Transcript
Naomi Denson (00:00) hello there. How are you? Hi?
Karen Mok (00:02) Jacqueline?
Naomi Denson (00:04) Hey there. How’s it going?
Karen Mok (00:07) Good. I just need like five minutes today. Hello? Hi, Naomi.
Karen Mok (00:27) Brian, and.
Naomi Denson (00:31) Brian, Brittany, and Renee is here. Okay?
Karen Mok (00:34) Is Tamala gonna be here? She’s.
Naomi Denson (00:37) not here yet, but let’s ask Renee.
Karen Mok (00:39) Okay. Because I wanted to show her the new dop forms and since she will be approving them if she can’t make it, I might have to join another meeting.
Naomi Denson (00:49) Hey, Renee. Hey, Brian. Hey, Brittany. Hi, do you know if Tamala’s gonna be joining today? I’m not sure, I am expecting her to. Okay. Yes, she did accept the invite. So we’ll give her a couple of minutes to join here. Karen’s here. She’s got the new dop forms created that she wanted to run past her for approval. Oh, great. Okay. All right. While we wait for her to join there’s… Victor, I have some questions for him.
Naomi Denson (01:39) It’s taking him a minute. It’s just spinning.
Naomi Denson (01:47) Hi, Victor.
Naomi Denson (01:52) All right. So, I did have, while we wait for Tamala to join, to review the dop forms, Victor, I wanted to follow up with you. I had sent you an email yesterday about tprc, one of the payers, all of the existing enrollment data that you shared was imported except for one payer for the Ohio bureau of workers’ compensation. It does state that they enroll from providers from other states, but Florida is not one of those. So, I was just hoping that you had any clarity on that, on those enrollments. I.
Vxt001 (02:31) Don’t at this moment. But I mean, as far as I know they’ve been enrolled. Now, they continue to get kicked out. I think if they don’t do certain cases within a certain timeframe and they have to re, enroll, but as far as I know that was still, I’ll have to check with the administration. I just haven’t had a chance yet.
Naomi Denson (02:47) Okay, perfect. And then for south Texas, fine. So, their enrollments all of the ones for that, their original address that’s not legal yet were stopped. There were a couple that were submitted with the address that’s currently on Pecos, I think it was three, that we were able to process with that address that’s already on Pecos. You sent me that other email about there’s another location that you’re going to be adding to Pecos?
Vxt001 (03:21) Yes, that.
Naomi Denson (03:23) You will be utilizing, are you going to be utilizing both the one that’s already in Pecos and the new one… going forward or just the new one?
Vxt001 (03:33) Just the new one going forward?
Naomi Denson (03:35) Okay. So, when the three were,
Vxt001 (03:38) but it hasn’t we haven’t officially signed anything. We just haven’t yeah, signed anything just yet. But once that’s signed, you know, they’re supposed to go active six one. And so basically, we couldn’t file to change that until third part of the six one. So I was wondering if we could still use that. That way we wouldn’t have to go back and change anything or if that’s going to be an issue. We just move forward with, the other, the one that’s on there now?
Naomi Denson (04:09) Yeah. So it looks like we can… move forward. Are you going to be requesting medallion to add that new location to Pecos to the group, medicare and the existing provider, medicare’s… because it’ll have to be on the group medicare in order for us to add new providers to it first. So, I didn’t know if that’s already been submitted.
Vxt001 (04:34) No, it hasn’t been submitted yet. Okay?
Naomi Denson (04:38) I’m just trying to figure out if we should just move forward with submitting new enrollments for all of the groups and providers, for the different payers that were in with the old address that we stopped with the existing address that’s in Pecos for all payers. I just want to make sure that we’re moving or if we want, if you’re going to request us to do the update in Pecos for the group on medicare to add the location and then you can request the new providers to be added to that location for their new enrollments or are you going to be requesting to add them to both?
Vxt001 (05:16) Eventually they’ll come off the one that’s, the hardy address, and then they’ll go to this new one. Okay?
Naomi Denson (05:23) So the hardy address is going away. You’re replacing that one?
Vxt001 (05:27) It’s for billing. Yeah, I mean, yeah, for actual practice location, yeah.
Naomi Denson (05:32) Okay. Have you created the practice profile for the new address yet? The third one?
Vxt001 (05:37) No, okay.
