RPM and CCM – Physician | Pharmacy Collaboration

RPM and CCM – January 19, 2023

All Live Learning

RPM and CCM – Physician | Pharmacy Collaboration

ValueCare Suite | Contact Infos
Ean Shelley: ean@valuecaresuite.com
Brad Klekas: brad@valuecaresuite.com



welcome everybody to our monthly mastermind for helping you and support you and help you grow or start value paid value based care services, things like remote patient monitoring, chronic care management, remote therapeutic monitoring, which is a new thing that we’re all kind of figuring out together. But there’s lots of other things the behavioral health and all kinds of things that you can do to help your patients and you actually get paid for it. Why aren’t we started these things because myself, I’ve been a fan of RPM for a couple of years now, I wrote an article, I think it was for America, pharmacists magazine, like in the beginning of 2021, that like, this is the Program of the Year. I’ve been saying that now, this is the third year in the row, this is the Program of the Year. And the thing about this program, which is different than any other service, like with Medicare, or Medicaid, or any any payer that pays for this services, is you have to have a software, it’s not something you can do manual and keep track of. And actually having a software has been part of the barriers for getting started, because there’s some really crappy ones out there. And there’s some really super expensive ones. And there’s a whole bunch of people that promise you the moon, and you know, don’t do anything of it. And so while I was touting that it was the Program of the Year, you know, back in the beginning of 2021, I didn’t have a really good solution for you know, that software. And then last year, I met the value care Suite team, I deal mostly with and and Brad, who you guys will be seeing on these calls each and every month. But man, I instantly fell in love with their software, like madly, deeply in love with it. And Brad and Ian became my new best friends, because they make the services actually doable. That is the big thing with with doing these services is yes, they’re intensely valuable for your patients. Patients get great care when you put them on these programs. But there were a big workload heavy burden for both the doctors and the pharmacies or whoever was was helping with the remote monitoring. And really, that was the sticking point. And so now value care suite has been around forever. They were known as medi CCM before, they’ve been doing this and they work with like, the biggest RPM people that I know in the country, I don’t know there might be somebody that doesn’t use them. But really, I think they have the most experience out there. And so we’ve really created these, these group call sessions to kind of help you guys through this to be able to answer all your questions. Because I really truly believe these programs are the biggest, biggest opportunity available for independent pharmacies. There are new third party companies for rpm and CCM popping up literally every day, like I see them on my Facebook feeds, I see them on LinkedIn, I get I get cold, cold, cold message all the time from these companies. Because there’s a lot of opportunity out there. But frankly, a lot of those companies aren’t interested in good patient care, not like you are not like the independent pharmacy. And frankly, if anybody’s gonna make money off and off of patient care, I want it to be independent pharmacies. And so that’s really what value care suite is about to help you to do as they help pharmacies implement these services, and implement in a way that’s easy for you easy for the provider, and their software does a lot of the heavy lifting. Your pharmacy staff can do the other part of the heavy lifting, and everybody gets to benefit and we all get to make profit and get paid for our services like wow, what a concept, right? And so but there’s a lot of nuances of it, because Medicare doesn’t recognize pharmacists, we have to work with doctors, and there’s there’s rules, and there’s things you got to be compliant with. And that’s the thing that I like about value care suite is they they care about the compliance, they care about doing it, right. It’s not just billing as much as you can bill. And you know, hope nobody ever asked any questions. And fortunately, that’s what some other companies are like. So anyways, that is my pitch. I know a lot of you were are new this month, and maybe didn’t didn’t see the previous month. So I want to bring value care suite in the topic for today, which was actually kind of a request from last month is how do you start this, like, the first thing is like you have to work with the provider. As I mentioned before, you have to work in a provider for Medicare standards, a doctor, you know, nurse practitioner, the mid level providers, they recognize so somebody that Medicare recognizes, and how do you pitch them? How do you go to them? Because you have to collaborate with them. You have to work with them, you know, how do you start this whole process? So that was going to be the topic of today? I know the value care Suite team can answer any and all questions. So if you have another question, or something Feel free, but I’m going to turn it over to Ian, and kind of let him kind of reintroduce himself. Make sure y’all y’all know who he is, trust me. He’s awesome. And then we’ll just hop right in onto that question. And then feel free to type in your questions. I’m going to be monitoring the chat. So, you know, this isn’t a lecture, you know, this is kind of an interactive session, so and take it away from there.
Thankfully, so you’re, you’re awesome as always, today, I’m taking more of a backseat role. We’ve been going over this with Brad, pretty much all week. And so he’s going to be showing you his screen here and a little bit with the PowerPoint and some of the resources that we have for how to take this to a physician. What are the steps when you’re partnering with a physician, kind of a checklist to make sure you get all your boxes ticked? But yeah, there’s, I’ll be watching the chat pretty, pretty heavily. So if you have any questions at any point, anyone can throw messages in the chat, and we will get those responded. And then we can poke Brad and say, Hey, make sure you’re talking about this or that or Yeah.
Yes. Take great. You take it away bread.
Sounds great. You guys. Thanks for the awesome introduction. Lisa. We’re excited to be here. Like we said, my name is Brad. I’m the director of sales and customer success here at value care suite. I do have an outstanding wager for anyone who can ask a question that II and does not know the answer to, I will, I will buy you lunch, because I’ve yet to seen it happen. As Lisa said, Ian is a co founder of a care suite. And he’s really the mastermind behind the software and the flow of of the workflows that we have that make it so easy and capable to use for you guys. And we’re really excited to continue this relationship with Lisa. Pharmacies are our fastest growing group. Right now, for these programs. You guys understand it, you have the relationships with the patients, and you have the relationships with the physicians. So it’s just getting out there committing to do the legwork of meeting with one to three physicians and one of them is certainly going to get to see the vision and understand the value that you guys can bring. And let you guys manage the day to day operation of these programs. So as Lisa said, today, we’re going to kind of go through those initial steps of how do we secure a partnership, and then a couple of those steps after we’ve secured the partnership. I’ll go ahead and share my my screen.
And we can go ahead and get started.
Go I see in your screen now.
