Transcript
Amy Walsh (00:00) hey, G Joe.
Jijo.Mattamana (00:03) Hey, Amy. How’s it going?
Amy Walsh (00:05) Good. How are you?
Kristopher Nelson (00:07) Good. Happy Friday, you?
Amy Walsh (00:09) Too. Thanks for making a little time before going to the weekend.
Jijo.Mattamana (00:12) Yeah, for sure.
Amy Walsh (00:15) Do you have any plans this weekend that you’re looking forward to? No?
Jijo.Mattamana (00:18) Really just pretty low key, which is just fun. How about yourself?
Amy Walsh (00:24) Yeah, I’m actually going to be out from the first to the seventeenth. I can’t remember if I told you and Chris that yet, but on my honeymoon to Japan, so starting to get ready for that. So, yeah, we’ll be starting this weekend, kind of just getting ready and packing and getting all organized and everything.
Jijo.Mattamana (00:41) That’s exciting. Are you doing like Tokyo and like, are you going down south or like?
Amy Walsh (00:46) Osaka or anything? Yeah, we actually are going to okinawa for a few days after Tokyo, and then we’re going up to Kyoto, hakone, and then ending in Tokyo to fly back. So should be a good trip.
Jijo.Mattamana (00:59) Nice that’ll be fun. I went a few years ago. It was a lot of fun. I’d love to go back.
Amy Walsh (01:04) Yeah, I’m super excited. We’ve been looking forward to it for a while. We got married in October, but decided to spread it out so long time coming. We’re excited.
Jijo.Mattamana (01:11) Well, enjoy. Yeah.
Amy Walsh (01:13) Thank you. I appreciate it. Hey, Chris.
Amy Walsh (01:23) I’m sure he’ll come off mute in a minute, but awesome. I know it’s a Friday so we can just get right into it. I have my manager on too, Jen, sunny to help out with some of the conversation today. I just want to make sure we’re moving in the right direction. Seems like there’s some confusion back and forth. Maybe there was some miscommunication during the original contract. So just want to kind of, you know, get on the same page and start April on a solid foot since we’re you know, really gearing up the implementation now. So I do have a few slides. I think it’ll help guide the conversation obviously just want this to be super interactive. I know I talk to you two quite often. So please interrupt me whenever we can keep this super collaborative. All right. Awesome… pleasure to meet you. Both by the way. Happy Friday. Yes, thanks, Jen. Sorry, I’m diving right into it. Okay, perfect. So I did want to pull this slide up first because this is obviously your contract. We talked about your contract on Monday. This is what you guys originally purchased. The one caveat here is originally you purchased the license expiration monitoring, but we fixed that and we made this comprehensive monitoring already. Chris, earlier in the quarter, I think you remember that we’re going to credit you for the difference in the price. Yep… outlines everything you purchased your initial contract. The top two numbers are the ones that we’ll spend time talking about today to get on the same page. And we can talk a bit about cred, tjc and how you need these to be able to do that with the providers that you have, we’ll talk all that out. So on the next page here for medallion corp, based on what you’ve shared and based on the import template, and based on the implementation conversations we’ve been having, you do need those 210 additional medallion corp providers with those providers. You then need the comprehensive monitoring. The reason why you need those two pieces for these asc providers is to be able to complete credentialing tjc without those two service lines. We’re not able to complete those credentialing packets for you because we need all that information on the medallion provider profile to be able to complete it for you. I’ll pause real quick. I’m sure you have questions. Yeah.
Kristopher Nelson (03:41) Well, that’s the biggest disconnect for me. So when we went through the project. So I do remember the conversation. So we have contractors that we needed privilege for the surgery centers and we factored that in on the credentialing number there. The, and I know that’s like every three years. So there’s like some math behind it. So it’s not actually, but regardless of what the contracted provider number is, I’m not understanding why to do that privileging. I know we had conversations that they may already be credentialing services for those because they’re contracted. You know, they’re not in vision providers.
Kristopher Nelson (04:22) So someone may already be doing it on their behalf, but we still needed to privilege them. But I’m not understanding why to privilege them, they have to be part of the medallion core, correct?
