Transcript
Naomi Denson (00:00) hi, Jemma.
Dreama Hembree (00:01) Morning. How are you?
Naomi Denson (00:03) Good. How are you? I’m.
Dreama Hembree (00:05) okay. Are they here yet?
Naomi Denson (00:07) Just Kelly?
Dreama Hembree (00:09) Okay. I just had a couple of things I was going to tell you before you let them in, but I’m.
Naomi Denson (00:15) sorry?
Dreama Hembree (00:16) What? I haven’t let her in yet? Oh, okay. I have a tracker, we met with them last night to do kind of a escalation and just meet with them. So we wanted to add a, just kind of like a, basically an excel sheet to the meeting agenda for issues for them to add on, you know, just like a document, I can’t edit the meeting invite because it’s yours. So I was going to send that to you to see if you would attach it just the agenda or the meeting. Excuse me. So, other than that, and then I had a couple questions about payers, but, I can slack.
Naomi Denson (00:51) You, okay. Okay, perfect. Thank you. You’re welcome. All right. Here comes Kelly.
Naomi Denson (01:05) Hi, Kelly.
Naomi Denson (01:11) Good morning. How are you today?
Kkeever (01:14) I’m good. How are you guys? Good?
Naomi Denson (01:16) Happy almost Friday.
Kkeever (01:18) Almost.
Naomi Denson (01:20) There’s Melissa. Hi, Melissa.
Melissa Butler (01:27) Hey there.
Naomi Denson (01:28) How are you good?
Melissa Butler (01:30) How are you doing?
Naomi Denson (01:31) Good. Let’s see.
Naomi Denson (01:43) Why is this doing this? My zoom screen is on both of my monitors got really big. Okay. All right now, I can share my screen. I think. Okay. All right. I hope you guys are having a good week so far just… for the agenda piece. And then we’ll move into, the actual training. I did just want to have the updated numbers for your provider engagement for who’s been invited, how many have been accepted? So just a few more, I think it was about 40 more that had accepted their invitations and 10 more that had been invited. So we’re still making progress there. And then I wanted to talk about the fellowship verification. I do have an escalated ticket and with our engineering team to get that configuration in place, it’s not something that’s standard with ncqa unless explicitly asked for. And I think there just was some confusion and the credentialing policies and procedures because it said if it didn’t say, yes, we need this. It said the ncqa statement that said if we’re publishing… right for our members. So I verify that there’s 14 total MD do requests that are in ready currently. And I looked at each one of their profiles, confirmed that they all have a fellowship listed. Is that a requirement for all of your MDS and dos to have a fellowship completed before they work for you? I?
Kkeever (03:16) Think it’s the orthopedic specialty requires fellowship. So all of our surgeons will have it. Okay. And.
Naomi Denson (03:23) So they’re not able to pull those back once they’re in ready to add new config, new PSPS. So they will have to be rerun for a new file to make it compliant. Because those verifications have to be done with a certain, within a certain amount of days. And it’s just not part of the platform workflow to be able to pull them back once they’re ready. So I tapped on the ticket this morning. I had our head of technical solutions who is also, my boss chime… in and escalate that to them to make sure it’s a priority to get done ASAP. And the credentialing team is aware that verification is coming and should start pulling into the packet soon. So what I want to know is the 14 that are already in ready. Do you want those to be reprocessed as a new file? Or do you just want this verification in there going forward? I?
Melissa Butler (04:22) Want to hold off Naomi. What we’re going to do is I want to verify with candy… because obviously these policies came from her. I want to verify with candy. It might be something that we can take back to the committee and have that, you know, taken out if ncqa does not require it. And I think that was our approach anyway. So it’s a, you know, I just again, I want to verify with her because if it’s not required, we don’t want to do anything extra. She did have surgery yesterday. So I’m going to give her until the Monday before I bother her. But that’s my thought here is that we might be able to take that particular policy back to the committee and say, hey, we want to strike this and then not have to worry about it going forward. And I don’t want any files put back through at this time until we can verify that. Okay?
Naomi Denson (05:24) Yeah, because what I’m understanding is that it is an ncqa requirement if you are publishing the fellowship credentials to your members, which Kelly had sent me a screenshot yesterday from your website where you are publishing that yep, which would make it a requirement. Okay?
Melissa Butler (05:44) So, ncqa Guy or it states that.
