Schedules, Cost Report and Affiliate Billing April 8, 2014
Feb 23, 2016
Schedules, Cost Report and Affiliate Billing
April 8, 2014
Impact of Schedule Accountability
• Cost Report• Affiliate Billing
• Future Funding• Health Care Improvement• Reputation / Professionalism
Financial
…and did you ever consider
Cost Report
• Essential Source of Funding
Future Doctors of the World
keeping the ship afloat
Cost Report
• Not Just the ‘U’
Affiliate Billing
really, how much could it be?
Affiliate Billing
Average Over $1.6M / month
Future Funding
• A Primary Source of Information Used to Justify Funding Requests / Legislative Action
Health Care Improvement• A Primary Source of Information
Health Care Policy Decisions
Committee
What areas are
underserved?Will we have enough doctors in five years?
Is ABC hospital supporting efforts to train
more docs?
I’m Hungry
Reputation / Professionalism
Reputation / Professionalism
Where are your
residents rotating right
now?
Reputation / Professionalism
February 2014
Discrepancies found in two programs’ schedules from October through December, 2013.
Involved unreported vacation time and unreported leave of absence.
Resulted in misrepresentation and incorrect billing to four different affiliated hospitals.
Affected over $5,000 that had been billed to affiliates.
Necessitated contact with state agency (UMEC) and affiliates to correct cost reporting data.
What Does GME Do?
Monthly Schedule Audit
Average per Month:• 750 individual schedules• 2500 schedule ‘line items’• 1500 schedule issues to reconcile
Looking for and fixing issues like:Missing schedules, gaps and overlaps
Extra schedules that need to be removedAll leaves of absence and adjust schedules for cost report / billing requirements
Each and every vacation that is scheduled to ensure it is applied to the correct siteAdjust number of hours recorded for each vacation to reconcile FTEsAdjust dates of all vacations for readability on affiliate bills
What Does GME Do?
Affiliate Bills
• Compare schedules to funding agreements for each FTE billed
• Provide individual detail based on PGY level, benefits, FICA status and other factors
• Can take over two full days to complete
• Between 75 – 100 pages each month
• Clarify any discrepancies from previous bills and make adjustments, if necessary
What Does GME Do?
Reports, Reports, Reports
• Cost Reports
• Diversity Reports
• Info for Litigation
• Government Requests
• Funding Projections
…and the hits just keep on comin’
Your Role - Expectations
15th1. Completed Schedule in EValue and Verified
2. Vacations Reported to GME / Renn
3. Off-Site Didactics Reported to GME / Renn
‘Buts’
• “But, there are often changes after the 15th.”
• “But, I wasn’t told about the change.”
• “But, I have too many other tasks that are more of a priority.”
We realize that there will be changes. Please let us know about them promptly and work with your PD to establish a scheduling process / structure that can be managed more effectively.
You can make this a priority.
Ideas?
Thank You!