Transcript
Ellington Loy (00:00) hey, josh. How are you?
Josh Brunell (00:02) Good. How you doing Ellington?
Ellington Loy (00:04) Doing good. Can’t complain? It’s Friday?
Josh Brunell (00:08) I know. Sorry, we didn’t have really a chance to, I feel like there’s so many new faces. I didn’t have the opportunity to really like talk with you at Austin, but thanks.
Ellington Loy (00:16) Again.
Josh Brunell (00:17) For booking this?
Ellington Loy (00:19) Yeah, of course. Yeah, it was, so go go go. I got home. I’m like, good lord. I feel like I need a break and I didn’t have to present like you did. So, I’m sure you’re exhausted.
Josh Brunell (00:32) Yeah, I know going on Wednesday morning was not ideal. Yeah… because like, I felt like I couldn’t like go out late on Tuesday and it seemed like everyone was doing fun stuff, but it was still a good time. Probably better. I didn’t.
Ellington Loy (00:49) yeah, yeah. Yeah. My baby, Chris went on. He went on Wednesday too. Cool.
Josh Brunell (00:57) Looks like they’re in the waiting room. You mind if I let him in? Yeah, of course.
Ellington Loy (01:13) Ahem… hey, Daniel. Hey, Ashley. Hey, Paige.
Josh Brunell (01:24) Hi.
Ellington Loy (01:25) Happy Friday.
Josh Brunell (01:38) Can you all hear us okay?
Danielle (01:40) We can. Yes. Okay. Cool.
Josh Brunell (01:45) I know there was quite a few folks that had joined or accepted the invite. It looks like Rosanne is joining.
Danielle (01:54) Ahem, Rosanne should be joining here soon.
Ellington Loy (01:58) Awesome.
Ellington Loy (02:03) Hey, Rosanne. How are you?
Josh Brunell (02:19) Are we waiting for anyone else on the westlake side? I think you’re muted Rosanne.
Danielle (02:28) I’m currently driving so it’s hard to see the participants, but it should be, I think everyone’s on the call.
Rosanne Nikolaidis (02:34) Now, we just got off a call with, including Ivy and Dylan. They’re also getting on the call. Okay. Last time we met, it was just Danielle, Ashley and I, and we were mostly talking about… like insurance credentialing pain points. But for this meeting, we included our HR team page, Ivy and Dylan, because they, we also use our current consultant for… licensure and hospital privileges and that sort of thing. And I understand your product can also help with that. So, we would probably also be looking at changing that… at the same time.
Josh Brunell (03:29) Excellent. Yeah. Happy to, happy to talk about that. I think we have almost everyone here. I think maybe we might just be waiting on Ivy.
Rosanne Nikolaidis (03:40) She may be with Dylan, Ivy, Dylan, you’re muted Dylan?
Dlynn (03:49) She just was going back to her office. So we just hopped on. I missed the very first part of that, what you’re talking about, but she should be hopping on, we can.
Josh Brunell (03:59) Start with some introductions on our side, dive into the agenda. And then by the time she hops on, we can pass it back to her and kind of dive into their specific pain points on the privileging and the licensure side. Does that sound like a good plan? Okay. Cool. Awesome. Yeah, Ellington, you want to kick us off?
Ellington Loy (04:20) Yeah, sure. So, I’m Ellington, I’m on our business development team here at medallion based out of Nashville, Tennessee. I know from our previous conversation last week, y’all mentioned that credentialing and enrollment can be pretty manual and slow at times at westlake, and they are looking for a more efficient way of doing this. And so, thank y’all for taking the call today. We’re excited to learn more and yeah, I’ll pass it off to my colleague josh.
Josh Brunell (04:53) Nice to meet everyone. I know it’s a large team today but we’ll start, we’ll round out introductions here momentarily before we get kicked off. But, yeah, Ellington, thanks for helping to coordinate the call.
