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Send us a textThe Comp RVU is not the same as the wRVU. In this episode, Captain Integrity Bob Wade continues his discussion on wRVUs & more with Matt BonDurant, Co-Founder & SVP at ProCARE. Hear why Comp RVUs and wRVUs both have complexities, why everyone is handling it differently, the fundamental problem in the industry, examples of modifiers, and who is involved with Comp RVUs. Learn more at CaptainIntegrity.com
May 10, 2024Mark and Scott discuss FAQs that came into the Urology Coding and Reimbursement Group.MRI fusion biopsy updateHi,Can you please help us with the below questions. Pessary Insertion – does it require a physician to be onsite? What about Pessary cleaning?Urodynamics – we know that Medicare requires a physician to be onsite, does this also apply to commercial payers?Biofeedback - we know that Medicare requires a physician to be onsite, does this also apply to commercial payers?Hi, a question regarding NCCI edit pls. When unbundling is not allowed between two CPT, due to an indicator "0", never billed together. If the secondary CPT has more work-RVU than primary CPT, i.e. 51705 (primary) wRVU 0.9; and 52000 (secondary) wRVU 1.53, Are there any rules that we must bill Primary 51705? VS Can we choose to bill 52000 instead, knowing that 52000 has more wRVU than 51705? Thank you, Urology Advanced Coding and Reimbursement VIRTUAL SEMINARRegister Now for the Urology Advanced Codingand Reimbursement Virtual SeminarJoin us on July 27th, 2024, for a live Zoom meeting from 9:30 am to 1:30 pm EST, and master the latest in urology coding and reimbursement with ease.Click Here for Information and RegistrationPRS Billing and Other ServicesClick Here to Get More Information and Request a Quote The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.Click Here to Start Your Free Trial of AUACodingToday.com
Understanding a wRVU (work Relative Value Unit) might feel like searching for the Holy Grail. In this episode, Captain Integrity Bob Wade explains what a wRVU is. Hear why you need to understand what a wRVU is, why work effort is a component, how to avoid the pitfalls with wRVUs, some of the many acronyms in the healthcare industry, and a classic Monty Python story. Learn more at CaptainIntegrity.com
Web: www.JonesHealthLaw.com Phone: (305)877-5054 Instagram: @JonesHealthLaw Facebook: @JonesHealthLaw YouTube: @JonesHealthLaw When a physician provides a service, the reimbursement amount for that work is often measured through a metric referred to as work relative value units (wRVU). Although not every physician may be subject to wRVUs, such as physicians who have their own private practice, many physicians who work in large healthcare organizations may be required to meet a minimum amount of wRVUs. The goal of the wRVU model is for physicians' compensation to be directly correlated to the amount of work they perform, regardless of the patient's insurance plan or the revenue generated during the services. Focusing on the amount of work performed has proven to be more effective than the previous method of tracking a physician's productivity by the number of patients seen and number of services performed. Additionally, calculating reimbursement simply off the amount charged to the patient can be ineffective as well because the amount does not necessarily reflect the underlying value of the work provided. As such, the current wRVU model is the standard compensation model that many physicians and employers use in the healthcare industry. --- Support this podcast: https://podcasters.spotify.com/pod/show/joneshealthlaw/support
The theme of 2023, between workforce studies and payment models, is everyone's favorite: the RVU. Who's got 'em? Who needs 'em? Does it matter? Do we care? Join me in digital nerd town for a general overview of yearly metrics! --- Earn free CME for this episode: https://earnc.me/E9XHPi www.becktamd.com www.photonmedia.org Twitter: @drbeckta --- Support this podcast: https://podcasters.spotify.com/pod/show/radmed/support
Today Jon continues his discussion on the new MGMA data. Link: www.ContractDiagnostics.com
Guest: Derek Stiles, PhD, CCC-A - Dr. Stiles is the Director of the Diagnostic Audiology Program at Boston Children's Hospital, and his team recently developed metrics for measuring productivity in their department. In this episode, he describes their process for developing wRVUs, how it affects workflow, and how current clinicians can incorporate these ideas into their productivity metrics.
