Transcript
Amy Walsh (00:00) hi, Brenda.
Amy Walsh (00:05) Hello. How are you?
Brenda Kelly (00:08) I’m all right. How are you doing?
Amy Walsh (00:10) I’m good. Were you guys just on with Lee on your, every other call? Nice? How did that go? Good? It went well, good. That’s more of a shame thing.
SB (00:26) Sorry, I have to solve one kid solve coming home situation. Oh,
Amy Walsh (00:31) take your time. That’s totally fine. That takes.
SB (00:33) Questions?
Amy Walsh (00:34) Over this.
SB (00:40) To get him… there, we have a baseball game. My husband has a quiz bowl that he’s hosting. And then, of course, the third child is like, of course, I want to go play at my friend’s house today, mom, because there’s nothing else on your plate today. And so, I’m like does the school even know dear? Because my husband’s like he’s going to Delilah’s and I’m like it’s not that simple.
Amy Walsh (01:03) Honey.
SB (01:05) Manage your quiz bowl be gone. Oh,
Amy Walsh (01:07) man.
SB (01:11) So, before I get to the school or somebody’s calling me and like, we didn’t let him on the bus today fantastic?
Amy Walsh (01:17) Yeah. Oh, gosh. Well, hope… you got it all situated. Sounds like you do. It’s good to see you both. Yeah, it’s good to see you. I haven’t seen you guys in a while. It was wonderful. Thank you. I got back Thursday. So still adjusting to being, you know, back, but yeah, it was great.
SB (01:35) Awesome. Great fun. How?
Amy Walsh (01:37) Are you both any updates?
SB (01:40) Nothing? No, finally sunny here.
Amy Walsh (01:43) Good. Yeah, here too. Okay, awesome. I have a little deck.
Brenda Kelly (01:48) To put together. It’s raining really bad right now here, if you can believe that.
Amy Walsh (01:52) Are you still?
Brenda Kelly (01:54) In Florida?
Amy Walsh (01:54) You are, when are you going back home? We?
Brenda Kelly (01:58) Don’t leave until like the fifteenth or the 20 second of may.
Amy Walsh (02:01) Oh, okay, nice. So, you’ve been there for a while now that’s great. Oh,
Brenda Kelly (02:04) yeah, we’ve been here like six months.
Amy Walsh (02:06) That’s so nice that’s a really smart way to do it. Yeah.
Brenda Kelly (02:10) Worked hard for this. So, yeah, we’re here for six months. We travel for two weeks. We’re home for five months, we travel for two weeks and then we’re back here.
SB (02:18) Wow.
Amy Walsh (02:20) That’s great. That’s the dream.
Brenda Kelly (02:23) Yep. Living the dream.
Amy Walsh (02:25) Love that. Amazing. Well, it’s so good to see you both. I have my standard deck. I usually go through with you guys on a monthly or so basis. So we’ll run through it and definitely leave this open for any questions as I know we haven’t connected in a little while.
Brenda Kelly (02:42) Okie. Dokie.
Amy Walsh (02:45) perfect. All right. So first topic I just want to talk through is consumption. You guys are in a great overall stance with consumption, definitely plenty of dollars to spend. I know this is kind of a messy looking table, but we’ve talked about this in the past. It’s again just summarizing all the SKUs that you are contracted for how much of it you’ve consumed and how much you’ve originally purchased. I know we had some conversation late last year about, you know, adding more to your overall contract spend and I think as well as some licensing aspects which I know we’re all in a good spot now and that you’re utilizing all of that. So all this looks great. But any big questions for me? Thoughts concerns about this? Nope? Okay, perfect. Sounds good. And just here I listed out your upcoming consumption. Again, you’ll still be in a great spot. You’ll be about 51 percent of your total spend of your contract once all of this is said and done. And, you know, you’re approaching about 60 percent through of your contract. We’ll be closer to 66 by end of July. So again, you have plenty to spend. I know you have some growth coming up later this year into next year. So I think a lot of if you do have, you know, some leftover dollars from this year, you’ll be able to have that bleed into next year just based on the growth that we had talked about in the past.