Naomi Denson (05:38) So, let’s go ahead and do that and you can go ahead and submit the request for that one. Just with the medicare. It’s not going to be able to be done until that new location is added to the group? Okay? And then you would need demographic updates for the providers that were already enrolled with medicare?
Vxt001 (05:59) Okay. To.
Naomi Denson (06:00) Have it added there too unless you guys are going to own that and you’re not submitting any medicare requests to us that’s up to you. But the other payers, you can create the practice profile, submit the new request with the correct address that you wish for us to use. Does that make sense? Okay. Are we ever going to be going back to, that original address? I’m trying to remember what it was? The six six, four, seven or six seven four?
Vxt001 (06:29) Was that the come on.
Vxt001 (06:35) The Schwartz address or the actual hardy?
Naomi Denson (06:37) The original one… that you gave us the six seven oh four guadalcoma drive. That was the original one that you had submitted the request for that. Then it was determined that one wasn’t on Pecos, it was the hardy oak that we were going to switch to. And then now there’s the third address, which is the one that we are ultimately going to use, but I was just asking, are you ever going to need the six seven oh four guada? Is that still on the radar?
Vxt001 (07:09) Probably, Zach would answer that better than I could, but I would assume no.
Naomi Denson (07:15) Okay. I’m just trying to determine, let me share my screen. I’m just trying to determine. So we need you to add the practice location with this address information. But if you’re never going to need this information and all of the administrative information that’s in the practice profile is the same, you could just change this address.
Vxt001 (07:36) Okay. Matt, is that, I know Zach’s not on, but is it okay to take that off now or should we wait?
Matthew West (07:45) Sorry, I literally just joined. So, yeah.
Vxt001 (07:48) Sorry, so right now… it has the coma, the Schwartz address as the physical location of the office for San Antonio. Yeah.
Naomi Denson (08:02) Do we?
Vxt001 (08:03) Want to keep that in there? Or knowing that we’re going to sign for this new location? Do we need to take it out? Or do we still have it as an option still, that we just need to hold onto it for now? I.
Matthew West (08:16) Think we should hold onto it. It likely is going to be part of the plan this year. So I wouldn’t undo all the work that you’ve already done unless it’s going to cause problems. So I’d focus on the huebner location, which I don’t see listed here.
Vxt001 (08:33) Yeah. I haven’t done anything because we were trying to figure out first if we needed to because we’ll have to have it added to medicare, but you can’t do that until three days prior to the effective date.
Naomi Denson (08:44) So, for the other payers, I think we should be okay since they typically take longer to process… Jacqueline. Are you on the call? Do you have any, yes, Jacqueline, do you have any insight into, if the location does not open until six one? Can we still submit enrollment requests to payers other than medicare?
Jacqueline Jones (09:08) I would not submit any. I would not submit anywhere other than what we are going to be placing on the applications that’s just so the claims won’t reject… what do?
Naomi Denson (09:23) You mean?
Jacqueline Jones (09:23) Am I, am I understanding your, you’re asking me, should they repeat the question? So I can understand what?
Naomi Denson (09:29) You’re asking? We need to figure out if, for all payers other than medicare, where you can’t submit the request until 30 days prior to the practice effective date, they have a new practice location that’s going to be effective. Six one, they need to submit new enrollment requests for these payers for this practice location. Can they go ahead and do that? For all other payers? This is their list of payers that they had now since it’s 60 days away.
Jacqueline Jones (09:59) I don’t see it being an issue as long as all the providers have gone through credentialing. And, yeah.
Naomi Denson (10:06) Yeah. So we’re going to submit the group enrollments and new provider enrollments, because this is a brand new practice.
Jacqueline Jones (10:11) Right. So, yeah, we have to stand up the groups and then affiliate the providers or full enrollment for the providers. Yes?
Naomi Denson (10:19) All right. Victor. So, yeah. So add the new practice location for the new address.
Vxt001 (10:23) Okay. And.
