RPM, CCM & More Support – Software Care Notes

RPM, CCM & More Support – Software Care Notes

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

Transcription:
Alright, so we’ll go ahead and get started. So thank you. We’re here. We appreciate you participating. And for those who watch us later online. I want to do see to Brad if you’ve not seen Brad before we’ve he’s done multiple different talks for us both explaining his services, as well as answering some questions if you’re utilizing. As you can see, I’m not Lisa Faast. She has a much prettier face for video than me. But she’s busy creating all this new content. And she’s got some new pricing out there for new memberships. So we’re excited. We’re DiversifyRx is headed, and I hope you continue to check out our website. So at this point, I will read from value care suites go and get his talk together. You may have some things for reserve. Anyone else has any questions, you can put it in the chat, or you can unmute and ask any questions away. So right here you go.
Awesome. Thanks for the introduction. You guys. I have to say why I’m so casually dressed today. I’m wearing a hat from that I got in Dallas at the barbecue joint that we went out to dinner. We were there for the conference. And it was just the best barbecue I’ve ever had. So I saw it. I was like, you know, I have to wear that for office hours today to remember the great barbecue I had while I was that pharmacy profits.
Isn’t a famous place like a well known one. Terry Terry blacks. Oh, yeah, that is I think that’s pretty much
Yeah, we had a beef rib that was the size of my forearm. But I have a Trager. So I enjoy. If you guys wanna know personal facts about me, however, I enjoy smoking, meat, brisket, especially. So I was I think I know what I’m talking about. It was it was very good, good barbecue. But excited to chat with you guys. Today, we’re kind of building on this series that we’ve been having talking about chronic care management and remote patient monitoring. So if this is your first time being on one of these calls, you might be a little bit lost. We can certainly kind of recap some things here to start out with. But please go back and watch previous office hours. If you kind of want to get up to speed. Also, please reach out to me. I’m happy to answer any questions, or start back from the beginning. With these programs, a lot of what we do at value care suite is just providing education on these programs for you guys to understand what’s the value to the pharmacy, what’s the revenue that we can generate? What are we providing to the patient in the form of quality care? And then how do we get a physician on board partner with us. So today, I wanted to share some really amazing examples of cares that have been done with these programs. So let’s kind of start with a recap of what is chronic care management, chronic care management is all about care that you’re providing outside of an office visit. And it’s a service that you’re doing either directly with the patient, or with physician or specialist or anybody that’s involved in the care of that patient. Or it’s in a time that you spend doing a chart review, looking at medications, doing something for that patient, even if the patient’s not directly involved in a conversation, per se. So anytime you have one of those three activities, it’s tracked as billable time, every 20 minutes that you spend with a patient during a month is going to be its own CPT code. And you can accrue that time throughout the month. So you might have five minutes here, 10 minutes there, 15 minutes here, all to get used to either 2040 or 60 minutes, where at the end of the month, you’ll have a plethora of codes that you can send off to Medicare to be reimbursed for. And a lot of these activities, you guys are things you’re already doing in the pharmacy setting, you’re already reaching out to patients, you’re already coordinating care, you’re already communicating with the physicians and specialists. So now it’s all about how do we get paid for those activities. And easily with these programs, 60 to 70%, of what we’re doing is tasks you’re already doing and that other 30 to 40% is just implementing the new workflows and new processes, and understanding some of the nuances to these programs, and then elevating that care that we’re providing, because now we’re getting compensated for it. So I definitely want to go through these cares. And I’m going to share my screen. But I did want to start out with any questions. If anybody came here wanting to hear something specific about these programs, you’re more than welcome to throw it into chat right now. And I can either talk about it as we kind of get going. Or I’ll make sure that we get to it by the end. And as I’m talking as well, please feel free to utilize chat. I’ll keep an eye on it and ask questions as we go. So I’m gonna go ahead now and I’m going to share my screen
and we are going to look at the software. So today we’re looking at what do these care notes look like? And these are all going to be real examples that have obviously been changed and altered so that we can share them. But real examples of over the course of a month, what is what are these services look like? How are we getting to that 2040 60 or more increments of time with these patients. So we have four patients that I want to review with you guys today and to see what that workflow looks like. So I’m gonna click in to this patient. And for those of you who are possibly new here, we are in the patient’s profile. So you can see what programs this patient is enrolled in this patient happens to be enrolled in three programs, CCM rpm, and bhi, here’s the timer that tells me how much time we’ve already spent with this patient. And I was in here previously, so it had this time already saved. But I could go in here and reset that timer, if this was an actual care that I was providing. And this also shows me how much time I have remaining to my next billable activity. So we talked about having 20 minute increments. So I’m eight minutes away from my next billable CPT code that I would earn with this patient. And then over here, you can see general information about the patient. And over here is where you log the care session. So anytime you provide a service for that patient, whether that’s directly with the patient, whether it’s with somebody else involved in their care, like a physician, or a nurse, or anybody who works with that patient, or you’re just in the profile, you’re doing a medication