Transcript
Mark Neese (00:00) hey, good afternoon. How are you?
Molly Dwyer (00:02) Hi, mark. I’m doing well. How are you? I’m doing great good. I see Connie’s also hopping on how’s the week been?
Mark Neese (00:11) It’s been good. It’s been pretty good. How about yourself?
Molly Dwyer (00:14) It’s good. It’s like finally starting to warm up a little bit where I am, so.
Mark Neese (00:20) Where are you located?
Molly Dwyer (00:21) I’m in the Boston area.
Mark Neese (00:23) Oh, that’s right. That’s right?
Molly Dwyer (00:24) Yeah, we had a pretty brutal winter.
Mark Neese (00:29) Yeah, I bet.
Molly Dwyer (00:31) Hey, Connie.
Connie Carreon (00:34) Hi there. How are you? I’m.
Molly Dwyer (00:36) doing well. How are you doing? I’m doing?
Connie Carreon (00:38) Pretty.
Molly Dwyer (00:38) Good, good. Well, awesome. I think we have, everyone wanted to spend some time just walking through the workflows for tjc credentialing.
Molly Dwyer (00:50) Both merit and Jennifer had, you know, took back what you shared and basically confirmed, you know, what we have in terms of workflows for tjc credentialing is going to, is going to meet the need for what you’re looking to do. So that’s great. It means that there’s no custom workflows. It’s going to be straightforward. And then I also prepared just based off the volumes, what some pricing is definitely first pass. So, I want to, you know, work with you on aligning on pricing and proposal, but figured we could use that for today’s conversation. And then is there anything else that you wanted to discuss?
Mark Neese (01:24) Not for my end, Connie, do you have anything?
Connie Carreon (01:27) No, okay.
Molly Dwyer (01:29) All right. Well, please interrupt me as we go with questions… as you probably can tell merit and Jennifer are the experts. So if there’s anything I can’t answer, I will definitely circle back with them and get you a response. But at a very high level, how the workflow works is we like to break it out between like what your team will do, what the medallion platform or teams will do, and then what their providers are responsible for. So beginning here at the top, essentially, you’ll go into the platform directly and request a new credentialing file for that particular provider and facility. From there. If the provider has not, they need to accept, of course, the invite and create their profile. From there. Our team is going to review the application, make sure their profile is complete and workable. If there’s needed, any follow up, we’ll task out and reach out to the provider. We then complete all the primary source verifications and QA the file for accuracy, and then auto generate the file, completed file for you to review with committee. Once this file is completed, you will receive an alert. And then essentially, you have the ability to assign it to your committee for review. And then one of the amazing things about the credentialing in medallion is that all of the committee activities can be stored directly in medallion. So you don’t have to be logging any spreadsheets or anything. It’s all the activity is going to be directly stored in medallion. And so you can have the committee review and then it will automatically provide approval notices as well as track the re, credentials for that specific provider. I will pause here. This is very high level. And then I do have another slide afterwards that kind of goes into a deeper dive of the process… timeline.
Mark Neese (03:20) Okay. And when we say, hey, if a provider hasn’t created a profile that’s just their overall login to medallion, right? That’s not like an additional profile.
Molly Dwyer (03:31) Exactly. So it’s completing the medallion profile and just all the necessary information for us to begin working on this request.
Mark Neese (03:39) Okay. That makes sense. No, nothing from my end. The only thing I would want to know is that it includes all the information we need. It’s hard to tell from this side, but that’s really the only thing I want to make sure is that whatever we’re requesting and that is being provided in that file or that packet if you will, is everything that we need to be able to pass on to the facilities.
Molly Dwyer (04:08) Exactly. Yeah. Merit had shared like we will work with you to define what those requirements are for your specific files. So that will be part of the, I would call it like the implementation or setup component is we would, you know, work with you to define those requirements and make sure that those are operationalized on our end to include.
Mark Neese (04:28) Okay. Thanks. Yeah.
Molly Dwyer (04:33) Connie, curious to hear from you. Any questions that are coming up?
Connie Carreon (04:37) So I was just thinking a little about it. But so as we’re requesting them because… it varies by facility, some require their own packets, some require their own little, you know, medical… credential sheet, someone, is that something like will I be able to update that in the request to let y’all know, hey, this is required also or how would that work? Yeah.
Molly Dwyer (05:12) Let me take that specifically back to merit. But I think that would be part of the actual implementation or stand up of this is like working with you to define specifically for each of those facilities, what the requirements are. And so then our team then operationalizing that requests for this facility is going to include this information et cetera. So I can, I’m assuming like my idea of this is like once we get further along, we can bring in merit for our next conversation and kind of talk through like how we will operationalize this and work with you through that setup process. It’s a great point.
