Transcript
Delaney Crowe (00:00) hello? Hey.
Patrick Fithen (00:01) How you doing?
Delaney Crowe (00:02) Hi, I’m doing well. Thanks. How are you? Good, good. Well, I can just kick us off here. My name is Delaney. I’m on the partnerships team over here at medallion. So really I just surf with any website inquiries that come in and that gives us just 15 minutes today to just walk through what you’re looking for and determine if medallion can solve for that. So the goal would be to potentially get you to a next step, which would be like a deeper 30 minute call with one of our account executives if we’re aligned, but if we’re not aligned, no worries at all. I checked out your website and did a little bit of research but I’ll let you just kind of maybe let me know, you know, background and what brought you to medallion. Yeah.
Patrick Fithen (00:47) You know, I just saw on a forum, one of the one of my, you know, they’re a competitor technically, but headway was using, you know, their marketing. Hey, we do all your credentialing for, you know? So I’m in Idaho. Yeah, I’m in the company… we work with like medicaid, medicare, tricare, blue cross, just a lot of different payers teams at about 40 therapists right now.
Patrick Fithen (01:19) Okay. And I was just kind of curious, you know, my team, I’m trying to just trying to save on admin costs because I’m devoting about 20 hours a week towards credentialing right now. So, I was curious how you guys do that and what the cost is?
Delaney Crowe (01:38) Yeah, totally. That makes sense. So just a few follow up questions, you say you have 40 providers? Are you continuing to add or grow? Or is it just going to stay at that for a bit? Or what does that look like?
Patrick Fithen (01:52) Eventually growing, I’m going to be looking to open up a sixth location here this year, so.
Delaney Crowe (01:57) Okay. Wow. That’s exciting. Yeah. So, because typically we partner, it really just depends honestly on what you’re looking for. And as far as what your needs are, we are, I would say like a fully like outsourced like the 20 hours of work you’re doing this, you know, weekly like that’s we would take that on.
Delaney Crowe (02:17) And so we partner with people who are really looking to just like automate that process and, you know, fully outsource it. And so especially if you’re continuing to grow and things get complicated with the payers or adding practices or that is when, you know, it really makes sense and we build out like a business case and Roi based off of that. So… really just depends I guess on how many… you know, providers you have and are you currently using the software or are you just doing it on your own like spreadsheets or all?
Patrick Fithen (03:00) Forms are stupid at this point. Yeah. So, okay. I mean, I was not ready to just try uploading all of our forms to chatgbt and.
Delaney Crowe (03:11) Yeah. No, I know, right? It’s it can be very helpful. And then, are you the one who’s doing this or do you have like an admin person or a credentialing team?
Patrick Fithen (03:21) Yeah. My HR kind of, you know, I do all the recruiting, HR sends out all the packets and then I have a big billing team and one of the members of the billing team is part of their allocated hours or devoted to getting the credentialing done.
Delaney Crowe (03:41) Okay. Got it. That makes sense. And are you looking for, so it sounds like credentialing is like number one. Do you, is it like privileging payer, enrollment, ongoing, verifying of credentials. Like are there other, you know, pieces of the puzzle that you need solved for?
Patrick Fithen (04:00) Enrollment, keeping up on them. You said privileging though?
Delaney Crowe (04:04) Yeah, privileging.
Patrick Fithen (04:05) Like what is that term it?
Delaney Crowe (04:07) Kind of depends on each org. But, and to be quite honest, I have these conversations at a very high level, so someone else could probably get into the weeds with you a little bit more about it. But I believe it’s just privileging those providers. But credentialing is like I would say like bread and butter, like, where we help people the most and where they, you know, find a lot of value in medallion. So to give you just like a high level overview, medallion’s a centralized platform for all things provider network management.
Delaney Crowe (04:43) So like I said, the onboarding credentialing pay enrollment. So we use AI automation and delegate agreements with the top payers, so we’re able to contract to outcomes that would ensure a new provider is fully onboarded and billable within like a three day turnaround time. So that’s where we’re seeing like especially as, you know, maybe you have 40 therapists now, but you’re opening the sixth location and you expect to have, yeah.