review, reviewing past care notes, you’re always going to save those interactions, you’re always going to have a timestamp and a note to log a care session. And that’s really the two most important things from an audit standpoint with these programs to make sure that we are leaving effective care notes. So it’s clear to see the connection to how much time we’re spending with this patient to the quality of note that we leave. So now, let’s go ahead and review some of these care notes. So on this lower half of the page, I’m on this overview tab. And I can see that I’ve already accrued 51 minutes of time this month with this patient and that has all been allocated towards the CCM program and this is The record or the history of all of those care notes. So we’re gonna go ahead and get started from the beginning of the month. So this was a pre call chart review. So this was done before the patient was ever contacted. This patient was new to rpm. So we’re asking how often are they taking a medication, we’re going to look at their blood sugar. And a couple other things we’re going to review summarize their most recent home health visit, we can see some of these notes from the previous month, what’s the patient’s main goal is to control their overall health. On 819, we had some alerts that were higher than where they should be with the device they have from the RPM program. And we noted that the patient forgot to take their morning scheduled medications. And so he took that during the home health visit, we’re going to review and summarize the most recent office visit where their doctor changed their insulin. We review their most recent Labs, which occurred on sixth of 23. We don’t have any imaging to review. We’re going to review any special notes. There was a supplier request for their diabetic equipment. And then any questions that we want to ask the patient? How Has everything been going How’s home health? How’s your FreeStyle Libre? And how is Aki as they are new to that program. So this is a list of questions that this pharmacy has pre built in the software to kind of go through and review within this patient’s profile before they even reach out to the patient. So now, they have a good understanding of what cares had already been performed the previous month, we can see what our goals are, if anything has occurred. And now we’re ready to contact that patient. So this was a pretty lengthy note. So you can see that they spent 60 minutes of time gathering all this information. So we’re already four minutes away from our first billable code with this program before we even reach out to the patient. Our next note was a 20 minute interaction, patient came in and updated them on surgery, they’ll be having Thursday, they’ll be going through a surgery, they needed dental clearance, they needed vision clearance. And they needed another clearance from another doctor for their lungs. And also the patient has a rash under their arm and will be getting something called in for that patient. So within this one note, there is how many physicians are looking at 12345 doctors that this pharmacy had a contact and make sure that they had approval and everything was in place before that patient was ready to go in for their surgery. So that takes a lot of time. And then we also noted that that patient had a rash and the pharmacy was going to be able to get something prescribed and called in for them to take care of that. And then we have another five minute interaction. They call the doctor’s office that they had partnered with requesting their most recent labs, to be able to see his agency and to send to the Home Health Group for insurance as an attestation. And then the office is going to send that back over to them. And then we have one more interaction for 10 minutes. The patient calls concerning aftercare from their surgery, they are experiencing soreness and pain, they instructed them to contact the surgeon for any discomfort they may have. And they also are going to contact the physician that they’ve partnered with with these programs to reach out in a telehealth visit to follow up with that patient. So a lot of these things are probably things we’re already doing in the pharmacy. And some of the things are maybe beyond what we’re already doing. But it can come naturally. Because now that we’re being incentivized to spend more time with these patients, we can dive a little bit deeper into the quality of care that we can provide. I think of that with this experience or this note right here where they contacted five physicians to make sure that everything was in order before that surgery to have all the appropriate clearances. Okay, that was care number one that I wanted to review. Let me double check if there’s anything in Are there any questions that came through on chat while I was talking? I don’t see anything there. No worries. So before I move on, we’ve got we’ll say 31 minutes. So that’s already going to be two billable CPT codes. So you’re going to have your first 20 minutes, and then your second 20 minutes for that 40 minutes of time that you’ve spent. And then that remaining 11 minutes is not going to be billable until you get to that remaining 33rd 20 minute increment to get you to a total of 60 minutes of time. But it’s gonna be very easy to finish up that time remaining. Okay. Let’s go to this patient and see what kind of carriers were performed. So we’ve got 47 minutes accrued so far this month, all being allocated towards the CCM program. We’re going to come down here again, and look at this review of last month’s care notes, which is very lengthy. It took them 20 minutes to gather all this information and prepare the care for this month. So reviewing the last month’s care notes, the patient has been a key and taking the medication. And they were instructed to take it everyday for better pain control, review and summarize most recent home health visits. We did that here. Back on 730, the patient had an episode of feeling like passing out when they walked in the refrigerator, dizziness and blurred vision occurred. Patient had to go sit on the couch took a medication, and the doctor ordered a new medication. Reviewing the most recent labs reviewing any notes, they had ordered more insulin. And the questions that they wanted to ask that patient have they been taking a vacation? Are they still feeling like they have a UTI Body Ache asking the patient if they got a flu shot, which they recommend annually covered on Medicare. So now they’re ready to proceed with that month.