Connie Carreon (05:48) Okay. Yeah. Because I know the facilities, a lot of them have their own forms right? That they like to be completed and that would be good. And then I was also looking on the document section because a lot of them require, you know, TB result, flu, vaccination record, covid vaccination record? So I guess we can just upload those in the documents section or is there somewhere else that you would like that to be housed along with this information?
Molly Dwyer (06:22) That’s a good question. I can also take that one back to merit. I’m just looking here, I believe it would be in the document section. Okay? So those two items, let’s take those as a like next step for our conversation. And we can definitely loop in merit or provide response over email, but I think probably like a working session may be more helpful just to iron these out. Okay? And to come with some, I know you shared one example. But if there are additional examples that you can pull that way, we can just begin like mapping out what those look like for each of those requirements. Okay. Why they all have to use different templates and different?
Connie Carreon (07:08) Yeah, make.
Molly Dwyer (07:09) It real easy for everyone. But yeah, thank you for raising that. Such a great point. Okay. And so then the next slide here is just a high level overview. So typically, the average turnaround time is about 35 days. And really what’s going into that is first you’ll see the first bucket here is the implementation and data migration. We’re you know, we are working through the implementation now and at a point where, you know, beginning to invite providers. So I don’t think this is necessarily relevant, but the bucket here for any new providers that are joining deer oaks, essentially, they would need to complete their profiles. And then on average, we see this takes around five days. If you’re using caqh, it can be a lot faster. It can be less than zero days, it can be instantly. So it just depends on the organization and how your providers are completing that information. And then from there, where medallion is, you know, running the primary source verifications based off of the required medical bylaws that’s going to take around 30 days or less through our direct source integrations. And then we of course, are going to populate everything into that file for you to assign to your committee file for review. And then I just noted here, like for the committee file review, we can configure the committee… like any way that you need it to be within medallion based off of how your committee is structured. We can work with you to stand that up as part of the implementation. And the last piece here, as I mentioned, I think this is like one of the reasons a lot of my clients love it is that just all of the recredentialing and monitoring is just stored in one place. So you don’t have to keep track of recred dates. It’s all going to be stored automatically for you. Okay?
Connie Carreon (09:14) Okay. My only concern is that some of these clinicians start… pretty fast in their facilities… while we might have their profile complete.
Connie Carreon (09:44) I’m wondering about that turnaround time because they can start seeing patients as fast as a week or two after new hiring. If they’re you… know, onboarded, you know, fast enough. So it just depends on the need of the cost center. So I mean they might be seeing patients in the facility within like I said, a week or so of them being hired. Okay? Is there any wiggle room, you… know, around this 30 day or maybe less? I was?
Mark Neese (10:22) Looking at that too, Connie, when these are these, what’s the Genesis of these requests are these, hey, we hired somebody and we know they’re going to be in these facilities. So, we know we need to get this stuff… provide it or is it a, hey, this person’s going to go here today? Can we go ahead and get this done within the next couple of days? How are those?
Connie Carreon (10:45) Usually, yeah. So it’s I mean, it just depends on the need of the cost center. Sometimes they’re moving clinicians around and they might need somebody like tomorrow, say, you know, somebody’s they need to fill in a, you know, a clinician at a facility by tomorrow. So then it’s like or they’ll give us a couple of days saying, you know, hey, this person’s going to fill in for so and so or somebody’s out on FMLA, or somebody’s out on pto. So they might need, you know, somebody to be credentialed for the meantime, they might need somebody to be credentialed super fast to take over someone else’s spot. But normally, it’s… just to get their access to the point and click care to, you know, be able to upload their notes, enter, you know, enter their notes, upload their notes for the patients,
Molly Dwyer (11:42) So we can definitely expedite credentialing requests. I want to confirm and make sure I’m setting proper expectations around like any turnaround times for that, but that is something that, we are always working with clients especially, we know that things change and you have high priorities. I will say so from something that you are in control of. If you know, of providers that are going to be in a more like flexible model where they’re going to be visiting multiple facilities. We like my recommendation would be credential them in advance so that they have that flexibility.
Connie Carreon (12:16) And.
Molly Dwyer (12:16) we also do often work with a lot of organizations like even before the provider starts as part of that pre work. And during, you know, before onboarding is getting all the information so that essentially we can begin credentialing them before they even start at dear oaks. Kind of three different ways that we can help mitigate that. But I can definitely get back to you again on like the expedite feedback as well.
