Coffee with Coker

Discover how Coker's DataRise platform is transforming healthcare strategy through powerful data-driven insights. In this episode of Coffee with Coker, Mark Reiboldt interviews Nick Newsad, VP of Innovation at Coker, to explore how DataRise is helping hospitals, health systems, and physician groups make smarter business decisions. DataRise offers unmatched access to: Commercial reimbursement rates across every U.S. market Physician and medical director compensation benchmarks Malpractice premium data, Form 990 records, and more From contract negotiations to fair market value justification and new market expansion, DataRise delivers real-time, actionable intelligence that healthcare organizations can use to benchmark, plan, and grow. Whether you're evaluating a joint venture, planning a new service line, or negotiating payer contracts, this is a game-changing tool designed to give you the upper hand.   Learn more about DataRise: https://datarise.cokergroup.com/?utm_source=youtube&utm_medium=podcast&utm_term=episode-128&utm_content=unlocking-healthcare-payer-data-how-datarise-is-changing-the-game &utm_campaign=performance-transformation

In this episode of Digital Pioneers, host Michael O'Toole explores how digital transformation is reshaping healthcare by addressing one of its most persistent challenges: improving patient experience in real time. Joining the conversation is Bryan Graven, Executive Director and CIO of Waterbury Health and Eastern Connecticut Health Network. Bryan shares how his health systems implemented an innovative text-based patient feedback system to proactively address concerns before discharge—enhancing satisfaction, boosting star ratings, and improving Press Ganey scores. Key takeaways: How real-time patient feedback drives service recovery in hospitals The role of technology in bridging gaps between patients and healthcare providers Lessons from Waterbury Health's successful implementation and adoption strategy If you're a healthcare leader looking for practical tech solutions to enhance patient care, this episode is packed with valuable insights. Don't forget to subscribe for more conversations with trailblazers in digital healthcare innovation!

Welcome to the first episode of Digital Pioneers, a healthcare podcast series presented by Coker, where we explore groundbreaking technological innovations reshaping the healthcare landscape. In this episode, host Michael O'Toole dives into the transformative world of Virtual Nursing with special guests Stacey McGriff and Grant Reed from Piedmont Healthcare. Discover how Piedmont Healthcare implemented a virtual nursing program across its 23-hospital network in just over a year, addressing critical challenges like staffing shortages and improving patient and nurse satisfaction. Key takeaways: ·        How virtual nursing supports bedside staff and enhances patient care. ·        Insights into Piedmont's rapid implementation and scaling process. ·        Real-world advice for healthcare leaders considering virtual nursing. Whether you're a healthcare leader, technology enthusiast, or just curious about the future of healthcare, this episode is packed with valuable insights. Don't forget to subscribe for more episodes featuring trailblazers in digital healthcare innovation!  

In this episode of Coffee with Coker, Gabriel Harry, Vice President at Coker, and Tim Harper, Senior Manager at Coker, sit down with Gary Noseworthy, CEO of Community Health Access Network (CHAN), for an in-depth conversation about CHAN's efforts to modernize health information technology in community health centers. They dive into the collaborative projects they've worked on, reflecting on both the obstacles and successes they've encountered. The discussion covers key topics such as vendor selection strategies, the critical role of strategic partnerships, and the importance of individual assessments for health centers. Gary also shares how CHAN's team has grown and evolved, offering insights into the transformative impact of their initiatives. He looks ahead to CHAN's future, envisioning an expansion of participating health centers and exploring new business opportunities. 00:32 Background on Community Health Access Network (CHAN) 02:08 Vendor Vetting and Selection Process 09:48 Implementation and Unique Requirements 12:00 Project Success and Team Contributions 15:18 Challenges and Lessons Learned 29:47 Future Growth and Strategic Partnerships 34:38 Conclusion and Closing Remarks   Podcast Information  Follow our feed in Apple 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: feedback@cokergroup.com ·        Connect with us on LinkedIn: Coker Group Company Page ·        Follow us on Twitter: @cokergroup ·        Follow us on Instagram: @cokergroup ·        Follow us on Facebook: @cokerconsulting

In this episode of Coffee with Coker, Mark Reiboldt, EVP at Coker, and Vinson Do discuss the impactful role of AI in the business side of healthcare. They delve into how AI is transforming claims processing, medical coding, and healthcare reimbursement. The conversation highlights real-world examples, such as the AI implementation at Community Medical Centers of Fresno and Mass General Brigham, which have shown significant improvements in reducing denials and enhancing coding accuracy. Ethical considerations and future prospects for AI in healthcare are also examined. 00:25 The Role of AI in Healthcare 00:53 Introducing Vinson Do and AI's Impact 01:51 Understanding Artificial Intelligence 04:43 AI in Claims Processing 11:37 AI in Medical Coding 16:32 AI in Healthcare Reimbursement 23:14 Ethical Considerations and Future Prospects 30:53 Conclusion and Final Thoughts 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: feedback@cokergroup.com ·        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 episode of Coffee with Coker delves into the complex and nuanced topic of Modifier 25, a coding nuance critical for healthcare professionals to understand for billing and documentation. Hosts Erika and Jaci unpack the definition, significance, and proper application of Modifier 25, emphasizing its opinion-based nature and the importance of clear, detailed documentation. They provide examples from healthcare scenarios, including preventive visits, urgent care, and procedures like cerumen removal, discussing the implications for billing and compliance. The conversation highlights how insurance companies' interpretations can vary, impacting the application of Modifier 25. Further, they explore the challenges healthcare providers face in ensuring their documentation supports the use of Modifier 25, pointing out common pitfalls and offering guidance on best practices. This discussion underscores the vital role of accurate coding and documentation in healthcare billing and the ongoing need for education and dialogue among practitioners. 00:32 Diving Deep into Modifier 25 01:49 Understanding the Definition and Application of Modifier 25 05:33 Exploring Real-World Scenarios and Challenges with Modifier 25 08:33 Navigating Documentation and Billing Challenges 15:04 Specific Cases and Auditing Insights 27:36 Concluding Thoughts and Future Topics 29:54 Engaging the Audience and Closing Remarks   Links to other resources: AMA | Reporting CPT Modifier 25 (https://www.ama-assn.org/system/files/reporting-CPT-modifier-25.pdf) Podcast covering Medicare Annual Wellness Visits (https://www.cokergroup.com/podcasts/episode-122-understanding-annual-wellness-visits-for-healthcare-organizations/)

