Episode 77: New Opportunities with Telehealth Leadership Positions
Coffee with Coker
Lee Perrett joins Mark Reiboldt to discuss telehealth and virtual care leadership positions for large healthcare organizations. Lee and Mark discuss the advantages of telehealth during a pandemic and why healthcare organizations want healthcare executives and physician leaders who are uniquely qualified to run a telehealth program. Contact Information Subscribe to our feed in , , , , 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...
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Episode 76: Beyond EHR: Using Technology to Meet Growing Demands and Deliver Better Patient Care
Coffee with Coker
Jeffery Daigrepont joins Mark Reiboldt to discuss Coker’s latest book, Beyond EHR. Today, it is not uncommon for practices and hospitals to be on their second or third EHR or contemplating a transition from the traditional on-premise model to a cloud-based system. As a follow-up to Complete Guide and Toolkit to Successful EHR Adoption (©2011 HIMSS), this book builds on the best practices of the first edition, fast-forwarding to the latest innovations that are currently leveraged and adopted by providers and hospitals. Contact Information Subscribe to our feed in , , , or your...
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Episode 75: How to Succeed in the Business of Medicine
Coffee with Coker
Dr. Brent Lacey joins Mark Reiboldt to discuss healthcare business and financial success. Dr. Lacey is a gastroenterologist who is passionate about helping physicians succeed with business and personal finances. His goal is to help physicians learn how to manage their businesses successfully and master their personal finances. Contact Information Subscribe to our feed in , , , 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...
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Episode 74: Practicing in a Pandemic: Technological Innovation from the Ground Up with Modernizing Medicine
Coffee with Coker
Dr. Michael Sherling joins Mark Reiboldt to describe practicing in a pandemic. Dr. Sherling is Co-founder and Chief Medical and Strategy Officer of Modernizing Medicine. Modernizing Medicine helps physicians save time in their medical practices while improving the quality of care and business outcomes through their specialty-specific EHR technology. Contact Information Subscribe to our feed in , , , 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...
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Episode 73: Affiliation Options for Physicians: Current and Future Strategies
Coffee with Coker
Max Reiboldt joins Mark Reiboldt to discuss Coker’s latest book, Affiliation Options for Physicians. The number of available affiliation options can be nearly as daunting and confusing as the uncertainty surrounding which model is the best fit for any organization. Choosing the correct model is best achieved through foundational knowledge – and with an eye on what you can expect the future of healthcare to bring. Contact Information Subscribe to our feed in , , , or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! We welcome all feedback from our...
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Episode 72: Impact of 2021 Fee Schedule Changes on Physician Compensation
Coffee with Coker
Justin Chamblee, Alex Kirkland, and Amit Vaishampayan join Mark Reiboldt to discuss the proposed changes to the Medicare Physician Fee Schedule (MPFS). There are three noteworthy changes proposed, including evaluation and management (E/M) coding and payment changes, permanent telehealth changes implemented in response to the pandemic, and updates to the Quality Payment Program (QPP). Contact Information Subscribe to our feed in , , , 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...
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Episode 71: The Ongoing Battle of Site Neutral Payments
Coffee with Coker
Brandt Jewell and Taylor Cowart join Mark Reiboldt to discuss the latest news for site neutrality. Hospitals have historically benefited from the Outpatient Prospective Payment System (OPPS), the reimbursement mechanism for Hospital Outpatient Departments (HOPD) facility fees, in comparison to their private practice peers functioning under the Medicare Physician Fee Schedule. Contact Information Subscribe to our feed in , , , 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...
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Episode 70: Major E/M Coding Changes Coming in 2021: Here’s What You Need to Know
Coffee with Coker
Jeannie Cagle joins Mark Reiboldt to share the good news about evaluation and management (E/M) coding changes for 2021! Although telehealth and COVID-19 impacts received the most attention in the Proposed Rule, the E/M coding changes are still coming, and CMS will release the Final Rule by the end of 2020. Contact Information Subscribe to our feed in , , , 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...
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Episode 69: Leading in Crisis: Strategic Affiliations and Partnerships
Coffee with Coker
Aimee Greeter joins Mark Reiboldt to discuss pursuing strategic affiliations and partnerships during times of crisis. As the pandemic continues to affect the healthcare industry, physicians will need strong partnerships to survive. Aimee and Mark discuss the importance of healthcare transactions in crisis, whether as a strategy or out of necessity. Contact Information Subscribe to our feed in , , , 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...
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Episode 68: Remote Patient Monitoring, Engagement, and Communications with PREMEDEX
Coffee with Coker
Mark Reiboldt facilitates a discussion with Jim Bowling, Charlie Caperton, and Van Willis from PREMEDEX about the role of patient engagement and communications programs during a public health emergency. They discuss the impact of the COVID-19 pandemic, and what reopening parts of a healthcare system could look like. PREMEDEX provides technology and services to meet patient communications needs. Contact Information Subscribe to our feed in , , , 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...
info_outlineBrandt Jewell and Taylor Cowart join Mark Reiboldt to discuss the latest news for site neutrality. Hospitals have historically benefited from the Outpatient Prospective Payment System (OPPS), the reimbursement mechanism for Hospital Outpatient Departments (HOPD) facility fees, in comparison to their private practice peers functioning under the Medicare Physician Fee Schedule.
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Episode Synopsis
The procedures performed in a freestanding clinic versus an HOPD received 75% less reimbursement. Hospitals were highly incentivized to acquire independent sites, switch the designation to HOPD and begin increasing their reimbursement for the same procedures. This strategy caused HOPD billings to effectively double over the last decade.
Both Medicare and its beneficiaries were under pressure to find a solution.
Between 2018 and 2020, the Centers for Medicare and Medicaid Services (CMS) updated the OPPS rate and proposed to phase in a 60 percent reduction over two years. They believe site neutral payments will give patients more options for their care.
Alternatively, hospitals predicted a massive loss under the site neutral payments into the millions for many organizations. The American Hospital Association (“AHA”), the Association of American Medical Colleges (“AAMC”) and various other private groups took up arms against CMS, arguing that hospitals should receive additional reimbursement as it is inherently more expensive to run HOPDs based on the standards they are required to uphold.
Extras
Another Blow for Hospitals: The Ongoing Battle of Site Neutral Payments
Bonus Episode: Three Key Objectives from the 2019 State of the Union Address