Coffee with Coker

This episode delves into the complex world of compensation design within the healthcare industry, focusing on traditional hospital/employed provider models. We explore the common pain points experienced by clients of all types when incentivizing strategic goals.

Episode Synopsis

Join us as we discuss the various considerations hospitals and health systems face, including concerns about provider compensation spending and fair market value. We also examine incentive structures designed to foster growth and meet strategic objectives, all while ensuring that compensation plans remain competitive in the challenging recruitment landscape.

But it's not just about the financial aspect. We'll also explore how compensation design can be a powerful tool, acting as a 'carrot' to drive productivity and achieve organizational goals. And when compensation design isn't enough, we'll delve into the other factors influencing low provider productivity.

Tune in for an insightful conversation on the critical intersection of compensation design and healthcare strategy.

· Aligning physician incentives with organizational goals (4:25)

· Designing physician compensation models (8:54)

· Analyzing audio transcript for insights (14:39)

· Redesigning physician compensation models (19:48)

· Designing and implementing fair and equitable compensation (26:30)

· Physician compensation model design (33:37)

· Provider compensation and performance improvement (37:15)

Extras

· Episode 111: The Intersection of Provider Compensation and Value-Based Reimbursement (https://cokergroup.com/episode-111-the-intersection-of-provider-compensation-and-value-based-reimbursement/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-118-how-provider-compensation-design-impacts-performance&utm_content=performance-improvement-compensation&utm_campaign=finance&utm_source_platform=podcast-app&utm_creative_format=podcast&utm_marketing_tactic=awareness)

· Case Study: Provider Compensation Misalignment (https://cokergroup.com/case-study-provider-compensation-misalignment/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-118-how-provider-compensation-design-impacts-performance&utm_content=performance-improvement-compensation&utm_campaign=finance&utm_source_platform=podcast-app&utm_creative_format=case-study&utm_marketing_tactic=solution)

· Compensation Best Practices for Physician Enterprises (https://cokergroup.com/compensation-best-practices-for-physician-enterprises/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-118-how-provider-compensation-design-impacts-performance&utm_content=performance-improvement-compensation&utm_campaign=finance&utm_source_platform=podcast-app&utm_creative_format=white-paper&utm_marketing_tactic=solution)

· Compensation Methodology Best Practices: True-Up Payments (https://cokergroup.com/compensation-methodology-best-practices-true-up-payments/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-118-how-provider-compensation-design-impacts-performance&utm_content=performance-improvement-compensation&utm_campaign=finance&utm_source_platform=podcast-app&utm_creative_format=blog&utm_marketing_tactic=awareness)

Podcast Information

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We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

· Please email us: [email protected]

· Connect with us on LinkedIn: Coker Group Company Page

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The speakers will break down various areas they review when evaluating the revenue cycle and give examples of how they evaluated and helped clients achieve success around revenue cycle improvement. They will discuss some of the key pitfalls and areas where physician enterprises struggle, and offer advice, regardless of type and size, to consider as you optimize your revenue cycle processes and performance.

Episode Synopsis

In the context of revenue cycle management, it's essential to emphasize that the scope extends far beyond the billing office alone. The notion of "outsourcing the revenue cycle" often requires clarification, as it commonly refers to selectively outsourcing certain components, like billing or specific front-end operations. It's rare for an organization to entrust the entirety of its revenue cycle, spanning from initial patient intake and service provision to claims processing, payment reconciliation, collection endeavors, and comprehensive follow-up, to an external entity. This podcast episode delves into the intricacies of this comprehensive revenue cycle management process.

· Opening Introduction (0:11)

· Key pitfalls and areas to avoid when evaluating the revenue cycle (1:02)

· The interaction between each functional area (6:05)

· Why are we seeing more and more issues occur (9:28)

· How to diagnose billing and billing issues (12:13)

· Solutions and recommendations (18:37)

· What do the leaders and managers think of the reports? (24:26)

· Sustainability measures to help with implementation (27:40)

· Using dashboard reporting for key performance indicators (33:16)

· Question the status quo on revenue cycle management (38:07)

Extras

· How Is Inflation Affecting the Reimbursement in Your Managed Care Agreements?