In this episode, the discussion focuses on annual wellness visits, IPPE, and their implications for healthcare organizations. The conversation covers the requirements, coding, documentation, and common audit findings related to annual wellness visits. The speakers emphasize the importance of proper documentation, the use of resources, and a team approach to ensure compliance and successful reimbursement.   ·        Jaci Kipreos and Erika Fisch discuss annual wellness visits (00:18) ·        Medicare's yearly benefit for beneficiaries called annual wellness visits (01:25) ·        Initial Preventative Physical Exam (IPPE) and annual wellness visits (02:32) ·        Difference between annual wellness visits and preventative physical exams (05:34) ·        Resources for understanding annual wellness visits (08:06) ·        Common audit findings for IPPE and annual wellness visits (14:16) ·        Handling patient refusal to answer questions during the visit (18:57) ·        Separate coding for additional services during the visit (22:58) ·        Screening EKG and its requirements (25:12) ·        Importance of a team approach to ensure proper documentation and billing (28:58) ·        Checking with your MAC for additional requirements or recommendations (32:52) ·        Next episode to cover the 25 modifier (34:55)   Extras ·        Medicare Learning Network – Medicare Annual Wellness Visits (https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/preventive-services/medicare-wellness-visits.html) ·        Medicare Preventive Services Quick Reference Chart (https://www.cms.gov/Medicare/Prevention/PrevntionGenInfo/medicare-preventive-services/MPS-QuickReferenceChart-1.html) ·        Medicare Claims Processing Manual (https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c12.pdf) ·        Streamline Workflow to Perform a Thorough AWV (https://edhub.ama-assn.org/steps-forward/module/2757861)   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: feedback@cokergroup.com ·        Connect with us on LinkedIn: Coker Group Company Page ·        Follow us on Twitter: @cokergroup ·        Follow us on Instagram: @cokergroup ·        Follow us on Facebook: @cokerconsulting

In this insightful podcast for leaders of physician enterprises, we delve into the dynamic landscape of staffing trends within the healthcare sector. The discussion kicks off with a comprehensive exploration of both physician and non-provider staffing trends, providing valuable insights into the evolving workforce dynamics. The conversation then navigates through the intricate factors that contribute to staff turnover, shedding light on the challenges faced by physician enterprises in retaining their crucial personnel.   Episode Synopsis  The podcast guides leaders in analyzing their physician enterprises with a data-driven approach, offering practical strategies to create staffing targets aligned with the unique characteristics of their practices. As the discussion progresses, listeners gain actionable solutions to common staffing challenges, including addressing salary increases in a declining market and handling healthcare turnover amidst current market conditions. The podcast also explores staff retention tactics and best practices essential for physician enterprise success.  The latter part of the podcast delves into the impact of various technologies on staffing for physician enterprises, exploring the integration of AI and workforce automation. The discussion concludes by highlighting the crucial link between staffing, ROI, and the overall functionality of physician enterprises, providing valuable insights for leaders navigating the intricate landscape of healthcare management. ·        Physician and non-provider staffing trends (2:05) ·        Factors contributing to staff turnover (4:20) ·        How to analyze your physician enterprise using a data-driven approach (4:50) ·        How certain practice characteristics impact staffing levels (6:30) ·        Create staffing targets that make sense for your practice (7:22) ·        Solutions to staffing challenges (8:14) ·        Addressing salary increases in a declining market (8:30) ·        How to handle healthcare turnover in the current market (11:02) ·        Staff retention tactics (13:39) ·        Best practices for physician enterprise success (16:35) ·        Critical issues plaguing independent medical practices (20:12) ·        Embracing new trends and adjusting to patient expectations (21:30) ·        Other technologies affecting staffing for physician enterprises (23:45) ·        Addressing AI and workforce automation for your practice (25:00) ·        How staffing impacts the ROI and functionality of the physician enterprise (26:40)   Extras ·        Address Community Need with Physician Income Guarantee Arrangements (https://cokergroup.com/physician-income-guarantee-arrangements/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-121&utm_content=physician-income-guarantee&utm_campaign=performance-transformation&utm_source_platform=&utm_creative_format=&utm_marketing_tactic=) ·        Lawmakers Grapple with Artificial Intelligence Regulation as Popularity and Utilization Grow (https://cokergroup.com/lawmakers-grapple-with-artificial-intelligence-regulation-as-popularity-and-utilization-grow/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-121&utm_content=ai&utm_campaign=performance-transformation&utm_source_platform=&utm_creative_format=&utm_marketing_tactic=) ·        Quantifying Patient Access: Utilize Data to Identify Improvement Opportunities and Monitor Performance (https://cokergroup.com/quantifying-patient-access-utilize-data-to-identify-improvement-opportunities-and-monitor-performance/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-121&utm_content=performance-improvement&utm_campaign=performance-transformation&utm_source_platform=&utm_creative_format=&utm_marketing_tactic=)   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: feedback@cokergroup.com ·        Connect with us on LinkedIn: Coker Group Company Page ·        Follow us on Twitter: @cokergroup ·        Follow us on Instagram: @cokergroup ·        Follow us on Facebook: @cokerconsulting

