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Bob Tessier was a panelist on the March 14, 2018 Dark Report webinar:

Using Medicare Data to Improve Revenue and Pathology Compensation

Topics included:

1.Why is Medicare Data Relevant?

2.New Developments in Hospital Contracts

3.How to Use Competitive Fees in Third-Party Negotiations

4.Winning Patients with Transparent and Competitive Pricing

5.Leveraging the Medicare Database to Boost Revenue and Income

6.Introduction to 2015 Medicare Provider Utilization and Payment Data

On January 23, 2018, HBP Senior Reimbursement Consultant Robert H. Tessier gave a presentation at the University of Miami’s Leonard M. Miller School of Medicine. This was done as part of the “42nd Annual Review and Recent Practical Advances in Pathology.” His talk Maximizing Pathology Income in 2018 addressed how to:

1.       Implement best practices and targeted financial arrangements

2.       Negotiate third-party contracts

3.       Add performance incentives to hospital contracts to reward value creation

The Physician and Other Supplier Public Use File (PUF) provides information on services and procedures provided to Medicare beneficiaries by physicians and other healthcare professionals. The Physician and Other Supplier PUF contains information on utilization, payment (allowed amount and Medicare payment), and submitted charges organized by National Provider Identifier (NPI), Healthcare Common Procedure Coding System (HCPCS) code, and place of service. This PUF is based on information from CMS administrative claims data for Medicare beneficiaries enrolled in the fee-for-service program. The data in the PUF covers calendar year 2015. The interactive database can be found at:

Interactive Dataset: Medicare Physician and Other Supplier PUF, CY2015, Interactive Dataset

HBP also creates customized reports for pathology and other specialties based on the twenty-six fields of the database, including HCPCS code, state and place of service. Interested in what others in your city/state are charging? This information is available by procedure code.

Contact us for additional information and a sample report.

On June 29, 2017, HBP sponsored an American Pathology Foundation webinar on the above topic. We asked Joyce Hain, the retired Lab Administrator at Thunderbird Hospital, part of Banner Health in Phoenix, to present her experience.

Topics included:

• Getting to Know Your Staff
• Daily Rounds with Medical Director/Pathologists
• Developing Recognition Cards/Newsletters
• Monthly Staff Meetings
• Department Teams – Shared Leadership
• The Keys to Success

Bob Tessier made this presentation on May 2, 2017 at the Executive War College in New Orleans. The sessions objectives:

• Calculate a pathologist’s Part A value in 2017
• Add value-based incentives to the hospital contract
• Extract fees from the medicare utilization database
• Include performance measures to the billing system agreement