Naomi Denson (10:24) Then we’ll and then resubmit the requests in the platform for what’s needed with those groups. Except for the three that are processing with the other one, there’s two that need client attention that are in intake that have that party address on it. So if we want to stop these, we can and you can just request new. This one is processing but does not look like it’s been submitted yet. This is for medicare Texas for this current address. So the medicare one still would have to go to this address since the old address isn’t on there. But if you want us to stop this one, we can too, and then just start over. So you could that data import template where we originally imported the request. If you just want to add the practice profile and update the practice address, we can just resubmit what we did there. Okay? So just let me know if you want to stop these three… there are four that were completed, which address are these for? So these were completed with the other address. It looks like that’s not a thing. So we would have to do a demographic update on these to add the new correct location. Does that make sense? Yeah. Okay. All right. And just shoot me an email. If you get stuck, we can jump on a call. Okay? And then Karen.
Vxt001 (12:00) You’d rather me just re, change the practice location on the import template and just resend that to you and just start over.
Naomi Denson (12:08) Yeah, that’s fine. We can do it that way.
Vxt001 (12:10) I’d rather do that if that’s easier, and then you can just do a mass change.
Naomi Denson (12:15) Yeah, if.
Vxt001 (12:16) That’s easier. Yeah.
Naomi Denson (12:18) That’s fine for this round. So we can get this corrected quickly. Okay? And then Karen, I saw Tamela join and I let her in. And then now she’s not here. Do we know? Renee she?
Rene Dillow (12:32) Said that she’s at the airport, so she’s probably having it’s tough for her to connect. So, Karen, if you could please just email to her and I, if you don’t mind, and then she’ll get back with you and give you any feedback? Okay, perfect. I’ll do that. Thanks everyone.
Naomi Denson (12:47) Thank you. All right. Okay. So we’ve got that sorted out with Victor. Does anyone know if there’s any update on the MD-Staff data?
Rene Dillow (13:03) I have not seen an update. Okay?
Naomi Denson (13:08) Do you know if Tamela was able to pull that file? I didn’t see where she shared it with us.
Rene Dillow (13:13) Let me double check that. One second. Okay? Email here?
Naomi Denson (13:25) And then I think we’re still Victor you were working on gainesville, I enrollment data? Are there any? Yeah. So everything else that we’ve received so far has been completed with the exception of that one for tprc with the Ohio bureau. Okay? I’ve reached out to all of the practice admins on Brian’s side about inviting providers. They are moving forward and inviting them as needed or triggering me to say that I can invite them so that’s being done. Wanted to just find out for the payer enrollment piece. Are there any other centers other than south Texas bind that have an immediate need or desire to have payer enrollment work done?
Brian Blackburn (14:16) No, there’s nothing that we have an immediate need for. I do want to put on the radar though just kind of along that question. We’ve got potentially a new acquisition in the pipeline that we could roll on to medallion, which again probably won’t have any initial work, but there’s a potential to roll them into the platform for just ongoing monitoring on that payer enrollment side. So if… we do run into that situation and we make that decision to pull the trigger on that, I’m curious, can we just kind of roll them into this initial phase and just kind of start that work just as needed like we did with south Texas or do we need to?
Naomi Denson (15:06) No, yeah. Yeah. I don’t see why not like just sending the data import template and getting them set up in a platform like we’re doing for all the others just to get their data in there?
Brian Blackburn (15:18) Yeah.
Naomi Denson (15:19) Yeah. That’s no problem.
Brian Blackburn (15:21) Okay.
Rene Dillow (15:22) And you,
Brian Blackburn (15:23) know on that since we’re on basically a consumption model, any new groups that we add in there?
Brian Blackburn (15:28) You know, we’re only billing based on our consumption and what we’re utilizing, right? So it’s not like we have to sign new agreements for new practices. Yeah.
Naomi Denson (15:38) So, not for new practices but your consumption as a whole. So you’re contracted for a certain number of provider seats. So that’s the medallion core. So you have a certain number of provider seats that is being accounted for in each of the child organizations or separate group setups that we’re doing for each practice location or center. And then how many enrollments they’re requesting in medallion, how many? Yeah, you’re not billed for like just having the organization created. It’s the number of providers that are taking up a seat in each one.
Brian Blackburn (16:20) So if we bring on a new organization, like in this situation, they’re going to have a new provider of let’s say seven provider seats, does that increase our… commitment, our consumption commitment with medallion?
Naomi Denson (16:38) So, if you have, let me pull up, see if I can pull up your contract. So… it’s.
