right? Which one’s going to be more accurate? And then you have control to pick which one is going to be accurate. But ultimately, your question around, can we scrub or lessen the amount of information that’s pulling in? We’re only going to pull in the things that are required. You mentioned like the delegated credentialing, we would only pull the stuff that we need for delegated credentialing, similar for payer enrollment. We’re only going to pull in the things that we need for payer enrollment. And the flip side is true, we’ll update everything required for those use cases. Does that, does that answer your question? Kristen? I think.
Kristen Jacks (42:22) So, I think so again in today’s world, currently, it is very manual for us to do, we are literally going into caqh into the individual practitioner’s account, reviewing every single screen, updating every single screen. And then at the end of all of that, we have to produce a final application, right? That’s what caqh is. It’s a, it’s an app, you know, their application, we produce that final application because that is the source of truth and data that we need one for our payers delegated or non. But it’s also part of our final delegated packet too. So what we end up having to do a lot of times is remove some locations, remove some of, these pages when we create a 200 page PDF document to shorten and lessen it up because we have so many practitioners now that go across the continental us here. And everything under the sun is obviously in their caqh account for all the other organizations too. So it is helpful to kind of cherry pick. What do we truly need here at sentara, to get them credentialed and enrolled with our payers for all we need. And, you know, what are we primary sourcing that kind of stuff? Yeah. And.
Noah Laack-Veeder (43:32) Ron, I’d kind of love to hear maybe some thoughts from you so far in terms of what we’ve seen. But one thing I would say to your point, Kristen, and the question would be kind of if we’re having to be responsible for updating and caqh and all those things. And like if something gets keyed in wrong or there’s a mistake could lead to resubmission or rejection? Like down the line with all this work kind of piling, like how is that showing up? Like let’s say with all, like we have a full time resource doing caqh? Is there, like are there delays there? Like could you just help me understand a little bit more about what the impact of that is?
Kristen Jacks (44:08) Sure. I mean, yeah. So we’ve got a full time person doing all of the initials only. So brand new requests coming in and we need to set up their, you know, caqh or add sentara information to their caqh. There are things that can cause some delays. Especially, I think you had mentioned those missing items. So if there’s a gap missing in their employment and it’s not listed in caqh, we have to pause what we’re doing, circle back with that practitioner, obtain that information. If their Coi is not current, if their boards aren’t current, we go through every single one of those screens. So if there’s something we’re questioning a lot of times, malpractice is a big one too, so they could have a lot of their claims malpractice history, right? Listed in caqh, but there may not be explanation behind it disclosure questions if they answered yes to a disclosure question, but didn’t provide that feedback guidance or it’s not enough information. All of those pieces we need to collect because it has to be discussed and reviewed with our internal credentials committee, especially if it’s something that falls outside a threshold like a malpractice, like a gap in their coverage. So if there are things that are missing, you know, as you were showing us here on the screen, if there’s things that are missing, we have to stop what we’re doing. My person who’s working has to pause, she updates her notes in her workflow. And then we’re reaching back out to that applicant, whether it’s her or it goes back to my onboarding team who already has that relationship with the applicant to go ask for more information. All time, right? Taken away as we’re waiting for things to come back and.
Noah Laack-Veeder (45:42) you know, Kristen kind of from what I’m hearing sounds like there’s so many things that could be missing you’re then the individual’s then having to remember that, put that somewhere, come back to it. There’s just kind of this never ending list. So what I’m showing you and kind of what I’m trying to show and I know we, you know, I love this conversation. So I think we’re probably going to need to have some more time to dig into this further. But what I’m seeing is all of those things that are kind of falling through the cracks, Kristen will be automatically surfaced through medallions. So instead of your team having to go through each screen of caqh to figure out what’s missing. We’ll tell you right here. Ultimately. I mean, I’m not sure. I’m sure you’ve gone through caqh like there’s loading times you go to these different screens. It’s not a friendly tool to update data to absolutely, not depending on the.
Kristen Jacks (46:33) Time of day you’re using.
Noah Laack-Veeder (46:34) It, yeah, exactly. It’s like if it’s grumpy, it’s Monday morning, it hasn’t had a, you know, caqh cup of coffee. Ultimately, what we think the best path is getting this information in the medallion. And then what we’ll do is we’ll automate the process of logging into caqh that’s no longer going to be necessary.