SB (04:10) Yeah. So when you say 61 percent, I’m curious, is that 61 percent for just the calculated 365 days or when you say 51 percent of this contract, is this the whole three year contract?
Amy Walsh (04:23) Whole three year contract. So yeah, what I mean by that is by July, you’ll be at 66 percent of your contract, whatever, 66 point six. And then you’ll have that one last year left, but we’re at about, you know, 58 percent of your contract right now. So that’s kind of what I was summarizing but yeah, great question.
SB (04:45) I just wanted to make sure I was calculating, I was understanding what contract, right? Like was it just a calendar year or are we talking like the actual contracts because I think.
Amy Walsh (04:53) I.
SB (04:54) think once we get into the third year, I think we do need to consider, I think what medallion does great for us is gives us the highlight reel of what’s actually being consumed versus before we were using such an estimator, right? Or in a, this is what like marketing and operations is strategically doing versus this is what’s actually happening behind the walls, right? And I think a really good thing that Brenda and I are always saying is when we’re talking about licensing providers and asking for leadership to be more direct on that, and more precise is right here where we only predicted, right providers coming into one or two states. But now we’ve consumed 31 of those, right? And I realize that these are totally different like analogies, but at the end of the day, we’re assuming a higher percentage of new licensures than we ever expected to do. And I think that that’s a great cue to tell the onboarding team. Hey, you need to nail down where you want these providers going because we are like spending thousands and thousands of dollars of licensing and are they being utilized to their full potential or over consuming that amount?
Amy Walsh (06:11) Yeah, absolutely. Yeah. I’m glad that this can give you the visibility into that.
SB (06:15) Yeah, 100 percent because I think what helps.
Amy Walsh (06:17) Too.
SB (06:17) All of that for sure. Yeah, yeah.
Amy Walsh (06:21) Absolutely. And I think too, you know, even though you are over consuming in that area, the good news is you’re very under consumed in payer enrollment. So with our skew flexibility, you’re able to kind of utilize across different lines like we’ve talked about in the past. So you’re definitely in a good spot in terms of your overall consumption. But yeah, to your point, good to flag internally if you’re seeing certain trends that need to be addressed. And I’m glad you can use our data to help you support those conversations.
SB (06:44) Absolutely. I think that this is a great place to do that, right? I think that we have areas of like education here now that we truly have data to support it, yeah.
Amy Walsh (06:54) Absolutely. Awesome. Perfect. And I’ll send this all to you after this upcoming consumption is, so as you know, consumed lines are ones that are lines with provider data past intake. These are all lines where provider data and items are still in the intake side. So that’s why they haven’t moved to consumption yet. So we usually, you know, quote about a month from now is when all this will be consumed. So you can think about 15 K is up towards consumption to be consumed again that you still have plenty of spend left. But just like to be super transparent about what we are seeing in terms of upcoming consumption for your use of our product lines? Yeah.
SB (07:38) And Brenda, to be honest, this makes sense, right? We have dr Gonzalo going to four states. We have two therapists going to three states, right? Yes, makes sense for the next at least 30 days. Yep. Perfect.
Amy Walsh (07:51) Awesome. Glad this meets your expectations. Okay. Awesome. I did want to do a quick touch base. I know we spoke about it last in January. I think it was about cred and delegated cred. Have there been any internal conversations? I know you said you wanted to wait till later this year to pick these back up. So I figured I would just check in, see if there’s been any movement internally about this.
SB (08:17) Brenda. I mean, I can give my very honest thought. My honest thought is this is not a conversation in anybody’s head at the current moment that’s.
Amy Walsh (08:25) fine.
SB (08:26) To be honest, it’s at the front end of the house, right? This onboarding, licensing provider utilization at day one, right? And at the end of the day, if we are signing contractual agreements, that is, and the reason that they’re not holding the credentialing, I guess would say in my world, I would say as hostage is because they are going for, a quality fee schedule versus a traditional, hey, what does your group have? Right? And so, I think that this very much trends as I think what should be the next step for credentialing and pair enrollments? But I think at this time, the front end of the house is currently being overhauled. And.
