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Published on: February 16, 2011
Empowering Health Care Providers: A Collaborative Approach to Enhance Financial Performance and Productivity in
Scott Friedenberg1, Edward Stefanowicz1, Timothy Frymoyer1
1Department of Neurology (SF), Neuroscience Department, Geisinger & Geisinger Commonwealth School of Medicine; Neuroscience Department (ES), Neuroscience Institute, Geisinger; Neuroscience Institute (TF, TD), Geisinger; Department of Neurosurgery (CMS); and Department of Neurology (NRH), Neuroscience Institute, Geisinger & Geisinger Commonwealth School of Medicine Medical System.
Background:
The combination of inadequate financial training, limited benchmarks, and mindset contribute to many physicians prioritizing revenue below quality, outcomes, and safety. This creates a challenge as hospital administrators aim to motivate clinicians to improve RVU generation and increase revenue.
Recent Findings:
Creating physician/administrator teams that defines and explores the gap between observed and expected financial performance in parallel with appreciating the physician's practice preferences can create new opportunities for billing. The proposed 3 phase approach emphasizes nonjudgmental communication, education and partnership. The most common and effective opportunities for improvement include billing optimization, scheduling and system infrastructure modifications.
Implications For Practice:
As reimbursement decrease, balancing revenue generation with physician satisfaction has become paramount. Promoting data drive bidirectional communication can lead to identifying previously unrecognized billing opportunities where change is driven by providers rather than by 1-dimensional institutional goals.
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