Transcript
Alex Lawrence (00:00) hey, Sherry.
Alex Lawrence (00:17) You might be on mute.
Alex Lawrence (00:46) Are you guys able to hear me?
Alex Lawrence (01:34) How about now? I just saw the phone number come through.
Alex Lawrence (02:08) I see that it’s.
Alex Lawrence (02:16) alright. I hear something. Now, there we go there we,
16189935686 (02:21) go.
Alex Lawrence (02:22) Yeah, it wouldn’t let me manually override the unmute. It was just saying ask to unmute. But yeah, super excited to connect with you guys. I’m Alex, I work on the partnership team over at medallion. These calls are usually pretty straightforward. We won’t realistically even need the full 15 minutes, I don’t think, but if everything kind of aligns, then I can get you set up with a solutions consultant and a specialist that can do that like deeper dive. But these calls are really just to kind of understand what you might be looking for, share a bit more about medallion and then go from there, if that works for you guys.
16189935686 (03:03) Sure.
Alex Lawrence (03:05) Awesome. Yeah. So if you want to just kind of start off in, I know you guys had come on onto the website and we’re just kind of inquiring about things. So just would love to know a bit about what you’re looking for or some of the problems you may be currently facing.
16189935686 (03:23) Andrew is the one that’s looked at most of this. So I’ll let him. So we’re just kind of looking at a way to streamline the process of credentialing, make it simple, have everything in one place. Yeah. So things don’t get lost.
Alex Lawrence (03:39) That works perfect. And then, and it’s all eye doctors correct for you guys, or is that like optometry surgeons and dos as well? Yes… perfect. And then, how are you guys currently handling credentialing today?
16189935686 (04:00) In house?
Alex Lawrence (04:02) In house, is that like spreadsheets? Do you use a certain software already or what does that look like?
16189935686 (04:11) It’s spreadsheets?
Alex Lawrence (04:13) Spreadsheets, perfect. And then do you have like a, how big is that team that’s handling it?
16189935686 (04:21) I don’t hear what he said. Two, two, we have two employees that handle it.
Alex Lawrence (04:25) Two employees, and then of the like provider count like how many people are a part, of the company? Like what does that look like?
16189935686 (04:39) The providers, we have 33 providers?
Alex Lawrence (04:42) 33. And then are you looking to add people as well? This year? Is this kind of more of a maintenance like situation currently? What, what does that look like today?
16189935686 (04:54) Both, we’re looking to add some, and then, you know, re, credentialing?
Alex Lawrence (05:00) Yeah. And then I guess kind of on like that spectrum of things like do you know roughly like how many you would be adding or ideally looking to add?
16189935686 (05:15) Two ods for sure. Yeah. About two ods and then two MDS this year, perfect.
Alex Lawrence (05:24) And then do any of these people need like cross state licensure as well with it? Like is it, are you guys doing telehealth on there? Is it primarily like in person?
16189935686 (05:36) In person?
Alex Lawrence (05:37) In person, we.
16189935686 (05:39) Are we are in two states, Missouri and Illinois? Perfect. I?
Alex Lawrence (05:47) Was going to say so a little bit about medallion. So we’re an end to end platform. So we come on to supplement a current team. More often than not. People are utilizing us when they’re looking to scale kind of rapidly or they’re looking to reduce headcount of a larger like team… essentially like if you have two right now with the provider count that you need, you might only need one.
Alex Lawrence (06:15) We utilize automations to streamline the whole process. So, currently, we’re on average, we’re getting a credentialing packet developed in around two hours to submit. We utilize a combo of caqh integration that pulls and extracts a lot of that data from the website and gives you that single source of truth to look at your checkboxes of like, all right, this is, do these people need this do and so on and so forth? And with the automations, we’re seeing a huge cutback in like rejections to especially with provider enrollment or payer enrollment with you guys, are you also registering with payers as well? Or is it primarily like a cash only? What does that look like today?
16189935686 (07:11) Can you kind of explain what you just asked real quick? I’m sorry, I’m Lori. Nice to meet you hi.
Alex Lawrence (07:22) Lori, yeah, I only see. I see Ryan and then I see a phone number I’m sitting here with.
16189935686 (07:27) Ryan and Andrew and Sherrie, we’re all in a conference room anyway. I dabbled… in the credentialing for just a little bit. I’m the billing manager. So I can kind of answer some of your questions. Hopefully… what’s the last question you asked? Oh, I.
Alex Lawrence (07:48) was saying so, so aside from like, your normal day to day credentialing of verifying like your demographics and things of that nature. Like are you also enrolling all these people with payers as well? Yeah. Do you utilize with insurance? Perfect. Yeah. And then, and about how many that’s.
16189935686 (08:07) a big. Perfect. Okay.
Alex Lawrence (08:09) Perfect. I was gonna say that’s usually where it would come in if people only have like a smaller staff, but yeah, that would be kind of the other thing that we help handle. So we do credentialing, we do licensing. Ongoing monitoring and payer enrollment are essentially the sweet spot of what we help take care of. And we give it all in just one unified platform on those things. It is, we are an annual spend. So you do kind of it’s not just like a self serve software. I’m not sure if that might also be what you would be looking for, but we are a software. So we have an internal team that helps kind of supplement your current team and processes, which because of that is how we’re able to have our contractual slas that give you guys kind of that peace of mind and assurance that we are getting your providers in the door quicker with less rejections on the claims?
16189935686 (09:15) It does, right? Okay.
