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!