· Revenue Cycle Management – Look Our for the Red Flags!

· Avoiding Four Common Pitfalls in Revenue Cycle Management

Podcast Information

Follow our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!

We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

· Please email us: [email protected]

· Connect with us on LinkedIn: Coker Group Company Page

· Follow us on Twitter: @cokergroup

· Follow us on Instagram: @cokergroup

· Follow us on Facebook: @cokerconsulting

This series aims to help physicians and practice administrators enhance their financial and operational performance across various domains.

Episode Synopsis

In this podcast series designed for physicians and practice administrators, our speakers will provide a deep dive into the reasons behind this series. They will emphasize the significance of performance improvement in healthcare organizations and specifically focus on physician enterprise performance improvement. Listeners will gain insights into how organizations can effectively evaluate their performance in relation to expectations, goals, and targets.

Building upon these fundamental concepts, our speakers will explore the creation of a framework for achieving high performance. They will discuss practical methods for developing a data-driven culture that permeates throughout the organization, from leadership to staff to providers. Throughout the series, we will cover a range of important domains, including revenue cycle management, operational efficiency, physician compensation, and quality outcomes. By addressing these crucial topics, we aim to provide physicians and practice administrators with valuable strategies and knowledge to enhance performance and drive success in their healthcare practices.

Extras

· Overcoming Obstacles with Performance Improvement for Critical Access Hospitals

· How Is Inflation Affecting the Reimbursement in Your Managed Care Agreements?

· Invest in Developing Your Physician Practice Leaders While Helping Them Achieve Organizational Objectives

Podcast Information

Follow our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!

We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

· Please email us: [email protected]

· Connect with us on LinkedIn: Coker Group Company Page

· Follow us on Twitter: @cokergroup

· Follow us on Instagram: @cokergroup

· Follow us on Facebook: @cokerconsulting

Alex Kirkland joins Mark Reiboldt to discuss the state of physician compensation and what the future may hold. Hospitals have competed for physician market share in the post-pandemic world, and the influx of private equity investment alongside rising costs has pushed the survey data approach of funding physician compensation models to unsustainable levels.

Episode Synopsis

Many external factors have impacted physician compensation over the past several years. The extensive list includes pandemic-era volume reductions, volatile survey data, Medicare Physician Fee Schedule changes, rising inflation, and the list goes on!

If there is any constant, it is that change is inevitable.

With so much uncertainty, how can healthcare systems possibly plan for the future in terms of a sound physician compensation strategy? The answer lies in understanding expected shifts in the physician workforce, and the need for a nimble compensation structure that can adapt to market forces.

Extras

· Survey Says… What to Expect from the 2021 Market Survey Data (https://cokergroup.com/survey-says-what-to-expect-from-the-2021-market-survey-data/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-115&utm_content=link-website&utm_campaign=provider-comp-strategy&utm_source_platform=podcast-app&utm_creative_format=article&utm_marketing_tactic=awareness)

· Compensation Best Practices for Physician Enterprises (https://cokergroup.com/compensation-best-practices-for-physician-enterprises/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-115&utm_content=link-website&utm_campaign=provider-comp-strategy&utm_source_platform=podcast-app&utm_creative_format=white-paper&utm_marketing_tactic=solution)

· How do we address provider compensation misalignment? (https://cokergroup.com/case-study-provider-compensation-misalignment/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-115&utm_content=link-website&utm_campaign=provider-comp-strategy&utm_source_platform=podcast-app&utm_creative_format=case-study&utm_marketing_tactic=solution)

· How are the 2023 E/M guideline changes impacting your organization? (https://cokergroup.com/2023-e-m-impact-calculator/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-115&utm_content=link-website&utm_campaign=provider-comp-strategy&utm_source_platform=podcast-app&utm_creative_format=calculator&utm_marketing_tactic=tool)

Podcast Information

Follow our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!

We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

· Please email us: [email protected]

· Connect with us on LinkedIn: Coker Group Company Page

· Follow us on Twitter: @cokergroup

· Follow us on Instagram: @cokergroup

· Follow us on Facebook: @cokerconsulting

Justin Chamblee presented this webinar for the American Health Law Association. He analyzes the current state of the healthcare industry and take an objective look at options for physicians/physician enterprises, assessing some of the positives and drawbacks from each and what it may mean for the future.