Chris Torregosa interviews Louis Sallerson, the CEO of Converse Health, about their generative AI assistant for orthopedic surgery clinics.   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: feedback@cokergroup.com ·        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 Throughout the interview, Louis shares his passion for the healthcare industry and dedication to improving medical practice operations using generative AI. The heart of their product is communication, and their goal is to streamline patient navigation and communication for orthopedic surgeons.   Click to listen to the episode.     Extras Learn More about Converse Health (https://www.converse.health/)

In this podcast episode, we delve into the critical topic of patient access and operational throughput. With growing demand for medical services and a looming physician shortage, it's essential to reframe patient access as a pivotal aspect of healthcare production, not merely patient satisfaction.   Episode Synopsis Join us as we discuss current patient access challenges, highlight key focus areas for effective management, and explore the differentiation between patient access and operational throughput, emphasizing role clarity, optimizing staff utilization, and improving communication. The episode also delves into trends in patient access management, including the role of Advanced Practice Providers and the strategic integration of technology to enhance access. Patient access has never been more vital, as patient demand is projected to exceed provider supply. We offer practical strategies for healthcare organizations to excel in patient access and operational throughput.  ·        Patient access and throughput in healthcare (0:11) ·        Patient access and physician shortages in U.S. healthcare (4:37) ·        Streamlining patient access and scheduling (9:20) ·        Patient access and appointment metrics (12:01) ·        Improving patient access and organizational performance (15:52) ·        Improving medical practice efficiency (20:15) ·        Improving patient access in healthcare (26:16) ·        Improving patient access and reducing no-shows (32:03)   Extras ·        Overcoming Obstacles with Performance Improvement for Critical Access Hospitals (https://cokergroup.com/overcoming-obstacles-with-performance-improvement-for-critical-access-hospitals/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-119-navigating-patient-demand-and-physician-shortages&utm_content=patient-access&utm_campaign=physician-services&utm_source_platform=podcast-app&utm_creative_format=blog&utm_marketing_tactic=solution) ·        Quantifying Patient Access: Utilize Data to Identify Improvement Opportunities and Monitor Performance (https://cokergroup.com/quantifying-patient-access-utilize-data-to-identify-improvement-opportunities-and-monitor-performance/?utm_source=libsyn&utm_medium=podcast&utm_term=episode-119-navigating-patient-demand-and-physician-shortages&utm_content=patient-access&utm_campaign=physician-services&utm_source_platform=podcast-app&utm_creative_format=blog&utm_marketing_tactic=solution)     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: feedback@cokergroup.com ·        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 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 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: feedback@cokergroup.com ·        Connect with us on LinkedIn: Coker Group Company Page ·        Follow us on Twitter: @cokergroup ·        Follow us on Instagram: @cokergroup ·        Follow us on Facebook: @cokerconsulting

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: feedback@cokergroup.com ·        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: feedback@cokergroup.com ·        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: feedback@cokergroup.com ·         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: feedback@cokergroup.com ·        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 Survey the evolution of alignment options for physicians/physician enterprises over the past several decades. Dive deep into the current market, looking at current alignment trends and the positives/drawbacks from each. 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: feedback@cokergroup.com ·        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: feedback@cokergroup.com ·        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: feedback@cokergroup.com 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: feedback@cokergroup.com 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: Develop a coding communication plan that considers tools and checklists to help front-line resources acclimate to the changes Audit current EHR scheduling templates to ensure they consider the changes 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: feedback@cokergroup.com 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?

Jack Liu and Dr. Hamlet Benyamin join Mark Reiboldt to discuss the shift from a one size fits all approach to precision medicine which is individualized to each person. Dr. Benyamin defines precision experience as the unique experience a person needs as they enter the healthcare workforce.   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: feedback@cokergroup.com 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  How do we assess the barriers and processes for the healthcare workforce so we can deliver better care for everyone? Covid-19 shed light on the healthcare delivery process, particularly within the patient and provider dynamic. Precision experience is essential to all aspects of the healthcare delivery process, from physicians and advanced practice providers to supporting staff. Healthcare can use the insights as a jumping-off point to leap forward and improve processes that have been problematic for years. An opportunity arises from a crisis to improve the system for the people it serves. Click to listen to the episode and learn more about the precision experience for healthcare.   Extras Precision Experience: What it is and Why it Matters to Healthcare Now? Learn more about ProCARE Portal Precision Experience: The Solution to Creating a Shared Vision

