Blogs

How is a QofE analysis professionally performed?

Performing a quality of earnings (QofE) analysis requires a range
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Episode 113: Clinical Co-Management Arrangements

Jana Sizemore joins Mark Reiboldt to discuss clinical co-management arrangements
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Episode 112: Announcing the 2023 E/M Impact Calculator

Jaci Kipreos, Alex Kirkland, and Matt Jensen join Mark Reiboldt
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How Does a Quality of Earnings Analysis Differ from an Audit?

Clients frequently ask whether there is a need to perform
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2023 E/M Impact Calculator

Compared to the 2020 Medicare Physician Fee Schedule (MPFS), the
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What is a Quality of Earnings Analysis?

A quality of earnings analysis, also known as a ‘QofE’
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Episode 111: The Intersection of Provider Compensation and Value-Based Reimbursement

Justin Chamblee joins Mark Reiboldt to discuss value-based reimbursement and
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Keeping up with the Changes: A Review of 2023 E/M Guidelines

The current documentation guidelines that are in place for hospital
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Top Trends in Healthcare for 2023

Over recent years, we have considered top trends in healthcare
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An Effective Approach to Coding and Compliance Auditing and Education

Balancing the tension between governmental compliance and financial viability takes
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Episode 110: How Upcoming Billing and Coding Changes Influence Healthcare Economics

Beth Balcom, Brandt Jewell, Alex Kirkland, and Richard Romero presented
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HIPAA Security Risk Analysis

Experiencing a breach can have a significant financial and reputational
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CMS Issues 2023 Physician Fee Schedule Final Rule

On Tuesday, November 1, 2022, the Centers for Medicare &
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Episode 109: Is Your Advanced Practice Provider Compensation Strategy Successful?

Alex Kirkland and Matt Jensen join Mark Reiboldt to discuss
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The Office of Inspector General to Audit the Effectiveness of the Health and Human Services Office for Civil Rights

In May 2021, the Office of Inspector General (OIG) announced
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Episode 108: What is the Precision Experience for Medical Professionals?

Jack Liu and Dr. Hamlet Benyamin join Mark Reiboldt to
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Episode 107: How will Split/Shared Visits Change Between APPs and Physicians?

Alex Kirkland and Chris Marrs join Mark Reiboldt to discuss
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Up, Up, and Away? Inflation, Shortages, and the Impact on Business Valuation Analyses

You have likely heard a thing or two about the
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Episode 106: Developing a Data-Driven Culture

Brandt Jewell joins Mark Reiboldt to explain the management principles
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The Intersection of Compliance and Fair Market Value: Are You Sure Your Arrangements Coincide?

The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
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Episode 105: Why do I need cyber liability insurance?

Jeffery Daigrepont interviews Dan Stewart, the president of Jackson Health
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What is Compliance Program Effectiveness?

Compliance program effectiveness continues to be a focal point of
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Episode 104: Determining the Value of Non-Competes and Restrictive Covenants in Healthcare

Richard Romero joins Mark Reiboldt to explore non-compete and other
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PSA Progression: What’s Next in the Evolution of Professional Services Agreements?

Professional services agreements (PSAs) continue to be one of the
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American Medical Association Releases 2023 E/M Updates

We are excited to share with you the recent updates
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Conducting a Successful Executive Search during the Holidays

A key executive team member at one of the largest
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Physicians in Practice: Ways to Align and Remain Independent

Over the past several years, the rising trend in physician
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Episode 103: What is a Security Risk Analysis, and Why Do I Need One?

DeAnn Tucker and Roz Cordini join Mark Reiboldt to explain
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So Your Healthcare Organization Survived COVID, What Comes Next?

Employed provider networks and independent practices understandably had to put
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Developing and Retaining Key Leadership Talent Post-Pandemic

The Covid-19 pandemic has had a significant effect on how
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Major Changes to Split/Shared Billing Affect Advanced Practice Providers and Physicians

The 2022 Medicare Physician Fee Schedule Final Rule included major
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Episode 102: How do you Align Provider Compensation with Health System Goals?

Alex Kirkland and Andy Sobczyk join Mark Reiboldt to explore
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How Is Inflation Affecting the Reimbursement in Your Managed Care Agreements?

Many provider entities are struggling with rising costs. Financial challenges
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Episode 101: What are Cash Balance Plans?

