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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