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
It takes two to tango in the Stark Law world. In this episode, Captain Integrity Bob Wade welcomes Marlan Wilbanks, Esq. to chat physician liability and qui tam cases under the Stark Law and Anti-Kickback Statute. Hear why the Fair Market Value (FMV) train runs both ways, you should be very, very wary of how you handle wRVU calculations in your hospital, free employees aren't always free, why the government is historically so focused on the DHS entities over the physicians, and the formula attorneys like Marlan Wilbanks use when assessing potential qui tam cases. Learn more at CaptainIntegrity.com
We have a chicken and egg problem. In this episode, Captain Integrity Bob Wade welcomes Anthony Domanico of VMG Health to recap what they learned and discussed at the recent AAPCP Conference (American Association of Provider Compensation Professionals). Hear what makes the AAPCP a great organization, why compensation compliance under the Stark Law and Anti-Kickback Statute covers both the amount and structure of the compensation, 2021 wRVU values have an impact that needs to be carefully analyzed, learnings from surveys at the conference, and what tools you can use to develop compensation metrics. Learn more at CaptainIntegrity.com
2020 and 2021 will have a long-term impact on Stark Law Compliance. In this episode, Captain Integrity Bob Wade details how the massive changes of the past couple years impact Fair Market Value and Stark Law Compliance. Hear the double whammy on physician compensation caused by COVID and the Physician Fee Schedule, why you need to be very careful in looking at total compensation, how to bill appropriately, insights from top surveys, and where there have been cash increases. Learn more at CaptainIntegrity.com
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
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
The post September 2020 2021 wRVU Changes and Physician Compensation appeared first on Moore Solutions Inc.
Nancy knows coding better than most! She talks about the E & M changes coming 1/1/2021, improved wRVU weighing! But the reduction in conversion factor impacts the practice - positive or negative is an issue to be reviewed. We also discussed the audit process, feds and internal approaches. Next session will be with Deb Bartel, Practice Manager from Portland, discussing Covid, riots, and fires. Should be interesting!
Today, I'm back with another COVID-19 related emergency episode. This episode was recorded on Friday, March 27. The news changes quickly these days, so please consider the date and changes in the situation as you listen to this episode. If you'd like to support the podcast, I'd so appreciate it if you head over to HippocraticHustle.com/Patreon. You can find information there about how you can support the show. If you have any questions or concerns, please send emails to carrie@HippocraticHustle.com. Finally, please tell everyone you know about the show! Episodes are coming out fast and furious, and I'm hoping it helps you, even just a little, as we all fight this pandemic together. Please subscribe and share this with other doctors and medical professionals. I'm here with Ann Bittinger, a healthcare attorney with The Bittinger Law Firm, who represents physicians in their employment and practice matters, to talk about COVID-19 and the law. There are a million things we could talk about as the pandemic takes hold, and impacts us physicians in so many ways, but today we are going to focus on six pertinent questions. The questions we will review are: Do hospitals have to provide physicians with PPE and what happens if they don't? Do physicians have to have to go to work and see patients? How are physicians going to paid if they are on wRVU models and can't do elective procedures? Can my employer reassign me to the Critical Care Unit or ER or another department? What can physicians and practice owners do as the financial impact of the pandemic leaves them unable to make payroll? What can I do via telemedicine? Links we discussed in the show: OSHA Training video Mentioned by Ann Wear your PPE video! Thanks again for listening to the show. It's amazing what I am reading about the physicians on the front line. PLEASE wear your PPE and take care of yourselves first. We need to keep you healthy and available to help fight the pandemic together. So, stay strong, stay brave, and keep fighting the fight. Support the show here: hippocratichustle.com/Patreon Thank you for listening to the Hippocratic Hustle! I know that time is your most valuable resource so I really appreciate you spending some of it with me. If you enjoyed today's show, please share it! If you'd like to help me improve and grow the podcast, send your suggestions to: Carrie@HippocraticHustle.com Lastly, don't forget to subscribe to the podcast, so you won't miss an episode!
Last week we declared that the 2010s were a banner decade for community radio. As Jennifer notes, though college radio had a tough start to the last decade, with the loss of prominent stations like KUSF, KTRU and WRVU, the service seriously bounced back, aided by factors like the low-power FM boom, internet radio, HD […] The post Podcast #228 – College Radio’s Biggest Decade appeared first on Radio Survivor.
Last week we declared that the 2010s were a banner decade for community radio. As Jennifer notes, though college radio had a tough start to the last decade, with the loss of prominent stations like KUSF, KTRU and WRVU, the service seriously bounced back, aided by factors like the low-power FM boom, internet radio, HD […] The post Podcast #228 – College Radio’s Biggest Decade appeared first on Radio Survivor.
