From Registration to Accounts Receivable – The Whole Can of Worms 2007 UBO/UBU Conference 1 Briefing:MAMC TPCP Incentive Program Date:20 March 2007 Time:0915

2007 UBO/UBU Conference From Registration to Accounts Receivable 2 Objective To provide an information brief to UBO Conference attendees on the Third Party Collections Incentive Program performance for FY , as well as goals and strategies for FY07

2007 UBO/UBU Conference From Registration to Accounts Receivable 3 Challenges Design a program that has value to the departments and employees Develop a budget-wise program that the Command & Resource Management can support Communication and training – get to know your “customers” – Attend and give briefings – Prepare and give training to clinic staff

2007 UBO/UBU Conference From Registration to Accounts Receivable 4 Why Have an Incentive Plan? Focus on positives Exemplary performance = Reward

2007 UBO/UBU Conference From Registration to Accounts Receivable 5 MAMC Incentive Plan FY MAMC POLICY TPC Incentive Program Throughout FY 05 and FY 06 TPC Staff MAMC developed and implemented a two part incentive program – Quarterly awards for departments that exceed established goals – Quarterly cash awards to employees who best support the Third Party Program during the quarter

2007 UBO/UBU Conference From Registration to Accounts Receivable 6 Employee Incentive Program FY 05 – FY 06 Third Party Collection Program Employee Incentive Award 1 st Place Award $500 2 nd Place Award $250 Low cost/High Value Program Awarded Quarterly to the employee who best supports the Third Party Insurance Program – Award nomination, DA Form 1256, and write-up submitted to the MAMC awards committee by the Department for whom the Employee works

2007 UBO/UBU Conference From Registration to Accounts Receivable 7 Department Incentive Award FY Monetary bonus based on three tiered approach – Tiers are based on the previous fiscal year’s Third Party Outpatient collections – Bonuses of $12,000; $4500; and $1000 distributed quarterly to Departments dependent upon departments meeting predetermined collection goals – Benefits are “All or Nothing” “Buy the medical equipment, non-medical equipment, furniture or information technology to improve your organization that you don’t think you will get prioritized through the normal CEEP process.” What’s in it for me?

2007 UBO/UBU Conference From Registration to Accounts Receivable 8 Analysis - MAMC TPC Outpatient Collections 1,202.0K 1,743.4K 1, 594.5K TPC OP Revenue in FY 05 increased by 45% during the first year of the program TPC OP Revenue in FY 06 is projected at approximately $1.59 million down from FY 05, but still an increase of 33% from FY 04 ($1.2 million) Was it Worth it?

2007 UBO/UBU Conference From Registration to Accounts Receivable 9 Lessons Learned FY Employee Incentive Program – Communication! Get the word out early on Incentive Programs – Solicit Department Leaders’ support for the Program – Perception of “Unfairness” with the program Department Incentive Program – Hospital team Approach: TPCP success depends on them – Feedback to and from the Admin Officers and Dept Chiefs – Department/clinic training – Advance the TPC program every- time you have a chance (FACTS class; NEO briefing; Sensational Seniors briefing; AO meeting; Data Quality meeting, etc.)

2007 UBO/UBU Conference From Registration to Accounts Receivable 10 FY 07 TPCP Incentive Program Summary Essentially the same Program with a few modifications – Employee Incentive Program Increases Employee Incentive Program from $500 & $250 per Quarter to $1,000 & $500 for 1st and 2nd place – Department Incentive Program Departments must still meet predetermined collections goals but now in order to receive maximum benefits departments must also achieve 97% on the ADM compliance Increased Benefits for Anesthesia to include 40% of the OP surgeries (APV’s) Include two Departments formerly rolled up into Dept of Psychiatry – Department of Social Work – Department of Psychology

2007 UBO/UBU Conference From Registration to Accounts Receivable 11 TPCP Incentive Plan FY 07 FromTo 1 st Place $500 $1,000 2 nd Place$250 $ 500 “Best Business Practice” AAA Audit Team Third Party Collection Program Employee Incentive Award

2007 UBO/UBU Conference From Registration to Accounts Receivable 12 TPCP Incentive Plan FY 07 Dept Collections A B High Tier - Collections >200K/yr$12,000$ 9,000 Mid Tier - Collections 50K-199K/yr$ 4,500$ 3,000 Low Tier - Collections <50K/yr$ 1,000$ 1,000 New Metrics – Departments who meet their predetermined collections goals and 97% ADM processing, will receive the maximum tiered benefits in Column A – The reduced benefits in column B are for departments who meet their collection goals but do not meet 97% ADM compliance Third Party Collection Program Department Incentive Award

2007 UBO/UBU Conference From Registration to Accounts Receivable 13 TPC Incentive Goals

2007 UBO/UBU Conference From Registration to Accounts Receivable 14 Keys to Success Command support Education and awareness – Provide an understanding of the TPC program – Affect on the MAMC budget requirements 100% Patient Contact for OHI OPR Documentation (Data Quality) Communication is critical – face to face is best All TPC personnel have marketing responsibilities Reeducation through marketing efforts, briefings and training sessions