Kristen Jacks (46:57) You’ve rendered me speechless at the moment. But I also have another question. This, I was just referring to our initials. We also have a team of people right now reviewing and maintaining and reviewing all of our current active providers as well and updating certain pieces of information like contact info, things we wouldn’t have to do normally. But since we, you know, brought everything back in house, we have to update information. Does medallion have a way to, if let’s say we need to update contact information, our credentialing contact information? Do you have a way of updating that across all of our practitioners? Because right now we are individually going in every single account reviewing reattesting, but also updating that info? So if we have to update our remit?
Noah Laack-Veeder (47:43) That’s.
Kristen Jacks (47:44) something we can do like across the board in one shot, all.
Noah Laack-Veeder (47:47) At once and ultimately, the impact here, I think because we’re already talking about this, like each step of that is potentially going to delay the process, a bit, right? And so these are all things that we can control, right? These are things that we can grab. These are things that we can automate. These are errors that we can avoid. And so earlier, we talked about patient access being a big piece of this. I think as we have more of these conversations and Ron, I’m not sure if you heard this earlier, but just kind of reiterating a bit. Is each of these improvements that we’re making? I envision a shortened the time that it’s needed for a patient to get access to care. So if you imagine that if we can automatically update caqh, we can automatically streamline and figure out what these gaps are. We’re already saving? I mean, in one case, you said an hour and a half of work just to find these things, we scale that across. I think we talked about a 1,000 providers like that’s. A ton of work to figure this out. All of that’s going to be automated. So the work’s going to be reduced leading to, hey, what’s next getting through some of these provider actions, but we haven’t even actually covered the enrollment piece, the qas, the systems that we do. So, I’m already hearing there’s lots of opportunities for us to jump in so far. But I mean, I know we only have 10 minutes left. I just want to kind of back to the initial problem or opportunity that we’re trying to solve here of more reduction of mundane tasks leading to better patient access. How are we feeling so far? Does this seem aligned?
Garrison Goodman (49:20) Yes, I’d.
Dgprince (49:21) definitely love for us to get through the demo if we could though as well. But yes.
Noah Laack-Veeder (49:26) Yeah, for sure. And garrison and Kyle, anything that you’d want to jump in and add here? Yeah.
Garrison Goodman (49:31) I think we’ve got 10 minutes remaining. So what would be the most impactful things Doris, Ron that you’d want to see with 10 minutes left? I mean.
Dgprince (49:49) I definitely just want to be able to see some more of the workflows and processes and things that you’re talking about. Again, caqh is huge. And again, I think it’s going to take a huge deep dive for us to really even get into it. Because again, we’re not trying to structure it and answer all those questions now. But what we’re really trying to understand is what do you offer? What does it look like? You know, what other functionalities do you have? So definitely want to be able to see that payr pieces are very interesting key as well, you know. So again, I like to see how it is that, you know, instead of being manual entry of all that information into the application, you know, to those direct enrollments, how you do that? I’d like to see some of your delegated rosters and things like that. You know, what does that look like? What do all those pieces look like? Because again, while Healthstream can do it and does do it. And while axuall can do and does do a lot of these things, it’s not as automated and as efficient as it could or should be. So we’re really trying to understand what are the things that your system could deliver that we don’t have today? Or you could be a component to provide that AI technology that we don’t have to supplement what we have? I mean, I think it could go either way. I mean, at this point, Ron, we’re in contracts with our other vendors. I’m not as sure that it’s something that we can back off, turn off and move away from, but we need to be able to see both. You know, what I’m saying we need to be able to see it. What if it was end to end with you or what if it was you were supplementing things for us with AI technology or filling those gaps or helping us do pieces of it that you all could do much better than we ever could if we had 40 staff or 30 staff or added more staff. Does that make sense? Ron, did I articulate that right?
Ron Tapnio (51:37) I’m sorry, I hate zoom.
Garrison Goodman (51:42) Yeah.
Ron Tapnio (51:42) No, you’re absolutely right. You kind of set the conditions of where we stand today with our contractual obligation with our other contractor. You know, we just got to find a, you know, a happy medium where potentially this could work for us.