Justin Chamblee joins Mark to discuss how to evaluate and structure hospitalist compensation models. Justin walks through what Coker Group considers best practices for hospital-based physician compensation structures. Contact Information Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! We welcome all feedback from our listeners. Please submit questions on any of the topics we discuss or questions about issues in which you have an interest. You can also provide recommendations on matters for future episodes. Email us: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Episode Synopsis Typically, hospitalists are not measured or compensated based on their wRVUs for a couple of reasons. First, most hospitals see the essential goal of a hospitalist program as enhancing throughput (timely discharges, reduced length-of-stay, etc.). Paying hospitalists based on their productivity can be counter to these key goals, as it incentivizes them to do more. Second, the market data for hospitalist wRVU production is imprecise, given that hospitalists vary significantly in their productivity levels as a result of staffing/census dynamics. We believe the best measure of productivity for hospitalists is the patient census, not wRVUs. Key Trends from Industry Data The majority of hospitalist groups work 12-hour shifts (day and night). Working additional hours per day equates to the need for fewer shifts per year to equal a 1.0 FTE. The market norm for hospitalists working a 7-on/7-off model and a 12-hour shift is 2,184 hours annually (182 shifts per year). Extras Physician Compensation Strategy Bio: Justin Chamblee
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
What is the best model for compensating physicians, and what is your process for implementing change in physician compensation? Two MedAxiom member programs highlight their respective answers to these questions, showcasing unique compensation models for cardiology in these challenging times. Joseph Goeke, MD, is Chairman of Operations and Finance Committee at Saint Luke's Physician Group. Arie Szatkowski, MD, FACC, is Director of Cardiovascular Services for Baptist Memorial Healthcare Corporation, Baptist Desoto Hospital, Stern Cardiovascular Clinic. Joel Sauer, MBA, is Executive Vice President of MedAxiom Consulting.
Justin Chamblee joins Mark to explain physician compensation market data and the correlation between wRVUs, total cash compensation and the total cash compensation per wRVU ratio. Episode Synopsis Mark and Justin discuss the foundational premise of alignment between compensation and wRVU productivity. They provide examples illustrating the corresponding compensation per wRVU ratio which allows alignment to occur. Figure Extras Episode 5: Espresso Shot #1: The Perpetual Upward Shift of the Median Episode 10: Physician Compensation Round Table Discussion Follow Justin on Twitter Connect with Justin on LinkedIn Contact Information Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! We welcome all feedback from our listeners. Please submit questions on any of the topics we discuss or questions about issues in which you have an interest. You can also provide recommendations on topics for future episodes. Email us: feedback@cokergroup.com Follow us on Twitter: @cokergroup Connect with us on LinkedIn: Coker Group Company Page
Justin Chamblee and Jon Morris join Mark to discuss the recent release of the 2018 MGMA provider compensation market data and Coker’s observations of market data trends. Coker has been observing the data for the past five-to-ten years, noticing the increases that have been occurring. Episode Synopsis Justin and Jon discuss the reasons behind the continual upward shift of the market median despite an industry-wide decline in reimbursement. On May 16, 2018, MGMA released their annual Provider Compensation and Productivity Survey Report and Coker noticed (again) an upward trend in the reported total cash compensation to wRVU ratio. Justin, Jon and Mark provide insight as to the cause of the continual increases year after year and what these increases mean for the future. Figures Figure 1: Total Cash Compensation to wRVU Ratio 10-Year Trend (Table) Figure 2: Total Cash Compensation to wRVU Ratio 10-Year Trend (Chart) Extras White Paper on The Upward Shift of the Median (2014) The Myth of the Median Contact Information Subscribe to our feed in Apple Podcasts, Google Play, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! We welcome all feedback from our listeners. Please submit questions on any of the topics we discuss or questions about issues in which you have an interest. You can also provide recommendations on topics for future episodes. Email us: feedback@cokergroup.com Follow us on Twitter: https://twitter.com/cokergroup Connect with us on LinkedIn: https://www.linkedin.com/company/coker-group/
Host: Vincent Racaniello Guests: Ben Fensterheim, Megan Freeman, Bobak Parang, and Meredith Rogers Vincent returns to Vanderbilt University and meets up with Ben, Megan, Bobak, and Meredith to learn about life in the Medical Scientist Training Program. Links for this episode MTGR1 and intestinal secretory lineage allocation (Faseb J) Coronaviruses induce macropinocytosis (mBio) PD-1 and respiratory virus reinfection (J Immunol) Vanderbilt MSTP on Facebook Video of this episode: view at YouTube Send your virology questions and comments (email or mp3 file) to twiv@twiv.tv