Alex Kirkland and Chris Marrs join Mark Reiboldt to discuss changes to the split or shared billing between advanced practice providers and physicians. Alex and Chris encourage healthcare organizations to understand these changes and update processes before the changes take effect in 2024.   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: feedback@cokergroup.com 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  A split/shared visit, defined as “an E/M visit in a facility setting that is performed in part by a Physician and an NPP who are in the same group,” is billed based on which provider performed the “substantive portion” of the service. For non-critical care split/shared visits in 2022, a “substantive portion” is considered “all or some portion of the history, exam or medical decision-making key components of an E/M service.” However, for critical care visits in 2022 and all applicable visits beginning January 1, 2023, a “substantive portion” is more specifically defined as greater than 50% of the time spent on the encounter. If the physician spends more than 50% of the time with the patient, CMS will reimburse the visit at 100%. However, if the advanced practice provider spends more than 50% of the time with the patient, they will reimburse the visit at 85%. The provider attached to the service will also receive the wRVU credit for those professional services. Listen to the episode and learn how these changes could impact how your providers are reimbursed and compensated for their professional services.   Extras Major Changes to Split/Shared Billing Affect Advanced Practice Providers and Physicians American Medical Association Releases 2023 E/M Updates How the CY 2022 PFS Final Rule Affects Split/Shared Visits and Critical Care Services

Brandt Jewell joins Mark Reiboldt to explain the management principles for developing a data-driven culture. Brandt walks through examples of utilizing data to manage staff and engage providers as leaders, mentors, and champions with common group-level 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: feedback@cokergroup.com 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 Data validation is essential to gain buy-in and consensus from all stakeholders, particularly providers. Sharing data with providers and staff establishes consistent communication and dissemination of information. When developing a data-driven culture, you should: Simplify the data to focus on key metrics and actionable information Provide clear and actionable direction regarding how daily responsibilities of all roles can impact the metrics Communicate performance expectations to meet operational objectives Build realistic near and long-term goals Use consistent metrics across the group to avoid making exceptions A strategic direction coupled with a shared vision, aligned incentives, operational support, and peer accountability through data and communication will develop a high-performing culture.   Extras Building a High-Performing Physician Enterprise Developing a High-Performing Physician Enterprise Submit your information to request a 30-minute consultation  

Jeffery Daigrepont interviews Dan Stewart, the president of Jackson Health Tech Advisors, one of our partners providing cybersecurity advisory services. Dan has been in the healthcare information technology and services industry for more than 30 years, with the last ten years focused on cybersecurity risk management and mitigation services. That includes a Cyber Liability Insurance Services program we will discuss today.   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: feedback@cokergroup.com 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  The last two years have seen a new era of cyber-attacks with increased hacker sophistication, a propensity to pay in ransomware cases, and a geopolitical environment that has upended the cyber insurance market in general, particularly in healthcare. In 2020, healthcare-related cyber-attacks increased by more than 55%, of which ransomware attacks comprised 28% of the total. According to Cybersecurity Ventures, in 2021, the US healthcare system lost $21 billion caused by ransomware attacks alone. Covid-19 further exposed the weaknesses in healthcare cybersecurity systems as the industry was forced to institute or expand telehealth services and remote working functions rapidly. These factors caused significant losses for the insurance carriers that were providing cyber insurance resulting in several major market changes that are affecting healthcare providers.   Extras Key Elements of a Cyber Liability Insurance Policy for Healthcare Providers Cybersecurity Tips Episode 57: HCIT: Security Risk Assessment Episode 103: What is a Security Risk Analysis, and Why Do I Need One? Contact Jeffery Daigrepont

Richard Romero joins Mark Reiboldt to explore non-compete and other restrictive covenants in the healthcare industry. Richard explains the purpose and the value of these restrictive covenants.   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: feedback@cokergroup.com 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  There are three types of restrictive covenants: non-compete agreements, non-solicitation agreements, and non-disclosure agreements. Depending on who you ask, these covenants can be a tool to protect the business or perceived as a way to limit a physician's ability to choose their employer. No matter how they are perceived, if a restrictive covenant does not protect a legitimate business interest, it may be unenforceable. The law does not prohibit ordinary competition.   Extras Physician Employment Non-Compete Agreements: The Value Behind the Valuation Where's the Value in Physician Practice Valuations?

DeAnn Tucker and Roz Cordini join Mark Reiboldt to explain the need for a security risk analysis within healthcare organizations. Many organizations are missing one critical component when performing a security risk analysis. Learn what elements organizations usually miss and how to conduct a security risk analysis properly.   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: feedback@cokergroup.com 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 Did you know Health and Human Services requires an annual security risk analysis? If a breach of information occurs, OCR will request the last 2-3 years of security risk analyses to verify your organization has performed the analysis and taken steps to implement the remediation plan. Aside from the requirement, performing a security risk analysis also safeguards electronic protected health information (ePHI) by identifying potential vulnerabilities before a criminal exploits them. Click to listen to the episode.   Extras Security Rule 45 CFR 164.308 Guidance on Risk Analysis Requirements under the HIPAA Security Rule 5 Mistakes Covered Entities and Business Associates Made During a Security Risk Analysis

