Part A Support including Performance-based Incentives. West, Midwest & Canada Regional APC/PDAS Meeting. HBP Services 11 Research Drive , Suite 2 Woodbridge, CT 06525 203 397-8000 firstname.lastname@example.org www.hbpworld.com. October 21-24, 2014. Robert H. Tessier
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11 Research Drive , Suite 2
Woodbridge, CT 06525
October 21-24, 2014
Robert H. Tessier
Senior Reimbursement Consultant
Performance Based Part A – WHAT IT IS NOT/WHAT IT IS
How To Proceed?
Performance Based Checklist
Part A Fact Book
Implement performance based incentives to include in your
Part A contract.
The foundation for Part A support will continue to be the hours documented, paid at a
“reasonable” hourly rate. HBP always uses the Medicare Reasonable compensation
Equivalent (RCE) adjusted by 3% inflation +$5,000 CME and actual cost of Malpractice.
IT IS NOT:
IT IS NOT:
Performance Incentives might be a new concept for both parties
Present a variety of options in line with Hospital priorities.
Select incentives that present an opportunity for an ongoing dialogue.
Review the items being measured and modify goals each year.
Assign a value to each component that is either a fixed amount or a % of savings/improvements.
Define the baseline and criteria for change.
Finance Reports, Department LIS, Practice Billing Data for date of service
“25% of savings to Practice and 25% to the Department Fund”
(the other 50% retained by the hospital)
Metro < 1m = $219.5k
Metro >1m = $215.7k
Non-Metro = $208k
This is the “average” compensation
+ CME $5,000
+ Malpractice $15,000 (Actual)
= $315k / 2,080 hrs. = $151.60