The coronavirus pandemic has led to one of the worst fiscal crises in modern history. HBP has developed a series of recommendations for Pathologists to maximize revenue and minimize loss. Read more about our HBP Financial Crisis Management Services
HBP recently released its 2018 HBP Pathologist Productivity Survey. Here are some highlights from the report:
- HBP’s 2018 Survey includes data for 478 full-time pathologists. This is more than twice the number included in our most recent 2016 survey.
- The number of groups increased from 17 groups in 2016 to 44 groups in 2018.
- The AVERAGE wRVUs per pathologist varied by less than 1% from 2016.
- The MEDIAN value per pathologist was 4% lower than 2016.
HBP would like to acknowledge the contributions of all the participants in this year’s survey, with a special thanks to Mick Raich and the staff of Vachette Pathology.
If you are interested in obtaining a copy of the full report, please contact Robert Tessier at email@example.com.
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 2017. The interactive database can be found at:
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.
HBP Services, Inc., and McDonald Hopkins, LLC, are pleased to announce the formation of the Panel of National Pathology Leaders (PNPL), a national think tank dedicated to advancing best practices and creating value-based business solutions for Pathology groups. The group’s inaugural strategy session was held in Miami in March 2019, and a subsequent planning meeting took place in New Orleans at the end of April.
The mission of PNPL is to develop innovative strategies and solutions for the Pathology and lab medicine industry in response to operational and financial challenges, and to demonstrate value in an increasingly value-based healthcare delivery system. PNPL will work collaboratively with existing Pathology and laboratory associations on issues of common concern.
To learn more, please contact Allegra Klein at firstname.lastname@example.org
HBP’s Senior Reimbursement Consultant, Robert Tessier, participated in two sessions at the 2019 Executive War College in New Orleans:
- “Negotiating Win-Win Part A Pathology Contracts with Hospitals and Health Networks: Best Approaches to Adding At-Risk Incentives that Deliver Value, Establishing Commercially Reasonable Arrangements, and Determining Fair Market Value for Part A Services” – Presenter, May 1, 2019
- “Anatomic Pathology Groups and Their Labs: Effective Strategies for Maintaining Clinical Excellence and Financial Stability During Disruptive Times – Panelist, April 30, 2019
If you would like a copy of Bob’s presentation, please email email@example.com
Healthcare in the U.S. is moving away from “fee-for-service” toward “value-based” payments. Pathologists now have the opportunity to define how provider systems can pay for the value that pathologists add. Pathology practices can also learn how to set prices for their groups using publicly available Medicare data.
HBP’s Senior Reimbursement Consultant, Robert Tessier, was recently interviewed for two articles on these topics which appeared in the Dark Report:
- Pathology Groups Should Act Now to Define Value – Dark Report Article 8-20-2018
- Medicare Data Makes Pathology Prices Public – Dark Report Article 10-22-2018
Click on the links above to view the articles, and email firstname.lastname@example.org if you would like customized pricing data for your geographical area.
Bob Tessier was a panelist on the March 14, 2018 Dark Report webinar:
Using Medicare Data to Improve Revenue and Pathology Compensation
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
DESIGNING A VALUE-BASED PRACTICE MODEL: SETTING THE STAGE FOR 2018 AND BEYOND
How can you design a practice model that adds value for all stakeholders: Pathologists, Administrators and Billing Managers?
This session will cover developing a system of incentives to maximize the financial success of your practice.
- Compensate Pathologists for adding value through performance-based incentives
- Structure bonuses for Practice Administrators generating incremental income through creative strategies
- Develop a reward system to achieve superior billing results
For more information: http://www.apfconnect.org
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
On July 18th, the former Chair of the CAP Practice and Management Committee, Stephen Ruby, M.D., and Robert Breckenridge, M.D. presented an excellent CAP webinar on the importance of preparing Compelling Annual Reports.
As Part A consultants, HBP is very supportive of this approach. It is an excellent way to educate the “C-suite” on what is happening in the Department, and to document “value” far beyond the traditional mechanism of time studies.