Josh Brunell (05:07) My name is josh brunel on our partnerships team, help lead these discussions around making sure, hey, there’s a fit here and value that we could provide to your business. And if so, like helping to support you through that process and evaluating medallion as a potential partner. So excited to talk with y’all, learn a little bit more about some of the challenges and what we heard on the previous call, probably double click into a few things there. But also talk about the two important topics you mentioned, Rosanne around licensure and hospital privileging applications. But as far as the agenda goes pretty straightforward, let me just share my screen and then we could get dive into intros on your team side. Can you see that? Okay. Yes. Okay. Yeah, I mean pretty high level. We had planned to just talk about what we heard around the credentialing and pay enrollment pain today with your current vendor of course, happy to add licensure and privileging into that as well. Talk about how we’ve solved some of these challenges with similar organizations and kind of walk through our thesis of which might be different from the, sounds like you have a legacy vendor that’s been doing a lot of things manually. So happy to talk about that and how we use kind of a more blended approach of technology and experts to help drive better outcomes. So, yeah, obviously want to make the most out of your time today. So if we can dive into maybe some of the roles and responsibilities on your side just to make sure I understand kind of who kind of owns what piece of this process? I think it will help make the discussion a little better.
Rosanne Nikolaidis (06:49) My name? I’m Rosanne. I’m the general manager and I kind of or assist in both the HR team side and the insurance… enrollment side and help where I can. I’m familiar with the struggles of both of our teams here. In that regard. Danielle, Ivy and Paige on the call are our HR team. And sorry, Dylan, Ivy and Paige are in HR. I believe it’s mostly Dylan that coordinates right now with our current consultant on licensure expirations updates. And she just coordinates with a particular person. Maybe Dylan, you can talk more about your role and what you do. And then Danielle and Ashley are they interface with our medical billing side of the house which of course, is tied to insurance enrollments… credentialing, and that’s super important that is all done quickly and stays current and error free. And so they’re having difficulties right now with our current service who’s not able to keep up with our current provider volume and doesn’t have a very efficient way of operating. It’s. Becoming very problematic.
Josh Brunell (08:25) Thanks for the round of intros there.
Danielle (08:28) Yeah.
Josh Brunell (08:30) Sorry. Was that Danielle?
Danielle (08:33) That’s okay. This is Danielle. Okay. Just wanted to expand a little bit on Rosanne’s points there. If you’re looking for context on the insurance side. So we’ve been with the same group since the inception of the practice and we’ve grown over the years from the insurance credentialing side. What I’m most interested on is moving to a vendor who offers full transparency in the enrollment process right now. Our point of contact essentially sends us a spreadsheet… upon request. It’s not delivered very timely and it’s certainly an antiquated way to manage the data. Aside from that. Directory updates have been challenging and increasingly more of a nuisance for our group. Those also seem to be inaccurate and outdated and again require multiple follow ups with our existing vendor. So looking to improve that, obviously, that segues into patient access and proper referral management. And then, I think… you know, Dylan would be able to speak more on licensure and keeping up with renewals and things like that. We do have a few open projects right now with the team in terms of direct credentialing, our mid levels. So wanted to talk to you at some point during the call and what your thought process is on how a transition of that type would work in terms of gaining access to certain sites like caqh to ensure a seamless move.
Josh Brunell (10:19) Yeah. Happy to dive into each kind of one of those topics. So starting, I think with the long time vendor that you’ve been working with using antiquated systems, sounds like he’s over capacity and he can’t support the growth that you’re experiencing which is fantastic that you all have seen this growth and you’re adding new markets, new payers, new lines of business. I think you know some of the things that I also heard there were a lack of visibility. So from a reporting standpoint, it sounds like you’re looking for better insight where you can automatically see something not ping a single person to get the follow up the excel spreadsheet but having a dashboard visibility into the status of everything where each provider is at in the process. Are they enrolled with specific health plans? Are they credentialed when’s the renewal date or revalidation date for that provider? All those things need to be at click of a button easy to view. And I’m guessing that because they’re not today. I kind of want to understand better the impact of that. You know, there’s kind of three main buckets we see organizations partnering with us on as far as solving main business challenges. It’s like, hey, my providers are really frustrated about this process. It takes them forever or it could be, hey, there’s potential revenue that we’re losing because people are sitting on the bench, things are getting done inaccurately. And therefore we’re missing revalidation dates, renewals, and so on. And then there’s also like the operational cost of it too. Like obviously, you’re investing in this partner, you’re paying them something. And if they’re not doing a good job, then that’s not a good return on your investment, right? And then also there’s the cost of all your team members. It seems like that are having to pick up the slack and what other initiatives and projects they should be doing, whether that’s within HR or billing or operations that they can get out of this. Like I guess if you had to kind of prioritize those things, what is the most important thing for westlake dermatology as far as the outcomes you’re looking to solve with this?
