Transcript
Joshua Levitan (00:00) amen, what’s up? What’s up?
Jake Shubert (00:05) Nothing much. How’s it going?
Joshua Levitan (00:09) It is going well. Nice. How about you?
Jake Shubert (00:17) It’s going good. No complaints.
Jake Shubert (00:24) Yeah. I’m curious how this call is going to go?
Jake Shubert (00:36) Christine confirmed she would join. I have not heard from Tiffany though. She’s who I most want to join. So that’ll be interesting.
Jake Shubert (00:54) Yeah, I agree.
Jake Shubert (01:13) You looking forward to Austin, not going to be there? Oh, where are you going?
Joshua Levitan (01:19) Nowhere, just my body’s been through a lot.
Jake Shubert (01:24) Very, very fair. Yeah.
Joshua Levitan (01:26) So, yeah… sad, I wanted to see everyone.
Jake Shubert (01:33) There will always be more qsrs. Yep, you won’t have to wait long. I was shocked at the turcow news though.
Joshua Levitan (01:42) Yeah, I wasn’t that surprised. He’s been in a tough spot for a while. He’s selling solutions that we don’t have.
Jake Shubert (01:49) Yeah, I mean, that is rough.
Joshua Levitan (01:55) But this new Guy that we hired was the chief revenue officer at provider passport.
Jake Shubert (01:59) Yeah, that is super. I saw that. That’s very interesting. What’s his role going to be with us? Turcow. Okay. Got it. That makes sense. Job description. Turcow.
Joshua Levitan (02:10) I don’t think the two were related per SE. Yeah, I don’t know that for a fact. My guess is that the two were not related. I think we would have happily taken this Guy and found stuff for both of them to do. But I think especially now with turcow leaving, he’s turcow.
Jake Shubert (02:24) Yeah, that tracks. Okay here’s. Christine.
Jake Shubert (02:42) Hey, Christine. How’s it going?
Christine Mulder (02:48) There we go. There’s so many clicks.
Jake Shubert (02:53) Just as ever, the auto mute functionality has stayed strong. How’s it going?
Christine Mulder (03:00) It’s going good. How about yourself? It’s going.
Jake Shubert (03:02) Good. It’s great to chat with you again. It’s been a while, so this is awesome.
Christine Mulder (03:06) Yeah. How?
Jake Shubert (03:07) Have your last few months been?
Christine Mulder (03:11) Very cold, very snowy. Yep, very damaging.
Jake Shubert (03:20) Yeah.
Christine Mulder (03:22) We, we experienced a few severe ice storms, one of which we were without power for, I think it was five days.
Jake Shubert (03:32) Five days damn.
Christine Mulder (03:34) Internet without for four. Yeah, which then I went so I could work because I’m out in the middle of nowhere. So it’s not like I could drive to a coffee shop.
Jake Shubert (03:46) I remember that. Yeah, I.
Christine Mulder (03:48) went out and bought a starlink mini, and being out in the middle of nowhere, I have the one little bar. So, trying to set that up was very frustrating.
Jake Shubert (03:59) Yeah, I imagine so.
Christine Mulder (04:03) Yeah. And in the terms of it now, in the spring, we have trees to clean up and we have a roof to repair and it’s just like gosh, that.
Jake Shubert (04:13) Is wild. So, for those five days, do you have a backup generator? I guess, what were those five days? Like?
Christine Mulder (04:21) We have a backup generator that runs everything except for the stove and the hot water heater. Okay?
Jake Shubert (04:32) So,
Christine Mulder (04:33) we had to resort for a few days of doing nice things. Fuck it baths. Those are always so refreshing.
Jake Shubert (04:43) I bet that really woke you up in the morning though.
Christine Mulder (04:46) Yeah. Then I had a camp stove set up with water on it to boil it so I can get hot water because everything we have is electric. So we’re not running off of propane because propane is expensive. Yeah, but so is electric. So, yeah, it was interesting. It was interesting.
Jake Shubert (05:06) That definitely qualifies as interesting. Yeah, I’ve I got a bunch of family and friends on the east coast who got hit with obviously like snowstorms and blizzards and stuff over here in Portland. We didn’t really get anything bad like last year, we actually got like the biggest ice storms in Portland history that like, you know, we lost power and my apartment flooded, which was super fun.
Jake Shubert (05:29) But this year, we like somehow, I guess knock on wood. We escaped all of the like crazy cold fronts and that kind of thing. So, yeah, I didn’t really, we.
Christine Mulder (05:38) did it last year and then we got it again this year, but last year, it was just north of us by 20 Miles. Oh, wow. But this year, we were included in it this year.
Jake Shubert (05:48) Yeah, 20 Miles is like nothing that’s like barely missing it. Yeah. Damn. Wow.