Okay, we can see that. Awesome. So we’ll be talking about the physician pharmacy club, physician pharmacy collaboration, and the Medicare value based programs that we support. It’s a little bit of background. Last week, we did go over just the base information of what these programs are, what are the reimbursements, kind of a very high level overview of everything. So this if this is your first introduction to these programs, I highly suggest that you go back to the last office hours and watch that one. As that will give you a better base understanding you’re kind of jumping into the deep end with today’s information as we get into the more nitty gritty stuff of how to overcome objections and conversations that we’re having with these physicians. But like likely said in the beginning, Medicare suite has the ability to manage CCM RPM, bhi annual wellness visits, transitional care management’s a plethora of of these programs that that Medicare offers. And we also have a integration with black box RPM, which is our chosen device provider. And that really brings a lot of value to our software, where as you guys scale these programs, and you have two 300 400 600 patients that you’re working with, that also means that you have 234 100 600 plus devices that you’re managing. And if you don’t have an easy way to order devices, manage devices, and see how that’s working with your software, it can certainly be a hindrance to these programs. And so we’ve gone through great lengths to build this integration. So you can do everything on the software side and the hardware side, all in one place.
okay, so let’s jump into it. These first two slides are just going to be a quick review of what the care codes are. We’re working on chronic care management, complex chronic care management, real patient monitoring, behavioral health integration. There’s over 27 billable codes in all the Medicare programs. But these right here are the foundation of what you want to build on. CCM and RPM will generate the most reoccurring revenue that you can generate month to month. Once you have a solid foundation three, four months in on CCM and RPM, then you want to introduce these other programs of behavioral health integration, annual wellness visits, transitional care management that can certainly increase your ROI, but they’re not going to be as consistent month to month as CCM and rpm so it’s crucial that you understand these 10 codes here and then are able to hit the ground running with them. You can see the reimbursement ranges. anywhere from $39 up to $130, the majority of these programs are working in increments of 20 minutes of time, by providing care directly to the patient or working on behalf of the patient, and communicating with nurses, doctors or pharmacists at your office. And then of course, with the RPM there is a device component where you have to collect 16 days worth of readings in a month to be reimbursed for that device. That is a very quick overview. So if you if you need any more information here, definitely go and watch last office hours are reached out to me and Ian, and we’re more than happy to go over that base slide deck with you. Another reminder is the revenue that we’re talking about here, where Lisa said that this has the most opportunity going into this year, it certainly does. These programs can be an add on to your business to create supplemental revenue. And it can also be large enough where it’s going to be creating enough revenue that could be its own entity its own business. And this example right here illustrates that where this pharmacy is working with three physician offices, they have close to 780 patients, annually, they’re generating $1.2 million, the physician is keeping 360,000 of that. And the pharmacy is keeping 845,000. What I like to point out here is they only have three full time employees and two part time employees managing this operation that’s generating $1.2 million. So essentially, you have four employees who are able to generate that. And that is a testament to our software, where one employee can easily manage 200 Patients Plus. And that gives you the ability to scale, while still providing a quality level of care that other software’s maybe aren’t as good at. Okay, so now we’ll jump in today’s topic. Our goal for today is very simple. We want you guys to leave here understanding the extent exact steps you need to partner with a physician. And so we’ve kind of gone through and created a roadmap to success. And in this roadmap, there’s three phases of securing a partnership with the physician, we’ve got a finding stage, the agreement stage and a collaboration stage. And in each of these stages, there’s going to be four steps that you have to complete before you’re ready to move on to that next stage. And we’re going to start out here with this finding stage. And we’re going to go through each of these points. So the first one, you can review potential physicians you already have a good relationship with, you’re then going to prepare to discuss the benefits with those potential partners. And you’re more than welcome to use resources that we have at value care suite to have those discussions, you can want to get a soft commitment to partner with a physician. At that point, you’re going to want to sign up for value care suite as we can offer more support and make sure that the agreement that you’re about to enter is going to be beneficial for you and the physician, not just the physician. So we’ll dive in deeper to each of these points now. So first off, who are your potential partners, you want to start out with these first two groups at the top independent physicians and independent specialists. These are going to be relationships you guys already have. You can also look at who you fill in the most prescriptions for. Another thing you can look at is the proximity to your pharmacy. It’s fantastic when you guys are in the same building or across the street or down the road. And then an added benefit, if you can find a specialist is the scope of care that they provide is going to be consistent patient to patient, which makes it very easy to scale through those patients needs. And then we’ve got two other categories, we’ve got nursing homes and care facilities, certainly going to have a larger patient group that you can work with, it can be difficult to find one physician who was working with all the patients at the nursing home or the care facility. So that is certainly a hurdle you have to overcome there. And it can take six months or longer to create that partnership. And then with large providers and hospitals. It’s definitely going to be your largest largest patient group. But that can take up to 12 months or more to create that partnership. And really, as you saw from the previous slide, you’re making great money with 200 patients, 400 patients, 600 patients, 800 patients, you’re making over a million dollars. So we suggest always starting out with getting an independent physician or specialist onboard. First reason being is that’s going to start generating your revenue. That revenue that you’re generating opens a lot of other doors as you go out and meet with nursing homes, care facilities and larger providers. There’s a lot more weight that that carries when you’re generating that revenue, then coming in and saying this is the revenue that value care suite is generating to be honest. I love questions. I forgot to mention that at the beginning. So if you guys have a question, you’re more than welcome to throw it in the chat. And Ian is going to be responding in chat. But if you want to raise your hand or holler, please interrupt me and ask a question for the group. And we can answer it as well, while we’re on the slide that we’re discussing.
Yeah, absolutely. You can always unmute yourself as well, and just, you know, chime in verbally to sometimes they’re complex or whatnot. So don’t feel like you have to like type a paragraph, feel free to Sure. Speak as well,
definitely. Okay. So what to look for in your first partner, you want to focus on current relationships. We already said that, how do you Who do you feel the most prescriptions for proximity your office, and really the best gauge is that they have 100 to 200 plus potential patients, that you’re able to work with anything under 100 100. Starting out might not be worth the time. So definitely 100 to 200 patients, or more. As you guys meet with the physician, you want to illustrate the benefits of what you’re bringing to this relationship. And this is taken from one of the resources that we give you that really lays out the pharmacy relationship with the physician’s office where you guys are saying that you’re going to handle the day to day operation of this program by monitoring these patients reaching out to these patients, spending 2040 60 minutes of time with these patients or working on behalf of those patients throughout the month. Anything that’s escalated, is going to be escalated internally at the pharmacy, and then it will be sent over to the physician’s office, you’re going to be collaborating between the physician’s office and the pharmacy. And that improves patient care and their revenue as well as your revenue, you’re going to set this up as a fee for service structure, meaning the pharmacy is paid for each billable code that you guys complete. And then the revenue the physician office is the one submitting for billing, and receives the Medicare reimbursements and then pays you I just spent 30 seconds explaining what usually takes me an hour to an hour and a half in a completely different slide deck. So I’m more than happy to meet with any of you guys and expand on these points. And again, the resources that we have a value care suite for you guys to use, when you’re meeting with a physician, we want you to use the slide deck that we have, we’ve got a one sheet that breaks out the pharmacy relationship, the benefits to the physician as well as the revenue that they’re looking at that they can generate by allowing you guys to manage this program. And then once you’re signed up with value care suites, we’ve got a fee for service templates, and a physician pharmacy contracts that you guys are able to use, that definitely saves you a lot of time and money in those steps when you’re trying to secure that agreement.