Connie Carreon (12:44) Yeah. And then mark, I guess like on the, I guess on the facility notification or the new hire notification, I don’t know if the recruiter has access to, you know, let us know ahead of time because that’s one of the other issues. Like we don’t know ahead of time, they don’t enter that information ahead of time, but that would be helpful so that we can go ahead and get started on it, you know, sooner rather than later, yeah.
Mark Neese (13:09) If it’s a new hire that we know is going to be in opco or any of the, or any of the like the major volume of this kind of thing, then I’m very, not too concerned about that because it takes them just about that long to get on board anyway and we can do it right? Then at their moment of onboarding. Now, I don’t know how many requests like, I know it’s around 30 35 a month. I don’t know how much of that is a new hire. I don’t know how much of that is people just moving around, right? So it’s hard for me, to now, if it’s hey, these people are going to be moving around.
Mark Neese (13:47) So we need to do these things. Then that might just, we might not have, I mean, the option might not be to go through medallion and have them doing it. It’s just do it ourselves.
Molly Dwyer (13:56) Okay.
Mark Neese (13:57) Because I don’t think 30 days would be a reasonable time to turn that, but if it’s just new hires that were moving into the facilities, then it might make sense. We also need to, there’s some for me to take away. I think I have a, I don’t know… I can make notes on this and tomorrow morning ask about this, but I don’t know how this will change either way as far as the point click care stuff and getting people enrolled. When we change from GT to pacer, it might change altogether. It might change completely. So we got to keep that in mind as well is my only point and I can ask around. We have a call. We have a Thursday at a M call every week that I can ask around on that and see, hey, is this still going to be a thing or is it not going to be a thing?
Connie Carreon (14:54) Yeah, essentially. Okay.
Molly Dwyer (14:57) And just selfishly from my own knowledge, what is that referring to like the internal hiring system or?
Mark Neese (15:03) No. So Molly, we’re changing our ehr system from.
Molly Dwyer (15:07) Oh, you’re right? You told me that, right?
Mark Neese (15:09) From our homegrown to a different system and they have, you know, they are contracted with pointclickcare themselves. So our connection with pointclickcare is not going to be one that we, you know, we’re getting directly with pointclickcare either way, it’s all integrated on the back end through their system. And so, I mean, like if it’s an integrated facility, the facility will show up and all the patients in that facility will show up in our system already. There’s really no work to do, right? So, I don’t know now, I don’t know if this changes completely with that… because from my point of view, if it’s getting a login to that facility specifically for their pointclickcare their own system, in my eyes, that goes away… but we got to confirm that.
Connie Carreon (16:12) Okay.
Molly Dwyer (16:16) It sounds like we have a few things to kind of.
Mark Neese (16:19) Things iron out, yeah, iron.
Molly Dwyer (16:21) Out. And I think just to recap them for us, like one is this turnaround time and the different use cases for your providers and their tjc credentialing. So, whether it’s like that more flexible model, the new hire model. And then also confirming. And now, I’m totally blanking on that supplier you’re using share. Is it sharepoint? My gosh. The supplier you’re currently using?
Mark Neese (16:49) For what?
Molly Dwyer (16:50) Ehr?
Mark Neese (16:51) It’s our, it’s our own homegrown system. Okay?
Molly Dwyer (16:56) So noodling out these. And then Mary just responded to me, she goes, she would not expect that high of a turnaround time just given that, your files are not that complex. So we can kind of iron out with some more examples, a better estimate for a turnaround time for you as well. Okay?
Mark Neese (17:16) Okay.
Molly Dwyer (17:20) All right. And then just to this is all great though. I appreciate like all of, the collaboration figuring this out just to put some pricing in front of you. And definitely this is first pass based off of volumes. But what I did here was took the quantity for the remainder of this year. So averaging 30 files a month… to which would bring us to 360. The standard unit price is 270. But based off this volume, you have approved unit price of 250. So it’s looking at a year one cost of 90,000 dollars. I increased the quantity just based off of year two. You would have four months, you know, clearly for the second term. So that’s why you see the higher volume there… again. Yes, just wanted to kind of get this in front of you and kind of get your feedback and thoughts on pricing.
Mark Neese (18:22) My feedback is you’re gonna have to work on that so that that’s my feedback right now and, we can let’s get further into the talks as well. And then we can kind of hammer out some pricing. Sounds good just to make sure it’s still gonna be something out before because I really want to get with the… some, a couple of different teams on how this, our connectivity is going to work either way. And then whether or not it makes sense for, the turnaround times and everything like that or how that all works out yep.
Molly Dwyer (18:54) No, that sounds good. I think we have a few more steps ahead of us and then we can kind of talk through the commercial piece, but we definitely will work with you on the pricing commercial aspect as we get further along?
Mark Neese (19:07) Sure. That makes sense. Okay?