This week it is our great pleasure to welcome to The Armory the venerable, house-music legend DJ Brad Robinson of the Space Cowboys. With nearly 20 years under his belt, Brad's vast DJ experience has taken him from his humble beginnings at Vanderbilt University to San Francisco to Black Rock City and even as far as Thailand and South Korea. The flawless mix you're about to hear was recorded live earlier this month from Pink Mammoth's 10-Year Anniversary party at Mighty in San Francisco. Press play. Get down. Brad Robinson started playing house music on the airwaves of Vanderbilt radio station WRVU, Nashville in 1994. Warehouse parties were prominent in the midwest and southeast during those years, providing Brad exposure to some of the best DJs and some of the best crowds that the scene had to offer. Influenced by DJs and producers like Mark Grant, Mark Farina, DJ Dan, the Chicago Teamsters, the Hardkiss Brothers, and DJ Sneak, Brad continued to develop his style of house music that would have a lasting effect on him and his fans. Playing parties and events from New Orleans to Chicago, Brad quickly discovered that his house music could bring people together. With a rare opportunity, Brad travelled to San Francisco to intern with the infamous Hardkiss Records label. The experience would forever change his view of electronic music and it was the eclectic vibe of the San Francisco music scene which drew him back in 1998 where he interned for OM Records and began to call SF his home. In 2000, Brad joined the Space Cowboys collective and journeyed to his first of many Burning Man festivals in the Nevada desert. In the desert of Black Rock City and the streets of San Francisco Brad continued to share his love of house music with his 8+ year monthly residency at Vision and honed his trademark sound: a little funk, a lot of groove, some classic house sounds, some sneak-up-on-ya latin vibes, but always infused with soul and organic elements. For Brad, playing house music is about connecting with the mood and celebration of the community he is with. Brad can be found playing at some of San Francisco's iconic annual events including the Space Cowboy annual New Years Day Breakfast of Champions, as well as clubs and parties in the Bay Area. You can follow Brad's music on his podcast djbradrobinson.podomatic.com. For bookings please contact Brad at email@djbradrobinson.com. Artwork by www.jempanufnik.com
On this WRVU-era episode from 2008, Cody Bottoms, Melody Holt, and Tony Youngblood broadcast the live signals of other radio stations and crop them down to a few bands on 12-band equalizers, juxtaposing movie dialogue and circuit-bent toys. Fly the dark skies. This episode was previously named “Radio EQ.”
On September 8th, 2008, I stood in the WRVU master control room next to three completely nude string players. I was more than a little worried that we were going to get kicked off the air. Sure, the web cam had yet to be installed. Sure, there were no “official” clothing policies. Yes, it was [...]
In which I preview Foster the People at Cannery Ballroom and request that Wilco release their new album on my birthday. Download Out the Other, Volume 3 The playlist: 1. Foster the People - Miss You (Torches) 2. Canon Blue...
Download Out the Other, Volume 2 In which I play great new releases from this week, like Bon Iver, Viva Voce and Digitalism and talk about how I'm too old for bands that could directly lead to me getting kicked...
So yesterday I decided to give podcasting a whirl! Out The Other: Volume 1 - 06.14.11 by Janet Timmons Or download the podcast directly.
Here’s the seventh improv from the WRVU era — Blue-Green Black — recorded January 7th, 2008. Murielle Rae and Gaelen Mitchell from The Grayces, William Davis (Oh No It’s Howard), Cody Bottoms (The Manpower) and Melody Holt join Tony for an undersea adventure through percussion and synthesizers.
We break into our old home 91.1 WRVU for one last in-station show. Cody gets naked, we kidnap a dj trainee, and VSC board member Dick Shell calls the cops. Starring Cody Bottoms, William Davis, Mark Anundson, Jesse Perry, and tons of callers.
This all-air-instrument show was our first post WRVU improv, and it saved Theatre Intangible. Starring Charlie Rauh, Chris Rauh, Jamison Sevitts, Joe Hudson, Craig Schenker, Pimpdaddysupreme, Dave Maddox, Melody Holt, Gordon Roque, and Anthony William Herndon.
Halloweird! October. Correspondents recorded their Halloween 2008 nights, and we met at the WRVU studios to improv around then. Starring Cody Bottoms, Brey McCoy, Lawrence Crow, and Charlie Rauh, Paul Cain, Richard Harper, Wes White, and Tony Youngblood.
President Obama's latest weekly radio address, current news, and the to do list (including details of our 2010 State of the Union Watch Party). Plus, WRVU loses 15-year veteran Doyle Davis when he decides he can no longer "bring da funk," Air America has gone dark (but not for the reasons you think), our callers think that liberals in Tennessee should just come out already, and Liberadio(!) senior Massachusetts News Correspondent, Julie Bruno, reports from the ground - just what happened to the Coakley campaign and who is this Scott Brown dude?
Premiere episode of the WRVU era, starring Cody Bottoms, Tony Youngblood, and Melody Holt. Nautical. Sub-sonic.
Current news, to do list, the Nashville Hispanic Chamber of Commerce responds to the Salvation Army's Angel Tree policy, and an interview with Hugh Schlesinger and Skye Bacus, Ex-Music Directors for WRVU. [23.71MB]
Joe Leiberman gets a little air time, Vanessa Beasley and Kevin Leander, faculty board members for Vanderbilt Student Communications, join us to discuss the board's decision to cap the number of WRVU community DJs at 25, and Karl Frisch smacks down Glen Beck during the Media Matters for America Smackdown. [23.4MB]