Podcast Information

Follow our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!

We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

· Please email us: [email protected]

· Connect with us on LinkedIn: Coker Group Company Page

· Follow us on Twitter: @cokergroup

· Follow us on Instagram: @cokergroup

· Follow us on Facebook: @cokerconsulting

Episode Synopsis

In the not-too-distant past, the majority of physicians were in private practice. Then, the market experienced a shift wherein a number of physicians chose to be hospital affiliated, with either private practice or hospital affiliation seemingly being the only options. In recent years, the market has shifted again. Private equity money has created options for physicians that have not existed in the past, entities like VillageMD and Privia Health are rapidly developing employment models providing additional options, and health systems are assessing the financial viability of maintaining their physician enterprises in the legacy state, looking for future potential alternatives.

Learning Objectives

1. Survey the evolution of alignment options for physicians/physician enterprises over the past several decades.
2. Dive deep into the current market, looking at current alignment trends and the positives/drawbacks from each.
3. Ponder what the current alignment options may mean for the future of the healthcare industry.

Extras

· Is employment the only option to keep physician practices alive?

· What's next in the evolution of professional services agreements?

· How do we address provider compensation misalignment?

· What's the value of the non-compete agreement?

· How are the 2023 E/M guideline changes impacting your organization?

Jana Sizemore joins Mark Reiboldt to discuss clinical co-management arrangements as an alternative alignment model for healthcare organizations and physician groups. Clinical co-management allows physician groups to align with hospitals and health systems without becoming employed or implementing a professional services agreement.

Podcast Information

Follow our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!

We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

· Please email us: [email protected]

· Connect with us on LinkedIn: Coker Group Company Page

· Follow us on Twitter: @cokergroup

· Follow us on Instagram: @cokergroup

· Follow us on Facebook: @cokerconsulting

Episode Synopsis

Primarily used with surgical specialties, a hospital will partner with independent physician groups to support or grow the service line. While each situation is unique and different, Jana highlights why hospitals should consider a clinical co-management agreement, how they differ from other forms of alignment, and when to use the co-management structure.

Retaining autonomy and independence is a big selling point for independent physician groups considering clinical co-management. The physicians can affect changes to the service line that would improve quality outcomes and patient care at the hospital by developing the service line and improving staff and patient satisfaction.

Extras

· Physicians in Practice: Ways to Align and Remain Independent

· Aligning Hospitals and Physicians with Clinical Co-Management Agreements

· Hospital/Physician Alignment and Clinical Integration

· Episode 102: How do you Align Provider Compensation with Health System Goals?

Jaci Kipreos, Alex Kirkland, and Matt Jensen join Mark Reiboldt to discuss the evaluation and management coding section changes and announce the update to our popular E/M Impact Calculator. What does your organization need to do to address these changes?

Podcast Information

Follow our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!

We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

· Please email us: [email protected]

· Connect with us on LinkedIn: Coker Group Company Page

· Follow us on Twitter: @cokergroup

· Follow us on Instagram: @cokergroup

· Follow us on Facebook: @cokerconsulting

Episode Synopsis

Alex, Jaci, and Matt present what the road map looks like and what prompted CMS to give a directive. Outpatient changes started in 2021, and the inpatient changes were effective on January 1, 2023. Their advice is to treat 2023 as a preparation year, measuring high volume codes and conducting operational reviews by the provider to determine if the documentation will meet the new guidelines. These changes will also affect your compensation plans because there are material changes to the wRVUs.

The impact calculator estimates the potential economic impact your organization may face with a partial listing of changing codes. Please note that the results of the calculations include the national Medicare reimbursement impact based on the volume input. As such, the calculation results are meant for planning purposes only and do not represent an estimation of value. For a more in-depth assessment of your providers' payment calculations and how this may affect your commercial and other payers, please contact us to speak with one of our physician compensation experts.