Amy Walsh (09:20) this.
SB (09:21) I don’t see this actually on the agenda for.
Amy Walsh (09:25) That’s fine. Quick question. I know we’ve talked about this a little bit. Could you refresh me on what your current internal process is for cred? And making sure that your providers have the correct psvs, and putting all that together for your payers. We.
SB (09:39) are actually not required to credential our providers because the payer credentials them because we are not delegated contracts. So at the end of the day, the credentialing it falls to the payers responsibilities. Okay?
Amy Walsh (09:53) Interesting. I have other clients who don’t have delegated agreements. They have a different setup than that, but I wonder if it’s because you’re super telehealth focused, I don’t know. But anyway, that’s super helpful.
SB (10:04) Right. If you’re credentialing for hospital based, you’re credentialing for hospital, privileging those types of affiliations, but this is truly a standalone group practice. We don’t have admitting plans. We don’t make hospital arrangements. So we actually have no requirement to credential our HR has a screening process in which that is how we verify our providers. But at the end of the day, credentialing is not a requirement of.
Amy Walsh (10:31) A group practice got it. Got. It. Makes total sense. Yep perfect. And until.
SB (10:37) we get to those delegated agreements, right? Like I think the other thing that frontier also has is considering is that in order to credential providers, that is actually a whole in house reorganization, right? Versus right now, that is an outsource thing that we don’t actually have to take care of, right? We have to manage the process or make sure that we have track of the process of those providers in those process with the payers, but it’s not something we have to internally organize and I think that they see that as a benefit at the current moment?
Amy Walsh (11:08) Yeah, makes sense. And how are you tracking that internally now? Yeah?
SB (11:12) So, right now, we don’t even need to do any current tracking, right? Because they’re not going through appointment vehicles.
Amy Walsh (11:18) Oh, I thought you just said that you had an internal tracking?
SB (11:21) Of like your hiring, right? And your onboarding, but at the end of the day, you don’t have to credential there’s no ncqa standards that have to be met, right? We’re not saying on behalf of frontier psychiatry, we have credentialed and primary sources provider. Yeah, sure. Okay. That.
Amy Walsh (11:39) Makes total sense. I appreciate, you know, revisiting this again and just wanted to touch base on it. So, appreciate.
SB (11:46) No, like I said, I would love to see it when it’s here. It is, I will come knocking because it is the process I would like to see. I think Brenda would also like to see it. We understand how it’s utilized in this world and how it fits the piece fits in the world. I think there’s again, too many moving pieces in the front of the house and it’s I think the conversation has to be at the right time to give the right education to say, yeah, for them to hear it. Yeah, for them to hear it. I think, yes. And Brenda and I have had some recent conversations that are turning wheels but just not in this direction.
Amy Walsh (12:21) Yeah, no worries. That sounds great. I appreciate it. Okay, perfect. So, I think just from my perspective, I wanted to check in, I think you don’t have any more growth plans. I think we were pretty thorough in our conversation about that at the beginning of this year. So we should be good there. The only other piece I did want to touch base on. So, for caqh management, how are you currently shay logging in and reattesting on behalf of all the providers at this time? I.
SB (12:51) am, and, you know, we really like to think in scale. And so, I love the, this is a product line that I like at the current moment, right? Like at some point, I’m not going to be able to upload 150 malpractice insurances to caqh to get all of those updated or, you know, completing an attestation for all of those providers is literally going to take an administrative day to do. Yeah, exactly. So I truly would like to see what you guys do offer for caqh and see if that is some sort of management. We even just came into this situation with the malpractice, I’m like wait, I’m uploading the medallion one and I’m uploading the caqh and I’m uploading this one, no.
Amy Walsh (13:39) You shouldn’t be doing that.
SB (13:40) Yeah. So that’s a lot of extra work, but I would love to see what you guys have like per, do you guys charge per provider?
Amy Walsh (13:49) Yes, we do. And I can look up quickly the list price, but I can also just if you’re curious, I have like a slide or two on it. I just am still in jet lag brain and forgot to put it in our slideshow, but I can pull it up really quick. I know where it lives. So just give me one second, okay?