Rosanne Nikolaidis (12:31) I think making things more streamlined for our, for Danielle and Ashley in particular, again, I’m not quite sure if Dylan is having a lot of problems on her end in HR, but for sure, it’s very time consuming and very frustrating. So, my goal is make things easier as easy as possible for everyone.
Dlynn (12:55) Danielle and Ashley, because I would think getting the vendor, them credentialed with the vendors in a more timely manner and on the entrance plans is really important.
Josh Brunell (13:03) Yeah, I.
Rosanne Nikolaidis (13:05) mean, but really check the box and all of the things you just mentioned. Yes, those are all affecting us.
Danielle (13:12) Yes, you know, exactly, and to a certain extent, you know… the pain point or objective that you mentioned regarding provider unhappiness. I feel like Ashley and I have insulated them from all of this. So they don’t really see the work behind the scenes. Now, they do when our current vendor is unable to deliver on insurance loads, right? And so right now, you mentioned providers sitting on the bench in situations like that. We’re setting up essential almost like roadblocks in the back of our claim queue to prevent billing on payers that aren’t loaded. Some, the dates will retro back and we’ll release and that’s fine. Others, we don’t have confidence in retro dates. So they are just restricted from scheduling. And so that’s you know, it’s an opportunity to see more patients.
Josh Brunell (14:14) Is that getting more difficult… to keep up with as you’re expanding payers and providers?
Danielle (14:22) Oh, absolutely. I mean, you know, essentially what happens is, you know, we’re pulling this data statically from a spreadsheet, inputting it into our emr system, which syncs to our RCM system. We don’t have the visibility into status updates. And so it, it’s essentially Ashley and I going through setting reminders for ourselves to check in with the vendor, which I think, you know, hits… your next point. You know, we’re paying them for a service. I strongly believe we shouldn’t need to do that necessarily. And in transposing data in multiple places and spaces, obviously, there’s opportunity for error for oversight. So I definitely want to shore that up.
Josh Brunell (15:13) And have you, it sounds like you’re just kind of in initial research phase, but have you tried to solve this problem before with the vendor by like either adding some sort of software that you can like convincing them to buy some sort of software to use in this process? Like I guess he?
Ashley Peterson (15:30) Was not willing to do that. He’s.
Danielle (15:34) not, I propose that he look into workday Salesforce?
Rosanne Nikolaidis (15:38) Anything or even just a shared Google document. He wouldn’t even do that.
Ashley Peterson (15:44) Yeah. I mean, we create, Danielle, created a whole entire Google folder for them to like go in and edit. And he won’t touch it. He won’t do anything in there.
Josh Brunell (15:53) Okay. Yeah, that’s nice. They’re.
Rosanne Nikolaidis (15:55) very resistant to change. And so, it’s interesting like it’s not just the growth, that has made him outdated. It’s his refusal to kind of adopt a new method to try. Yeah, he’s just refusing and he just, and when we send him more providers that we need help with, he just says, you know, you all are swamping me. I can’t keep up. He, I mean, he’s admitting as such, so I don’t think it’s going to come as a surprise. So, yeah.