Molly Dwyer (19:10) What else? Any other questions coming up or coming to mind? I?
Mark Neese (19:16) I not necessarily from, I don’t think for me, is it there’s no out counting. Are there any outstanding items that Molly could help… guide us to a solution? Any kind of solutions we’re waiting?
Connie Carreon (19:29) On, I don’t think at this time, I think our biggest issue is just getting some of the… as far as medallions, I think just getting all the, our tasks cleared, and some of the things that aren’t required. I know where there was a ticket submitted for some of the information that is not required for PE that I know they were going to get rid of. But I think that’s still in the works. Our meeting was cancelled Friday. So I don’t know if you are aware of any of that. Molly… we had like in the doc, for instance, the document section, I know Connor had put in a ticket for like the passport and birth certificate that showing up is required. But usually it’s either or, and a lot of our clinicians do have their driver’s license on file. So he was going to put in it. Connor was going to put in a ticket to have that removed also on the professional history the.
Molly Dwyer (20:33) Exam.
Connie Carreon (20:37) Let’s see here… like we have yeah, for the professional history, we have the exam that’s required, but he was going to put in a ticket to have that removed as well.
Molly Dwyer (20:51) Let me follow up with him. I don’t know if I’ll get our answer on this call, but I absolutely will follow up with you over email to get some etas of when that will be removed or just what the outcome is because that is annoying… and I.
Connie Carreon (21:10) were like we’re so close to 100 percent.
Molly Dwyer (21:11) Yeah. And, I hate when they roll out new requirements without it’s… like catches everyone off guard, you know? So, I will reach out and get some answers for you there. And then.
Connie Carreon (21:26) I know Terry had some concerns. She had sent a couple of emails about some… that were, you know, the enrollments that were showing non par, but they weren’t being worked on, but I’m assuming that has all to do now that I’m getting deeper into the system. I’m assuming that also has to do with, the pending tasks. I know a lot of tasks have been expired and the information is already there. It’s just the fact of going in and completing the test. Now, is there anything that can be run on medallion’s end and say like, okay, well, the information is in there now and even though the task is expired, if it could be removed by recognizing that field or anything instead of us having to go in and having to complete the task or mark the task completed.
Molly Dwyer (22:14) So, I don’t know and I don’t want to misspeak because in full transparency like this is handled by the engagement management team. But what I will recommend and connect with Jacqueline on who’s your engagement manager is like let’s work with you on some type of task cleanup where at least we can like help get you to a state where there’s not an overwhelming amount of tasks and can just kind of potentially help take on some of that, right? Let me sync with her and run that by her. I haven’t actually looked at how many tasks you have.
Connie Carreon (22:52) There’s a lot.
Molly Dwyer (22:53) And yeah, it’s.
Mark Neese (22:55) hard to determine what is actually something needs to be worked on because of.
Molly Dwyer (22:59) That got it. Okay. Let’s see if we can like maybe set up. And did Connor cancel the recurring? It looks like there’s not one this Friday but it’s going to be next Friday. Maybe we can set something up for this Friday if Jacqueline is here.
Mark Neese (23:20) I think she says she was out of office.
Molly Dwyer (23:23) She is, I,
Mark Neese (23:24) don’t know.
Molly Dwyer (23:25) That’s why she is… and she won’t be back until next Wednesday.
Mark Neese (23:32) I mean, does she necessarily need to, I guess. So I mean, we could still hold a meeting with people that might be able to get some stuff done, right?
Molly Dwyer (23:45) Yeah.
Connie Carreon (23:46) Because I think that’s our biggest holdup is completing those tasks or showing them complete, so that the intake team can release them so they can start being worked, yep can.
Molly Dwyer (23:57) I actually take this back to our team and just figure out the best way to get these unblocked for you knowing that Jacqueline’s going to be out for a week and I don’t want it to wait another week. Yeah. So let me get back on that piece. I’m not sure who’s going to be able to help, but we will find someone.
Connie Carreon (24:17) Thank you. I appreciate it.
Molly Dwyer (24:19) Of course. Okay. I have a lot to get back to you on. I will recap everything separate that’s more operational focused in a different email for this conversation regarding credentialing.
Molly Dwyer (24:35) It sounds like our next conversation should probably we’re going to loop in merit and just help support kind of solutioning wise. And then I will recap kind of what we talked through in terms of the different checks and inputs that we’ll need to have that conversation.
Mark Neese (24:52) Okay. Sounds good. Thank you, Molly. Thank.
Molly Dwyer (24:56) you both. I hope you have a good rest of your day and I will be in touch soon.
Connie Carreon (25:00) Thanks. Same to you, Molly.
Molly Dwyer (25:02) Bye.