Episode 110: How Upcoming Billing and Coding Changes Influence Healthcare Economics

12/01/22 • 53 min

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.

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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)

Podcast Information

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

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

Episode Synopsis

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

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)

Previous Episode

Episode 109: Is Your Advanced Practice Provider Compensation Strategy Successful?

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!

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

Episode Synopsis

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

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

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

Extras

Next Episode

Episode 111: The Intersection of Provider Compensation and Value-Based Reimbursement

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!

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

Episode Synopsis

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

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

Learning Objectives

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

Extras