Josh Brunell (16:25) Yeah, I hear you. And that sounds very frustrating. Yeah, I mean, as far as the things that we typically see, I’m just going to move over to here because like when it comes to solving these challenges kind of, you know, companies in your situation will look at a couple different options and these are kind of like the default options that have been in the market. And one of the situations sounds like you’re working with this legacy kind of cbo vendor, this legacy credentialing partner. If you will, sometimes people run into some challenges you’re dealing with lack of being able to scale, lack of automation, lack of visibility with any sort of software. So they’ll do a couple of things. They’ll either go to a bigger kind of bpo option where it’s like a large company doing this at scale. But you’re going to run into similar challenges if they don’t have the right technology in place from a visibility standpoint to track these things. And with limited automation, they’re just going to be throwing just more bodies at the problem. But once again, you’re still probably going to be dealing with those issues. Another flip side of this is sometimes teams will say, hey, we’ll just staff up internally. We’ll build our own credentialing team in house. We’ll buy a software to help track and manage the process. But once again limited expertise, limited automation. And then also that drives higher cost. And so, yeah, we take a much different approach to solving these problems by doing kind of the best of both worlds in giving you a platform to help give you visibility into all the things that you’re looking to have regarding the provider onboarding experience, credentialing, pay enrollment, privileging, licensure, where are they at in any part of that funnel? And then we also have credentialing experts in the loop. We know both from a compliance and regulatory standpoint to follow like ncqa standards or joint commission standards. A human needs to be in the loop to review and do a quality check on a cred file. We also know a lot of payers have specific requirements around human processing applications. And so we have the mix of technology and people to do that. And then one thing that is much different than probably the way that you work with this vendor is that we actually contractually commit to how fast we do this work. So that leads me to my next question is like timelines, like it sounds like he’s overburdened like what are your current turnaround times? If you submit, hey, I need new providers starting need them enrolled. With these payers, how long does that take for them to get the apps out the door? And then overall, like the process completed, I know you’re working with, I think 40 different payers, so it could vary drastically. But like on the commercial side, like what does that look like?
Rosanne Nikolaidis (19:20) Well, first of all, it takes time for the people to return. You know, he basically will make when the process starts essentially I send him, hey, we’ve hired this person here’s their start date, and then he sends them an email saying, hey, we need to collect all these documents, right? And so.
Josh Brunell (19:39) Like a checklist of, hey, we need all these things.
Rosanne Nikolaidis (19:43) Yeah, we need a copy of your license, whatever all the list is. And it, you know, from the time he gets that back, I would say, I don’t know three months, maybe four months. I feel like it’s taking longer lately. It used to be three or four months is what I would tell people. It’s nice to have six months. Some of the, you know, some of the, I know like right now we’re having trouble with what is it called? Triwest or Tri? Does he notify you when?
Josh Brunell (20:23) He’s collected everything and like, hey, we have everything we need to have submitted?
Rosanne Nikolaidis (20:29) No, no. He just will. After so many months, he’ll write us and say, hey, I never heard back from this person. Can you, can you reach out to them? And often his email goes to junk and they just don’t ever see it. So then, no. So there’s not visibility into the process. Okay? Yeah.
Josh Brunell (20:54) Okay. Yeah. I mean that would drastically change. I mean, we track, so I’ll just kind of run through the services here. And what probably is most important is like one, you’ll have a single platform to a provider data management platform to collect all this data upfront. We do interface with things like caqh which I think you, I think it was Danielle you had mentioned that was like an important piece of this is like we can actually speed up the process instead of them sending an email with the checklist saying, hey, we need all these things to essentially submit a payer enrollment application. We can actually link their caqh id like just with their caqh id, last name and SSN. We can link their caqh profile to medallion. It ports all the relevant information over their demographic information over. So the provider has essentially a profile built out. And then we could take a number of actions with that. We can submit for a new state license, we can submit for a payer enrollment application, we can generate a cred file to ncqa standards to joint commission standards. We can also privilege in hospital applications. Think of the platform as like a provider data kind of database if you will. And all your team is doing instead of sending an email asking, hey, I need this provider to be enrolled with, you know, these health plans are starting and you send an email, you go into the medallion platform click request and you can do it in bulk action. And then our automation takes it from there. You have full visibility. Is this an intake? Has the application been sent out? When was it sent out? What was the email communication? What was the phone call to the payer? All that is tracked in the platform. And we guarantee once again how quickly we get the apps out the door contractually. And then, as well as to completion. And we’re the only vendor in the space that does that. And one other caveat or not caveat, but one other big value add is that, of course, like getting like initial apps out the door is important, but then giving you the visibility and notifying you, hey, we’re 90 days out from this expiring or we need to revalidate these payer enrollment applications for this provider. Those get automated as well. So you don’t have to worry about it. It’s all kind of running seamlessly. You own the strategy. Hey, we’re bringing on these new payers. Great like we’ll support you in that process. But yeah, how?