Garrison Goodman (51:58) Okay. And so I’m going to suggest that we schedule another time and go through the demo in detail. We spent a lot of time on caqh which is important. And obviously, it seems like there’s a lot of opportunity there. But, you know, I think we’re aligned that, you know, we need to demonstrate to you like, hey, what does the future state look like? And how does that actually change operations there? But Ron, I know you jumped on late when you think about the outcomes that you’re driving towards. The main things that we highlighted at the beginning were we believe that we can on average reduce the time to par for about 30 days. We think through automation, we can do things in a way that… lessens a ton of rework and just contributes to that speed, but also the accuracy. But then also provides a unified consistent system for data. And so as you’re thinking about committee reviews, as you’re thinking about staffing and planning and forecasting, those are all things where that data centrality and having one system of truth can help. But when you think about like where you’re at with your previous cbo and bring things internally, like what is a successful outcome look like for you and what’s most important for your organization when you think about potentially making a change here?
Ron Tapnio (53:21) Well, I mean this particular team was brought in for denials, mitigation, right? So anything that can help us, reduce that. But again, it’s sort of like… taking all the disparate work that we’re doing now in two systems and manually and just streamlining it, right? So, I’m sure Doris has kind of mentioned she’s got a small but mighty team and we’re just getting bigger every week. So that’s kind of like we’re trying to figure out what is the path forward? You know, that being said, I think we’re stuck with the vendor that we have that we’re trying to build out, but, you know, long term, we just need to understand, you know, what is, you know, how do we make it better? Right? There’s? A lot of decisions that have to be made to make sure that we’re getting the most value of our existing systems, whether we made the right decisions, I think, you know, those are the kinds of things that are still out there. But anything that makes us more efficient and more streamlined is what we’re looking for?
Garrison Goodman (54:36) Okay. Thanks, Ron. Well, one of the things I might suggest on and see if you all are open to it is, you know, we’ve had a few conversations now and it seems like there’s.
Ron Tapnio (54:47) some.
Garrison Goodman (54:48) good that we can do. We have to prove that to you, but these things tend to, you know, go into more conversation, more conversations. I wonder if you all would be open if we could, you know, just have maybe a, an afternoon with you all and we can go through the demo in detail, map out how you do things today, what it would look like in the future and, you know, get a little bit more concrete. And if that were to be the case, it’s probably going to be the, you know, fastest that we can get to. Hey, will this actually work for us? And we’d love to come visit y’all, if I think y’all, are in close to HQ there in Virginia Beach, I don’t know if you think that would be appropriate here… in the next week or the following or such. I mean.
Dgprince (55:37) Is it possible just to go through a high level interview? I mean, not an interview review for you to be able to show it is like an interview but a review for you to be able to show us the system and show how it works. Because again, last thing I want to do is spend all this time outlining and going through because again, how we have things today may not be how it is. And it ends again, I just really need to understand what this tool can deliver. You know, what you are capable of doing. And again, talking about it is great. But I already got a wonderful sales pitch and we are where we are. So for me, I need to see that the rubber hits the road that you guys can deliver it. I need to see how it is functioning. I need to understand. And Ron, I am just speaking from my perspective, but I really need to see it. I need to see the goods. I need to see the golden nugget that you guys are selling us. So I really need to see it. And I know we spent a lot of time about caqh because as you can hear in Kristen’s voice, it is one of the things that we’re most nervous about because it is imperative as you all well know, you’re in the industry. If you don’t do your attestations, timely, if you don’t do things that you’re supposed to do, if you don’t do it, right? It does end up in denials. It does end up with providers being disenrolled, lord, help me. It even ends up with our group being disenrolled with payers. So again, it’s that type of thing. So we just need to, for me, I need to be able to see it so that I can then relay back to Ron and say, yes, this is great. This looks really good. I think this will be working for us. So if we can do, that would be great.
Ron Tapnio (57:09) Okay. That sounds great. And.
Nicole Beauchamp (57:11) Just my two, my little two cents. I would really like to see some of the enrollments and the delegated roster functionality because that’s that was probably one of the biggest pain points for me building out Healthstream. So I’m definitely interested in just kind of seeing it high level at first. Yep. Yeah.
Dgprince (57:35) Because that is one of the areas to your point, you know, it’s going to be great. It’s going to be seamless. It auto populates, well, it auto populates with a bunch of garbage that we now have to backspace take out two spaces, do something. And then it’ll populate. So, again, I really want to see how your system works.