Alex Kirkland and Andy Sobczyk join Mark Reiboldt to explore a prevalent provider compensation trend. As health systems continue to acquire private practices, they also inherit differing compensation structures with each acquisition. Alex and Andy unpack the concept of provider compensation misalignment.   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: feedback@cokergroup.com 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  Many healthcare provider practices lack an overarching provider compensation philosophy that aligns the health system's goals with the incentives for the providers. While there are many reasons this occurs, the solution is the same: develop a compensation philosophy for your organization to govern the compensation plans. Alex and Andy use a physician compensation scatterplot (see page 5 of the case study) to illustrate how a decentralized compensation approach contributes to misalignment and variability. Click to listen to the episode.   Extras Case Study: Provider Compensation Misalignment Access the E/M Calculator Learn more about provider compensation best practices

Mark Massey, a vice president with the Southern Medical Association Services, Inc., joins Mark Reiboldt to explore the concept of cash balance plans for medical practices. Mark explains cash balance plans, who is a prospect for cash balance plans, and how they work.   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: feedback@cokergroup.com 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  A Cash Balance plan is a type of retirement plan that allows business owners to contribute over $200,000 per year in many cases. Contribution limits are based on the age of the owner. The plan is entirely employer-funded, and the plan clearly defines the contribution/benefit formula for participants. A Cash Balance Plan takes advantage of a business expense that an owner can keep, deduct from profits, and let grow tax-deferred. Owners can fund a sizable portion of retirement savings using money they would have paid in taxes. Click to listen to the episode.   Extras Southern Medical Association Insurance About the Southern Medical Association

Jeffery Daigrepont interviews Dr. Neil Baum, an early pioneer in the healthcare IT industry. They discuss patient care ethics and how artificial intelligence impacts the provider-patient dynamic.   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: feedback@cokergroup.com 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 As healthcare technology has evolved, healthcare providers are spending less time focusing on the patient, and more time focusing on their computer or tablet screens. The rise of telemedicine has furthered that barrier, putting a screen between the provider and the patient and removing empathy from the patient visit. For this reason, Dr. Baum and Jeffery believe artificial intelligence will never replace the provider-patient interaction. A patient entrusts a healthcare provider with sensitive, personal information, and in turn, the provider connects with the patient, providing personalized care. In which instances do you think artificial intelligence could take over and improve the patient experience?   Extras Artificial Intelligence: Perhaps More Intelligent Than You Think! Is Information Technology a Competitive Necessity or a Competitive Advantage? Connect with Dr. Baum

Lee Perrett and Richard Ballard join Mark to talk about the latest hiring and HR trends the pandemic inspired. They contemplate hybrid and remote workforces, workforce health, DEI initiatives, and the benefits of interim leadership.   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: feedback@cokergroup.com 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 Did you know 95% of HR leaders expect that at least some of their employees will work remotely after the pandemic? The shift to hybrid work will be a massive driver of transformation, and leaders must prepare to support it. Workforce health is a growing concern, especially in the healthcare field. Employees are leaving companies at an alarming rate for new opportunities that address their needs in the wake of the pandemic. How do you bridge the gap and attract suitable candidates? Click to listen to the episode.   Extras Invest in Developing Your Physician Practice Leaders While Helping Them Achieve Organizational Objectives 12 Mistakes Executives Make on Resumes (and How to Avoid Them) Episode 93: What are Interim Management Services, and Do You Need Them? Episode 31: Performing a Healthcare Organization Executive Search

Alex Kirkland and Matt Jensen join Mark to talk about the latest evaluation and management code updates to the Medicare Physician Fee Schedule. The Centers for Medicare and Medicaid Services (CMS) decreased the conversion factor for evaluation and management (E/M) codes for 2022.     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: feedback@cokergroup.com 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 CMS increased the RVUs for which they reimburse outpatient E/M services and decreased the conversion factor to remain budget neutral. The conversion factor cuts will affect reimbursement for all services in the fee schedule to increase reimbursement for more cognitive E/M services. Organizations with RVU-based compensation plans need to revalue their wRVU rates to remain economically aligned with the fee schedule, especially if their provider compensation plans tie to wRVU values in the most recent Medicare Physician Fee Schedule. Click to listen to the episode.   Extras 2022 E/M Coding Calculator How the CY 2022 PFS Final Rule Affects Split/Shared Visits and Critical Care Services

Rick Hindmand, an attorney with McDonald Hopkins, and Andy Sobczyk, a senior manager with Coker Group, join Mark to talk about the No Surprises Act. They focus their discussion on implications and action steps for healthcare providers and facilities.     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: feedback@cokergroup.com 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 Rick explains the No Surprises Act. The legislation protects patients from surprise billing by prohibiting balance billing unless the patient is notified and consents and protects patients from cost-sharing obligations that exceed in-network amounts. Rick and Andy focus their discussion on the impact on healthcare providers (facilities and providers that are out of network) and the act's key provisions impacting their revenue stream.   Extras CMS Releases New Rules for No Surprise Act Surprise billing regulations establish procedures to determine out-of-network rates Emergency Physicians Recover A Higher Share Of Charges From Out-Of-Network Care Than From In-Network Care The Six Provider Lawsuits Over The No Surprises Act: Latest Developments Connect with Rick Connect with Andy