Brian Blackburn (16:49) kind of the same question that matt and I had regarding, I think one of the groups that Tamla signed a separate agreement for too is like wait a minute. Are we committing to an increased consumption model now? I thought we could just roll them in to our existing agreement?
Naomi Denson (17:11) Yeah. I think Genevieve… sini, was in touch with you guys about that agreement. Okay? But the way that the like the general contracting, let me see if I can put this on. So surgery partners.
Naomi Denson (17:38) So your original contract is… for year one for medallion corps that’s the provider seats is 3,215. And it looks like not… giving me any data. So just estimating. So all of the MD-Staff data and everything that we’re waiting on, say we import all of that and it is 3,015 providers. You would have 200 extra seats for providers to add new organizations. Does that make sense?
Brian Blackburn (18:21) Okay. Let me make sure. So after the MD-Staff import, we still have an additional 200 seats to fill. I’m.
Naomi Denson (18:29) just making up numbers because I don’t know how many providers are on the MD-Staff data versus how many are already in platform, but I’m just making up numbers as an example. So after MD-Staff and all of the other imports that we’re doing currently say you were under that contracted threshold for the provider seats, then you would still have open provider seats to utilize for new practices?
Brian Blackburn (18:55) Okay. Without.
Naomi Denson (18:56) An addendum to my understanding. But like I said, I don’t know what… Amy and Tamela had or I don’t know if it was Tamela but had talked about numbers wise at where we thought we would be at before this other acquisition.
Brian Blackburn (19:14) So if we go over that kind of let’s say, you know, that number of provider seats that’s where our threshold then would increase?
Naomi Denson (19:22) Yeah, for any of the like any of the like contracted volumes for any of the products, if you’re going to go over that with these new acquisitions that’s where, and my understanding is that a new addendum or, you know, increase… in volumes would be needed. Okay? But I think Jen, Genevieve had said that she was going to be communicating… about that with you. I think matt, she said, matt, you reached out to her.
Matthew West (19:56) Yeah, I did. I just want to make sure we’re on the same page there. We don’t have to cover on this call, but I’m sure we’re you know, when we had conversations with Brad, it was all about, you know, flexibility within the SKUs to move things.
Naomi Denson (20:10) Yeah. And that’s yeah, that’s definitely a case too. So, if you’re under consumed on pay enrollments and you’ve got a 1,000 and you’ve only used 100, the money that is dedicated towards that pay enrollment, SKU… can be flexed to other areas for example, to cover any overages that might happen. Yeah. But Brian, if you are going to be adding a new practice, the only thing I ask is that you just make sure they’re added to that tracking sheet so that I’m aware. Yeah, of one that we’re talking about and know that I need to build their separate organization.
Brian Blackburn (20:49) Yeah, yeah. And we haven’t completed due diligence yet. I’m just trying to prepare for it. So, okay. Yeah.
Naomi Denson (20:56) If you have any further questions about that, I know Amy’s out of office, but, yeah, Genevieve would be the point person to run any of those consumption contract questions by. But as we sit right now without knowing what’s on the MD-Staff data, I don’t think there’s any issue with that. Okay? It’s only seven providers.
Brian Blackburn (21:19) Yeah. It’s a small group.
Naomi Denson (21:21) Okay. All right. Any other questions that you guys have for me? Anything that’s come up?
Naomi Denson (21:31) No. All right.
Naomi Denson (21:33) Renee, if you could find out about the MD-Staff file and see if you guys are able to share that. So we can do an initial review, see if we can be helpful anywhere to help push that along.
Rene Dillow (21:46) Yes, the it team did reach out and I believe they did share some samhpa data with Tamela but I’ll talk to her about it because I believe she has to drop it somewhere. Do you have a?
Naomi Denson (21:59) The couch dropped me.
Rene Dillow (22:01) The couch dropped? Yeah. Right. Okay. I think she has it. She just needs to drop it in there, but I’ll follow up with her.
Naomi Denson (22:08) Okay, perfect. All right. Everybody. I appreciate your time today. If anything else comes up or Victor, if you have any questions or need me, please reach out, let me know all.
Rene Dillow (22:20) Right. Thank you. Have a good day.
Naomi Denson (22:21) Thank you. Thanks you too.
Brian Blackburn (22:23) Thanks Tamela all.
Naomi Denson (22:24) Right. Bye bye.