Christine Mulder (05:55) But I’m just waiting for the warm weather. Yeah. Right now, we’re going through like the Indian weather.
Jake Shubert (06:01) Okay.
Christine Mulder (06:02) We were in the sixties and then now we’ve got a couple days of snow, And it’s like really and then we go to rain. And then now starting tonight, we’re going to get more snow and then it’s going to switch to rain. And then maybe by next week, we’ll be in the we’ll be, we’re supposed to be close to 70 and I’m like I just wanted to stay.
Jake Shubert (06:24) Yeah, we had like an 80 degree day and then the next day, it was like 45 and it’s just like, all right, let me know when we’re past all this stuff. Yeah.
Christine Mulder (06:33) Wow, Tiffany said she was probably going to be a little late because she’s finishing up an audit with novitas. Oh, yeah. So… she would probably be late.
Jake Shubert (06:45) Yeah, that’s no problem at all also, if I remember correctly, weren’t you helping your son move around like end of last year? How did that moving process go?
Christine Mulder (06:54) It was good. Yeah, it was a little much for me. Yeah, I figured out my age is catching up with me.
Jake Shubert (07:05) Lifting heavy furniture and that kind of thing.
Christine Mulder (07:07) Oh, not the furniture, but he was on the third floor. Oh, so carrying boxes up two flights of stairs to get to the third floor. I’m like my gosh, I’m like, yeah, I try and stay busy and stay active and fit and everything. But that was something, it was like that’s another great thing in life. Yeah, realizing when you get in that age where things are starting to not be so easy, but.
Jake Shubert (07:37) Yeah.
Christine Mulder (07:37) No, he’s doing good. Yeah, he had my car and that’s another thing that happened this winter is he had my car because his broke down. Okay? And in the process of him having my car down there, a plow truck hit it, oh.
Jake Shubert (07:52) My God.
Christine Mulder (07:53) So, that was a whole fun event of trying to dicker with getting it fixed.
Jake Shubert (07:59) Yeah. And.
Christine Mulder (08:01) It come down to him having a friend that, you know, that could fix it. And I’m like, no, you know?
Jake Shubert (08:08) Yeah.
Christine Mulder (08:09) It’s like, no, yeah. So we ended up settling for not even half of what the cost was going to be to at least something, you know? Yeah, because I’m not going to claim it on my insurance because it’s an older car. It’s a 2015, but still, it had very low mileage. Nothing wrong with it at all the body or nothing. And it’s just like, yeah… because my insurance, I spoke to them and because it’s an older model, they would have told me, of course. Yeah. And I’m like then my rates go up and so I’m like whatever.
Jake Shubert (08:41) Yeah, that’s good. How did the plow truck hit it? The plow truck just like the,
Christine Mulder (08:47) back blade? Okay. So, he was backing up, yeah, to plow out and he dropped the blade and was too close. And wow… yeah, I was like, dude.
Jake Shubert (08:59) That’s a wild one.
Joshua Levitan (09:00) I had that happen to me once my car was parked on the street and it was the city DPW’s truck took out my whole front bumper.
Christine Mulder (09:08) Oh,
Jake Shubert (09:09) wow. So, what, do you contact the city? Like what happens when you do that?
Joshua Levitan (09:16) For me, I didn’t even realize that because it was the middle of a snowstorm but the plow driver is like covered by the city’s insurance. So, he actually called the police and filed the police report, got it. So, I went out like the next morning and realized and called the police. And like we actually already have our police report like from the well.
Christine Mulder (09:36) That’s nice.
Jake Shubert (09:37) Yeah, that is nice.
Joshua Levitan (09:38) The town’s insurance like the DPW insurance covered it all.
Christine Mulder (09:44) That’s nice. Yeah, the Guy that it was a private plow company that, and of course, they didn’t say a word, and my son calls me from work and he’s like somebody hit your, I think a plow truck hit your car. All the guys were looking at it and they know that looks like a bat that looks like a blade. And I’m like, what, huh, what?
Jake Shubert (10:09) Yeah. Did you?
Christine Mulder (10:11) See it before you left? And of course, it’s on the driver’s side. He’s like, no, I said, how could you not see that? Yeah. Oh, no, it was dark. I’m like you have parking lot lights. I’m like, whatever. Yeah. And then, you know, calling the leasing office to say, hey, did they say anything about hitting the car? No, of course, they didn’t and it’s just like, yeah.
Jake Shubert (10:37) That is insane. That’s quite a phone call to get is being like, hey, your car was hit by a plow truck? Yeah.
Christine Mulder (10:43) And then, you know, and then it ended up being that about a month ago. I got this random text from somebody that was like, yeah, I wanted to make sure that, you know, you got the funds for your, for the repair for your car and I’m like, excuse me, who is?
Jake Shubert (11:01) That, yeah.
