Coker Connection

Coker Connection is Coker’s premier monthly newsletter. It’s a great way to stay on top of the latest news going on in healthcare and always features two new articles by different Coker consultants. To view the most recent articles, they are included below for download.

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Coding Compliance and wRVUs: What Lurks Beneath the Surface?

By Jeff Gorke, Senior Vice President | Coker Group

Coding compliance is an important tenet to accurate reimbursement and chart documentation. Compliance also keeps providers out of orange jumpsuits as wards of the government—not a desirable position! Additionally, as pay for value evolves, accurate coding and documentation will prove that much more necessary to ensure proper the delineation of patient issues and the subsequent related reimbursement.

Compensation for many physicians is predicated, at least in part, on the volume of work relative value units (wRVUs) they produce. The wRVU compensation piece is “generally” derived via the product of a dollar allowance per wRVU and the number of wRVUs performed by the physician (e.g., $10/wRVU x 100 wRVUs produced = $1000). That said, many providers seek to enhance their wRVU volumes. (This statement is not to suggest untoward activity.) Many of these compensation plans, while combining base, production (wRVU), quality, operational efficiency, are built benchmarked against nationally accepted data so that the compensation plans have to pass a “fair market value” litmus.

Read more.

Coker IT Assessments: What’s Involved

By Chris Torregosa, Senior Manager | Coker Group

Information technology (IT) can help healthcare organizations produce higher quality care at lower costs, but if the systems are set up incorrectly or poorly designed, IT can lead to frustrations among physicians and staff, along with higher operating expenses. Healthcare organizations are constantly evolving through growth, new EMR initiatives, and overall technology innovations. It can be difficult for organizations to maintain stability and security in their IT infrastructure through all of these constant changes.

Read more.


Past Coker Connection Newsletters

  • Relationship Status with Productivity-Based Compensation: It’s Complicated
  • Conflict Management and Successful Leadership
  • Coker ValuePathServices: Successfully Navigate the Path to Value
  • Revenue Cycle Management: It’s More Than You Think
  • Five Steps to Building a “MACRA Ready” Physician Compensation Plan
  • The Increasing Demands on Internal Recruitment Departments
  • Spring Is a Good Time to Clean Up Your Vendor Contracts
  • The Value of Clinical Documentation Improvement
  • Smoothing the Rough Spots in Patient Flow in Outpatient Practices
  • MACRA’s Medicare Part B Payments Under MIPS
  • Leadership Development and Succession Planning
  • Myth of the Median
  • Interim Management: Allow Your Organization Time to Find Expert Leadership
  • Cyber Security Lessons from 2016 and Trends for 2017


  • Information Technology: A Competitive Necessity or A Competitive Advantage?
  • Benchmarking to Perfection
  • The Effect of the Election on the Healthcare Industry
  • External Value-Based Incentives: What Should You Do With Them?
  • The Importance of Accurate Cost Accounting in Healthcare Delivery
  • A Reflection on Coding and Compliance Changes
  • Prepare Your Organization for Unexpected Leadership Gaps
  • Navigating the Documentation of Community Need
  • Creating Balance between Clinical Needs and Cyber Security Policies
  • Alignment Deal-Making: Keys to a Successful Transaction
  • MACRA and MIPS in Physician Practice Valuations
  • Identifying and Retaining Leadership Talent
  • MU will Soon be a MIPS – Why and What do you need to Know?
  • The First Step on the Road to Value: The Coker ValuePath Assessment
  • Harmony – MD
  • wRVUs: Are Yours Accurate
  • Credentialing: The First Step to Revenue
  • Developing a Physician Leadership Strategy
  • Too Little? Not Too Late!
  • Bridging the Gap from Fee-for-Service to Fee-for-Value (without Losing Your Mind)
  • Physician Documentation: My, How Times Have Changed!
  • A Strategic Systematic Approach to Community Health Needs Assessment (CHNA): A Living Plan for Your Community Health Improvement
  • Mitigating Organizational Stress
  • When and How to Convert to another EHR
  • Do M&A Deals Really Result in Long-Term Value Creation? Increasing Your Odds of Success