Amy Walsh (04:34) Yes. And let’s when you say privilege, let’s get on the same page because maybe privileging is the word we need to dive into. When you say privileging from your perspective, what does that mean that?
Kristopher Nelson (04:46) Means allowing or all the behind the scenes to have the physician able to practice at the facility or the surgery center, not the like ongoing, you know, license monitoring, all the other stuff on a physician side. It’s really facility specific, allowing a certain provider to practice at a facility or surgery center.
Amy Walsh (05:08) Okay. Got it. So in order to put together the required packets to have those providers privileged, we need to be doing the primary source verification, which is the ongoing monitoring, which comprehensive monitoring that’s all the same thing. So we need to be doing those checks on those providers to appropriately privilege them.
Kristopher Nelson (05:33) Next step to that. Yeah, this is what popped up in our last conversation. So it sounds like to have the providers do the privileging, they have to be part of the core and monitoring, correct? And that’s where I don’t understand why do we have the quote that does not include? So that quote in no way is going to be accurate? We know that to do that privileging, they have to be on the core. So why do we have a quote that doesn’t include those providers in the privileging,
Amy Walsh (06:01) so when I spoke to cliff about it yesterday, the feedback he got was that during the sales cycle and this is what was shared with me.
Amy Walsh (06:10) And this is what I’m going off of that we needed to lessen the scope in the contract to be able to move the contract forward. So, I don’t know if that’s where the disconnect was or maybe there were conversations about we don’t need to include all providers right away because we’re not going to implement them all the way right away. We’re not going to do all the contract providers. We might do that down the road. I don’t know if that’s where the disconnect is coming from, but from what you’re describing to me, yeah.
Kristopher Nelson (06:39) From my standpoint, it is, so, I guess my understanding at the time was that we could do the privileging and we may or may not need to do the credentialing as well, but we could decide that later. But it sounds like there’s no decision. They have to be part of the core and where we thought it was a we’ll decide if we need it later, it should have been included. Is my understanding.
Amy Walsh (07:01) Yes, that sounds yes, that is correct. That it should have been included initially and it was not.
Kristopher Nelson (07:06) Because there is no decision factor, they needed to be part of the, to do the privileging, they need to be part of the core but that’s not how I guess we were understanding it or how it was described to me. And maybe it was. I just didn’t understand the explanation.
Amy Walsh (07:20) That’s okay. Sounds like.
Kristopher Nelson (07:21) The quote is not accurate because to do the privileging, you have to be on the core. Like the quote should not have been missing those providers. It should have either been one or the other. Either they’re all excluded or they’re all included. There should be no mismatch there.
Amy Walsh (07:40) Yeah. So just to take it like in good faith, I know that we’re having back and forth in this like there’s miscommunication done. Sounds like everything wasn’t fully explained properly. They’re you know, want to recognize that. So we do want to offer the 20 percent discount for these medallion core providers to be added to the contract to at least put this in good faith and move it forward. And the reason why we’re trying to get ahead of this all right now is once you’re actively using medallion, your consumption is going to start to be eaten up by these providers that you’re adding. So it’s good to get ahead of it now proactively. And with this discount that we’re offering you now, we can lock that in, make sure you get the discount and that the overall dollar amount that you’re being charged has that slight decrease versus if we weren’t deciding they didn’t know with this discount that we’d be adding the providers that since you want to add them anyway and we’ll need to add them anyway.
Jijo.Mattamana (08:33) Well, I guess, Amy, I guess the first question I guess the thought I have is like we don’t need to add them right now until we come to an agreement, right? We don’t need to add all these contracts.
Amy Walsh (08:43) Yeah. You definitely don’t you don’t need to.
Jijo.Mattamana (08:45) We’re definitely in no rush to sign this until we figure out like the reasoning and the math behind this. Like the main disconnect we have is the seven D providers that we were quoted that you didn’t say that we needed medallion core seats for those providers, right? To my understanding, it’s like selling someone a car and not giving them the steering wheel and saying you actually need to buy the steering wheel from us too, right?
Amy Walsh (09:05) Sure.