Patrick Fithen (05:14) You know, I’m just kind of this weird transition where we’re trying to get off all, you know, we’re still a small company in Idaho at the end of the day, but I’m trying to transition to a new HR, just start getting more involved in all the AI stuff.
Delaney Crowe (05:28) Yeah. Okay. Yeah. Well, I mean definitely think it makes sense for us to have another conversation. We do have like a minimum spend. It’s not like a, so there is like a minimum annual investment. So I don’t know if, you know, that’s aligned or if you were thinking it was maybe like more consumption based, but it.
Patrick Fithen (05:51) Sounds like I don’t know what that is.
Delaney Crowe (05:54) Yeah. So we have a K minimum investment, so it’d almost be like if you were to hire a credentialing specialist, like you wouldn’t need a full time employee, like we would take that on that’s kind of how, and I say that because I want to make sure that you get the value out of it, you know, like if it makes sense for you at this time and you’re like, yeah, I’m seeing all this work and I want to make sure that, you know, medallion… suits your needs and works for you.
Patrick Fithen (06:24) So just the way that I want to think, I’m trying to understand this, tell me how it works. Let me say I get a new hire and… how do you guys get involved with that new hire? Tell me what that process is?
Delaney Crowe (06:39) Yeah. So we have a portal and we, and again, this is maybe a good conversation for someone else who kind of knows the ins and the outs of what this would look like for you and your org. But basically like we own that process from start to finish. Like we’re you know, we’re making sure that your provider has all the documents and we’re sending those automated like emails to make sure that everything’s all up to date.
Patrick Fithen (07:05) So,
Delaney Crowe (07:06) we’re very much like an end to end outsource solution like we own that process for you so that you don’t those 20 hours you’re doing a week now, you wouldn’t that wouldn’t be, you know, on your plate anymore.
Patrick Fithen (07:20) Right. And then like what does the employee? So like, you know, let’s say… so my Veronica’s my HR. She gets, you know, she gets their background check, she gets all this stuff for you, gets you their license number and all that, what does the employee have to do or is this all done at the HR’s level?
Delaney Crowe (07:49) The like provider employee or they, I believe it’s just like uploading the documents. And then, yeah, everything else is like done in the background. And then, you know, it’s like a either a go or a no… can.
Patrick Fithen (08:05) We give you a list of our payers.
Delaney Crowe (08:07) Yeah. I checked out your website and I saw a few of the medicaid ones, but are there additional ones that aren’t listed there?
Patrick Fithen (08:13) I have about I’m not going to include the eaps, but, you know, there’s probably about 12 to 15 payers I do work with. Okay. Yeah.
Delaney Crowe (08:27) So, I think it definitely could make sense especially as you’re continuing to grow and, you know, open a new location this year. So as far as like a next conversation goes, is, are you looking to like, is there a timeline for you? Is this just like I’m just seeing what’s out there or is this more like an active project? Like I need something yesterday?
Patrick Fithen (08:49) I’m just seeing what’s out there. I just saw that was an advertisement, so I thought I’d check it out to, yeah, you know, see if that is a cost savings for my team.
Delaney Crowe (08:59) Yeah, absolutely. Yeah. Well, I think definitely as you grow, I think it would make sense. And at the very least the next conversation can get kind of a little bit more into the weeds and, you know, you can get like a better idea of medallion… does this week or next work for you for a brief like 20 30 minute follow up call? Yeah.
Patrick Fithen (09:21) I’m pretty free this week, okay?
Delaney Crowe (09:25) And you guys are mostly are all based out of Idaho, correct?
Patrick Fithen (09:30) I, all my locations are based out of Idaho. All the clients are based out of Idaho, but I do have a few therapists that work remote for me out of other states.
Delaney Crowe (09:39) Okay. So cross state licensure is also a part of the.
Patrick Fithen (09:44) But they all have Idaho. They all have Idaho licenses at the end of the day.
Delaney Crowe (09:48) Gotcha. Okay. That makes sense. I’m in Oregon bend, Oregon. So, oh, sweet. Yeah, not too far, right? I’ve actually never driven that way, but it’s on my list because I heard Idaho has amazing hot springs.
