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.

Looking For a High-Quality Healthcare Business Valuation?

The healthcare reform, reimbursement pressures, increasing operating costs, and capital needs are stimulating merger and acquisition activities involving hospitals, medical groups, physicians, and other healthcare businesses to occur at a rapid pace. From initial strategic planning to the finalization of the transaction, and to post-transaction financial reporting, subject business valuation plays an integral role […]

By |June 12th, 2017|

Physician Compensation Advice: Are Your Compensation Arrangements Fair Market Value and Commercially Reasonable?

A look at healthcare news articles should highlight the government’s focus on compliance with respect to physician compensation arrangements. Tuomey, Adventist, Halifax, Citizen’s Medical Center, Broward Health… the number of recent settlements are becoming too numerous to track. In response to this, health systems should increase their focus on compliance in this arena, looking […]

By |June 12th, 2017|

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?

When senior leadership positions turn over, whether planned or not, […]

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|