Hey, Brad, a lot of what I hear of feedback for like, Hey, I talked to my doctor. And when I told them, they have to do the billing. They’re like, Oh my gosh, that’s too much work, you know, never, nevermind, I’m not interested. And I think that’s because, you know, what they think in their head is different than what reality is. And the thing. You know, one of the things of the many things that I like about your guys’s software, is you make billing for the doctor’s office really easy either through exporting reports that they can just upload into their system that itemizes every patient, every billing code, everything that they need to do. So it’s it’s not a lot of work by the doctor’s office, and it’s not going to increase their medical billing, you know, hours, exponentially or anything like it’s about as concise and simple as it can be made with your particular software. And I think sometimes these doctors think like, pharmacies are just going to throw a bunch of like, here’s, here’s all these patients and here’s all the time we spent and you go figure it out. And so when I’ve talked some pharmacies through that, that’s like, no, it’s, it’s super easy. It’s, you know, it’s even connection. Like there’s some like connections and stuff you can do, but there’s downloads and uploads and depending on you know, the medical biller and what software and systems they use, so that that last bubble there that the Office submits the billing, I’ve just seen that stopped some people. So is there any other commentary around that? So you can like maybe help some of those pharmacies where the doctors like, oh, my gosh, we have to build this then like, I’m not interested. But unfortunately, that’s the only way it can happen. I mean, it falls under the doctor’s jurisdiction according to Medicare. So anyways, I just thought I maybe
that’s a great point. It we certainly make it as easy for both the pharmacy and the physician when it comes to billing. It is a two click process to export a billing summary which is what they have to send off to Medicare, and then another to click process to generate their invoice. So the pharmacy knows how much they’re owed from the physician. And then on the physician side of things, they get that document. It has everything they need to submit to Medicare. Oftentimes, they can export that document directly into their EHR, or whoever they’re billing and making that process as easy as possible. If they can’t export it. All the information is there, it’s a very quick process to get those patients over into their their billing software. We’ll definitely talk about that here. In a couple of slides, I’m going to show both the patient summary and the invoice report.
I’ll interject for one second, sorry. So another thing is that this has happened with a lot of our clients where if they get too large, like they work with a bunch of patients, then they want to have a third party billing company run the billing on behalf of the physician. So we can set that up to where if, if the physician says, Hey, this is too much work for my staff, you’re sending too many codes to us, that’s a good problem to have. But you can just hire a third party billing company, just submit all that. And then we can even integrate with that to send them over automated reports and automated claims just directly to that, and then they’ll take care of that for the physician. They still bill on behalf of the physician using their NPI number, and the physician or physicians group will get the check at the end of the day. But all the work just performed by that third party group. And so we just take a look at okay, what’s how much revenue is coming to the pharmacy? How much is going to the physician? What percentage is from where do we take to pay the bill and, and so we can look at that with you down the road. But again, when you first get started just using those billing reports. They’re simple enough for the physician staff and their billing team to just go through and get that done in a couple hours. Awesome. Thanks for that input.
Okay, so we’ll come back, we’ll circle back to the revenue when we get to that slide. But we will show you guys those billing reports. Next slide here is physician benefits. And again, this is pulled straight from one of our resources. It’s a one sheet that we want you guys sharing with physicians. And it goes through the main main reasons that they want to partner with you. So I’ll hurry and jump through these. So they’re going to increase their revenue, they can generate income without adding to their wages or their staff duties, we’re actually going to be taking away from their staff duties. The pharmacy manages the day to day operation of everything. This alleviates office workload and turns non revenue patient interactions into patients into revenue generating patient interactions. So right now when a patient calls in to the physician’s office has questions. Without it being a face to face visit, there’s no way for them to be receiving revenue from those interactions. But when they enroll patients in CCM and RPM, those interactions performed by them and performed by you guys at the pharmacy are now revenue generating, and it’s taking away from the the workload of their staff. It turns quality care into reimbursable care. This is a more proactive approach to health care, patients love it. And it is proven to be successful, as we see over here and increased quality metrics, decreased hospitalizations and ER visits at the bottom is the main driver from Medicare for these programs. And it’s certainly proven to do that. And it’s why they continue to invest in these programs from 2015, where there was one program one code to now where we’ve got six plus programs and 27 billable codes that we’re able to work with so we know they’re working. And then beyond that, for the increased quality metrics. MIPS MACRA is the program through Medicare for physicians, and if they are ranked highly in that program, they’re gonna get a higher reimbursement for everything. They’re billing to Medicare. But if they’re average or low, they’re gonna get a lower reimbursement from Medicare, manage managing CCM and RPM increases their MIPS MACRA score greatly. And we’ve seen physicians increase their reimbursement on everything for Medicare from five to 10, even up to $15, on everything that they’re billing for, by starting to manage CCM and rpm, and they’re gonna have an increased annual wellness visit completion. That’s something that you can do on our software. That’s going to count as CCM or RPM time so you’re able to prepare that annual wellness visit and send it over to the doctor. He’s now being compensated for the CCM time as well as the annual wellness visit completion. You’re gonna have improved patient satisfaction. Patients love the proactive approach that we’re taking here. The increased engagement that they’re Getting, as well as the readings that they’re getting on the devices if they’re enrolled in rpm. And then by partnering with pharmacy, this limits the physicians risk, they’re only going to profit from codes completed, there’s no risk to the physician when a code is not completed, because you as the pharmacy is assuming that risk. Ending on risk takes us right into here to the risk slide. This isn’t maybe a conversation that I would have in my in my first visit with a physician, but down the road, these are certainly things that you guys want to be aware of as the risks and and then have that conversation when it’s appropriate with the physician, as you get further into this into this discussion. So we’ll go through the physician risk first. First, collecting co pays, everything billed to Medicare has a 20% copay. And that is true for these programs. This is not new information to the physicians, this is a risk they have in their practice. And it certainly shouldn’t be a risk that they take on with these programs. Because it’s no different than any other item that they’re billing for to insurance. With their practice. Physicians understand this risk. If they aren’t able to collect a copay, and they are attempting to collect that copay, they can still use it as a tax write off at the end of the year, as well. So there still is some benefit to them. From this co pays where you guys are not able to use it as a tax write off. Audit responsibility, the billing physician is liable for the services reimbursed. So if there was a failed audit, they’d have to pay back those amounts to Medicare. To clarify, we have had no failed audits on value care suite. And in addition, we have a patient summary report, which serves multiple purposes. But one of them being is when you have an audit, you’re able to pull up this patient summary report that shows a wealth of information and it shows exactly what you’ve been doing with these patients. You select a date range, typically for a month, and it’s going to pull up all of this data, you’re going to see the programs that the patient was enrolled in time spent with that patient that month, all the vitals that they’ve taken on a device. And if they have a blackbox blackbox watch, the vitals page