Naomi Denson (05:47) Yes. Yeah. Let me see if I can find where she said that because I think the, yeah. So the initial email that Kelly had sent over with the messaging from candy was the ncqa guideline that says verification… of fellowship does not meet the intent of verifying the highest level application. The client communicates the practitioner’s fellowship, let’s see credentialing policies and procedures specify that the organization verifies completion of the fellowship. If the client delegates this activity to the organization, or the client communicates the practitioner’s fellowship program or completion of fellowship to members in a directory newsletter by member services staff. So if you’re communicating the practitioner’s fellowship program or completion to your members in any way, then it does have to be verified per ncqa.
Melissa Butler (06:49) They’re all I mean, that’s something that the organization prides themselves on that all of our providers have completed subspecialty fellowship programs and it’s on all of our websites.
Naomi Denson (07:04) So,
Melissa Butler (07:04) it sounds like we do need to go forward with that. I don’t know about pulling the 14 back. It sounds like that might be something we need to do, but let me just verify with candy to see if there’s a workaround. You know, we did talk to Jake too.
Melissa Butler (07:19) He was like, you know, just be absolutely certain because it might, you might include some, you know, those additional fees for those verifications. So we just want to, you know, I just want to check… with her on those. OK… thank you.
Naomi Denson (07:43) OK. So Jake did reach out to you about the pass, the additional pass through fees… that it could create. Yeah.
Melissa Butler (07:51) I have to step away for a second, one moment. OK?
Kkeever (07:55) He didn’t give us specifics, Naomi, he just mentioned kind of in passing yesterday during our meeting that should we need to include, that we would probably incur additional fees since it is an additional verification?
Naomi Denson (08:08) Yeah. That’s not part of standard ncqa requirement files, but is a one off, you know, if you do this, then you have to verify it. So it doesn’t fall into our standard packets. OK? So we’re going to hold off on reprocessing the 14 mddo, any that are still in progress. Let me see. Are there any that are still in progress that are mddos? Do we want to pause them until… the configuration is ready? So that includes the fellowship? And then we can?
Kkeever (08:42) Do you know how long you’re expecting that to take? I’m.
Naomi Denson (08:47) hoping it will be done by end of day or tomorrow today or by the end of the week is what I’m pushing for to have it done quickly since we have the files in process. I.
Kkeever (08:58) Would say, yes, we should pause them if it’s going to be done in a timely manner because it sounds like we’re going to have to reprocess them anyways to include the verification. So if there’s a way to stop that and then not have to pull them back entirely, that’s probably what we should do, okay?
Naomi Denson (09:24) Don’t worry about that now.
Naomi Denson (09:32) Okay. I told her to pause them. So any of the nddos she’ll pause those until the configuration’s done so that it will show in the packet. And those won’t have to be rerun. Thank you absolutely. And then Dreama was saying that you guys met yesterday to go through the pay enrollment stuff. Anything you wanted to discuss there further. I,
Kkeever (09:54) think that we covered all of our bases pretty well yesterday afternoon. I don’t have anything to add at this time.
Dreama Hembree (10:01) Okay. Kelly, I still have to, I owe you that document and then I spoke with Naomi about adding that additional tracker to the meeting invite she owns it.
Dreama Hembree (10:12) So I couldn’t edit it last night. So I’ll get that done today and let you guys know when that’s completed.
Kkeever (10:18) Okay. No problem. Thank you.
Naomi Denson (10:21) Perfect. And then we’ll wait for Melissa to come back and we’ll jump into training… and,
Dreama Hembree (10:28) Naomi, I have to drop at eight 30, well, 15 minutes. I’m not sure what time you guys are at, but for another call. So I won’t attend the training on this one.
Naomi Denson (10:39) Totally fine. The credentialing training is pretty straightforward and.
Naomi Denson (10:46) Probably won’t even take the full 30 minutes. Credentialing is pretty.
Naomi Denson (10:53) Not too in depth or broad. There’s not too much to really look at unless you guys have a lot of questions… and you’ve already been submitting requests. So you already know how to do that.
Kkeever (11:06) I did figure it out.
Kkeever (13:19) What exactly were we going to go over Naomi?
Naomi Denson (13:23) It’s the workflows and the credentialing platform. You already know how to request, but just looking at the psvs which I think we already briefly covered.
Kkeever (13:34) We know how to do that.
Naomi Denson (13:35) And then once they’re in ready, how to move them to the committee. So when they’re in ready, they’re going to be given the status of either clean or needs attention. We have the files of the committees over here and you can bulk assign the committee. So if you wanted to say send all of the clear files and you wanted to send all of those to the same committee, you can filter by the result and you can bulk select here and then choose which committee you want to send to.