Christine Mulder (11:02) Well, this is so, and so I’m the one that hit your car and I’m like, I wanted to go then, why didn’t you man up to it? Yeah.
Jake Shubert (11:09) Right. You?
Christine Mulder (11:10) Know, but I’m like, no, he goes, I just wanted to make sure that, you know, they paid you because, you know, before I pay them, I wanted to make sure they paid you and I’m like, that’s pretty bad when you gotta pay your employer for something that’s covered under their insurance so that they don’t have to do a claim on their insurance. And I’m like, man, I’d be looking for some other place to work myself?
Jake Shubert (11:35) Yeah, that’s a backwards process. Wow. Yeah, real quick.
Christine Mulder (11:42) And see if she’s gonna be able to. Yeah.
Jake Shubert (11:44) Yeah, no problem.
Jake Shubert (12:08) Let’s see what she says. Yeah, we can give her a couple minutes too.
Christine Mulder (12:12) Yeah. Currently, right now, I’m working through Healthstream with trying to set up the delegated credentialing… process. Nice, it is not easy to do with, yeah, Healthstream.
Jake Shubert (12:33) Yeah, that’s we’ve heard that before. I mean, I guess like what has that experience been like for you so far?
Christine Mulder (12:40) It’s been a few phone calls. Tiffany’s read a few emails as well, and we just get the typical email back with the video and it’s like I’ve… got the video. I’m not understanding. Yeah, obviously, that’s why I’m reaching out to you. And, yeah.
Jake Shubert (13:02) Yeah. So I guess like have your payers already communicated to you that like they’re happy for you guys to get delegated? Like they’re willing to.
Christine Mulder (13:10) We were at, we added on a new insurance one call. We were able to do that. That’s great. With we’re currently experiencing an issue with medrisk, they are requiring us to track ptas as well as PTS. So we’re in the process of adding providers within pta providers, within credentialstream, just for tracking for licenses. Okay? So that we can meet that requirement. I’ve reached out to optum, and we’ve done the first process with them. Now, I’m waiting for them to send the second phase of information that they need. Then our next one to reach out to is going to be Aetna. And then humana?
Jake Shubert (14:04) Okay. And for Aetna and humana, those are our payers who you are not doing just to make sure I understand that you guys are not doing delegated credentialing with yet, but you would like to, is that accurate? Yeah, cool. And for those payers, humana, and Aetna, have they given you guys the thumbs up of like, yes.
Christine Mulder (14:22) We haven’t started that reach out process. We’re going through them one at a time just because we were expanding, we’ve added on a few more groups and providers. So our concentration is in that realm right now. And then once we are at that point where we can spend a little bit more time on the delegated, then we’re going to shift to doing more outreach, got it. But we’re discovering things that we still need to set up. One of which is the delegated credentialing process within credentialstream. Because right now, I’m doing it manually through excel sheets and through PDFS to create our files to have our committee meetings, and then going into credentialstream and filling in the blanks.
Jake Shubert (15:19) Okay. That’s a pretty hefty lift to do all that in spreadsheets. And I guess is the goal to do the committee management pieces inside of credstream is that what you’re calling their support about? I?
Christine Mulder (15:35) Want to be able to have it set up to where the credentialers? Because what I do is before the committee meeting, I go into all new providers and I find all of their records, I download their application. I file it into a folder. I create the spreadsheet to indicate documents that are received, and to move forward to the credentialing committee. And then we meet the committee. I send them the forms. They review the forms… just because I don’t trust that the education piece for them to go into credentialstream to know what they’re looking for, what to understand is going to be something that is going to be doable on their end?
Jake Shubert (16:25) Okay. I understand. And I guess like once the pieces hits the, you know, sort of final stages, they’re like how long is it actually taking you for the delegated pieces? How long is it taking you to actually credential the providers right now?
Christine Mulder (16:42) Hello… for the delegated it takes, we do it once a month as far as the committee meeting. So right… now, it depends on the turnaround time for a provider to supply all information. Typically, we can have all of their PSV… done within a week? Okay? And then I start compiling all the documents and all that information into a folder to then prepare for our credentialing meeting. And.
Jake Shubert (17:22) How long is it taking you for that preparation to get everything into a folder?
Christine Mulder (17:26) It really varies. Okay with adding the new practices. I would say it probably takes.
Christine Mulder (17:38) four, four hours and.
Jake Shubert (17:41) Is that per provider? Is that per?
Christine Mulder (17:44) No, for in general to pull all of the application, their diplomas, their PT licenses, their resumes, pulling them into a folder that’s accessible for the committee meeting or committee members?