Rob Mendoza and Roz Cordini join Mark to talk about the compliance risk assessment process. Now more than ever, these organizations must maintain an effective compliance program. The industry recognizes conducting a compliance risk assessment regularly as one of the key elements of an effective compliance program.   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: feedback@cokergroup.com 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 A compliance risk assessment is a structured process for identifying, evaluating, and prioritizing legal and regulatory risks that could negatively impact the organization. It allows the organization to focus essential resources on the most significant risks and areas lacking adequate controls. There can certainly be a level of ambiguity when one hears the term compliance risk assessment. It can easily be confused with other reviews or examinations an organization conducts. Rob and Roz also share what is not considered a compliance risk assessment. Click to listen to the episode.   Extras How to Conduct a Compliance Risk Assessment (and Why You Should) What is Compliance Program Effectiveness? Episode 44: Compliance Program Effectiveness

Mark interviews Dr. Kelly Firesheets, VP Community Business, and Cam Teems, Senior Director Healthcare Business, about Cordata Health. Cordata Health is continuously innovating in comprehensive SaaS solutions to partner with our clients to reach the highest need populations and connect them to the care and support they need.     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: feedback@cokergroup.com 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 Throughout the interview, they discuss the intersection of healthcare and the community and how systems can work together to create healthy people. The ongoing pandemic has brought the prevalence of specific community health issues to light, such as mental health and addiction. Cordata strives to connect hospitals and health systems technologically with the community they serve.   Extras Learn more about Cordata Health The Significance of a Physician Needs Assessment Is Information Technology a Competitive Necessity or a Competitive Advantage?

Mark Reiboldt and Richard Romero chat with Chris Pusey (Rural Partners in Medicine) about healthcare challenges in rural communities. Chris shares his company's experience building specialty surgical programs in rural America.   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: feedback@cokergroup.com 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 Chris, Mark, and Richard discuss their shared passion for rural healthcare. Chris discusses Rural Partners in Medicine's unique approach to providing surgical services locally to smaller communities. Patients within these communities prefer to receive care near their homes instead of traveling 100 miles away from their support systems. Listen to the episode and learn how Rural Partners in Medicine keep rural healthcare local.   Extras Learn more about Rural Partners in Medicine Physicians in Practice: Ways to Align and Remain Independent Expanded Guidance from CMS for Telehealth Services Provided at Rural Health Clinics and Federally Qualified Health Centers During the COVID-19 Public Health Emergency

Mark interviews Rick Langosch, an independent contractor with Coker Group, about his experience providing interim CFO and CEO services for hospitals. Rick shares his experience over the years and talks about how he handled a challenging situation recently. 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: feedback@cokergroup.com 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 Perhaps your organization recently experience a sudden transition, leaving a C-suite position vacant, or your organization is adding a new position no one has traditionally held. Hiring an interim executive to fill the job while you search for a permanent placement helps stabilize the hospital during a turbulent time. Click the play button to listen to the episode.   Extras Interim Management: Allow your Organization Time to Find Expert Leadership Episode 31: Performing a Healthcare Organization Executive Search Interim Management in Healthcare

Mark interviews Dr. Caesar Richburg, Chairman of Regional Medical Center, about chairing a board of trustees during turbulent times. Dr. Richburg shares how he came to be a board member and his experience navigating leadership transitions.   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: feedback@cokergroup.com 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 Rural hospitals continue to face challenges the pandemic brought to the forefront. As a board chairman of a rural facility, Dr. Richburg works with colleagues from different backgrounds and levels of business experience. As chairman, he ensures the Board applies sound business principles for the betterment of the community. Click the play button to listen to the episode.   Extras Interim Management: Allow your Organization Time to Find Expert Leadership Episode 31: Performing a Healthcare Organization Executive Search Interim Management in Healthcare

Matt BonDurant with ProCARE Portal joins Mark to discuss how to make provider compensation scalable. Matt explains the advantages of compensation automation and how streamlining compensation models is detrimental to your strategic plan and goals.   Podcast Information Subscribe to 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: feedback@cokergroup.com 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 Every provider compensation model is unique. While there may be certain structural areas of overlap, the details of the methodology, data process, exceptions, timing needs, and business rules are all different. ProCARE Portal is a compensation automation framework configured in a user interface (UI) to manage and adapt to ongoing complexities. Mark and Matt talk about the advantages of ProCARE Portal and how healthcare organizations are using it to make their provider compensation models scalable, regardless of how complex they are. Click the play button to listen to the episode.   Extras Learn more about ProCARE Portal Provider Compensation Management: Solving the Compensation Conundrum Compensation Best Practices for Physician Enterprises

Brandt Jewell joins Mark to discuss how to start building a high-performing physician enterprise. Brandt and Mark discuss a recent case study and white paper Brandt published this year. While each physician enterprise is unique, one can learn a lot from this successful project.   Podcast Information Subscribe to 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: feedback@cokergroup.com 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 Brandt and Mark discuss today's healthcare place, which offers significantly more strategic opportunities than existed ten years ago, and the confusion of where to focus when developing a high-performing physician enterprise. In many cases, physician enterprises will focus on one area (usually financial) and unravel the underlying operational issues affecting the bottom line. Click the play button to listen to the episode.   Extras Case Study: Developing a High-Performing Physician Enterprise White Paper: Building a High-Performing Physician Enterprise Learn more about our performance improvement services