is going to be anywhere between 11 and 18 pages long for one month, it really shows the the detail of care that we’re going through with these patients is also going to show every timestamp and note left for every patient interaction in the software. And I’ll also note that you cannot leave a timestamp with a patient without also leaving a note of that interaction. So it’s a perfect trail of what you’ve done with these patients, it really reduces that list risk of failing an audit to as low as possible, you have to be going out of your way to take advantage of these programs to fail an audit. And then the very last thing on the patient summary report is a PHQ. Nine, that is just another great thing to have on there. Okay, and then so pharmacy risks, your upfront costs, you guys are paying for the software license, you own the software, and the data that’s in the software, you definitely want that you want to pay for that because you want to own the software, you’re paying for the devices to be able to manage the RPM program, and you have to pay your staff wages for operating the program as well as for training to prepare to manage the day to day operation of these programs. These risks are with come with any other risk in business. The turnaround time to pay off your software and devices, I will say is extremely low, you can certainly have the upfront costs for the software and the upfront cost for the device is paid off in as little as three months, four months. And then there’s a non billable time investment here. The risk is you’re paying wages even if a reimbursement requirement has not been met. So you have 20 minute increments of time that you’re working with these programs. If you spend 1015 18, even 19 minutes of time, and you don’t get to that 20 minutes of time, Medicare will not reimburse you, you still have to pay wages to your staff. For that time that they spent with that patient. There’s no risk to the physician when a code is not completed. Now, I will say once you hit the 10 minute mark, it’s extremely easy to get that last 10 minutes to get you to a reimbursable code. And our software makes it very easy to manage the time that you’ve spent with each patient. So you know where you stand the last week of the month. You can pull up a specific page in the software and it’s going to show you you’ve got 15 minutes here, 80 minutes here, 90 minutes here. These are the patients that you’re going to finish up interactions with to get you to those billable time have codes. And then the last bullet point here we have time spent managing devices. This can either be a risk, or it can be a benefit. And I will explain why. As I said earlier managing devices, when you have 346 100 1000 devices, as some of our clients have, it can certainly be very time consuming. We recently had a new client come on to our software. And previously, she was using five different Excel spreadsheets to manage all of the devices that she had a patient’s houses. And she was doing it outside of a workflow. So that time that she was spending, managing all those devices was not billable time for her. In our software, it’s built into all the workflows and all of the patient profiles. And it makes that time that you spend managing their devices, billable time. So that’s one of the ways that we have expanded our software to make sure that you guys are, are being billed for everything that you should be billed for,
or reimbursed for. Okay.
So now we’ve we’ve almost completed the finding steps, we’ve reviewed potential physicians, we’ve discussed the benefits. With those partners, we’ve gotten a soft commitment from a physician, he wants to move forward and start talking about an agreement at this point is when you want to sign up for value care suite. And I will tell you why you don’t you don’t have to, but it’s certainly going to going to help you in the agreement stage of this process. We’ve had pharmacies come to us after they’ve gone through creating agreement with the physician. And they’re coming to us with a 6040 split or a 5050 split, or an hourly split of revenue that they’ve created. And it’s really kind of shooting yourself in the foot and not starting out this arrangement to make sure that you guys can both be successful, we can walk you through the agreement process to make sure you’re setting up properly the physician pharmacy revenue, and we have the contract and the fee for service structure already made. And it saves you guys a lot of work a lot of money to not have to go and create those documents. So at this point, you would pay our startup fee, which is $2,500. And then we’re not going to incur any monthly costs for three months. And to ensure that you’re going to have a partner, by the time you’re ready to go, once you have a partner, and we’re able to go live in the software, then those monthly payments would start. Okay, so we’ve signed up for value care suite, we’re now able to help you guys in the agreement phase. And in the agreement phase, we’ve got these four steps here where we’re going to create a fee for service structure with the physician, we’re going to assign an escalation, contact points, review, billing, and invoice process. And then we’re going to sign that pharmacy physician agreement. All of these are very important to make sure that you guys are starting out these programs on the right foot with the physician, they understand what is entailed with an escalation when it comes back over to their office, and what that billing and invoice process is going to look like. So we’ll go through each of those four steps now. So what is the fee for surface structure, it’s where you’re gonna get paid by the physician for each code that you complete. You want to assign $1 value to each code you work on as your fee for completing that code. Generally, you guys want to be within 70% of the total reimbursement for that code. So it’s a 7030 split, essentially. Example here, CPT code 9490 is a chronic care management code for your first 20 minutes of time spent with a patient for that first 20 minutes of time spent, you’re going to have a total reimbursement of $62 that’s gonna come from Medicare plus that copay. The pharmacy fee for completing that code would be $43.50. That’s 70%. And the physician is going to earn 1850. From that reimbursement. What does that looked like in terms of care performed, on average, more than average, that whole 20 minutes of time is going to come from the pharmacy. So the physician is making that 1850 For little to no work. When there is an escalation needed. The physician staff might be spending five minutes 10 minutes of time with that patient, and they’re still gonna be earning that 18 for 1850. The odds are if their physician staff or the physician spends more time you’re going to be incurring multiple reimbursement codes so that $62 is going to end up being much higher in that 8090 $100 range, because you’ll have multiple reimbursement codes earned there. But on average, you guys are doing majority of the work month to month. Okay, so why is a fee for service key to your success, it provides flexibility. It depends on the time and cost for you guys to complete that code. So sometimes, it is warranted for the code to be higher than 70% and lower than 70%. Some examples are transitional care management. This is where you’re assisting with a patient who is coming out of a hospitalization or an ER visit. And there is some very firm deadlines that you have to meet in transitional care management to be able to receive those reimbursements. Transitional Care Management reimbursements range between 102 $150. They’re very hard deadlines to meet in a two week process. So it certainly weren’t 75%, maybe 80% going to you guys. And then rpm. For the device specific code you guys are paying for the device, you’re managing the devices. If the device breaks, Medicare sees that as your responsibility to replace for the patient. And it’s certainly warrants being paid 75 or 80%. For the RPM code. As you get into other additional codes in these programs, there are some physician specific codes. And as you guys start performing those where you would start the beginning process, but the physician would be more involved in those codes, it’s warranted, that he would be making a higher percentage for the physician specific codes. But setting it up as a fee for service structure gives you that flexibility to do that. It’s very easy to track and manage a fee for service structure, where you enter your agreed upon fees in our software, every time you complete a code. Our software knows what your fee is for completing that code, making that invoice that you generate a two click process. This also enables you guys to be paid faster, where at the end of the month, you’re providing that billing summary report and your invoice, the physician knows exactly what you’re owed based off of what you completed that month. He doesn’t have to track what he’s getting back from Medicare, all the co pays or anything that he’s getting from other insurances. If they’re dual eligible, it’s a very clean cut what you guys are owed. And then