Kkeever (14:09) OK.
Naomi Denson (14:10) Once they’re in a committee and they’re showing over here, say you sent them to one committee, you sent them to Melissa. And then Melissa suddenly was out and you need the files voted on, you can do the same thing, bulk select them. And then it’ll allow you to change the committee.
Kkeever (14:26) OK. So.
Naomi Denson (14:27) It’ll give you the same little button up here to change the committee that they’re in. Once they get moved to, the committee member will be notified that they have files voting on. They’ll like for your provider, your let’s see dr beery his committee. So as a provider and admin role type. But with the committee member access, the only thing he’s going to see is files that are in his committee to vote. OK? Once they’re in ready or in the committee status, when you look at the credentialing file as a whole, you can download it to a PDF. So it’ll give you the status on the summary page of each PSV and what the status of each one was. Sometimes our credentialing team will leave notes here for anything that’s relevant. They also can put notes in… the provider’s profile. So when you’re in the provider’s profile, in their notes, you click show all notes. If they’ve left anything on the credentialing file for updates, it’ll show here as well.
Kkeever (15:38) OK.
Naomi Denson (15:43) So, the only thing with beery is make sure that he goes to a committee that is not him because he cannot vote on his own file.
Kkeever (15:50) Right. OK.
Naomi Denson (15:52) Once the committee votes, that is what captures the initial credentialing and re credentialing date to schedule it for re, credentialing in three years. OK? In the provider’s profile, in the professional info section, I think it’s professional info is where in the employment details, this is where the initial credentialing date and the latest credentialing date will populate. You cannot edit this. It is solely reliant on the approval of the vote to the file in medallion. OK. So that’s clicking approve is what captures this date. So you can’t say we went to the meeting on four two. Everybody approved it, but I came back and didn’t close it until four or five and we need to backdate the date it has to, it’s only going to capture the date that the votes logged.
Naomi Denson (16:39) Does that make sense? Yes. OK. Yeah. So once they are moved from committee voted on, they move to close and then they move to scheduled recreds, which they’ll be scheduled to go through recredentialing starting 90 days ahead of the.
Kkeever (16:56) Three year mark the.
Naomi Denson (16:57) Three year mark. Yes. OK. So you don’t have to request recreds unless something drastic changes, they have new licenses or new training or something like that needs to be verified, then you could request a reappointment early to run it back through. I was going.
Melissa Butler (17:15) To say so because I know what we want to do, we don’t want to have an influx of recreds like we want to be able to split them up, so we can control the reappointment dates like we can change those.
Naomi Denson (17:31) You can’t change them because like I was saying, so, the reappointment scheduling is going to be based on that initial credentialing date and latest credentialing date. The latest credentialing dates say they were credentialed today… and then the next recredentialing date would be four to 20 29. You can’t edit that so that’s what’s going to trigger the automatic recredentialing. But you can go into a file once it’s marked… scheduled. And then you could, there will be an option to request recredentialing or you can request it up here. So you could request recredentialing automatically, but you can’t change the automatic date. You can’t change when it will be scheduled for. But then from that,
Melissa Butler (18:22) new reappointment date, it would then be a three year from that new one.
Naomi Denson (18:29) Yes. And I can adjust.
Melissa Butler (18:34) Yeah.
Naomi Denson (18:34) So it would be a replayment from that exact recredential due from that exact date, when I can set it right now, it’s set to schedule on that date. Like, so for two. But I do have a setting that I can configure to set, automatically set recredentialing dates to the end of the month… that we use for a lot of customers. So if that’s your preference, it would automatically schedule. So if you approved them today, it would automatically set their recredentialing to be due on April thirtieth of 20 29. So it just pushes it to the end of the month to have more time and so that everything is on the same cadence. Does that make sense? Yes. Is that something that you guys want to do is set it to the end of the month? Or do you want to keep the specific dates?
Melissa Butler (19:32) I think we can keep the specific dates for now. I don’t see.
Naomi Denson (19:35) If we can change it, okay? And then the other part of this, the credentialing, so in the files, obviously, you can see all of the psvs that were run at the time of credentialing, but you also have your ongoing monitoring reports… directly in the platform in your analytics tab for the medicare opt out and PDB verification, Sam and oig. So this is the continuous monitoring report. So it will always say the date on which it was initially run with that status. If the status changes is when the result state will update. So say they ran through in PDB, everything was good. It was marked clear today and then you go in to look at it at the end of the month and you see, you know, all of the same dates you’re like this isn’t monitoring continuously. It is in the background, but the date’s only going to update if they go from clear to needs attention or needs attention to clear, if that makes sense. If this would even load. And then the other reports, the medicaid exclusion reports, the CMS preclusion reports, the psvs are being run in the files, but those come on a monthly, those are run monthly and those come on a report separately that Dreama will send to you each month.