Rosanne Nikolaidis (23:23) Do you gain access to the caqh? And the also the medicare. Sorry, what’s the medicare site called?
Danielle (23:34) Novitas.
Rosanne Nikolaidis (23:36) Novitas. Yeah. Do you have your own, do you set yourself up to be the administrator of our practice and have like an administrator access?
Josh Brunell (23:50) Yeah, there’s a couple different ways depending on the portal or system, but from caqh, yeah… they’re during the onboarding process, we’ll essentially do a linkage between caqh and medallion and that actually just happens with those three pieces of information we need from your provider. We’re the only vendor in the space that actually has that proprietary relationship. We also can any, what’s nice is that with medallion, anything that you import into medallion from caqh, you can make changes in medallion. And we also have a service as well that pushes any changes in medallion back to caqh which we know a lot of the payers when they’re going through the process of enrolling the provider, they’re using the data in caqh to work off of, the application. And if there’s any discrepancies, then that application gets rejected. So we always make sure there’s parity between the two systems. And we also handle attestations on behalf of your providers as well. And so that’s just like a initial signature giving power of attorney, medallion can take it from there. And I know for a lot of teams that are doing that on behalf of the providers that provide like a white glove service like that’s a huge value add in time savings both on the admin and the provider. But yeah, any of those kind of payor portals that you have like we’ll document what those are during implementation and then we’ll essentially get like a linkage between the two platforms and it’s very simple and easy process.
Danielle (25:22) Interesting. So you’re essentially saying you have an API direct with caqh? Yep. Okay.
Josh Brunell (25:32) Yeah. So we’ll do like a bulk data import of all your providers and then any new provider from there, we’ll essentially just create a profile for them in medallion. Either an admin can do, it can do the linkage or a provider. It’s very simple. They get an email invite to medallion. Hey, welcome to medallion. We’ll use your logo, your branding, any messaging, just essentially saying like, hey, we use this for credentialing pay enrollment. They hit accept and then we’re… able to then just have them simply attest yep this information is up to date and then we could take it from there. So it’s a pretty smooth. I would say it’s going to be a change from what you’re used to, you know, working through emailing the providers, the vendor like everything will be tracked in one place. And then like the ultimate outcome here, what I was mentioning around like the turnaround times. So like as far as like credential packets enrollments, like we have these in our contracts. So like there’s limited risk as far as our ability to execute… we’ll never get over capacity. Like the person that you’re working with today. We have both a team of… that’s going to be helping from like, a pair follow up standpoint. But I would say like 90 percent, the reason why we’re able to handle this much scale is because like 90 percent of this work is repetitive and can be done through automation. Frankly, like we’ll take a pair enrollment application and we’ll automatically use like a essentially like a bot to go on the payer portals and fill it out within seconds opposed to like having. And then we’re constantly scraping for status updates on those websites. So that like you’re no longer gonna have either your team hands on keyboard doing that work. I.
Dlynn (27:32) I have a question, josh. So this is Delanne I, I’m kind of the middleman between… innovative health and the physicians. So I know or at least what we’ve been or what I’m told is that before he can credential with the insurance plans, they have to have their malpractice in place. And currently, GP is sending that malpractice application, telemedicine application, cosmetic questionnaire application to the provider in that big initial email that, hey welcome. This is all the things that we need. And so once he gets that application, he then sends it to me and then I make sure it’s got everything on there correctly. And then I send that to tmlt. And then tmlt, you know, takes their whatever seven to 10 days and they, you know, will give us this Coi. And then once then I send that back to GP. And once GP gets that, then he says he can start his credentialing or whatever the case is. Yeah, a.