the last bullet point here, which is probably definitely the most important bullet point is that Medicare prefers this structure, because we’re focusing on the services rendered, not on revenue created. So a lot of people initially think of, well, let’s just do a revenue split. And we’ll call it an even 7030. Please do not do that, because of this point here. But Medicare prefers to see that you’re focusing on the services rendered, and that you’re being paid on codes that you complete. So once you are ready to sign a contract with a physician, if you’re using Baker suites, physician pharmacy contract, it breaks it down as a fee for service. So beforehand, you would go in and write out what is your estimated reimbursement for each code that you’re going to complete of that reimbursement, what is your percentage that you’re going to keep? What is the dollar value that you’re going to keep? And then what is the dollar value that the physician is going to keep? You guys would agree upon that in the contract. And then you would enter all that information into our software, like I mentioned earlier. And this is a screenshot directly from our software of what that’s going to look like. So for here, for this code, our regional reimbursement is going to be $155. Our fee for completing that code is going to be $109, which is we know 70%. And then the physician is going to get 46%. All of these codes here are based off of that 70% range, except for this one at the bottom. I put in here as an example where you’d be making 80% of that reimbursements. This is the only place in our software will you’ll see percentages. All the other reports and everything are going to be based off of the dollar value for the fee that we’ve for the service that we’ve completed, because we know that’s what Medicare prefers to see. I’ll pause I know that can be a heavy topic. Was there any questions in the chat Ian?
Okay, we will move on.
So now that we’ve okay, no worries. Now that we’ve discussed the fee for service, let’s discuss a path of escalation. And this is where we want to make sure that they have a solid understanding that the pharmacy clinical staff is managing the day to day operation of the program. The clinical staff are talking about things within their realm of care within their realm of knowledge. If an escalation occurs, whether in CCM based off of what a patient is telling you or an art am based off of a reading that you’re collecting on a device, you’re going to escalate that internally first, to a pharmacist, and then from there, it could go to a head pharmacist, either the pharmacist or the head pharmacist is going to determine if that needs to be escalated back over to the physician’s office, to either their clinical staff or to the physician themselves. And so you can see, normally, we’re going to be looking, working in this linear path, from clinical staff to the pharmacist, back over to the physicians, clinical staff, and then to the physician. But sometimes it’s certainly warranted, where the pharmacist would also be reaching out directly to the physician, or the physician would be reaching out directly to the pharmacist to communicate. This is a difficult topic, or something that you need to you get stuck in the weeds on. It’s just a conversation you want to have before you sign the agreement, understanding who are the people in your office and their office, they’re going to be providing this escalation when needed. Now, we can talk about the billing. So I want to share the billing summary and the invoice report here real fast.
Hey, Brad, before you go into that process, there is a question is Do you only bill for Medicare? Or can you bill for cash? You know, why? Why third party billing may be needed? So I’ll kind of give my answer and then you can give your answer. So
perfect. I like your answers more than mine. Usually, I’m fine with that.
Well, so um, these services, one of the things I think why this is such a big opportunity is is the services are paid by Medicare patient by Medicare and, and Medicaid. There are some private insurances and things like that, that pay for these. But this is a way for to get your patients that are probably draining your pharmacy the most, and be able to give them additional services that they could actually benefit from and their health will improve. And you can also get paid for it. Now can you do remote patient monitoring for patients and they pay cash for it. I mean, absolutely, a patient can come in. And you know, you could charge them whatever price you wanted, in order to collect their data, and you know, consult them on that. So that doesn’t necessarily mean you can’t exclude that it’s just the opportunity for cash paying patients for remote patient monitoring is probably very small. I am a huge fan of using the continuous glucose monitors, as a cash program for people who are interested in wellness and weight loss, and those kinds of things, which is kind of a little bit separate than this full boat system of remote patient monitoring. I do think there’s a huge area for those types of things. But it’s you know, it’s Medicare and Medicaid programs keep expanding. As Brad said, I think there’s up to 27 codes now and several different programs. Medicare keeps expanding and keeps expanding. And the reason they do that is they see $1 cost benefit. They know that for every dollar they put into these prevention programs is essentially what these programs are, you know, they get to save money on the back end. And so that that’s what creates this big opportunities, because you have all these patients that are Medicare Medicaid eligible, that often qualified for the services. And the qualification barrier, if you will, is actually fairly low one, the doctor has to say the patient’s going to benefit on this program, and they have to have some sort of chronic, you know, health condition that you know is going to lead to that benefit of being on this program. So it’s not super complicated to qualify. So anyways, that’s my commentary on pricing, and you know, who you’re charging and how you’re charging. If you guys have anything else to offer to that feel free.
I think there’s definitely a revenue or past for this to be a cash based model. With our app coming out later this year. If a patient wants multiple devices, we will have a CGM as well that we’ll be using. They can see all of their data on the app from their readings. And they can also you can also notify them if you guys see a reading that was elevated. So there’s certainly a path for that. One other thing to mention is, if a patient is dual eligible Medicare, Medicaid, Medicare with other supplemental insurance, they’re going to be 100% covered they’re not going to have a copay. With that supplemental insurance, it will cover the copay. Beyond that we are finding some examples where there are other insurance who are reimbursing for these programs, even if they’re not enrolled in Medicare. We’re working with someone right now. And he has found commercial insurance as well as he’s working with an Indian reservation. The Indian Reservation insurance is going to cover these programs along with some of the commercial insurances that he’s found. So it’s really just going through a process of seeing if you can be reimbursed in other avenues but but Medicare is certainly the first step and And the easiest step because it is their programs to be reimbursed. Great question. Okay. So now let’s talk about the billing summary reports. And we can send you guys over these samples so that you’re able to share them with the physician, and it breaks out everything that you did for them. This gives them everything that they need to send off, to be reimbursed. So you’ve got billing practitioner information, patient information, and you’re gonna see the same patient’s name multiple times, because these are multiple codes that you’ve completed for that same patient. And then you’ve got date of birth, their MRN number, billing type, description so we can see what program they completed CCM care at the initial 20 minutes, our pm codes, their enrollment dates, and the program their ICD 10 codes, minutes of care, days of measurement, if they’re enrolled in rpm, equipment, setup date, equipment reimbursement range, the billing code, and then who was the care specialist in your office assigned to that patient, so everything that they need to send off for that reimbursement. And then at that same time, when you send them this billing summary report, you then send them your invoice report, which says that you completed 195, CCM programs 100 CCM add ons 25, complex CCM 35, BH eyes, 185 RPMs, so on and so forth. So this is based off of 200 patient enrollment. And you’ve got almost equal amounts of the patients enrolled in both CCM and RPM. This over here is your fee for service structure, what you’re owed for each code that you’ve completed subtotal down here on the side, and the total due to you down here at the bottom $33,000 for the month, and this is certainly a realistic invoice amount that we have people working through. So as easy as possible there for you guys.