Okay, then we have a five minute interaction where they completed a medical record requests for the Home Health Group and sent over their last office visit notes to them. And we have a another 17 minute interaction where they call the patient and they left a voicemail, and the patient called them back. Patient says says that they’ve been doing so so states they’re kind of a key has been taking their medication instead of a different medication. And they’re not sure if it’s helping yet. The patient did have a fall about a week ago, not sure if the fall was due to dizziness or tripping fell in their bedroom and thinks that they landed on their side. It’s been very sore, and the patient did not go to the ER doesn’t feel like they need to. Patient does think that the UTI is getting better after the second round of antibiotics. And they told the patient about flu shots, RSV vaccine and shingles second round, the patient would like them to come by and give the flu shot and the second channel shot at his home. And a patient asked when they could schedule that time for next week. Patient has been enjoying watching football and has been dozing off here and they’re taking naps while relaxing. And the patient states he is trying to get their son to be their daily caregiver but not sure if that’s going to be allowed or not. So this total interaction took 17 minutes, there’s a couple things I want to point out here. Firstly, you’re allowed to count the time before the interaction with the patient and the time after the interaction as billable time. So maybe they spoke with the patient for a total of 10 or 12 minutes and that remaining time came from them preparing to make that phone call looking and seeing what questions they wanted to ask her and then post a phone call when they had to come into the software and type out this note also counts as billable time. A couple other things I’d like to point out here from this note, I really liked the comment about oh, the patient has just been watching sports. A part of these programs is being able to talk about the patient’s psychosocial needs. So if the patient wants to talk about football or how they’re happy that football season’s back, you are more than able to spend an appropriate amount of time talking about those topics. With some of these patients that might be the only interaction they get. And it is certainly a part of the care that we can provide with these with these programs. Okay. We had another interaction where the Home Health requested the last visit and we sent that over so that took a couple minutes to gather that report and send that back over to the Home Health Group. So now we are at 47 minutes so far for the month, which gives us two billable codes. So So far, and we’d be working on that third bit of local code. And I can see here with the timer, that we’re seven minutes away from completing that third billable code. If I saved that four minutes up here for this note, as well. Okay. Got two more carriers to review. So so far, we’ve looked at these two patients where we’ve had 51 minutes of time, and 47 minutes of time accrued, that is 40 minutes is typically your average for the amount of time that you’re going to be spending with these programs. But you can certainly spend less or more depending on the needs of those patients. So this next example, is one that’s going to be less time, just 27 minutes, so we’re going to have a little bit shorter of notes here. So again, starting out, the first note we have is a pre called chart review, where we reviewed last month’s care notes, cataract surgery, and something was wrong with those Empik. review and summarize most recent office visit, they went to an office visit to get help with their Olympic review reviewed labs that were from six, eight. And then what are the questions that we want to ask the patient this month, have they had their cataract surgery, and is everything going better now with taking ozempic to again, this 12 minutes is time that we’re spending before we even have to reach out to the patient, making sure that we are prepared to provide a quality conversation quality care as we reach out to them. And then we call the patient. And we had a 15 minute interaction. The patient started back with music lessons early September, the patient really enjoys having kids there and getting to teach them and has been doing it for years, they were able to get their cataract surgery and have all three repaired and everything is going well. patient who’s doing better with ozempic, but now has heartburn gave patient education on not eating late at night and not to lie down instantly. So typically here, you’d have a couple of options, we’ve now had a great pre cold chart review and a great interaction with this patient. And it sounds like this patient’s doing really well this month. So maybe I don’t want you to reach out to that patient until next month. Or maybe that patient wants me to follow up with them one more time this month. It’s really kind of depends depending on how that conversation ended. With that patient, you could go ahead and schedule a reminder in the software so that you would know that, hey, I’m just gonna call this patient next Thursday, I can go ahead and schedule that now. Now, so I don’t have to try and remember all of these dates in my head. Or I could just schedule my first call for October, saying