Jake Shubert (17:59) And is that four hour process? Do you do that once a month? Is that multiple times once a month that you’re doing? Okay? So just to make sure I’m going to regurgitate it back here. So I have it, right? Obviously, there’s the process of gathering the data from the providers. Let’s say you have all that data. Then typically, the credentialing timeframe is around like within a week, you said there’s like a four hour process for you to compile everything to send to a committee and that committee meets once per month. So I imagine like while you can get the providers credentialed within a week. The sort of tail of that process is that you have to wait until that committee meeting for the final sort of approval and the provider has the green light. Is that an accurate? Okay. Cool. Got it. Okay. I guess, well, I guess first, before I ask some more questions, did Tiffany get back to you at all?
Christine Mulder (18:52) She said it’s going to be about another about 20 minutes.
Jake Shubert (18:56) Okay. That’s fine. Are you down to sort of just keep chatting a little bit. Sure. Yeah. And obviously, like if, you know, if we need to, we can always reschedule and find a better time with Tiffany as well. But the delegated piece is really interesting because Christine, I don’t think we talked about what that looks like inside of medallion that much when we were meeting at the end of last year? I guess like, do you recall at all sort of like the delegation pieces inside medallion, it would be helpful for me to share a little bit more about what that looks like?
Christine Mulder (19:29) I guess my question with regards to that, looking at doing everything as manual as I’m currently doing… would be how… what is the ease of use for committee members to access the files to know what files they need to access, to know what they’re going to review to then go in and do our little committee meeting to officially approve documents. Yeah.
Jake Shubert (20:05) Yeah, totally. I can take this and then josh, if there’s anything you have to add, definitely feel free to chime in. But so Christine, there’s a few parts of the process and I’ll touch on the committee piece mostly. But obviously there’s the front end, right? Which is gathering all the data from the providers, which we talked about a lot last year about how simple that is with medallion. If you sort of remember that process with our caqh integration with the way we pull data from providers and streamline stuff kind of like the two day average for getting provider data that’s the front end, right? Yeah. Then there’s all of the monitoring checks that need to be done for primary source verification work which happens automatically. So that wouldn’t be manual for you. We do all of the oig, Sam and PDB, et cetera, that happens real time instantaneously and automatically. Then all of that is the files. Those are all created for you automatically. So we take all that information and that’s all done automatically in the platform. So you can pull up Christine provider, Christine mulder, and it would have that file that’s ready for you. So you can look at it and you can see all the sort of verifications that have been done by medallion. And then you asked about the committee piece, right? So we then do electronic committee management. So it’s all inside of the platform. We have a few different benefits. So the first is if you wanted, you would not need to have like a once a month process where you do the committee review because since it’s electronic, we can alert your committee members in real time, right? So they can sort of do that ad hoc and just, you know, with a trigger with just a couple of clicks. So obviously, we wouldn’t need to have the once a month management process. So providers will get in network faster. All of the providers who… their profiles come across clean. We kind of have two buckets which is like a clean provider and a needs review provider. If you guys want, you know, we can sort of auto approve the clean providers or have them in their own separate bucket. And then for the needs review, those will get triaged to your committee for them to look at. And then we’ll flag whatever parts of the provider profile or the provider, you know, file got flagged and what needs to be reviewed. And you yourself, if you want to log any notes for the committee, you can say, hey, take a look at X, y and Z, right? So that all kind of happens instantaneously in the platform. And is done electronically also, josh, I saw you come off mute. So I’m not sure if you have anything to add there.
Joshua Levitan (22:26) Yeah, I was just going to pull it up if you want to take a look real quick Christine. Okay.
Christine Mulder (22:30) And I guess one question I have regarding the delegated credentialing I do… through Healthstream, monthly checks, how often does medallion do those checks for licensure and npi? Because if a provider should have anything in review or anything, my… brain is overwhelmed today. Anything that’s been flagged for review by the state or by any npi, there’s nothing been. There hasn’t been nothing… no result of that review yet, but they’re under review for any complaints or anything of that nature. How often does medallion go out there and look for that? Is it just by the month? And then should something arise, how does medallion address that and notify like team members of anything that’s out there?
Joshua Levitan (23:48) Yep, great question. So there’s the initial credentialing, right? And then there’s what we call the ongoing monitoring, which is the process you’re talking about of the monthly compliance checks. Jay can spoke a little bit about the initial credentialing piece and I can show you what that looks like in a sec. But to answer your most recent question, we do the same thing. There’s some slight variation. So this is all automated right now. Are you like going to M pes to verify their mpi? Or like going to Sam or oig’s website yourself currently?
Christine Mulder (24:24) I have it set up for monthly, but the reason why I’m asking is we’ve had two occurrences since we last met where providers have had complaints and it has been indicated on their licenses that it’s under review… but we did not know about it. One of them we didn’t know for 30 days because I only have it set up to go every 30 days because we just so happened to run our check. And then the very next day something populated that we didn’t see until the very next month. We have a policy in place that providers are being re educated on with regards to notifying us as soon as they are made aware of anything pending or in review on their license. But there was the 30 days where we did not know that there was something occurring until the next monitor cycle. Yeah.