Okay, we’ll jump back into the slide deck. And we’ll keep moving on.
So now at this point, we have gone through and
we’ve completed our
agreement stage, let’s go back here for a second. So we’ve created the fee for service structure with the physician, we’ve assigned the escalation contact points, we’ve reviewed the billing and invoice process, we’re now ready to sign that pharmacy physician agreement again, you can create one on your own, or you can use ours once you’ve signed up for Medicare suite. From signing the agreement, we’re now working on the collaboration side of things. And this is just going over thing with the physician going over items with the physician as well as his staff that really just keys to success in this program. At the same time that we’re going over these collaboration aspects with the physician, we’re also via care suite is doing trainings with you and your staff so that you guys are ready to hit the ground running on the first day of the month that you’re ready to go live with patients in the software. So here we’re going to further expand that that path of escalation, where we’re going to have a worksheet that you guys are going to go through and say who is the staff member that’s working in the day to day operation? Who are the pharmacists that things are going to be escalated to? And then from there, who are the staff members at the physician’s office? Who are going to receive escalations? How are they going to receive escalations? And then what are the escalations that are going to be sent to the clinical staff versus going directly to the physician? How do we want that path of escalation to operate? It really is important, it’s the only time that they need to be involved in these programs. So it’s important to have those details all figured out beforehand. From there, we’re going to review billable actions and processes with the physician staff. This is important because if they’re going to have patients reaching out to them that maybe are forgetting to call your pharmacy number, if they have questions. You want their staff to know that this is billable time for their office and your office. So when those interactions happen with their staff, how do we get compensated for that? Do we have an email that they send you a timestamp and a note of everything they discussed with the patient? So we can enter it into the software? Or are we going to give them access to the software, which is what I would definitely recommend and able to jump into the software and add those notes. And also notify you guys of that that at that interaction took place. And we’re going to review what are billable actions that we have. And then we’re going to review the best practices with the physician, how we can maximize their help in enrolling patients. And then we’re going to work on enrolling our first 50 to 100 patients and we are on our way to revenue. So billable actions. This is a very short sample list. It was all the bullet points that I could fit into a slide. There is a much longer list and what If you’re at this stage, we can give you that list, to be able to review with both your staff and the physician staff so that everyone’s on the same page of what can be reimbursed under these programs. Physician best practices, this is really important to make enrollment as easy as possible. So for the referral process, there’s really two ideas of how we can get a referral from the physician, we can do a single patient referral, or we can do a bulk patient referral, it’s always best practice to have a single patient referral on this first bullet point where a patient has already agreed to participate in the program during a face to face visit with the physician. This requires the physician to bring up in their face to face visit, Hey, there’s this program, chronic care management, remote patient monitoring, or both, I think that you would be a perfect candidate to be enrolled in these programs, here are the benefits. If he can do that, your enrollments will be a lot smoother. The other option, under single patient referral is the patient qualifies for CCM, and RPM. But the physician would like you to reach out, introduce the programs to the patient. And then for bulk patient referrals, we could reach out to people based on their diagnosis, if you want to enroll people that are all very specific in their diagnoses, making it easier to scale those patients. Or we can enroll patients just off of a list of all of the Medicare patients the physician has. And I would certainly start with dual eligible patients first, meaning that they’re not going to have a copay, because they’ve got Medicare or supplemental insurance that’s going to cover that 20% copay. I also will mention that you don’t need to avoid the copay. These programs are so well liked, that paying for three co pays, is going to be 20 to $30. For the patients, and the level of care that they’re receiving with the increased interactions and the data that we’re collecting, they’re more than happy to pay those three co pays. If you end up spending more time with that patient in a month, if you go past 60 minutes, 80 minutes of time, certainly make sure that they’re they’re aware of those co pays, but it’s not our hurdle, enrolling them because of the level of care that they’re receiving. And then the last thing you want to discuss with the visitors physician is how many referrals do you expect to get from them a month? You certainly want to have that 100 to 200 patient? Minimum that you’re gonna get from them. But how fast are we going to be able to enroll them in these programs, and have that conversation with the physician.
Okay, and just to re reiterate, the clients that we have that have the most success are when physicians introducing it in the physician’s office or even the physician staff saying, Hey, we’ve got this CCM program, we’ve got this RPM program that we’re running, we’re gonna have our staff reach out to you to tell you more. But even just that brief introduction, even at the front desk, is really beneficial when reaching out to those patients.
Thanks for for reinforcing that. And awesome. So we’re finishing up here, you guys. But I’m really excited to share this slide with you. So this is what we would recommend as a six month trajectory for patient enrollment. So starting out in your first month, you get one a roll 50 patients in CCM, and then 10 patients in RPM for total of 50 patients you’re working with. So for 10 patients are going to be enrolled in both programs. And then going into the next month, you’d want to double that number to have 100 patients enrolled. And 100 of that 100 patients 20 of them are going to be enrolled in both rpm and CCM. And it’s going to kind of continue that trend. But here we’re going to kind of slow down the pace of our CCM enrollment and only enrolled 25 People in the third month, but we’re going to increase how many people were enrolling in rpm. And then we’re going to kind of continue to do that until MONTH six, we’ve reached 200 people enrolled in CCM, and of that 200 100 of them are enrolled in both program, both programs of RPM and CCM. The reason that we’re suggesting this is because we know the cash crunch that’s coming in 2024. And CCM does not have any barrier to entry any external costs like RPM does where you have to pay for the device. CCM is just time that you’re spending with those patients. So it’s a lot easier to enroll at the very beginning a higher quantity to get that cash revenue starting flowing in into your office. And then from there you want to catch up with your RPM. enrollments. This also gives you cash that you can use from CCM reimbursements. To pay for some of the devices if needed to enroll patients in the RPM program. And just to give you a little idea of the revenue that we’re looking at here, month one with 50 patients enrolled in this structure, you can be looking at $4,000 for that month, and that’s going to be 20 hours of billable time completed. So less than a week’s worth of work here, month two, we will be having $8,000 of revenue. And this is gonna be 40 hours of work to complete those billable time codes. month three, what is $11,000 and we were looking at 54 hours of billable time code completed here, month for up to $14,000 a month, and 67 billable hours. And then over here for month five, we’re looking at $18,000 a month now for 84 hours of work. So two weeks, of billable time completed for $18,000 a month. And then by Month six, we’re looking at $22,000 a month in reimbursements, and 100 hours of billable time submitted. And this is based off of having them complete 20 minutes and CCM 20 minutes and RPM and getting those 16 days worth of readings from the devices for the RPM program. So we’re getting three reimbursement codes here based off of these numbers.