I’ve already done everything with this patient that they need. So I’ll reach back out in October and see how they’re doing. We do have 27 minutes accrued. So this is something to think about here. We’re going to be paid on those 20 minutes as reimbursable time that seven minutes is not going to be reimbursable time. So we could either continue to get billable time caffeine to reach that 40 minute marker. Or we can just say that we’re happy with the time that we’ve spent here. Typically, once you’ve invested at least 10 minutes, we would say, try and attempt to complete the remaining 10 minutes, that should be relatively easy. But if you’re not quite at that 10 minutes of unbillable time, you can let that be, but that’s something that you would determine within your office as well. Okay, and something to note here. These bubble icons help you kind of track where you have billable and unbillable time so everything is color coded. So for this CCM column, everything is in blue, telling me that this is billable time that’s earned. But if you notice right here, that gray bubble icon is gray. And that means that that is not billable time, but that I’m close to earning billable time for that third CPT code. That means that I am 10 minutes away or less from hurting that third code right there. And if we do quick math, we know that we’d be working on 60 total minutes, I’m at 51 minutes. So I just have nine more minutes to be able to make that billable time to get that gray level to turn blue. And this is just a very easy process that you guys can review weekly to make sure how your staff is doing that accruing those times and not leaving too much on billable time on the table. Okay. Excellent. Just checking chat there for a second you guys. This last care that I want to review is going to be for a patient who is enrolled in school of RPM and chronic care management. And for those of you who are might be a little newer to these programs. RPM is remote patient monitoring, where you would give the patient one or multiple devices to take home to take readings on whether that’s a weight scale of blood pressure monitor, a pulse oximeter, smartwatch or glucometer, you’re going to be able to spend time reviewing those daily readings that come in, our system is also going to alert you if any of those readings come in higher or lower than what they should be in the software. On top of reviewing that data that’s coming in, you’re also going to spend time with that patient. And that time could be allocated towards either CCM or RPM programs, it just can’t be allocated to both for that same interaction. So it’s kind of up to you where that time should go every month, except for if it’s time relating to their device that needs to be allocated towards RPM.
So let’s jump into this patient’s profile and see what we have here. So we’ve totaled 68 minutes so far this month, with 44 minutes being allocated towards CCM, and 24 minutes being allocated towards RPM, I’m going to go ahead and reset that timer. So we can see here, we’ve got 44 minutes accrued. So I can see I’ve already earned those first two billable codes, and I’m 15 minutes away from earning that third, reimbursement. And if I come up here and click onto RPM, you can actually spend upwards of 80 minutes a month with the RPM program. And I’ve earned my first 20 minute increments right here. So I’d be working on that second 20 More increments. So we’re going to have notes that are going to be specified now on this chart as RPM or CCM. And we’ll give all of these look. And you’ll see kind of the difference here between rpm and CCM. So this first note is from the RPM program, we spent two minutes reviewing the patient’s data. So we didn’t even contact the patient here, we looked at their blood pressure reading, and we looked at their daily vitals check their blood pressure was elevated, we’re going to continue to monitor that. And we’re going to report it to the pharmacist if it exceeds that point for three days in a row. So this is a workflow that this pharmacy has implemented, where this might be a technician, or another staff member who is reviewing these vitals as they come in. And you would do that daily for one to two minutes at a time. And they’ve put this workflow in place that if it occurs, where they have a reading that’s elevated for more than three days, is the point where they’re going to trigger an escalation, have a pharmacist review those readings. And if those readings persist, then that pharmacist is going to pull in the physician that they’ve partnered with. So a couple days later, they would have another follow up here for RPM, blood pressure is still slightly elevated, and their weight was down almost three and a half pounds. And again, the same note, with those readings that are coming in, they’re going to report to the pharmacist if it continues for third day. Here we have our first CCM note that was 12 minutes for the patient called and so the doctor had previously instructed him to stop his medication and cut vacation in half for the quantity. He’s been doing that for three months now and set has been really working well and asked if they could send in a script for that prescription in that smaller dosage so he doesn’t have to keep cutting in half. We come up here and we can see another RPM note for two minutes. Wait is now down six pounds in the last seven days. And we