Joshua Levitan (25:26) So, we adhere to ncqa standards for this. The ncqa standard is the monthly check. There are some slight adjustments to that. So, first and foremost, like this isn’t something you would ever have to do manually like medallion just does this for you. And we’re checking all 11 sources that ncqa specifies… of those 11 sources, the mpdb national provider database, right? That is a continuous query. So that is live. So anything that shows up on mpdb, you will get notified seconds after it shows up. Okay? For all of the other ones, which is like your Sam oig, ofex, deathmaster, medicare medicaid, opt out those we check monthly or if there’s a demographic update. So if the provider changes any information, we will rerun that off the monthly cadence. Okay? Or if you request like a credentialing, re, verification packet. Okay? That is again all directly in line with ncqa and what they mandate… to both vendors like ourselves and organizations to meet their standards. And so that is our default is to comply with the ncqa rules. Okay? So, yeah… the mpdb would come back instantaneously. Everything else would be a monthly check. Okay? You can rerun the verifications on like you can force medallion to re, verify off cycle. Of course, you have to like choose to do that, right? It’s a button that you press that makes it run like in between cycles, right? So, if you don’t know, you don’t know, like it would get caught on the next monthly report for something like a Sam or oig… but you can like force it to run whenever you want. You just click a button that says, re, verify, okay. And it goes and pushes that automatically.
Jake Shubert (27:40) Yeah. And then josh, maybe until Tiffany joins, we can show Christine sort of the delegated and committee process.
Christine Mulder (27:47) Yeah. She’s not going to be able to join this one. Oh.
Jake Shubert (27:50) That’s fine.
Christine Mulder (27:51) Because she’s having an issue with additional information that they’re wanting. Yeah.
Jake Shubert (27:58) So that’s totally fine. Christine. How about this? How about we do a little bit of the delegation platform review that josh was just talking about. We’ll show you that. And then after that, we can just look at your calendar, Tiffany’s calendar and find some time for next week or the week after.
Christine Mulder (28:10) Yep. Sounds good. Cool. Sweet.
Joshua Levitan (28:12) And have you guys gotten your mpdb dbid?
Christine Mulder (28:18) Huh. That?
Joshua Levitan (28:19) Is a mouthful right now?
Jake Shubert (28:20) It’s my favorite acronym.
Joshua Levitan (28:24) To query mpdb, organizations get something called a dbid, it’s database id. It’s a code. It’s like a login to mpdb. Do you know if you guys have one of those?
Christine Mulder (28:38) We don’t have one ourselves. Okay? I’m just told that we are able to utilize it through a Healthstream. Okay? Using.
Joshua Levitan (28:50) Their dbid, okay. Good to know. And is there anyone in the, do you have any providers like in leadership who are MDS or dos? No?
Christine Mulder (29:03) Nope. We’re strictly ptot speech. Okay. Yeah.
Joshua Levitan (29:08) Sometimes we see organizations like you that actually have someone in leadership who’s an MD or a do? Yeah.
Christine Mulder (29:13) No. Our leadership is all, our leadership are PTS. Okay?
Joshua Levitan (29:18) All right. Good to know. Okay. Let me show you a little bit of the tool here for five minutes, and then we will regroup.
Joshua Levitan (29:28) So first and foremost, this takes no setting up there’s no like you were explaining a process of having to like get things ready, right? In credstream that doesn’t exist here. It’s all just ready for you. We’ve showed you on previous demos and we can definitely do a refresher. You know, if we need about getting data into the system, right? Using our portal provider link caqh, they upload documents. We make that super easy for them. It takes like two hours tops and it’s a super quick process. Let’s pretend that already all happened, right? So we have all of the data we need on a provider, right? Then we come into our credentialing tab here. And there’s a couple different sections across the top that sort of like enumerate… the workflow if you will. But we’ll run through this live. So all we do is we request initial credentialing, we’re going to credential a provider who is already in our system. We can see like some of these people are already credentialed so we don’t need to credential them. But here we go. Like Ethan, he hasn’t been credentialed yet. So we can select him. You can also select multiple people here. Okay? And then you hit submit request… that generates everything. I’m not actually going to submit this because I have other examples here. But that generates everything like the process to start. Okay. The second that you hit that submit request button, the provider shows up here in the requests section. What this means is that medallion is processing all of their primary sources. Now I can hover over this little arrow, this little circular thing here. And we can see which ones of these have come back. Green check mark means they came back clean… and the packet starts to get built. The packet is here as well and this starts to get built. It’s incomplete at this point, but it starts to get built as it’s in ready. And this is where you could like click through and actually see a board cert. And we would, we haven’t verified this one yet because it’s still in process, but you would have like the actual screenshot of the board cert as well as the information about who verified it. Now, this process is different run by automation, right? So for 95 percent of the primary source verifications that we need, we can have the computer go and get those for us, but then we still have a human on our side, do a review of what our automation pulls back. We put that extra step in there because quality. Is the most important thing when we’re talking about credentialing and because ncqa mandates that a human reviews everything that is pulled via automation or technology. Okay? We SLA, so in the contract, there is an agreement that we will return this file to you, completed in three days or less. Our average is 24 hours. So from the second that you hit the request button until the second that this packet is ready for you to take action on an average of 24 hours. And that includes our system automatically processing all of the psvs. And then a human on our side, you know, someone like yourself but who works for medallion doing a review to ensure accuracy and quality? Okay? When this packet is complete, it moves from the request bucket to the ready bucket… and you can see here the green shield that means that everything is good to go.