And I’ll point out that that time that you’re talking about, does not mean pharmacist time like that does not it does not have to be you know, quote unquote RPh. It can be spread across you know, different people in your pharmacy based on what it is exactly that they’re doing. So just wanted to clarify that because a lot of people just assume it’s always the pharmacist, but it’s it’s not necessarily. Yes,
that’s thank you for pointing that out. You certainly can have the day to day operation of these programs being done by your your clinical staff, and then escalations coming up to the pharmacist. So to finish up here, I want to share with you this one document, we have other resources, but this one is proven successful. And just getting that conversation started with the physician. We already went through multiple parts of this where we discussed the physician benefits. So certainly understand these and be able to describe them when you meet with the physician. And then we went through the pharmacy relationship of what does it look like in the day to day flow of things? And how is how are we intertwining the physician’s office with the pharmacy office now. And then the last point that we want to go over here is the revenue. And you’re going to explain these bullet points to the physician on average, the physician gets to keep 20 to 30% of the generated revenue. Here, his profit would be $85,000. If we’re looking at 200 patients enrolled in CCM and RPM program, and on average 40 minutes of the fart of pharmacy time will generate approximately $154 per patient. And that’s based on those numbers I just shared, where we’re looking at CCM and RPM enrollments and getting three codes completed from that enrollment. So you can get this document from us, along with the slide deck and other resources that equip you guys to go out and have these conversations with physicians, I will say of the everyone I worked with last year, only one group of pharmacists that I met with had to meet with four or more physicians to find a partner, everyone else that was committed to meeting with people was able to find a partner between one and four physicians that they met with. So just be willing to put the legwork in to start out and get that first partner and then get these programs running, get revenue flowing. And that second third fourth physician is so much easier to sign up when you’re able to go out and say this is what I’m doing for physician a down the road, I want to do the same thing for you look at these numbers I’m generating look at the revenue that could be providing you while taking off duties from your staff and turning these activities into revenue generating activities. It’s a very successful process. Okay, I will I will stop talking. And see if we have any questions.
Thank you, Brad. I appreciate that. And I will I will say that getting your first one is the hardest. Like that’s the hardest it’s going to be in everyone after that is so much easier because then you’re then you start to speak from experience. And frankly when you have experience we all speak a little different and we have confidence. And so you know once you’re already doing it and once you build this and once the first month goes by the it gets infinitely easier after that. And so you’re thinking like Gosh, this is this is weird. This is new This is you know all those things. That’s as hard as it comes gets. And it only gets easier as you as you go on. So anyways, if anybody would like to unmute or pop in your questions, now’s the time to do it.
This is time to earn lunch. If you can stump in you guys, let’s, let’s hear some tough questions. I’m not gonna skimp on the lunch either. And if you’re going to Florida, for for Lisa’s event, I will I’ll take you out to lunch in person.
Yeah, so Brad will be presenting in February next month. Actual pharmacy case studies like going through like what this looked like in real life and how these pharmacies, you know, did this whole process so that you kind of have a, a couple of templates to work off of of like how to go from zero to you know, being successful and billing. So you Lucy? Yep. Go ahead. You’re unmuted. So go ahead.
Yes, thank you, Brett. Appreciate it. I want to apologize. I couldn’t make it to the meeting yesterday. I have signed up for a meeting yesterday at 3pm. I apologize. I couldn’t make it. But anyway, my question is, I got a little confused on the third party billing that you were mentioning, and how much additional, you know, fees? Or how much is the third party, third party billing will add to, you know, all of this, I guess into the value care. Yeah.
So that’s a cost that you do not want to take on, that would be a cost that the physician is going to pay for because he’s getting rid of the cost paying his current billing department, and going with an easier process by using a third party billing. Usually, that’s going to be anywhere between three and 6%. But he’s getting rid of his cost. So it’s a cost that he should be paying for.
Yeah, that that comes out of the physicians part, the part that they’re retaining, they pay for the billing fees, because it’s all have to be billed under them. It’s we’re not, you know, eventually, maybe one day Medicare will change that. But right now, we’re not allowed to do the billing, it has to go through him. So those fees come out of what’s collected on his side.
Okay, so what recommendation would you give us in terms of like, you know, marketing, you know, like, you know, Lisa was at the beginning, you know, a lot of physicians, you know, they’re like, they don’t want to add the extra paperwork, you know, and so Ha, what recommendation would you give us, as far as like, you know, telling them, you know, hey, let’s do this, you know, let’s,
yeah, go ahead. And you got,
I would say, showing them the billing summary report, and how easy it is, it’s a copy and paste, move, or they can export it right into the software, they already have it, it makes it so easy, you really don’t need a third party, for your billing until you’re really getting up into that 800 900 1000 patients is where it’s going to save a lot of time for their billing stuff.
Yeah, I would say like to bust the myth, I would come at it from a way of like, Hey, doctor, you probably assume this is going to be a lot of work and a lot of paperwork and a lot of extra effort on you. And I just want to tell you that that’s not the case, that’s a myth, at least the way we do it. And that’s the way I would kind of start to differentiate yourself, because there certainly are still companies out there, that it’s a very messy, labor intensive process. But the reason why I love value care suite is they have really leveraged technology to make this easy. So it’s like, Hey, you might have looked into this before, and was like, Oh my gosh, that’s way too much work. I do it different. I’m bringing you a different program, that’s actually going to lessen the burden and make it easier on you while you still get to make money. And we also get paid for our services too. So I think it’s part of like coming at it from dispelling a myth as a way to kind of break through so.