Patrick Fithen (10:02) Bend looks pretty much like boise, but smaller. Okay. But yeah, it’s about six hours.
Delaney Crowe (10:14) Okay. Nice. No, it’s on my list. Yeah, it looks beautiful out there, my.
Patrick Fithen (10:18) Wife wants to move there. So, yeah.
Delaney Crowe (10:20) It’s.
Patrick Fithen (10:21) not happening though.
Delaney Crowe (10:22) I moved from San Diego. So, I’m also, I’m one of the transplants as well.
Patrick Fithen (10:28) Oh, cool. Where at?
Delaney Crowe (10:30) In San Diego, I’m from north county encinitas area.
Patrick Fithen (10:35) Okay. My dad’s up in temecula.
Delaney Crowe (10:39) Oh, yeah. It’s a little bit. Encinitas is probably like an hour, 40 minutes, south east, west southwest. See.
Patrick Fithen (10:47) I want to move to San Diego, but that’s not.
Delaney Crowe (10:49) Happening. No temecula’s very nice too. My grandparents lived there and it’s I mean, it’s beautiful. Yeah.
Patrick Fithen (10:56) I go to PB pretty much every year, so that’s nice. Yeah.
Delaney Crowe (10:59) Very nice. Yeah. Awesome. Okay. Well, I’m looking at the calendar and I have tomorrow or Friday works or we can look in the next week as well too.
Patrick Fithen (11:10) Yeah. Give me a second here. What do I got going on tomorrow?
Patrick Fithen (11:17) I have 10 a. M open tomorrow if you have that.
Delaney Crowe (11:21) And that’s Mountain Time, correct? Correct? Okay. So, that would be nine a. M, my time. Yes, that looks good. Let me.
Delaney Crowe (11:36) Okay. You should, it should come through on your end. It’s like an outside scheduler… so, I don’t know if it takes a minute or not, but if anything comes up, feel free to let me know and I’m including one of my colleagues on the call who will be able to kind of get into the weeds a little bit more about medallion and what it would look like for you all but appreciate you taking the time to chat real quick and, yeah, looking forward to connecting tomorrow, just.
Patrick Fithen (12:04) Really quick. You said three day turnaround with most of the payers, is that like do you have some kind of special contract that allows you to get credentialed that fast or?
Delaney Crowe (12:16) Yeah. So we have delegated agreements with most of the top payers, which just, I believe that means we should have like existing contracts or, yeah. So that’s how we’re able to, and we have slas, so sales level agreements where like if we miss those outcomes that we commit to, then we’re on the hook for it. So, okay.
Patrick Fithen (12:41) Yeah.
Delaney Crowe (12:41) That’s kind of why we really, you know, hold ourselves to that is because we want to make sure that, you know, you all are happy and your providers are we came, the whole reason like we came about is because providers getting billable was just such a pain and credentialing can be such a, you know, I’m.
Patrick Fithen (13:03) sure. It’s a pain in the ass. It’s a.
Delaney Crowe (13:04) Pain. Yeah, there’s no better way to.
Patrick Fithen (13:06) Put it… that’s where kind of I’m at a weird spot because, you know, with all of our payers and I hire these different folks, like a good half of my staff are lmsws. Sometimes they can work under supervisory protocol. Sometimes the turnaround is like 30 to 40 days from the payer. And then it kind of puts me in a jam because these people want to build up a caseload quickly.
Delaney Crowe (13:33) So, yeah, they want to get paid and you want to be able to pay them and get, yeah.
Delaney Crowe (13:37) So, yeah, that’s definitely like where we came about and what we solve for. So, and I’ll make a note to my colleague and like give her, you know, a little brief and background on you all, and she’ll be able to, yeah, again go into what those turnaround times look like, those delegate agreements and, yeah, and then she’ll be able to answer any other questions that come up so cool.
Patrick Fithen (14:00) Delaney. Well, I appreciate your time, yeah.
Delaney Crowe (14:02) No, thank you so much. Patrick, look forward to chatting tomorrow.
Patrick Fithen (14:04) Okay. Thank you.
Delaney Crowe (14:05) Okay. Bye.