Christine Mulder (33:27) Okay.
Joshua Levitan (33:29) At this stage and you can see by the way, in my demo environment, we have one that’s missed, but we’re actually showing you the slas, so you can make sure that we’re meeting our contractual commitments on every line. In the ready stage, this is where someone, this is like sort of your prep for committee. This is where someone like yourself might come in here and view the packet. And again, you can click through all of these sections and there’s actual, we’ve… posted a screenshot because this is fake, but there’s actual screenshots and the source information. We’ve actually verified work history like this whole process right here. We’ve actually gone through and completed. We have the disclosure questions, malpractice, everything in here, licenses, all of that stuff. Now, you can view it in this window. You can also hit download if you want. And this comes as like a PDF. It’s like, you know, 15, 20 pages or something like that and you can take notes. So if you’re preparing, this… packet to go to committee, and you see something in here that you want to flag for the committee to double check into, you can pop in a note and then the committee will see that on the next step. Now, with your committee setups, are you going to set up like a clean committee and a needs review committee or something like that?
Christine Mulder (35:04) Probably a clean committee. Okay? Because I make sure everything is all ready to go before we even meet.
Joshua Levitan (35:11) Okay. And then what if there was like, are you going to have a different? So some organizations like if all of the checks are good, they will just send it to like the medical director for like a rubber stamp. But if there’s something on the provider’s record, then that will go to a committee of multiple people to review and discuss and decide if the provider should be credentialed or not. Is that what you’re setting up or is it just one thing?
Christine Mulder (35:39) No, it’s just the one thing that we set up. So I.
Joshua Levitan (35:42) was asking because in my demo environment here, I have the option to send this to multiple. Actually, I don’t have it in this demo environment, but we can like if you do end up running multiple different committees, you can like have different workflows, right? Or different paths on like which committee you want to send this to. If it’s one that’s super simple and easy. So you would just click a button right here that says, like, okay, ready for committee, which means like you’ve had a chance to review this, put in notes like you want it to show up on the committee’s next meeting… and then the next bucket here. Sorry, go ahead. Do you have a question? No. Okay. The next bucket here is the committee bucket. So committee members can actually come in here themselves. They could do this, say the night before, if they want. They can come in here and, you know, click on a cred file and review and post any notes. They can even vote ahead of time if you want them to. Okay? Or what many people end up doing is you literally just share this screen like, you know, on zoom or on a projector during your committee meeting. And together everyone looks through this and, you know, okay, who’s up first for this committee meeting? It’s Jennifer, let’s look at her credentialing file. Let’s go through this. Looks like someone had some notes, let’s talk about that. Okay? Everyone? Okay with that? And then people vote right in the app. Okay? You can also set up different voting parameters. So you can see there’s logic in here. Like for whatever reason me logged in as josh right here. I have the ability to vote on Tina and Alexander, but not on others for you. I think this would be pretty simple. Everyone would be able to vote on everyone.
Christine Mulder (37:32) And.
Joshua Levitan (37:33) then once you vote, we track that as closed for future reference. So closed means they have worked their way through the process. Now, we’ll see here, there are a lot of approves. There are some rejecteds. We rejected one person here. There are some archives which means they no longer work here but you have record in here of who voted for what. So you can see like the people that voted and the timestamps, you can always go back and pull that file if you have questions or want to review back to it. And then we’re also going to track the recredentialing date. You can see there’s a schedule and recred section here. So we’re just going to automatically. It’s usually every three years. We’re just going to automatically push these people back for another credentialing request, usually 30 days or sometimes 90 days before their recredentialing date?
Christine Mulder (38:27) Okay. So.
Joshua Levitan (38:30) That’s how it works. You don’t need to build anything. All that you do is just hit request and then the process runs and people come in here and make reviews and make notes. You’re working on one tool. If you want to send the packets around via email, that’s okay too. But the tool is really designed to like give people a place to collaborate and communicate and to make sure that the work that you and your team is doing is the important work of evaluating a provider and you don’t have to worry about actually pulling any of the primary sources or making an agenda or dragging and dropping screenshots of licenses into a PDF or anything like that. Okay?