Alright, thank you. Okay, well said, Lisa, I love to answer.
And start with physicians. You know, I mean, that’s what that’s what Brad, you know, talked about is, you know, the very first visit, like, you know, you’ve you’ve usually most landlords, you know, I’ve always experienced, it’s like, well, once that one doctor that if you you know saw on the grocery store, you would stop and just chit chat with like, that’s the doctor that like you probably need to approach this first with. And you know, somebody you’re friends with, or even if you have a doctor, like one of my best friends was an OB GYN, you know, an OB GYN probably isn’t, you know, in the realm of this space, but it’s like, Hey, friend, OBGYN. Can I talk to you about this? And like, give me like questions, give me feet, like have a little bit of practice session, you know, so at least start the conversation with somebody that you’re just really comfortable with. You know, and they don’t, they’re not going to mind if you mess up. They’re not going to, you know, worry if you use a wrong word, or something like that. You know, start with those people first. Before, you know going on to some others, yeah,
that’s a great a great point. Yesterday, a pharmacist called me and said, Hey, I just spoke with Lisa about these programs. And I spoke with him for maybe five minutes on the phone. He said, Okay, great. I’m gonna go talk to a physician. And then he called me back and he said, Okay, they’re interested, they want to move forward. And he didn’t approach the physician as I want to run these programs. He approached that physician as what do you know about these programs? Have you heard this information? Are you as excited as I am at this potential? So we came at it from a less aggressive, and I wanted to get feedback. And then the conversation ended with the physician saying, absolutely, these sounds great, let’s, let’s create a partnership.
Awesome. Any other questions?
I would say dangle the carrot dangled, how much money they’re leaving on the table. I’ve been on some calls with some physicians, and they’re like, oh, yeah, you know, we’d looked into that, and, and, you know, wasn’t really that exciting. And it’s like, but did you because my projections show that you could be making an extra 500,000? And they’re like, wait, what? And I’m like, yeah, like, 500,000 next year? And they’re like, Oh, I thought it was like $50,000 in a year. And we’re like, no, that’s like a month. Like, sometimes they just don’t understand the opportunity. So sometimes dangling that carrot can get their attention. So
and sometimes they’re, they might say, well, we’re already running these programs, but they might only be doing CCM or they might only be doing RPM, or if they’re only doing bhi, that’s a completely head scratcher moment. But you want to say, well, there’s a software that you can run all of these programs in conjunction with each other, and it can increase your revenue. So if they’re already running it, dig a little bit deeper, get more information, and see what their revenue look like, looks like. And odds are we can beat it on our software.
Yeah. And I’ve my my follow up question to a physician that I’ve talked to that says, Oh, I’m already doing this. My question is, is oh, well, what’s your compliance rate for your patients, because they’ll have a compliance rate of 10, or 15%. Because they’re not really monitoring, and they’re not following up to make sure they meet those 16 of 30 days. And so all of a sudden, you’re like, wow, okay, you’re 15% compliant? Well, the system that I use is runs, you know, 80% compliance. That’s a lot. That’s a huge difference. So sometimes, just because they’re already doing, it doesn’t mean that they’re doing it necessarily the most optimal way, either.
Yeah, we’ve we’ve put a lot of effort into finding that partner with the blackbox RPM, so that all of our devices are extremely easy to use. So we have the highest potential possible of getting those 16 readings every month, which is a huge portion of the RPM reimbursement. A lot of people think of it as an afterthought, where our goal is that is that we’re getting that reimbursement 1011 12 months out of the year, instead of two, three months out of the year, that other people have targeted for.
Great point, Lisa, Jonas,
oh, sorry, go ahead.
I was just gonna say as a pharmacist, don’t underestimate your value, because you are coming to the physician as an additional tool and resource for them. Where, by themselves, like Lisa said, they’re only completing 10 20% of the 100 patients they’ve enrolled, you as a pharmacist coming on, you’re saying, Hey, I’m going to work with your patients in addition to you. Let’s turn that up to 80 90% compliance, where we’re able to build for that because they could have 15 minutes spent with the patient. But because they don’t have anybody dedicated to this program, running it, they’ve got a tag team approach. Now you’re able to get that code completed. And in addition to that, you’re able to scale out the amount of patients they’re able to work with. So you could take them up to 200 300 patients where before they were captured 50 to 100. Honestly, when we see physicians offices running it by themselves, they’re alright, if they’re 50, they’re doing really good if they’re at 100. They don’t dedicate anybody to the program. We recommend having one staff member, that’s your CCM RPM manager that’s gonna look at the system every day, last week of the month, say, hey, Stacy, you’ve got 15 patients that have five minutes remaining. So I need you to go through them this week, and get those completed. And so your value that you’re bringing to the doctor is more than just these programs and introducing it to them, but really scaling, optimizing and helping their growth. Hey, everyone, I
have to jump to the meeting. But Ian can stay on and ask any other questions that you guys have. But I do want to provide a teaser for next month. We’re going to go through kind of the day to day operation of these programs. What does it look like in our software to work on CCM and RPM how We do an escalation. How are we managing devices. And I think that that really helps piece together, what these programs are when you guys can see what’s entailed in the day to day operation. So that’s what we’re talking about next time. But I really appreciate the time. I’ll pass it over to Ian to ask any remaining questions. But thanks, guys, I’ll see you in Florida, in Florida,
in Florida, less than a month away.
Yes, I was gonna ask about audit, the auditing, you know, Brad, talk about it? Is there some? Is there any paperwork that we need to keep? And for how long on the side of the pharmacy?
That’s a great question. Yeah. Ian, do you want to answer that? Because everything’s in the software? So. But is there any hardcopy paperwork or anything you need to keep? Or is it just all the data in the software?
It’s all the data in the software. So you’re just gonna do your regular workflow through the software, do everything that just the same. So that when you are audited, we’ve got audit reports and summary reports, stuff like that, that can be pulled in a matter of seconds, and either faxed mailed wherever they need to go. Okay, thank you. Good question. Absolutely.
All right, Lucy or anyone else do any other questions? Already, well, I will let you guys go for that. And don’t forget to get your tickets for the profit Summit. And if you have any questions, feel free to post them inside our community chat. Feel free to send them to me, if I can’t answer all text, brighten, and really quick for an answer if I don’t know it. And we we’re here to support you feel free to have private calls with with the value care Suite team as well. If you’re, you know, interested in going further, I really do truly believe that, you know, these these programs can really transform some independent pharmacies. And you know, we want our members to be successful. So, all right, I will let you all go and have a great rest of your day. Bye bye.

Date: January 19, 2023
Time: 1:30 pm