can see their readings with that note. You can really see the difference here between CCM and RPM. We’re we’re spending direct time with the patient with CCM and RPM, there are opportunities and you do are required to spend direct time with the patient. But a lot of the time can also come from just reviewing their vitals and keeping a pulse on where those readings are at and making sure that they don’t get too out of hand. When we have a 10 minute note for CCM were received a call that we needed to make an appointment for the patient to get an eval, call the patient to get an appointment with Dr. M for the eval. The doctor suggested the patient is wanting to get a power wheelchair for himself. He has a wheelchair but wanted to get a powered one so he could get around better. They scheduled an appointment for the patient on nine eight. So there’s a lot going on that note I’m surprised that it only took the I’m 10 minutes. So both have a call with the physician and with the patient and to get an appointment scheduled, but a lot of care took place and just that 10 minutes. This note is actually supposed to be RPM time because we are doing a weekly vitals compliance review. So you can kind of see some behind the scenes here that if you ever have to edit a note and reallocate time, this is clearly talking about their device readings, I can come into that editable note and just click RPM, I can also change the amount of time to day and timestamp and who performed that care. And the note itself, itself if ever need to change those items. But I can go ahead and change that over to rpm. I didn’t purposely do that, by the way for this call. That was a true accident there. So we now have that fixed. So this is where we have here, a weekly vitals check. So you can spend two to five minutes a week looking at everything that that patient has been taking from all of their devices. And you can get the data from the software, of course. So you can see their heart rate averages, their blood pressure averages. How many days of vitals have been recorded? We’ve got 10 days for meaning in their period for billable time or for to have the device be billable is 20 days. Have we reviewed all alerts from the past seven days? Yes. And do we have any comments or actions for reviewing these vitals, the pharmacist said that the weekly averages are slightly elevated. So typically, a weekly vitals review is going to be done by whoever’s supervising these programs. So if you have a technician or another staff member who’s working the day to day kind of workflow, that manager, whether that’s a pharmacist or the head pharmacist can come in and do this on a weekly basis. And there’s a couple of features here, you could actually tag somebody in a note, if you wanted to notify them of say, hey, next time, I want you to follow up about X, Y, or Z is a workflow that would be beneficial to add right here has maybe a goal or something that they want to be discussed next time they reached out to that patient. But it gives you a good overview of both where their readings are out and how we’re trending on collecting those readings. So we have to collect 16 days of readings within a 30 day time period to be reimbursed for their device. So that’s a separate code outside of the time that we’re spending with these patients. And we’ve already gotten 10 days recorded and we have 20 days remaining. So it looks like we’re trending really well. We’re easily going to be able to get six more days of vitals recorded within that 20 day period. Okay, now we’re going to come up here and we have another CCM care note for 20 minutes. The patient called the clinic stating he was supposed to have an order sent in for a wheelchair. He had the office visit last week with the doctor and he has not heard back, we found out that they never received the order due to a bad fax line. So the physician wrote a new order. And the pharmacy contacted the hospital and spoke to Jeremy, he gave them the appropriate fax number and they re sent that in. And he also got the appropriate email to follow up. They refax the order and send it through the email to Jeremy Jeremy say that they would schedule the patient as soon as they received the order, and then notified the patient, it was recent. And they wouldn’t be calling with him within today or tomorrow to schedule that appointment for that electric wheelchair. So this is a 20 Minute interaction. And you can easily see how this interaction would take 20 minutes where you received a call from the patient. And then they had a call the office of the physician that they partnered with to get a follow up. And then from there, they had a call tech to the hospital to find out where they should be faxing that request. And then after they got that information, they called the patient back to inform them everything they discussed. You know this could have been easily fallen through the cracks at a physician’s office and had no follow up done. But the pharmacy was easily able to make all those phone calls in a timely manner. And it makes sure that that patient was still progressing to get that need field of getting their electric wheelchair. Now we can come up here to this RPM note where we’ve spent 10 minutes on this note. And we’re saying that we sent the following message to the provider. So now this has reached the point where we’re concerned enough with their daily readings being higher or lower than what they should be that we wanted to inform that physician and kind of escalate those readings or are concerned there. So we’re saying, this is coming from the physical from the pharmacist reporting some consistently evaluated blood pressure levels to you, for you records, please let me know, if you’d like me to change make any changes to patients current therapy, he’s been taking a medication daily, you can see blood pressure averages, their highest and their lowest readings and what readings were in range and out of range. And then we can see all of the readings that we’re getting that data from. So it would take a while to