Mark Massey, a vice president with the Southern Medical Association
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Don’t Write-Off Timely Filing Denials

As the dust settles post-COVID, I am sure many are
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Case Study: Provider Compensation Misalignment

Fragmented provider compensation structures risk significant negative financial impacts. There
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Physician Employment Non-Compete Agreements: The Value Behind the Valuation

The impact of restrictive covenants on competition and economic growth
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Key Elements of a Cyber Liability Insurance Policy for Healthcare Providers

By now healthcare providers are well aware of the significant
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Episode 100: How Could Artificial Intelligence Improve the Patient Experience?

Jeffery Daigrepont interviews Dr. Neil Baum, an early pioneer in
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Pursuing the Private Equity Model for Physician Practice Transactions

Physician employment opportunities stand out within the rapidly evolving healthcare
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Understanding Call Pay Compensation Methods

Over the last decade, the volume and complexity of emergency
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Episode 99: How Have Hiring and HR Trends Influenced the Healthcare Industry?

Lee Perrett and Richard Ballard join Mark to talk about
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2022 E/M Impact Calculator

Compared to the 2020 Medicare Physician Fee Schedule (MPFS), we
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Episode 98: 2022 Updates to the Medicare Physician Fee Schedule

Alex Kirkland and Matt Jensen join Mark to talk about
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5 Fatal IT Vendor Contract Mistakes

The proper management of vendor contracting is an incredibly essential
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Episode 97: A Provider’s Perspective on the No Surprises Act

Rick Hindmand, an attorney with McDonald Hopkins, and Andy Sobczyk,
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Invest in Developing Your Physician Practice Leaders While Helping Them Achieve Organizational Objectives

If you oversee or manage physician practices, you are likely
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MSO/BSO Key Steps to Formation, Operations, and Transactions

Management services organizations (MSOs) and business services organizations (BSOs) should
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A Lookback at the 2021 Top Five Trends in Healthcare

From Unprecedented to New Normal As we look back at
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Episode 96: What is a Compliance Risk Assessment?

Rob Mendoza and Roz Cordini join Mark to talk about
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How to Conduct a Compliance Risk Assessment (and Why You Should)

Healthcare organizations such as hospitals, home health agencies, skilled nursing
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The Revival of Management Services Organizations as a Growth Strategy

A management services organization (MSO) is an organization that provides
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Episode 95: Using Innovative SaaS Solutions to Reach High Need Populations with Cordata Health

Mark interviews Dr. Kelly Firesheets, VP Community Business, and Cam
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Top 5 Trends in Healthcare for 2022

Last year at this time, we explored the top five
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How the CY 2022 PFS Final Rule Affects Split/Shared Visits and Critical Care Services

On May 3, 2021, the Centers for Medicare & Medicaid
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12 Mistakes Executives Make on Resumes (and How to Avoid Them)

Your resume is the gateway to the job of your
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CMS Releases New Rules for No Surprises Act

CMS recently released Part II of an interim final rule
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Episode 94: How to Solve Accessibility Challenges in Rural Healthcare

Mark Reiboldt and Richard Romero chat with Chris Pusey (Rural
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Compensation Best Practices for Physician Enterprises

In an ideal world, employed physician enterprises would have a
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Episode 93: What are Interim Management Services, and Do You Need Them?

Mark interviews Rick Langosch, an independent contractor with Coker Group,
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Compensation Methodology Best Practices: True-Up Payments

More often than not, compensation strategy discussions start with a
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Strategic Planning Video Series: Ensure You Have the Right Resources

As we continue our video series on strategic planning, here
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Survey Says… What to Expect from the 2021 Market Survey Data

Earlier this year, we published a blog post regarding the
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Understanding Value-Based Compensation Models

Physician compensation models include many components and incentive structures. Our
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Episode 92: A Day in the Life of a Board Chairman with Dr. Caesar Richburg

Mark interviews Dr. Caesar Richburg, Chairman of Regional Medical Center,
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Is Information Technology a Competitive Necessity or a Competitive Advantage?