Melissa Butler (20:55) Don’t you need me to do something there? Yeah.
Naomi Denson (20:58) That’s where you’re sending the CMS preclusions list monthly to this… email address for the monthly monitoring.
Melissa Butler (21:08) Okay.
Naomi Denson (21:12) This isn’t liking me right now.
Naomi Denson (21:19) But you can. So you’ve got all of them broken out and then you have the full sanction audit log here with the outcome the.
Melissa Butler (21:26) Preclusions list. Do we need to review that before sending it over? Or is that something we can just download and send over?
Naomi Denson (21:33) You can just download and send over.
Melissa Butler (21:35) Okay. Yeah.
Naomi Denson (21:37) You just send it to that email address and they’ll run it through our streamline service for all of the providers that are… in your platform. So, yeah, you have all of the results here. So if this were to change to a different status is when this verification date would update. So you can see these were flagged as needs attention for all of these providers. Yeah, that does not mean that there’s any action needed on your part. It’s just a way of flagging that they had something on their npdb report.
Melissa Butler (22:12) I’m trying to find you. I lost my screen.
Naomi Denson (22:14) Oh, no.
Melissa Butler (22:18) Yeah, I just, there… it is no.
Melissa Butler (22:27) Oh, it’s tiny. I hate when that happens. So… I did know there are some files on there that show that… they need attention. Like there was a Kraus. I think Matthew Kraus is one that I just looked at this morning and I had a question because like he had answered his disclosure questions positively and then he uploaded a response, but it’s extremely vague. He really didn’t provide any details. So, my question was, is, what, is medallion looking at what’s being provided? Is it is, and asking for a sufficient response? Kraus? Yes.
Melissa Butler (23:18) I had to go to the disclosure questions in his profile to see the answers that’s I mean, the only way I could find how to get there.
Naomi Denson (23:27) Yeah. So they are in, they’re… in the application I tested earlier here, the disclosure questions.
Melissa Butler (23:37) But can you get his attachments here? No?
Naomi Denson (23:42) I don’t let me see. It might be in the full application… maybe not.
Naomi Denson (23:58) The attachment. So, what is the question? I,
Melissa Butler (24:02) mean, I don’t think that that’s an appropriate response. I feel like there’s no detail there. So I’m I guess the question is, are you, is medallion looking at the responses?
Naomi Denson (24:15) We flagged for any, yes answers where there shouldn’t be?
Melissa Butler (24:20) But you’re not reviewing them, I guess is the question, so any, so the upload from the provider medallion’s not reviewing to say, okay, well, that’s a sufficient response or not that’s up to the practice to do?
Naomi Denson (24:33) Yes. Okay.
Naomi Denson (24:35) Yes. And just like npdb so if he had something flagged on his npdb for example, and it was 20 years ago, we’re going to flag anything on the npdb report even if your internal process is that we only care about anything in the last 10 years or over the certain amount of money for… malpractice claims. So you only care about anything over 100,000 dollars, but he was flagged for something for 50,000 dollars that’s up for you guys to determine if you want to push him through.
Melissa Butler (25:05) Okay.
Naomi Denson (25:12) And then I don’t know if you were back yet. When I showed you the notes section… Melissa in the provider’s profile, there’s the notes section here.
Naomi Denson (25:22) If you click show all notes, you’ll be able to see any notes that the credentialing team may have left on the file during the processing.
Naomi Denson (25:40) It’s just for caqh management. Yeah. So I clicked on one earlier that did have one. They’d have some notes. I thought… no, but yeah, you can always check there. If there’s anything flagged. And then the team can also leave notes in the actual credentialing file to the right. If there’s anything pertinent that they need to call out.
Melissa Butler (26:08) So then for dr beery, when I go over this with him, he’s going to log in and go to the credentialing tab to… click on each credentialing link to the review, like what is the process? So.
Naomi Denson (26:25) When they’re in ready, I was showing Kelly earlier. So if you’re going to send him, say all clear files or all needs attention files or specific files, you can bulk select which ones you want to send to him. If it’s not going to be all, he would send it to his committee. So when he logs in, the only ones that he can see as a provider and admin and only credentialing committee member user, and not a full credentialing administrator, he’ll only see in the committee tab, the ones that have been assigned to him.