Jijo.Mattamana (09:06) That’s kind of how we feel. And we went into 20 26 with a budgeted number for medallion costs. And now due to a lack of foresight on your end, we’re going to miss budget because we didn’t account for these costs because you basically sold us a car without the steering wheel, right? That’s the position you put Chris and I in. And now we have to go back to our CEO and CFO and tell them, hey, we’re going to go over on medallion implementation spend now because they told us that, you know, we were misquoted and now we need to pay more and it’s a result of, you know, this process and that’s the position that you’re putting Chris and I in and the 20 percent discount doesn’t necessarily solve that like, yes, I appreciate that in good faith, but it doesn’t solve this issue of, you know, the medallion core seeds for these providers. I think that’s the main disconnect. Yeah.
Genevieve Seney (10:02) I could jump in a little bit too. I think like totally hear you. I love your quote of selling the car without the steering wheel. I think like from our perspective, right? Like myself, Amy, we’re obviously not a part of pre sales and what goes on during you know, that discussion. And I think like what Amy is saying here too, right? Is that we’re kind of we know you need this, right? Like we know you need this. And so that’s the only reason why we’re saying like we do want to provide a discount because going back and myself just looking at the historical conversations like, yes, it’s clear that this was miss scoped I think. And so the only thing we can do is to accommodate the, what you truly need. And so like understood you might not need this right now. Completely fine. The one thing I do want to call out is that the 43 dollars will apply to all of your providers. So you will be consuming at a lower price for everyone, not just the additional once that’s into place. So in that second part there, I think, yeah, so it, we track how many are active daily. And so we’re only charging you for the total amount that you have on a daily basis. And that would be at that discounted rate for everyone, not just the additional that you needed. But here you, this is obviously a surprise and not something that you have accommodated for, but I did just want to call that out.
Jijo.Mattamana (11:22) Okay. So to, I guess to understand then, the 43 from what is it? April one through the end of the two year contract will be applied to all providers. This is not a 20 percent discount on just the 210, right?
Genevieve Seney (11:38) Correct. If you, if you’re to sign this like starting April one, you’ll be consuming at the 43 dollar amount for all of your providers.
Jijo.Mattamana (11:46) Okay. You know, I think obviously, I think Chris and I probably need to chat about this and we need to figure out a way to explain this as well, but I don’t know Chris, is there anything else that you can think about? I mean, I guess, this slide is definitely helpful if you could send this deck after?
Amy Walsh (12:08) Yeah, absolutely. Well.
Kristopher Nelson (12:10) I’ll talk to you. I’ll talk to you about, the privileging side because there’s some math behind it. So it’s not like straight 73 providers. It’s there’s some assumptions there about new contractors on boarder providers every three years. So, it’s not just a straight number on that, but I can explain that to you.
Genevieve Seney (12:29) Thank you.
Jijo.Mattamana (12:35) And then, is there anything else in here, Amy in the deck that’s.
Amy Walsh (12:39) helpful. No, I don’t no. I mean, the next few slides I had were just to remind you about what medallion core is, just to break it down for you a little bit. And then at the PSV files like explaining how that is applicable to tjc credentialing. And then on the last page here, I have the comprehensive monitoring just reminding you what those checks that we are doing for you are just, to make sure you understand what you’re purchasing, and how all these things tie together. Okay? If.
Jijo.Mattamana (13:12) you could, if you could send us this deck, and then Chris and I will find some time today or Monday to chat. Yeah. Then we can definitely get back to you guys. Again, I know we’re trying to move forward and we’re trying to, you know, get to a good place. I think we’re just trying to figure out totally a couple things on our end as well. Yeah, I.
Amy Walsh (13:32) totally understand. And again, I don’t want to have these conversations with miscoping, they’re not fun for you guys or us. So definitely want to acknowledge the frustration there and just appreciate your patience on this. And I know we’ll get to a better spot once we get this all sorted.
Jijo.Mattamana (13:48) Good deal. Anything else from you, Chris? Nope?
Kristopher Nelson (13:51) Thank you.
Amy Walsh (13:52) Okay. Thank you. Both. Have a good weekend. You too. All right. Bye.