Estimate the impact on key E/M codes

https://cokergroup.com/2023-e-m-coding-calculator/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-112&utm_content=link-website&utm_campaign=provider-comp-strategy&utm_source_platform=podcast-app&utm_creative_format=calculator&utm_marketing_tactic=tool

Extras

· Keeping up with the Changes: A Review of 2023 E/M Guidelines (https://cokergroup.com/keeping-up-with-the-changes-a-review-of-2023-e-m-guidelines/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-112&utm_content=link-website&utm_campaign=coding-assessments&utm_source_platform=podcast-app&utm_creative_format=white-paper&utm_marketing_tactic=solution)

· Major Changes to Split/Shared Billing Affect Advanced Practice Providers and Physicians (https://cokergroup.com/major-changes-to-split-shared-billing-affect-advanced-practice-providers-and-physicians/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-112&utm_content=link-website&utm_campaign=provider-comp-strategy&utm_source_platform=podcast-app&utm_creative_format=blog&utm_marketing_tactic=awareness)

· The Intersection of Compliance and Fair Market Value: Are You Sure Your Arrangements Coincide? (https://cokergroup.com/the-intersection-of-compliance-and-fair-market-value-are-you-sure-your-arrangements-coincide/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-112&utm_content=link-website&utm_campaign=fmv-cr&utm_source_platform=podcast-app&utm_creative_format=blog&utm_marketing_tactic=awareness)

· Case Study: Provider Compensation Misalignment (https://cokergroup.com/case-study-provider-compensation-misalignment/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-112&utm_content=link-website&utm_campaign=fmv-cr&utm_source_platform=podcast-app&utm_creative_format=case-study&utm_marketing_tactic=solution)

Justin Chamblee joins Mark Reiboldt to discuss value-based reimbursement and provider compensation. He recently presented this topic at the MGMA conference with the goal of answering questions that naturally arise when considering the intersection of value-based reimbursement and provider compensation.

Podcast Information

Follow our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!

We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

• Please email us: [email protected]
• Connect with us on LinkedIn: Coker Group Company Page (/company/coker-group)
• Follow us on Twitter: @cokergroup
• Follow us on Instagram: @cokergroup
• Follow us on Facebook: @cokerconsulting

Episode Synopsis

Government programs initially led value-based reimbursement (VBR) initiatives, but commercial payers are making the shift. CMS proposes to expand access to ACOs, modernize coverage for behavioral health services, colon screening, and dental services. There are also new and exciting value-based care programs being announced outside of CMS.

Justin and Mark look ahead at the value-based care initiatives on the horizon, and how these programs should intersect with provider compensation.

Learning Objectives

• Further understanding of how value-based reimbursement is manifesting itself in the market
• Answer questions that naturally arise when considering the intersection of value-based reimbursement and provider compensation
• Equip attendees with practical steps to further align their provider compensation strategies with current reimbursement environment

Extras

• Major Changes to Split/Shared Billing Affect Advanced Practice Providers and Physicians (https://cokergroup.com/major-changes-to-split-shared-billing-affect-advanced-practice-providers-and-physicians/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-111&utm_content=the-intersection-of-provider-compensation-and-value-based-reimbursement&utm_campaign=value-based-strategies&utm_source_platform=podcast-app&utm_creative_format=blog&utm_marketing_tactic=awareness)
• The Intersection of Compliance and Fair Market Value: Are You Sure Your Arrangements Coincide? (https://cokergroup.com/the-intersection-of-compliance-and-fair-market-value-are-you-sure-your-arrangements-coincide/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-111&utm_content=link-website&utm_campaign=fmv-cr&utm_source_platform=podcast-app&utm_creative_format=blog&utm_marketing_tactic=awareness)
• Case Study: Provider Compensation Misalignment (https://cokergroup.com/case-study-provider-compensation-misalignment/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-111&utm_content=link-website&utm_campaign=provider-comp-strategy&utm_source_platform=podcast-app&utm_creative_format=case-study&utm_marketing_tactic=solution)

Beth Balcom, Brandt Jewell, Alex Kirkland, and Richard Romero presented this webinar for the American Health Law Association. Our team will cover upcoming billing and coding changes affecting healthcare organizations in three areas: coding and compliance, operations, and finance.

Podcast Information

Follow our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!

