1. 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

2. 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 05 - 06, as well as goals and strategies for FY07

3. 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

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

5. 2007 UBO/UBU Conference From Registration to Accounts Receivable 5 MAMC Incentive Plan FY 05 - 06 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

6. 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

7. 2007 UBO/UBU Conference From Registration to Accounts Receivable 7 Department Incentive Award FY 05-06 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?

8. 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?

9. 2007 UBO/UBU Conference From Registration to Accounts Receivable 9 Lessons Learned FY 05 - 06 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.)

10. 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

11. 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

12. 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

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

14. 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