Josh Brunell (28:49) 100 percent. So that’s a great point. So we know that there’s going to be unique kind of one off tasks or documents that are going to be unique to specific payer processes, whether you’re working with like government payers or commercial payers. And so what happens when we kick off that workflow and you make the request to, you know, get a provider enrolled? We have the requirements pre built into the back end of medallion to say, hey, we have all these kind of we call payer process guides. We know that we need that malpractice. And therefore, we’ll automatically create a task in medallion to say, hey, we are missing this. We cannot submit until we have this. And then we could either decide to task out to you or task it directly to provider up to you based on how you want to have that workflow. And then, we would trigger that automation. You’d get an email notification and notification of the platform and we’d continuously follow up until we get that information. And then once we acquire that information, then we submit it and so not just for the malpractice but any like key data that we need or documents that we need that’s a pre req, same with like licensing like we know we need a state license or an active state license to submit this. Otherwise, we’re going to get a bounce back application. We won’t let you submit until we have that license for that provider, okay?
Dlynn (30:11) So then go ahead. Do you.
Rosanne Nikolaidis (30:13) keep track of licensure renewals into?
Dlynn (30:17) Like.
Rosanne Nikolaidis (30:18) aside from the insurance application need for like our established doctors who, you know, we just need to carefully keep track of when their state license expires. Is that a service you include 100?
Josh Brunell (30:31) Percent? Yep. Yeah. Are they are, is it up to them to renew it or is it, are you doing that on their behalf? No?
Dlynn (30:39) They, they renew that themselves. But we have a, I mean, we, I notify them before if their Dea or their, you know, Texas license is expiring. And then I also get an email from innovative health that says, hey, these 15 people are expiring, please forward me their Dea or medical license once it’s renewed. And so, you know, I’m already emailing them. Then I get an email from them. And then they’ll send me reminder emails when they, if the provider hasn’t updated it and, you know, I try to nudge it along but I’m kind of this in between person to get those things and Dea, they can’t pull and I can’t pull. So we are, we do rely on the physicians for that. I can pull their medical license. I just check every day to see if they’ve renewed it because sometimes they don’t tell me that they’ve done it and I don’t get it. And so I have to, I have to reach out for it because they don’t really know, sometimes I’ll get emails that say, when does this expire because they don’t know when their Dea expires?
Dlynn (31:49) And so, you know, that I’m kind of this middle person in their building, you know, with the amount of providers we have it’s a lot of emails coming in and then any re, appointments. I was just telling Ivy this morning. So they address the reappointment emails with, you know, attestation questions and all the things that are needed. Their, you know, updated driver’s license, their CPT reports, the last two years, their cmes. They address those to me and CC the physicians on there which I’ve asked them not to do that. It really should be going to the physicians. And, you know, I’m happy to help if their people are dragging. But I don’t have the time to chase the doctors for all of those things. And they, I don’t know why they keep sending it directly to me and not to the physicians. Like I said, I can be cc’d on that help. But anyways, that’s kind of the things that I’m chasing with innovative health. Is I’m trying to get these malpractice applications to tmlt, and then I’m chasing all the information that’s expired and they email me about it and I’m trying to get it all for them. So.
Josh Brunell (33:08) Yeah, definitely have some good news there. So we, yes, we would definitely help provide the notifications on all those expirables or any documents that’s missing. We can, we have a couple of different paths. Like I said, we could, you know, notify you being like the admin as well as the provider, and also we can make it very simple to like to collect these things from the provider. So kind of two different versions of how to solve the problem is kind of up to you. But we do have the concept of what we call like a provider portal where all they see is like, hey, I medallion’s notifying me. I need to upload my license and like they get notified, they can upload it using their phone, taking a picture of it with the QR Code. And then it goes directly into the system and then that, that’s something you don’t have to worry about. So or it could notify you and you reach out to them, same kind of workflow, whatever you want. So there’s a couple of different angles of how to collect that data. But yeah, any like I guess that leads to my next question. So, you mentioned appointments. I’ve heard the I’ve heard the word privileging a few times. So do you have a hospital systems or partners that you are placing your physicians at? And I guess what does that process… or relationship look like? Are you doing that for all providers? It’s only a portion of them.