Melissa Butler (26:55) Okay. And.
Naomi Denson (26:57) Then he’ll have a button. How did you do that? Can?
Melissa Butler (27:00) You do that one more time? So I can, yeah, so.
Naomi Denson (27:02) From ready, you can set any filters that you want, if you want to filter by status or by state or provider type, you can set those filters. And then you can either check this box to select all of them or you can just pick and choose which ones you want to send and then hover over this button here and select which committee you want to send them to. Okay?
Melissa Butler (27:21) So,
Naomi Denson (27:21) that will assign it to dr beery. And then he, as the provider and admin user with only credentialing committee member access will only see the files that have been assigned to him so he can’t see any other files or other provider information unless it’s assigned to him for committee voting.
Melissa Butler (27:36) Okay. And then whenever I go over this with him, he’s to go in. How does he approve them? What is his, what is his?
Naomi Denson (27:42) When it’s in, when it’s in the committee section, he’ll have the same option to bulk select and then vote in bulk. He can just say, approve all or on each row similar to this here, send to it’ll. Have other buttons that say approve or reject, and he just clicks approve or reject. Okay? But he can pull up the full file here, he can.
Melissa Butler (28:05) Do that. He can approve prior to the meeting, right? Like it doesn’t have to.
Naomi Denson (28:08) If it’s if it follows, your credentialing policies that he can, if it’s like a clean file and it doesn’t need full committee review, then yes, he can.
Naomi Denson (28:21) So typically, what I see with other customers is any that are clean will go to like him to review, and vote on because they don’t need full committee review. Typically, if it’s need detention, and you guys do determine that it needs committee review because it doesn’t meet your requirements, you guys would take that to the committee. Do the full vote, document it in your meeting minutes. And then with Kelly’s committee, she could come back and log the votes after the meeting has done has been done and you’ve got an overall decision… or anybody could. But that’s typically, the workflow I see is medical director approves the clean files ahead of the meeting. If they don’t need full review, and then any that need full review at the committee meeting, and an administrator can come back and log the votes based off of the decisions made. Okay? As long as that’s how it’s written in, your policies… that work like you have the workflow identified.
Naomi Denson (29:32) And then you also just have, your credentialing analytics report in here as well as your ongoing monitoring. So you have credentialing files, delivered, requests by status. And then it’ll show all of your approved credentials, average delivery time for the credentials, any that have action recommended… any that are nearing expiration or upcoming. So you have all of this data in the analytics report. And then the full summary data. And then even a report here that shows the committee votes. So these files were voted on by this committee, and this was their decision. And all of these are exportable into different file types if you need to export them for like an audit or something like that?
Melissa Butler (30:23) Okay. Thank you.
Naomi Denson (30:28) Any questions I don’t think so. Yeah, this platform’s pretty straightforward and easy to follow with the credentialing piece. I.
Melissa Butler (30:41) Did have some other questions just regarding the credentialing process. I just met with Tim and he had some questions as far as the auditing process for like how often you guys are auditing your… coordinators that are handling the credentialing piece?
Naomi Denson (31:03) And.
Melissa Butler (31:04) when there’s a finding, what is, you know, the action taken with that coordinator, how, are we being provided your audit results? Things like that. Let me see.
Naomi Denson (31:18) I think I might have something on that… if.
Melissa Butler (31:24) you have a coordinator that’s you know, repeatedly, like not processing a file properly? Are you then reviewing 100 percent of their files? Like he wants to know what medallion’s quality control is for these files?
Naomi Denson (31:37) Yes. And I have something I’ll have to ask merit where it’s the current version is, but we do have something that outlines the.
Melissa Butler (31:50) Quality that.
Naomi Denson (31:52) I can share with you. Let me reach out to the credentialing manager and see… if I can find… where that is. Let’s see here.
Naomi Denson (32:11) Yeah, I’ll find the, yeah.
Melissa Butler (32:15) That’s fine.
Naomi Denson (32:16) The information and share it over to you. Any other questions?
Melissa Butler (32:27) The preclusions list, does it matter what point of the month we send that over?
Naomi Denson (32:35) Usually at the beginning of the month, okay? Just when they run their verifications, okay?
Melissa Butler (32:40) So, then I’ll do it today, and then just in the beginning of each month, send that over. Yes, that is correct. And then.