Jake Shubert (39:10) Yeah, Christine. Just sort of curious what’s your feedback for the delegation components or a platform?
Christine Mulder (39:16) I like it. It’s a lot easier to use. And then for the committee members, I mean, I can see them being fine with logging in to easily use that compared to how credentialstream operates. Yeah, yeah.
Joshua Levitan (39:35) Oh, there was one piece I didn’t cover which is obviously once people are credentialed then they need to get on a roster. Do you know how? And you need to submit that roster? Do you know how you’re planning on managing that?
Christine Mulder (39:47) Not currently, because right now I am currently, and that’s another thing I am managing manually our rosters because, the basic roster that Healthstream has, we have providers that have multiple licenses. Yeah, because they provide coverage in different states, the… system… there’s a workaround that I do not understand. We’re looking into one of our it people to basically work with me, see if we can figure out the directions that I was given to work around to have the correct license populate. Okay. Sometimes we’ll have the correct license populate. But then it’s indicating the wrong state or… we have a provider that is currently rendering at our Kansas location, but has a Washington license. And so on the roster, it will list them at the Washington and the Kansas, but it indicates one license. Yeah. So we have to constantly look through and scrub it. So I basically just copy and paste the roster over to a new one every month and then just add the information. So I have record of what was submitted the previous month compared to what was submitted this month, gotcha.
Joshua Levitan (41:23) So,
Christine Mulder (41:23) more.
Joshua Levitan (41:25) good news. That whole process goes away. We manage rosters for you. What you would do is we shake hands, we agree that you’re going to use medallion in that implementation time where we set up medallion for you. You basically just send us the templates that the payers use, like if they dictate a specific template, which in our experience, most payers, do you send us those? And we map those in our system? And then we generate the roster for you. And every month we deliver that roster without any issues without any workarounds without having to go to it or scrub it. We deliver that as a finished product that you just don’t have to worry about ever again.
Christine Mulder (42:11) Yeah, I remember, that would be very nice. Yeah. And.
Jake Shubert (42:15) Sort of similar question. Before how much time were you spending each month on the manual managing of the rosters? That sounds pretty labor intensive.
Christine Mulder (42:23) Now that I think I finally have them set up the way they need to be, it takes me probably about an hour, okay?
Jake Shubert (42:34) Yeah. That makes sense.
Joshua Levitan (42:36) Per roster or total?
Christine Mulder (42:39) Well, we only have one roster that we’re well, no, we have, no, we have one roster right now that we submit after committee. Okay, the other ones currently, and I’m working with them, their workman’s comp, we submit them each time we have a new provider, which doesn’t quite make much sense for our delegated agreement, but that’s something that has to be, that has to be visited with them to basically correct and hone in that process. So, a… new one that we have, and that’s another thing I have. If I remember correctly, we can do the same thing with rosters for insurances where we don’t have a delegated agreement to where we can go in and just click a button to generate it and then send it over to our contact or whoever that we have.
Jake Shubert (43:39) That’s correct? Yes. Yeah. And I guess Christine with the, you know, little bit left we have on the call tonight, we can definitely let you go, let you go early, but I know you guys have been very acquisition heavy recently and obviously, there’s more slated for this year. I’m sort of curious like what are sort of the acquisitions that are on the purview for the rest of the year?
Christine Mulder (44:01) They are looking at? I’m… not, Tiffany has the better count on that, but basically they’re looking at least one a month. Okay. Yeah. And that varies anywhere we’ve had one, that was two locations.
Christine Mulder (44:19) We have one that was three locations. We have one that was just five locations. So they vary all over, yeah.
Jake Shubert (44:27) I remember Tiffany sharing that there was going to be a couple this year that were going to be like 10 plus locations. I think, are those still slated for later in the year?
Christine Mulder (44:35) I think that one may possibly be on hold.
Jake Shubert (44:40) Oh, okay.
Christine Mulder (44:42) But yeah, they’re still aggressively looking at doing, you know, one a month. I do know they are looking at, they’re exploring what would be financially feasible with regards to tracking some of our contracted workman’s… comp that we have for our atcs and tracking their licenses and to make sure that we are in compliance with that.
Christine Mulder (45:15) Because currently, we don’t do any of that on our credentialing side because that’s just, you know, an in house agreement with that, you know, typically manufacturer that we’re going to provide, you know, the care for their workers… but they’re looking at trying to find a way that is… financially feasible to track all of those provider licenses to verify that there’s nothing on their licenses that they’re renewing their licenses, that it can be provided at any time.
Christine Mulder (45:52) We are exploring adding those in as just a verifications check with that Healthstream, not listing any provider information or using it for credentialing. So that’s something that they’re looking at as well. Yeah.