Rosanne Nikolaidis (34:46) It’s all, it’s all of them because it’s my understanding that it’s necessary for them for their insurance credentialing. Most of our doctors never step foot in a hospital. They don’t need to. We’re in, you know, we’re dermatologists, they’re dermatologists for a reason… but I believe in order for them to be in network with the payers, they have to have hospital credentials privileges. Mostly, they’re just consulting privileges or whatever the minimum amount is to be able to qualify for the insurance groups. Some of, we also have plastic surgeons and, they actually, it’s more meaningful for them, they need maybe practicing… privileges at certain hospitals. So for them, it’s a little bit more special. Yep. But yes, for the most part, it’s we’re just looking for nearby admitting privileges for the plastic surgeons or consulting maybe… calling it the wrong thing, different basic privileges for the dermatologists just so that they can qualify for the insurance networks.
Josh Brunell (36:04) Okay. Yeah, that makes sense. Yeah, I was just asking to get an understanding of like, does that add another complex like layer of complexity if they’re needing to get privileging at like multiple hospitals and health systems? Like I didn’t know kind of what that scale was. Yeah.
Rosanne Nikolaidis (36:21) I mean, honestly, we always have, I think for most of our physicians, I maybe it’s changed over the years, Dylan, maybe, you know, but I, in the olden days, we would just get them credentialed at both of the large hospital systems in the Austin area. Yeah, although I think one’s become more difficult than the other and so we may have stopped. And now we just do one, I’m not really sure if you see that on your end, Dylan.
Dlynn (36:49) I mean, they all have their different it’s mainly, I mean, st David’s is that what you’re talking about?
Rosanne Nikolaidis (36:55) Yeah, st David’s st.
Dlynn (36:57) David’s are the two that I see. I mean, you’ll have some little one offs here and there, but those are the main ones. I would say.
Rosanne Nikolaidis (37:04) Here in Austin, we do have, we do have locations facilities in Dallas, Houston and San Antonio. So those, they have not only different hospitals but they also have different payer like groups for that, handle a lot of the insurance and.
Josh Brunell (37:25) Forgive me. I know we’re eight minutes over.
Josh Brunell (37:27) I should have done a time check earlier. Do you all have a hard stop in a meeting that I’m keeping you from?
Dlynn (37:33) I don’t but.
Josh Brunell (37:35) Okay. I’ll be respectful of your.
Dlynn (37:37) Time, but.
Josh Brunell (37:38) I do think, yeah, I’m good on my side, I think from the things I heard like it… sounds like, you know, I understand why probably one person is having a difficult time with this, which is like, but if that’s their business model, they should either staff up or buy better software to solve it. And so happy that you’re coming to us to help solve some of these problems. I think there’s a really good fit here. And as far as just like, hey.
Rosanne Nikolaidis (38:07) What?
Josh Brunell (38:08) Are you looking to accomplish it’s getting, you know, providers through the process, faster driving revenue for the business? Also giving better visibility and maybe less of a headache dealing with this vendor. So where you’re not having to worry about whether a provider is going to make it through the process or having to constantly follow up with them all those things for the like, you know, happy to set up some time where we can walk you through the process and really show like the technology that helps to drive these outcomes for our customers. Once again, when it comes to like getting the data collected and sent out for any of those downstream actions we are seeing about two days on average to collect the provider data and then get those applications out the door, what that does as well as just like our more intense follow up with payers, is it decreases the time those turnaround times. We’re also seeing as well like organizations, it sounds like in your case, you’re kind of like fully outsourcing this, but a lot of organizations that they scale once again, they’ll hire individuals that are dedicated to credentialing pay earner, someone that specializes in privileging, like you’ll, never have to worry about that with medallion because we’re essentially an end to end solution. And so, yeah, hopefully this will lead to a much better administrative and kind of customer experience on your side and happier providers, happier HR team because you’ll get to be focusing on not chasing down providers and paperwork and seeing better outcomes. So, I would love if it’s okay with you to set aside some time where we can walk through the different capabilities that we discuss with a technical solutions consultant on my side, a technical counterpart who will walk through the platform, show you the experience of adding in a provider, getting them enrolled, getting them credentialed all the way through the process, and then give you visibility into the type of reporting that you’ll see making sure that this is a good like technical fit based off of the things we heard. Does that sound like a good next step?