SB (14:10) And then I think if there’s any correlation to that and that caqh rostering, right? That eight dollars and 70 cents doesn’t that change if you guys are managing the caqh?
Amy Walsh (14:20) Yes, it does. Yes, I need to refresh my memory and all of that. But yes, I can find out like the pricing and how that all would like work together if you.
SB (14:31) Were to pursue this. Yeah, you have some great tools there. If we could just interconnect those. I think that would be super helpful.
Amy Walsh (14:38) Yeah, absolutely. Okay. Let me pull this up really quickly.
Amy Walsh (15:00) Just throw these in here and then we can talk… about it more.
SB (15:20) Where are you just back from, Amy? I.
Amy Walsh (15:22) was in Japan for two and a half weeks your?
SB (15:25) Honeymoon. Yes, nice. Very nice. Yeah, yeah.
Amy Walsh (15:29) It was wonderful. We had a really great time. It’s a, very different place. It was very cool.
SB (15:33) I imagine so long.
Amy Walsh (15:38) Flight too. It was 14 and a half hours there, so.
SB (15:41) Yeah.
Amy Walsh (15:42) It was a long flight, but thank you for asking. Yeah. Okay. So we’re already doing this piece, which is we’re importing data from cqh. So this don’t need to go over again. The next piece is cqh management. So, once you have this enabled for a provider, our team will start the reattestation work. So again, we have the 30 days prior to an impending reattestation, our team will update your provider’s cqh with any demographic updates. We’ll get tests on your behalf or on behalf of the provider, and all this can be tracked within medallion on our cqh dashboard so you can keep an eye on like making sure things are getting completed. But again, our team is actively going in there and making sure that the proper cqh updates are being done. But, yeah, the reattestation date, I’ll have to double check on the malpractice.
SB (16:33) Yeah, I would need to know what is included in this, right? Because malpractice is a heavy load.
SB (16:39) Usually licensure is not too bad, but Montana is fairly clear on how they license their providers. So like we’ll get all of our MDS at the end of the year. So if we have 70 MDS, we have 70 licenses to upload to cqh at the end of the year, right? And then my other question would be like a demographic update. So right now, we recently switched practice locations for Idaho. So we were at it, we closed a location, we reopened a different location. So I had to go into the cqh profiles and update all of those new practice locations. So that way when medallion submits their applications, so a demographic not necessarily just prior to it, but when I submit a graphic update, does that also get cleared up?
Amy Walsh (17:25) Into cqh? Yeah, 90 percent. Sure. Yes. But I’ll double check like definitely understand your questions here. So I can follow up with our cqh team. Yeah.
SB (17:32) Those assistants are, that would be fantastic. And then kind of, you know, right now, we kind of did go out and say, hey, we’re currently being charged because you guys are rostering this, can we leverage that to say, hey, look, but we do get a little bit of a less expensive when we opt into this for our rostering fee, right? So I do want to make sure that we are… kind of comparing those because you guys are doing the extra work for us, right? And you guys are willing to say, hey, it is a little bit more expensive for you guys to just be living out here rostering, on our cqh but we can actually do some supportive work for you. And how can we, you know, kind of be those partners together? So if we could get that cost?
Amy Walsh (18:15) Yeah, absolutely. Absolutely. And just one quick question when you mentioned licenses in Montana as an example. So are you talking just about state licenses for all the providers that need to be uploaded? Or is there any other specific? Yeah.
SB (18:27) They, every time you’re licensed, right? So I would say my question would be, is, does the caqh get updated at any expirable? Because of a Dea, a CSR, a state license, any credential that you load in there will require an attestate, it will require an update and an upload. Sure.
Amy Walsh (18:47) To see sure right now?
SB (18:49) I’m managing all of those. So just to make sure that you guys are actually truly managing taking over that whole lot of work and not just kind of parsing out bits and pieces of it. Yeah.
Amy Walsh (19:00) Makes sense. I can definitely follow up on that and find out for you so I can get an answer by hopefully end of this week and I’ll get you the.