Naomi Denson (32:52) Dreama will, once they’ve posted the report internally here, Dreama will make sure that she sends that over to you via our secure emailing methods. Okay? That they have in place for the engagement manager. So your engagement manager will send that over to you every month when the report’s available.
Melissa Butler (33:10) Sounds good.
Naomi Denson (33:12) Great. All right. Anything else that I can ask answer for you? No. Okay. All right. I, while you had stepped away, Kelly and I agreed that all of the mddo files that are in process. Currently, we’re going to pause those while epd is configuring the fellowship, so that those don’t have to get pushed back through too.
Naomi Denson (33:39) So, I’ve already flagged the team to pause those while we wait for epd to finish the configuration to pull in that verification. And then they’ll release that so that you have the full file with everything included. Okay? Yeah.
Melissa Butler (33:55) Sorry about that. I have, my husband and my son are on a fishing trip in South Carolina and we’re getting a new roof tomorrow. My husband had told me it was going to be happening today. So I had to, you know, we live in a subdivision. So I had to move my son’s truck and my car this morning at five at four am to get, you know, cause they were going to be here at six. So I was like, all right, let me just get everything out of the driveway. Well, then I find out at eight 30, no, they’re not doing it today. They’re doing it tomorrow. So I put everything back in the driveway. And then while we’re on this call, the doorbell rings, there’s a huge truck outside with all the stuff for the new roof. And they’re like we need your driveway. So, I’m like so mad at my husband. I’m like how hard is it to communicate? Like when things are going to happen? So to go out.
Naomi Denson (34:39) We just got a new roof in November and had the exact same thing happen. They said they were coming one day and then it wasn’t happening. And then they showed up and I was like,
Melissa Butler (34:46) I had to run out there and move everything into the driveway again, you know, because we, you know, we get in trouble if we leave, our vehicles, yeah.
Naomi Denson (34:53) Us too, so.
Melissa Butler (34:55) I was just like, can you, is this a joke right now? Like I was out there at four a. M, moving this stuff out of the driveway. And now I’m in the middle of a meeting having to do it again. So I do apologize for that, but I had to go out.
Naomi Denson (35:05) There, I feel your pain. I just went through the exact same thing.
Melissa Butler (35:10) I probably should have taken tomorrow off because my dog is going to be a psychopath when he hears what’s happening on the roof all day. I don’t know how I’m like I’m not going to be able to be on the roof all day.
Naomi Denson (35:21) I have two dogs and I was worried about the same thing and it’s hard to take them out because you can’t like I had, I have an 80 pound dog and a 20 pound dog and I had to take them on walks, but you have to get them out over the tarps without stepping on any nails. I had to like go out and try to flag the roofers down. They didn’t speak English. So, I was like, I need to take my dogs out. So they got down and had to move the tarps and all of it was such a pain but,
Melissa Butler (35:49) I went.
Naomi Denson (35:50) And bought CBD treats for them. And after those kicked in, they were fine, I might.
Melissa Butler (35:59) Have to take some myself. I told my, I’m like, I cannot believe that you scheduled this while you’re while you were gone.
Naomi Denson (36:06) Like,
Melissa Butler (36:07) is this a joke right now? I’m sorry, babe, because we’ve been waiting to be fair, like over, I think it’s probably been two months for a date and he’s like he had, he could work us in and I’m like, I don’t I’d rather wait another month. Like, why are you doing this while you’re not here? And,
Naomi Denson (36:22) there is no notice when they start. It’s just six a M and you start hearing the scraping and your entire house is shaking… beware. I have several areas on my ceiling inside that the drywall either cracked or fell down just like in little spots. So, yeah, it’s fun. Yeah. But the CBD treats really did help them. Especially my older dog. He has very bad anxiety and I was, he like I can’t board him. I can’t do anything. So I was like, I don’t know what to do with him all day. Yeah, it was, I thought it was gonna be a nightmare too, but.
Melissa Butler (37:00) I do have some pills they gave me for nail trimming for him. Maybe I’ll make sure to give him one early.
Naomi Denson (37:07) Oh, yeah. Yeah, at least an hour before. So you’ll be up early again, but it’ll be worth it. Well, thanks.
Melissa Butler (37:14) For the tips, I appreciate it. And I apologize. I had to step away, no.
Naomi Denson (37:17) Problem. Totally understand if you need anything else roof related or otherwise, just shoot me an email and I will send you guys an update as soon as I get confirmation that the fellowship configuration is done all.
Melissa Butler (37:30) Right. Thank you so much. Have a good day.
Naomi Denson (37:32) Thanks. Have a good day.