Do you feel your information technology (IT) systems and staff
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Strategic Planning Video Series: Set Mile Markers Along the Road

As we continue our video series on strategic planning, here
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Episode 91: How to Make Provider Compensation Scalable

Matt BonDurant with ProCARE Portal joins Mark to discuss how
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Clearing the Air on Professional Services Agreements (PSAs)

Professional services agreements (PSAs) continue to be one of our
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Strategic Planning Video Series: Outline Your Course

As we continue our video series on strategic planning, here
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8 Information Blocking Exceptions You Need to Know

The Information Blocking Rule became effective April 5, 2021, requiring
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Episode 90: Building a High-Performing Physician Enterprise

Brandt Jewell joins Mark to discuss how to start building
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Episode 89: Economic Considerations for Private Equity Transactions

Max Reiboldt joins Mark to discuss the economic terms to
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Provider Compensation Management: Solving the Compensation Conundrum

Appropriately incentivizing your providers is imperative to drive strategy and
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It’s Always a Good Time to Clean Up Your Vendor Contracts

Did you know physicians and hospitals obligate themselves financially to
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Episode 88: What is a Gainsharing Arrangement and How Do You Use Them Strategically?

Max Reiboldt and Tom Anthony (Frost Brown Todd LLC) join
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Expanded Guidance from CMS for Telehealth Services Provided at Rural Health Clinics and Federally Qualified Health Centers During the COVID-19 Public Health Emergency

On April 30, 2020, CMS issued additional guidance for Rural
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The Significance of a Physician Needs Assessment

We’re often asked, “Do we need a physician needs assessment?”
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Strategic Planning Video Series: Focus on the Endpoint

As we continue our video series on strategic planning, here
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The Ugly Truth About the New 2021 E/M Changes

One of the biggest changes to physician billing and coding
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Why is a Fair Market Value/Commercial Reasonableness Opinion Important for Value-Based Enterprises?

Over 450 accountable care organizations (ACOs) participated in the Medicare
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Episode 87: Pandemics, Policy Changes, and Value-Based Care, Oh My

Justin Chamblee and Alex Kirkland join Mark to review the
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Senior Associate Consultant

Job Details Salary $65,000 – $80,000 a year Job Type
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3 Questions to Ask While Fighting Healthcare Inequities

At the end of 2020, Coker did what most of
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Reassessing Value in Hospital-Based Subsidy Arrangements

The delivery of cost-effective, high-quality healthcare designed around an enhanced
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Episode 86: How to Use an MSO as a Strategy to Grow

Max Reiboldt and Andy Sobczyk join Mark to discuss the
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Strategic Planning Video Series: Understand the Starting Point

In the aftermath of 2020, healthcare providers need to take
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Will Innovation Capture Value-Based Market Share?

Value-based care and transitioning healthcare from a high-cost, volume-based marketplace
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Next Generation MSOs: Strategies to Grow beyond Traditional Practice Management Services

The presence of management services organizations (MSOs), entities that provide
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Episode 85: Non-Economic Considerations for Private Equity Transactions

Max Reiboldt joins Mark to discuss the non-economic terms to
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Survey Says… How 2020 Will Impact Market Survey Data

In the healthcare industry, provider compensation and production surveys are
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Building a High-Performing Physician Enterprise

The COVID-19 Pandemic in 2020 and afterward sent devastating shock
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Episode 84: Recovering from the Pandemic: Hospital Pain Points and Challenges

Michele Madison, a partner in the healthcare practice at Morris,
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Telehealth Post-PHE: How to Prepare for Reduced Reimbursement and Increased Regulatory Scrutiny

The Medicare Payment Advisory Commission (MedPAC) issued its annual 2021
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2021 Offers New Opportunities Amid Healthcare Regulation Changes

2021 Updates to the Stark Law, Anti-Kickback Statute, and Medicare
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5 Mistakes Covered Entities and Business Associates Made During a Security Risk Analysis

In December 2020, the Office for Civil Rights (OCR) published
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Episode 83: Updates to the Final Medicare Physician Fee Schedule Rule

Alex Kirkland joins Mark to discuss changes to the Medicare
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Let’s Talk about Why Qualitative Information Matters in Your Physician Needs Assessment

One of the questions that invariably arise when discussing a
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Episode 82: How the MPFS Final Rule Impacts Medical Practices (and What to Do about It)

Aimee Greeter and Taylor Cowart join Mark to unpack how
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2021 Physician Fee Schedule Updated after COVID-19 Stimulus Package Signed

On December 1, 2020, the Centers for Medicare and Medicaid
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Copyright © 2023 Coker Group, LLC

This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.