Nicole Beauchamp (57:52) And I did have another question regarding attestations. I know we’ve talked about caqh as we get further into learning these different payers, there’s more attestations that we’re finding that need to be done. So, through avelity, through… the unitedhealthcare website, things like that, other different areas that we’re now learning about, is that something that is on your… path or something that’s already there? Maybe that?
Dgprince (58:28) You’re.
Nicole Beauchamp (58:30) already capable of doing? I.
Noah Laack-Veeder (58:33) Know, we only have one minute. So, yes, we do handle those types of things we just got to talk through. I mean, again, there’s a lot to figure out here. We want to make sure that Doris to your side, like we’re not here to give you a sales pitch. We’re here to tell you.
Dgprince (58:47) I didn’t mean it that way. I’m just telling my experience.
Kyle Bettencourt (58:50) I want.
Noah Laack-Veeder (58:52) to make this real for you. So, Nicole, to that point, let’s dive deep in a future conversation.
Kyle Bettencourt (58:59) Okay. Cool. Well, yeah, let’s want to pull up calendars while we’re on the call for next week, and then we can find maybe another hour to complete the demo.
Dgprince (59:11) Yeah, we can do that. Okay?
Kyle Bettencourt (59:14) So, I think right now 10 a M Monday is actually open for us. That’s Central Time, so that’d be 1,111 a. M, your time, one P. M, your time, Tuesday, and then Wednesday, midday, we’re pretty wide open.
Dgprince (59:29) I know I can make, I know I can, because again, we have our anesthesia meeting, but that is Virginia can drive it. So we definitely can do, you said it was 11 our time?
Kyle Bettencourt (59:39) Monday? Yes.
Dgprince (59:40) Yes. Chris, I mean, Nicole, can you do 11 on Monday?
Nicole Beauchamp (59:45) Yes, that’s fine.
Dgprince (59:48) Okay. And Ron, I don’t know if you’d be able to do it or not or if you just want us to roll with it so that we can get through it or? Yeah.
Ron Tapnio (59:53) Just roll with it. If you look at my calendar, I’ve got very little openings.
Dgprince (59:57) I know. And again, you know, I mean we can push it through to 11 to one if we need to. You know what I’m saying? Whatever, whatever we need to do, guys, if we need to take a couple hours and knock it out, then let’s just do that. Let’s just block a couple hours and we’ll try to keep the questions and stuff a little more. No, it’s until we really go into a deep dive. No.
Noah Laack-Veeder (60:17) Yeah, no, that’s and honestly, the questions are like they’re fine. I mean, the questions that were.
Dgprince (60:22) asked.
Noah Laack-Veeder (60:23) Were like, how is this going to be real? So ultimately, what we want to do is package all that to like, You know, there’s going to be a stream of consciousness. We’re going to go through this demo. Like, we will summarize all of this as well, right? So, okay. Yep. So, yeah, and that’s not your job, Doris.
Noah Laack-Veeder (60:38) We’ll make sure that we summarize that for you. So you’ve got it. Okay. But yeah, feel free if there’s questions, we can limit them next time, but definitely want to make sure you ask as many as you want. Yeah, yeah.
Dgprince (60:50) No. Again, I do see value again just from a caqh perspective alone and then again, making sure that we understand the attestations, but, you know it, and I don’t know if you were here when we were talking about it or not Ron, but it definitely sounds a lot like the things that we do for our Ar, team where we have the web crawlers go out and just go and look at things even from a follow up perspective. So even like if, the applications are submitted to the payers instead of staff having to do the follow up, they could have crawlers and things that would go out and get us the status of it, then send it back. Then if there’s work that needs to be done, then we do the real work versus all the digging that type of stuff. So again, lots of great things. I’m excited to see them, in your system. And again, just excited to see there’s technology that really can do it.
Kyle Bettencourt (61:34) That sounds good. Yeah, I think we kind of covered early phase one today. So we’ll kind of make sure we just jump right into the demo, on Monday.
Dgprince (61:40) Okay. Sounds great. And.
Kyle Bettencourt (61:42) Get you what you need.
Dgprince (61:43) All right, appreciate it very much guys. Thank y’all, we’ll talk to you on Monday. Have a great weekend, get some sleep.
Noah Laack-Veeder (61:49) You as well. We’ll try.
Dgprince (61:50) All right.