Jake Shubert (46:11) That’s helpful context. And also, I have it in my notes somewhere so I can look this up. But I’m trying to remember when did your contract with credstream expire wasn’t it later this year? Or it might have been early 27? I’m trying to remember when that contract was up. I want to see.
Christine Mulder (46:56) September of 27. So later in 27. Yeah.
Jake Shubert (47:00) Yeah, that makes sense. Okay. And I know we were working in our contracting on like a credstream buyout piece, which obviously, we would still do for you guys. Okay. Awesome. And I guess just also just like, you know, sort of zooming out. Are you and Tiffany still excited about, you know, the idea of partnering with us later this year and figuring out the better timelines, like kind of how the two of you are still thinking about things? Yeah, yeah, great. Well, I guess as far as next steps, we’d love to have this conversation with Tiffany involved and make sure we’re talking about any extraneous parts of the workflows that, you know, delegation’s a great one that have changed from last year as well as talking about like what it looks like for the rest of the year with acquisitions and making sure we’re aligning better on like the size of your org and how that might influence things. Do you have access to Tiffany’s calendar?
Christine Mulder (47:49) Yeah, I can. Okay. So.
Jake Shubert (48:12) I’m curious how, what day?
Christine Mulder (48:14) Are you looking at? Yeah.
Jake Shubert (48:16) I was wondering if Friday of next week would work for the two of you?
Christine Mulder (48:27) I don’t show anything under schedule for the seventeenth right now.
Jake Shubert (48:30) Okay. That’s encouraging. How would let’s see? Would 10 a. M, Pacific Time work for you guys? So that would be again awful time that’d be what noon for you Christine? And then one for Tiffany, I think.
Christine Mulder (48:51) Yes.
Christine Mulder (49:01) Set ourself black Monday through Thursday next week. So, yeah, we could, oh, wait a minute. Nope. She must have just blocked it or something. Yeah, it’s blocked now.
Jake Shubert (49:14) Okay. So, Friday of next week is blocked all?
Christine Mulder (49:16) Next week is blocked? Okay?
Jake Shubert (49:17) That’s fine. How about let’s… see? Josh is out of office the week after that? I mean, would it be, would it be worth us looking for end of this week? Or is that too fast of a turnaround?
Jake Shubert (49:54) If not, we could look for the end of this month. Josh is back in office on April.
Christine Mulder (50:33) I’m not saying the whole month is blocked. I wonder if it’s my system?
Jake Shubert (50:37) Oh, it’s showing us the whole month is blocked for Tiffany.
Christine Mulder (50:40) Yeah, it’s showing the whole month.
Jake Shubert (50:41) Or maybe she’s going on a kick ass vacation for the whole month. Guys. I do need to hop too.
Christine Mulder (50:49) I’m out of here. Don’t call me?
Jake Shubert (50:51) Yeah, yeah, exactly. Do not disturb also. Josh. I do need to hop Jake. Yeah, yeah, no problem. Josh. Thanks.
Christine Mulder (50:58) Why don’t? We just go ahead. Why don’t you just go ahead and put something out for… let’s look here?
Christine Mulder (51:12) What do I do? Yeah, we.
Jake Shubert (51:14) can look like if you want to do the end of the month, maybe the 20 ninth or the thirtieth? Oh,
Christine Mulder (51:18) we’ve got… maybe the 20 second in the afternoon.
Jake Shubert (51:26) So, josh is going to be out of office for that whole week and he comes back on April 20 ninth. So, yeah, I was curious if either the 20 ninth or the thirtieth would work for the two of you? Well?
Christine Mulder (51:41) Let’s see. I know on the thirtieth, she has stuff after our mornings, the 20 ninth. Maybe?
Christine Mulder (51:53) 11 or after?
Jake Shubert (51:55) Yeah, that should work. So that’s 11 Central Time, right?
Christine Mulder (52:00) That would be 11 eastern?
Jake Shubert (52:04) 11 eastern. Okay. So.
Christine Mulder (52:06) How about we do 10 central, got.
Jake Shubert (52:08) It. So, how about we do noon Eastern Time on the 20 ninth? Okay, great. Let me just make a note before I forget at noon, Eastern Time? Cool. Well, I will send over that calendar invite and.
Christine Mulder (52:21) if you do.
Jake Shubert (52:22) Anything between now and then or questions pop up, definitely let me know. But seriously, I’m super pumped to be chatting with you guys again. So I’m really excited and looking forward to meeting again end of this month. Okay? Sounds.
Christine Mulder (52:33) Good.
Jake Shubert (52:34) Hopefully, no snowplow incidents between now and then. Let’s stay snowplow clean. Oh.
Christine Mulder (52:40) Yeah, I hope so, you too.
Jake Shubert (52:43) See you soon. Bye bye bye.