Alex Lawrence (09:18) And then I guess kind of on that like what I know you guys said that you’re currently using you’re using spreadsheets, you got a team of two looking to add about like four providers and they would obviously you’d want them in the door quicker and they would need to be enrolled with payers too. Are other things like prostate or not? Prostate licensure? Really? I know you’re in two states but would like ongoing monitoring be something else that you would be in consideration for?
16189935686 (09:52) Okay. When you say that, are you talking about monitoring of their licensing?
Alex Lawrence (09:56) Yes, because.
16189935686 (09:59) A lot of what we need is help with the third party payers. I mean, the licensing, the deas… controlled substance stuff like that. We pretty much handle that in house and don’t have a lot of issues with that. Ours is with getting enrolled with third party payers.
Alex Lawrence (10:19) That has been our primary struggle. Yeah. And we have a lot of really close relationships especially when you have like your aetnas and blue cross, things like that. We handle so many enrollments with the payers per year that we are able to understand exactly what they need by state the requirements that are needed with that. So those are definitely things that we would be able to help with as far as like implementing something. When would you guys be looking to essentially get this up and running?
Alex Lawrence (10:56) Is it just in the initial phase right now? Or is this something that you would like to have implemented in the next few months right now?
16189935686 (11:05) We’re just looking at seeing what kind of help we can get. Can you kind of run over what an implementation would look like with you?
Alex Lawrence (11:16) That’s kind of above my pay grade. That would be like that next step. Each implementation is a little bit different. So during the breakdown, like if I would like to move you guys along on this, when… it comes down to like the implementation, they’ll go through all of that in like the scoping understanding, exactly which payers you would need.
Alex Lawrence (11:41) And we build out essentially your package if you will. It’s not necessarily just like a download software that is up and running there like they would break it down to your specific needs, but that would be a question for like the solutions consultant. I.
16189935686 (11:57) Guess if I was more specific, I would say it’s a lot of data entry on our side like filling you in with everything, filling out spreadsheets, getting you all of our information. I mean you’d have to have that.
Alex Lawrence (12:12) From my understanding, I don’t think it’s a ton of data entry from your end. It’s more of just understanding like who you would be enrolling, like which payers, which state, how many providers are on like roster, just essentially all the needs that you have. So that when they’re building it out, that is all aligned to like your specific needs. But as far as I know, it shouldn’t be a ton of data entry on your end. I think we try to mitigate that, but that would definitely be a question for higher up and I could also probably find that out in a quick email too. But yeah on that, I mean, I would love to move you guys along and gather a bit more of that information and give you that opportunity to like see the platform and move from there.
Alex Lawrence (13:08) If you were open to that. Sure. Yes. And I guess the only other thing that I didn’t touch base on like would like an annual spend be what you guys are open to utilizing? Or do you think that realistically you need like a self serve especially with kind of, the amount of providers that you have? Like would you need to, of the, what 33 that you have on roster? Like how many of those you think are still pending with payers or… would need to be utilized? Or would it strictly be starting at the just the two MDS and the two ods to start? I?
16189935686 (13:51) Mean it would be maintenance on the others. Most of those should be enrolled. There might be some that have a few issues or anything, but mostly it would be the new ones being enrolled and just maintaining what we have. Okay?
Alex Lawrence (14:08) Perfect. Yeah. Let me, let me do this. What is, do you guys have your calendar up and running? And also how many payers would you say you guys currently work with? That would be another question every.
16189935686 (14:23) One of them every.
Alex Lawrence (14:25) One of them. Yeah.
16189935686 (14:26) Anything you can imagine? Yeah, whatever, you know, we can, we have owners that want to be able to see every patient.
Alex Lawrence (14:37) Perfect. And let’s do this, where’s my calendar and for the next, for the next thing, would you want all three of you on as well for the next one? Is there anyone else that you would want to look in to get kind of the extra data or eyes on kind of the platform and things like that?
16189935686 (15:01) It would just be actually for us here. Okay?
Alex Lawrence (15:06) So, everyone that’s on this. So if I send to Sherry’s email and Andrew’s at least I don’t have yours on there, but they can obviously forward to you, if you need that too.
16189935686 (15:23) No. Send it to Sherry’s that would be great or Andrew’s I mean, yeah, yeah.
Alex Lawrence (15:30) Here we’ll go like this and is there a time this week that would for like a 30 minute window?
Alex Lawrence (15:43) Alright. Just so yours come through… let’s look at the calendar really quick and see… what is tomorrow look like for you guys or potentially Wednesday?
16189935686 (16:06) Not morning, I would have.
16189935686 (16:16) To be later in the afternoon… we could do a three o’clock tomorrow Central Time.
Alex Lawrence (16:29) Three o’clock central. What did that tell you sigh?
Alex Lawrence (17:01) That would be it. I’m in PST no matter how many times I do the conversion in my head, my brain short circuits for a little bit. My calendar is… lagging today.
Alex Lawrence (17:49) I have no idea why this is not… loading.
Alex Lawrence (18:12) Three o’clock tomorrow.
16189935686 (18:14) Or Wednesday, either one works. I,
Alex Lawrence (18:16) mean, if you want to just shoot over a meeting invite, when you get your calendar going, that would be, yeah, yeah, I’ll figure out what’s going on here and I’ll send it over. And then, if… that time just doesn’t work for, the people RN to hop on there, I’ll propose another one and then it’ll give you an option to adjust accordingly there. If that works.
16189935686 (18:41) Okay, awesome.
Alex Lawrence (18:43) Appreciate your guys’ time, and then I will shoot that over whenever my calendar decides to not have a case of the Mondays.
16189935686 (18:51) All right. Sounds good. Awesome.
Alex Lawrence (18:54) Appreciate your time talk soon.
16189935686 (18:56) Bye. All right. Thank you. Y’all are paying so much.