We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

• Please email us: [email protected]
• Connect with us on LinkedIn: Coker Group Company Page
• Follow us on Twitter: @cokergroup
• Follow us on Instagram: @cokergroup
• Follow us on Facebook: @cokerconsulting

Episode Synopsis

Upcoming billing and coding changes will affect healthcare organizations in three areas: coding and compliance, operations, and finance. Our team will cover these areas as they discuss how billing changes will impact physician practice operations and economics, including provider compensation and fair market value considerations.

Learning Objectives

• Understand the financial impact of critical changes within the Medicare Physician Fee Schedule proposed rule and what they may mean from a valuation perspective.
• Discuss the operational implications and considerations resulting from the Medicare Physician Fee Schedule proposed rule.
• Provide an overview of the expected coding changes and associated compliance considerations.

We recommend you speak with your key stakeholders about performing three actions to prepare for the upcoming changes which go into effect on January 1, 2023:

1. Develop a coding communication plan that considers tools and checklists to help front-line resources acclimate to the changes
2. Audit current EHR scheduling templates to ensure they consider the changes
3. Conduct a chart audit to verify the accuracy of coding and documentation

If Coker Group can assist you with developing a plan or implementation for any of the above, please get in touch with us to schedule a free consultation to discuss the specific needs of your client(s) or organization.

Book Your Free Consultation ---> https://cokergroup.com/contact/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-110&utm_content=book-your-free-consultation&utm_campaign=coding-assessments&utm_source_platform=podcast-app&utm_creative_format=link&utm_marketing_tactic=contact

Extras

• Major Changes to Split/Shared Billing Affect Advanced Practice Providers and Physicians (https://cokergroup.com/major-changes-to-split-shared-billing-affect-advanced-practice-providers-and-physicians/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-110&utm_content=major-changes-to-split-shared-billing-affect-advanced-practice-providers-and-physicians&utm_campaign=physician-comp-strategy&utm_source_platform=podcast-app&utm_creative_format=blog&utm_marketing_tactic=awareness)
• How the CY 2022 PFS Final Rule Affects Split/Shared Visits and Critical Care Services (https://cokergroup.com/how-the-cy-2022-pfs-final-rule-affects-split-shared-visits-and-critical-care-services/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-110&utm_content=how-the-cy-2022-pfs-final-rule-affects-split-shared-visits-and-critical-care-services&utm_campaign=physician-comp-strategy&utm_source_platform=podcast-app&utm_creative_format=blog&utm_marketing_tactic=awareness)
• Episode 107: How will Split/Shared Visits Change Between APPs and Physicians? (https://cokergroup.com/episode-107-how-will-split-shared-visits-change-between-apps-and-physicians/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-110&utm_content=how-will-split-shared-visits-change-between-apps-and-physicians&utm_campaign=physician-comp-strategy&utm_source_platform=podcast-app&utm_creative_format=podcast&utm_marketing_tactic=awareness)

Alex Kirkland and Matt Jensen join Mark Reiboldt to discuss the results of our inaugural advanced practice provider strategy and oversight survey. The survey contains insight from 60 organizations employing 3,067 advanced practice providers and represents 4,356 physicians and 28 states.

Podcast Information

Follow our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!

We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

• Please email us: [email protected]
• Connect with us on LinkedIn: Coker Group Company Page
• Follow us on Twitter: @cokergroup
• Follow us on Instagram: @cokergroup
• Follow us on Facebook: @cokerconsulting

Episode Synopsis

Advanced Practice Providers (APPs) are at the forefront of healthcare delivery. They directly impact organizational goals, such as patient access, care coordination, care outcomes, and population health initiatives.

A straightforward APP compensation framework that recognizes market rates, specialization, and experience is essential to an organization's success in retaining and growing its APPs. Aligning APP compensation models with physician compensation model structures promotes team cohesiveness and enables providers to maximize their unique value to meet strategic goals and objectives.

Do you want to learn more about APP strategies and oversight? Listen to the episode and learn how APP strategies and oversight are changing.

Extras

• Download the 2022 survey results
• Major Changes to Split/Shared Billing Affect Advanced Practice Providers and Physicians
• How the CY 2022 PFS Final Rule Affects Split/Shared Visits and Critical Care Services
• Episode 107: How will Split/Shared Visits Change Between APPs and Physicians?
• Episode 102: How do you Align Provider Compensation with Health System Goals?