In order to stay abreast of the latest news and trends in this fast changing environment, we decided to start a blog. The Coker Group Report allows our consultants the opportunity to share postings on their thoughts and insights on topics relevant to everyone who is interested in healthcare.

Below is a sample of one of the recent posts.

Aligning Hospitals and Physicians – Clinical Co-Management Agreements

Many are aware that the healthcare industry is moving from a pure fee-for-service model to one that rewards both hospitals and physicians based on quality. Primarily, however, reimbursement is still based on fee-for-service, with significant uncertainty about how the specifics of future reimbursement paradigms will look.However, such reimbursement clearly will be based on factors […]

By |April 21st, 2017|

Revenue Cycle Management-How Well is Your Practice?

Revenue cycle management and operations are dynamic with many different components impacted by variables within practice operations. Given the diminishing margins in healthcare, proper attendance to RC processes is essential. And, with the slow crawl toward value based reimbursements and the nuances and technicalities of bundled payments, it is more crucial than ever to […]

By |April 21st, 2017|

Physician Community Need Assessments in the Age of Employment

Many hospital administrators, recruiters, and planning professionals who recruit physicians know the value of a Community Need Assessment (CNA). Documentation of need is more relevant today than ever, even when employing physicians. The original purpose of a medical staff assessment was to provide hospitals with an “objective party” analysis and the documentation to justify […]

By |April 21st, 2017|

What Are Your Margins? Owing to MACRA/MIPS, They Soon May Change

Historically, privately held medical practices have “dropped” excess cash through to the bottom line to pay the physician owners/shareholders (Figure 1).
Figure 1

Generally, hospitals compensate employed physicians exclusive of the system’s cost structure to run the practice (Figure 2).
Figure 2

Of late the mantra rippling across the country is “value vs. volume” or, put more linearly, […]

By |March 6th, 2017|

The ICD-10 Freeze is Over: 2017 ICD-10-CM/PCS Coding updates and the Impact on Clinical Documentation Improvement

The 2017 ICD-10 coding updates went into effect on October 1, 2016. The partial ICD-10 code freeze also ended in late 2016 and thousands of mandated code updates for ICD-10-CM and ICD-10-PCS went into effect at that time. These updates have an impact on clinical documentation improvement: in brief, these code updates occurred at […]

By |March 6th, 2017|

Interim Management Solutions: Take Time to Pursue the Right Hire

What do you do when you have a vacancy in your top-level leadership team? Do you rush to find a replacement, or do you pursue an alternative approach, such as finding an interim management solution, and take the necessary time to find a long-term leader?

Finding executive talent is getting tougher for healthcare organizations as […]

By |March 6th, 2017|

Solidifying Organizational Development: Identifying and Retaining Leadership for Your Organizational Culture

Today’s business leaders in every industry find themselves in a sobering state of affairs due to a leadership deficit and organizational development challenges. The complex tasks related to managing the global enterprise are creating significant needs for effective leadership. So, what can an organization do when faced with this situation?

First, ask the question, “Does […]

By |February 17th, 2017|

Maximizing the Success of Healthcare Mergers and Acquisitions

Various types of transactions, such as healthcare mergers and acquisitions, joint ventures and physician alignment deals, are not new to hospitals. Indeed, there have been multiple waves of consolidation within the healthcare provider industry dating back decades and each wave brought new changes and in some cases challenges for those involved in such transactions. […]

By |February 17th, 2017|

Telemedicine: Leveraging Technology to Deliver High-Value Healthcare Services

Many articles in medical journals and magazines speak to the importance of telemedicine, i.e., the remote diagnosis and treatment of patients using telecommunications technology, and confirm its benefits in a reformed healthcare industry. However, few providers know how to incorporate telemedicine into their delivery systems. Two application examples include performing relatively prosaic tasks such […]

By |February 17th, 2017|

Professional Services Agreements as an Alternative to Employment: A Contemporary Option for Alignment and Integration

Integration of physicians and hospitals continues to be a major area of strategic and tactical consideration for organizations within the healthcare delivery system. How can you know what opportunity is best for you or your organization?

Private practices and health systems alike continue to evaluate their options for working together during the progression of the […]

By |February 17th, 2017|