Dlynn (40:10) Yes, yeah, sure. Awesome. Do you, they, I do get requests for clia certifications. Is that anything that they’ll ask me for updated clia, certs, innovative health. Well, I don’t know if that’s something I don’t know. I don’t really know why they do, but they asked me for those things I think.
Rosanne Nikolaidis (40:33) It’s because they also help us with our facility enrollment. So when we build a facility and we have two coming online this year, they have to submit the medicare application, I guess to add the facility. Yep. And so, yeah, do you all do that?
Josh Brunell (40:54) We do like facilities enrollment and credentialing. I just need to sorry, what was the term that you said earlier that’s something my probably my solutions consultants?
Dlynn (41:05) Yeah. Clia, CLI a… and.
Rosanne Nikolaidis (41:10) It’s required. Maybe Danielle also has insight. It’s also ends up on the claims. Yeah, it’s the.
Dlynn (41:18) Laboratory improvement amendments. Is what we get? So. Okay?
Josh Brunell (41:24) If, yeah, if that’s a requirement in order to submit the application, once again, that’s going to be in the payer process guide. So let me just confirm that we’ll be able to track and support that. But I’m fairly certain we can. And anytime also, we have, so we work with a lot of companies. Well, they might be working with like a regional payer that may have like a one off requirement or something that’s non standard. We could always just add it to our workflow and process and then, and get that information for you. And.
Dlynn (41:55) So, is the bulk of collecting all this information? I mean, is that, I think I heard you say that the physician would go in and they attest you… know, they attest it there and submit it. Yeah?
Josh Brunell (42:11) So essentially, like a provider will log in one time and just and attest and give power of attorney essentially and then we have a lot of ability from there to do things like the caqh pull into medallion and going on their behalf and submitting these applications on.
Dlynn (42:27) Behalf. Okay. So you’re doing the same thing? Okay? So paralon and all those, because I do also kind of they always ask me to get their paralon, get their login. So then that they can go in, they always want like a call with the physician, a five minute call to get their login information. So would that eliminate that for the physician as well? Yeah. Okay.
Josh Brunell (42:55) Awesome. I’m looking at my colleague, Samantha, her availability. Is it okay if I throw out some times for say next week for us to regroup?
Dlynn (43:09) So, we have, yeah, we have payroll next or I have payroll next week, say late next week, Tuesday, Wednesday, we are busy with payroll?
Josh Brunell (43:21) Okay. Would, would, are… you you’re all central? Would Friday at 11 a M work?
Dlynn (43:33) That works for me. Yeah, that would work for me. Likewise. Yep. That would work. Okay?
Josh Brunell (43:40) I’ll get the demo invite sent out for then. It’s a shame, we were, me and Sam were just in Austin visiting another customer earlier this week. So, are you all mostly in Austin area or just kind of spread throughout Texas?
Dlynn (43:55) Yes, we’re all in Austin. Okay. I think.
Josh Brunell (43:58) We might be back actually next month. So if things progress, we’d love to meet you all in person if possible, but yeah, I’ll get the invite sent out for Friday at 11 a. M. Central also send a recap with some information around some of the different topics we discussed and some customer success stories. So you can just kind of hear from someone else besides myself about their experience. So I’ll send that over any other questions or things I could answer that will?
Dlynn (44:31) Just real quick, josh. Do you happen to know if you service any large dermatology clients? We do? Yeah.
Josh Brunell (44:38) I could get it. Let me check and see who’s referenceable. But we do have, I would say probably 12 or so. Okay. Yeah. So I’ll come prepared to talk about those on the next call.
Dlynn (44:55) Awesome. Thank you.
Josh Brunell (44:57) So much. It was a pleasure meeting. You. Have a good weekend, everyone and we’ll talk next week.
Dlynn (45:02) Thank you. Same to you. Bye.