SB (19:07) Pricing time. Where do you really want to pay somebody that kind of money to just hit attest every 120 days? It’s gonna be a lot, right? Or you go delegated. So maybe that would be the time that, yeah.
Amy Walsh (19:20) Right.
SB (19:22) Right. You can choose the time we do it, say that might be my time to do it, but I’ll keep you both on those on a short list of information.
Amy Walsh (19:32) Amazing. Perfect. Okay, great. Well, those were the big things I had. I also do have just one other quick slide. It’s like a general pulse check on our partnerships. Let me just pull this up really quickly… boy, you’re.
SB (19:51) not losing oxygen over there, Brenda, are you?
Amy Walsh (19:58) Okay, perfect. So would love to hear just general consensus and thoughts on our partnership reading from one to five one being, you know, terrible five being couldn’t be better, how you would score our partnership today and definitely want this to be honest conversation would rather be flat, have things flagged now rather than, you know, six months from now. So definitely open to honest feedback.
SB (20:26) I mean, I work with you every day I’ll give you, I would say like a four, a really solid four. We have a great partnership. I think, you know, going down to like your questions here, is there anything we can do better? I think there’s lots of opportunities to do better. I think you guys do a really good job at taking those concepts and making them achievable situations, right? Like I can even think of two, right? We have an inactive location like they’re working on building a way to say that is inactive in the system. So taking suggestion I think is something that medallion does do really well when they don’t do it the best way possible.
Amy Walsh (21:06) At first, yes, yeah, I hear you. Yeah, yeah, yeah, yeah, I hear you.
SB (21:10) Yeah, I mean, and I think that we were just taking a highlight from our 20 25 enrollment. So our progress and towards our goals, we are down to 25 aged enrollments for 20 25. And that is that’s huge. I mean, I have seen aged enrollments hundreds, you know, that’s something hard to keep track of. It’s hard to keep those numbers down. So, yeah, you know, kind of towards the next question, I think we’re doing great. I think that we have a great collaboration.
SB (21:39) I can’t give more kudos to Leigh. I think she’s an awesome partner. Yes, she’s wonderful. And her and I take a lot of, we understand the same conversations and the same language and so I think she’s a great partner for us for sure.
Amy Walsh (21:56) Amazing. I’m glad to hear it. Anything you wanted to add, Brenda, no?
Brenda Kelly (22:00) I’m good. I mean, I’m just here in the background not hearing anything about delays and they are enrolled. And the fact that I have nothing to add is stellar.
SB (22:14) Yeah, amazing. Yeah. I think Brenda’s oversight in this was huge because of the way that our past partners were, yeah, our past partners were, it was heavily impacting Brenda’s billing. So I.
Brenda Kelly (22:26) was just actually thinking about that earlier like when you sit and think about your softwares that you work with because I’m now working with five… and I was thinking about medallion. I was like, you know, really for me, no news is good news when it comes to medallion. So, so the fact that stuff rolls every once in a while, I have to reach out and say, hey, what’s up with this one? Is it really taking this long to get them enrolled? I know it’s not medallion. I know it’s the payr. But yeah, yeah, the fact that there’s no dialogue going back and forth back and forth that’s a good thing. It’s a really good thing. I’ve been in a happy place now for probably, I don’t know. I’d say about eight months. Good. Been in a real happy, I mean, for really a year and a half but really a really good, solid happy place for probably about eight, eight to 10 months that’s.
Amy Walsh (23:17) great. I’m so glad to hear it. And I want to thank you both too. I know you helped out with client a prospective client conversation, so I can’t remember who it was shay to be honest with you, but I know you hopped on a call like last week or something with a prospect client who is now one of our clients. So, super thankful for you guys for, you know, being willing to participate in a conversation like that and to advocate for us, it’s really important to us. So we really appreciate it.
Brenda Kelly (23:44) Yeah, wonderful. No problem.
Amy Walsh (23:46) Amazing. Well, it was so good to see you both. I’ll follow up with that ceqh management information by the end of the week. And yeah, if you two need anything, just feel free to shoot me a message.
SB (23:55) Well, awesome. We’ll be here. Sounds good talk.
Amy Walsh (23:58) To you soon bye.