Max Reiboldt joins Mark to discuss the economic terms to consider when pursuing a private equity deal. Max and Mark provide a high-level overview of the financial terms of private equity deals, including determining up-front value and the future sale of the practice.   Podcast Information Subscribe to 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: feedback@cokergroup.com 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 Max and Mark discuss their experience with private equity transactions and which economic terms to consider when pursuing a private equity deal. Normally, the practice retains all profits and distributes them to the partners within the practice annually. Therefore, when reviewing an income statement, there is little to no EBITDA. As part of a private equity deal, the practice needs to create upfront value through other means. Max and Mark discuss how to create upfront value and the various approaches to the valuation of a medical practice for a private equity transaction. Click the play button to listen to the episode.   Extras Episode 85: Non-Economic Considerations for Private Equity Transactions Episode 56: Private Equity Deals: Operational Components of the Transaction The Role of Management Services in Private Equity Transactions Episode 55: Private Equity Deals: Approaching a Deal Strategically Defining Private Equity Transactions in Healthcare and Understanding Deal Options for Medical Groups

Max Reiboldt and Tom Anthony (Frost Brown Todd LLC) join Mark to discuss gainsharing as an affiliation strategy. Max and Tom define gainsharing with a high-level legal overview, talk about a scenario where gainsharing works, and share their observations from Advisory Opinion 17-09.   Podcast Information Subscribe to 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: feedback@cokergroup.com -- 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 Max and Tom review the positive outcome of Advisory Opinion 17-09 and how to use gainsharing as a physician-hospital affiliation strategy. They define gainsharing and its objectives, discuss how a gainsharing arrangement is applicable for a joint replacement, and offer their insight on using gainsharing arrangements as an affiliation strategy. Click the play button to listen to the episode.   Extras OIG Advisory Opinion No. 17-09 Why is a Fair Market Value/Commercial Reasonableness Opinion Important for Value-Based Enterprises? Learn more about Fair Market Value and Commercial Reasonableness

Justin Chamblee and Alex Kirkland join Mark to review the status of value-based models, evaluate the potential impacts of recent events on value-based models, and reflect on real-world implementation challenges and practical strategies.   Podcast Information Subscribe to 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: feedback@cokergroup.com 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 Justin and Alex discuss new developments in value-based reimbursement and how the different administrations have viewed the shift to value-based reimbursement. Much change has occurred in the healthcare industry with the pandemic and healthcare regulation changes. Justin and Alex discuss how these changes will affect value-based compensation. Click the play button to listen to the episode.   Extras Request a call with Justin or Alex to discuss your value-based compensation approach Will Innovation Capture Value-Based Market Share? Incorporating Value-Based Metrics into a Physician Compensation Plan

Max Reiboldt and Andy Sobczyk join Mark to discuss the next generation of management service organizations (MSOs) and business service organizations (BSOs). The presence of MSOs, entities that provide an array of administrative support services to physician practices, has grown significantly in recent years. This trend is linked to private equity (PE) entry in the physician practice space because many PE transactions include an MSO.   Podcast Information Subscribe to 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: feedback@cokergroup.com 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 Max and Andy discuss the differences between MSOs and BSOs, and their goals and services. MSOs are not unique to private equity deals, and they are growing in popularity. Max and Andy discuss how to use an MSO or BSO as a growth strategy for your healthcare organization. Click the play button to listen to the episode.   Extras Request a copy of the detailed presentation with organizational structure examples! Next Generation MSOs: Strategies to Grow beyond Traditional Practice Management Services Affiliation Options for Physicians: Current and Future Strategies

Max Reiboldt joins Mark to discuss the non-economic terms to consider when pursuing a private equity deal. The non-economic components are often more important than the economic terms because they dictate the day-to-day after closing the deal.   Podcast Information Subscribe to 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: feedback@cokergroup.com 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 Max and Mark discuss their experience with private equity transactions and which non-economic terms to consider when pursuing a private equity deal. One of the lessons we impart to medical practice and hospital clients contemplating a private equity (PE) transaction is that both the economic and non-economic terms carry weight. They should receive equal consideration before signing on the dotted line. Click the play button to listen to the episode.   Extras Episode 56: Private Equity Deals: Operational Components of the Transaction The Role of Management Services in Private Equity Transactions Episode 55: Private Equity Deals: Approaching a Deal Strategically Defining Private Equity Transactions in Healthcare and Understanding Deal Options for Medical Groups

Michele Madison, a partner in the healthcare practice at Morris, Manning & Martin, LLP, joins Mark to discuss hospital pain points and challenges in the wake of 2020. They touch on compliance, transactions, E/M coding changes, financial challenges, telehealth, and handling the various hardships that have grown over the last year of COVID.   Podcast Information Subscribe to 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: feedback@cokergroup.com 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 Michele and Mark discuss maintaining physician relationships and focusing on value-based care and cost-reducing strategies. Hospitals are also exploring how to develop and expand outpatient healthcare delivery to patients. They also discuss the implications of the weighting changes to the work RVU values and how these changes affect commercial reasonableness and fair market value. How will these changes affect the upcoming survey data that many physician enterprises rely on? Click the play button to listen to the episode.   Extras Learn more about Michele 2021 Offers New Opportunities Amid Healthcare Regulation Changes Episode 82: How the MPFS Final Rule Impacts Medical Practices (and What to Do about It) Webinar Replay: 2021 E/M Coding Changes: What Healthcare Professionals Need to Know