get everything together and send that note over to the physician. And then we got a message back from the provider. So we added that note in here, or the provider saying to can you taking one medication, and they’re going to call in and get them prescribed another medication, and then we call the patient to notify of their new prescription because of their high blood pressure readings. Patient’s going to call us back because he believes he’s already taking two blood pressure medications, but he wasn’t sure he’s not home at the moment, they were out at the lake. So we’re going to have another follow up that we would schedule from that conversation to make sure that that new medication fits into well with what they’re already taking, whether they’re not taking two blood pressure medications already. Okay, you guys, that is all of the notes I wanted to share with you today. We come back over here. So you can see a pretty, pretty wide range of what we reviewed today, we had one patient who spent over an hour of time with and will easily be having more interactions with them as we get them a new medication. This other patient, we only spent 27 minutes with third doing really well, we don’t feel like we need to reach back out to them this month. And then we have these other two patients that are probably still going to have some further interactions this month as well. I do want to emphasize here at the end that these programs are flexible in the care that you provide. It’s really up to you and the physician that you partner with to kind of carve out what you’re going to be doing monthly with these patients, and how you’re going to set up that workflow. Those are all things that we value case, we are going to help you walk through so that you can have easily understood actionable workflows for you and your staff. But I think it’s a huge value to these programs that they are so flexible, it can seem kind of daunting for new pharmacies at times because of that flexibility. But I promise it is a feature and not a curse, that it allows you guys to practice, within your full scope of knowledge, you can do everything from a very high end, changing a medication or increasing reducing, decreasing a dosage for a patient down to a very mundane activity that maybe seems small to us. But it’s very impactful for these patients of just ensuring the quality of care that they’re receiving, and shifting the type of care that we’re providing from a very reactive approach to a much more proactive approach. And patients really, truly do respond well to these programs. One of my favorite stories is from a pharmacy who their first month that the pharmacy started this program, the physician received five phone calls from patients thanking her for starting this program. And the physician just couldn’t believe it. Because she was like I’m, I’ve handed this program off to the pharmacy. And they’re so impacted by these phone calls that are getting, they wanted to reach out outside of an office visit or needing to call the physician just to say thank you for the quality of care that they had received in just that first month that they were enrolled in these programs, with the pharmacy partnering with that physician’s office, so the pharmacy was ecstatic that those patients had taken the time to do that. It really looked amazing. Okay, you guys, that is everything that I had wanted to share today. I really appreciate everyone’s time, I will go ahead and stop sharing my screen. And I’m gonna double check chat over here. If there’s a thing doesn’t look like we have any questions so far. But from people who are still on the call, do we have any questions before we finish everything up?
I don’t think we do, Brad.
Okay. Hopefully that means I was very comprehensive today.
I think you were and I makes you think that the value they’re gonna get, obviously value care suite. And I think the value is the pharmacy, just as you said they’re, they’re, they’re the value to the patient. And if they haven’t ever considered a clinical approach to their business, I think you’re offering a great opportunity for them.
Yeah, absolutely. Pharmacies fits so well with these programs already. have relationships with the physician, you? Most of them have a better relationship with the patients as well. It’s a no brainer. Yeah.
Well, I appreciate your time again, we’ll be doing this again with the care suite. And if you have any questions regards to what he’s talked about, check out the videos, so the membership website, you can also reach out to them through their info and value care. suite.com. So take advantage of that while you guys were all members. Brad, thank you very much.
Awesome. Thank you so much, you guys.