Alex Kirkland joins Mark to discuss changes to the Medicare Physician Fee Schedule (MPFS) final rule. On December 27, 2020, Congress passed and the President signed into law the Consolidated Appropriations Act. The stimulus bill provided temporary relief by partially mitigating cuts to the conversion factor in 2021.   Podcast Information Subscribe to 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: feedback@cokergroup.com 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 Many payers use the Physician Fee Schedule (PFS) as the foundation for their rates and how they set their conversion factor. Although the stimulus bill only affects Medicare reimbursement for physician professional services, the impact will extend beyond Medicare. The stimulus package provides support only during 2021, so the full 10% cut to the conversion factor is still expected in 2022. Medical groups need to analyze their financial impact through a CPT level revenue and wRVU compensation analysis. The important concept is compensation increases should not outpace reimbursement, meaning you can’t afford to pay more than your revenue allows. There are also fair market value (FMV) and commercially reasonable (CR) implications and issues to consider. The new regulations state that a hospital may not value a physician’s services at a higher rate than a private equity investor or another physician practice. Click the play button to listen to the episode.   Extras Estimate the Financial Impact of 2021 E/M Coding Changes Episode 82: How the MPFS Final Rule Impacts Medical Practices (and What to Do about It) Webinar Replay: 2021 E/M Coding Changes: What Healthcare Professionals Need to Know

Aimee Greeter and Taylor Cowart join Mark to unpack how the Medicare Physician Fee Schedule (MPFS) final rule impacts medical practices (both employed and private), and offer suggestions to handle the 2021 changes to wRVUs and Medicare reimbursement for professional services.   Podcast Information Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Like us on Facebook: @cokerconsulting   Episode Synopsis COVID-19 drew everyone’s focus in 2020, and the surges around the holidays have moved the battlefront and center. In the fray, the Centers for Medicare and Medicaid Services announced big changes to evaluation and management codes that few are prepared for. Budget neutrality dictates there will be “winners” and “losers” throughout 2021. Aimee and Taylor provide an overview of how the final rule will affect certain specialties, and what hospitals and private medical practices need to do. Click the play button to listen to the episode.   Extras E/M and ME: How Will the 2021 E/M Coding Changes Impact Medical Practices? Estimate the Financial Impact of 2021 E/M Coding Changes PSA Progression: What’s Next in the Evolution of Professional Services Agreements?

Richard Romero and Jeremy Johnson join Mark to discuss the Polsinelli|TrBK Distress Indices, which track bankruptcy statistics. The Distress Index is designed to capture distress in the market place and quantitatively present market place stress for healthcare valuators.   Podcast Information Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Like us on Facebook: @cokerconsulting   Episode Synopsis Jeremy provides an overview of the Distress Index and how one could use the index to understand distress in the healthcare market. The Distress Index tracks all Chapter 11 bankruptcies, and there are two sub-indices for real estate and healthcare. Throughout this episode, Mark, Richard, and Jeremy explain how consultants and valuators use this data to understand the healthcare market and apply it to healthcare valuation. Risk is a significant factor in healthcare valuation and transaction advisory services. The Distress Index helps quantify the level of industry risk. Click the play button to listen to Richard and Jeremy discuss the Distress Index.   Extras The Distress Index Blog: Recognizing and Mitigating Key Areas of Risk Blog: The Impact of COVID-19 on Business Valuation

Taylor Cowart and Max Reiboldt join Mark to discuss the top five trends they expect to see during 2021. COVID-19 changed the entire world in just a matter of weeks, completely upending the status quo. Max and Taylor discuss how these changes will affect the healthcare industry in 2021 and beyond.   Podcast Information Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Like us on Facebook: @cokerconsulting   Episode Synopsis Top Five Healthcare Trends for 2021 Post-COVID Transactions Political Transition Value-Based Arrangements Operations and Efficiencies Telehealth Click the play button to listen to Max and Taylor discuss these five trends.   Extras Blog Post: Top Five Healthcare Trends for 2021 2020 Telehealth Survey – Summary of Results 2020 Telehealth Survey – Summary of Results, Part 2

Coffee with Coker host, Mark Reiboldt, reviews the lessons we learned from the pandemic in 2020 and considers how to apply these lessons to a crisis moving forward.   Contact Information Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Like us on Facebook: @cokerconsulting   Episode Synopsis Mark discusses the weaknesses and vulnerabilities the pandemic exposed in healthcare organizations. Ideally, if we can identify and address these vulnerable areas pre-crisis, we can mitigate the severity once a crisis arises. Mark reviews three categories: financial planning and performance, technology and compliance, and operations.   Extras COVID-19 Pandemic Exposes Vulnerabilities in Healthcare Organizations (Part 1) COVID-19 Pandemic Exposes Vulnerabilities in Healthcare Organizations (Part 2) COVID-19 Pandemic Exposes Vulnerabilities in Healthcare Organizations (Part 3)

Coffee with Coker host, Mark Reiboldt, provides an answer to frequently asked questions over the years. What is healthcare consulting? What do healthcare consultants do? Why would I need to hire a healthcare consultant?   Contact Information Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! 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: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Like us on Facebook: @cokerconsulting   Episode Synopsis In general, consulting firms provide a professional service by advising their clients on a specific matter. Healthcare consultants could focus on healthcare technology implementation and improvement, medical group business operations, or strategic planning for a health system, to name a few. As a firm, Coker Group focuses on all aspects of healthcare business. Our goal is to optimize the business of healthcare for each of our clients, focusing on five core areas: strategy, operations, finance, technology, and compliance. Our main focal point is the healthcare providers and their specific needs within their healthcare practice. We customize our approach to every project to ensure our clients receive the best value.   Extras Learn more about Coker Group