Discover how Coker’s DataRise platform is transforming healthcare strategy through powerful data-driven insights. In this episode of Coffee with Coker, Mark Reiboldt interviews Nick Newsad, VP of Innovation at Coker, to explore how DataRise is helping hospitals, health systems, and physician groups make smarter business decisions.

DataRise offers unmatched access to:

• Commercial reimbursement rates across every U.S. market
• Physician and medical director compensation benchmarks
• Malpractice premium data, Form 990 records, and more

From contract negotiations to fair market value justification and new market expansion, DataRise delivers real-time, actionable intelligence that healthcare organizations can use to benchmark, plan, and grow.

Whether you’re evaluating a joint venture, planning a new service line, or negotiating payer contracts, this is a game-changing tool designed to give you the upper hand.

Learn more about DataRise: https://datarise.cokergroup.com/?utm_source=youtube&utm_medium=podcast&utm_term=episode-128&utm_content=unlocking-healthcare-payer-data-how-datarise-is-changing-the-game &utm_campaign=performance-transformation

In this episode of Digital Pioneers, host Michael O'Toole explores how digital transformation is reshaping healthcare by addressing one of its most persistent challenges: improving patient experience in real time.

Joining the conversation is Bryan Graven, Executive Director and CIO of Waterbury Health and Eastern Connecticut Health Network. Bryan shares how his health systems implemented an innovative text-based patient feedback system to proactively address concerns before discharge—enhancing satisfaction, boosting star ratings, and improving Press Ganey scores.

Key takeaways:

• How real-time patient feedback drives service recovery in hospitals
• The role of technology in bridging gaps between patients and healthcare providers
• Lessons from Waterbury Health’s successful implementation and adoption strategy

If you're a healthcare leader looking for practical tech solutions to enhance patient care, this episode is packed with valuable insights.

Don’t forget to subscribe for more conversations with trailblazers in digital healthcare innovation!

Welcome to the first episode of Digital Pioneers, a healthcare podcast series presented by Coker, where we explore groundbreaking technological innovations reshaping the healthcare landscape.

In this episode, host Michael O'Toole dives into the transformative world of Virtual Nursing with special guests Stacey McGriff and Grant Reed from Piedmont Healthcare. Discover how Piedmont Healthcare implemented a virtual nursing program across its 23-hospital network in just over a year, addressing critical challenges like staffing shortages and improving patient and nurse satisfaction.

Key takeaways:

· How virtual nursing supports bedside staff and enhances patient care.

· Insights into Piedmont's rapid implementation and scaling process.

· Real-world advice for healthcare leaders considering virtual nursing.

Whether you're a healthcare leader, technology enthusiast, or just curious about the future of healthcare, this episode is packed with valuable insights.

Don’t forget to subscribe for more episodes featuring trailblazers in digital healthcare innovation!

In this episode of Coffee with Coker, Gabriel Harry, Vice President at Coker, and Tim Harper, Senior Manager at Coker, sit down with Gary Noseworthy, CEO of Community Health Access Network (CHAN), for an in-depth conversation about CHAN's efforts to modernize health information technology in community health centers. They dive into the collaborative projects they've worked on, reflecting on both the obstacles and successes they've encountered.

The discussion covers key topics such as vendor selection strategies, the critical role of strategic partnerships, and the importance of individual assessments for health centers. Gary also shares how CHAN's team has grown and evolved, offering insights into the transformative impact of their initiatives. He looks ahead to CHAN’s future, envisioning an expansion of participating health centers and exploring new business opportunities.

• 00:32 Background on Community Health Access Network (CHAN)
• 02:08 Vendor Vetting and Selection Process
• 09:48 Implementation and Unique Requirements
• 12:00 Project Success and Team Contributions
• 15:18 Challenges and Lessons Learned
• 29:47 Future Growth and Strategic Partnerships
• 34:38 Conclusion and Closing Remarks

Podcast Information

Follow our feed in Apple Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!

We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

· Please email us: feedback@cokergroup.com

· Connect with us on LinkedIn: Coker Group Company Page

· Follow us on Twitter: @cokergroup

· Follow us on Instagram: @cokergroup

· Follow us on Facebook: @cokerconsulting

In this episode of Coffee with Coker, Mark Reiboldt, EVP at Coker, and Vinson Do discuss the impactful role of AI in the business side of healthcare. They delve into how AI is transforming claims processing, medical coding, and healthcare reimbursement.

The conversation highlights real-world examples, such as the AI implementation at Community Medical Centers of Fresno and Mass General Brigham, which have shown significant improvements in reducing denials and enhancing coding accuracy. Ethical considerations and future prospects for AI in healthcare are also examined.

• 00:25 The Role of AI in Healthcare
• 00:53 Introducing Vinson Do and AI's Impact
• 01:51 Understanding Artificial Intelligence
• 04:43 AI in Claims Processing
• 11:37 AI in Medical Coding
• 16:32 AI in Healthcare Reimbursement
• 23:14 Ethical Considerations and Future Prospects
• 30:53 Conclusion and Final Thoughts

Podcast Information

Follow our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!

We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.

· Please email us: feedback@cokergroup.com

· Connect with us on LinkedIn: Coker Group Company Page

· Follow us on Twitter: @cokergroup

· Follow us on Instagram: @cokergroup

· Follow us on Facebook: @cokerconsulting

This episode of Coffee with Coker delves into the complex and nuanced topic of Modifier 25, a coding nuance critical for healthcare professionals to understand for billing and documentation.

Hosts Erika and Jaci unpack the definition, significance, and proper application of Modifier 25, emphasizing its opinion-based nature and the importance of clear, detailed documentation. They provide examples from healthcare scenarios, including preventive visits, urgent care, and procedures like cerumen removal, discussing the implications for billing and compliance.

The conversation highlights how insurance companies' interpretations can vary, impacting the application of Modifier 25. Further, they explore the challenges healthcare providers face in ensuring their documentation supports the use of Modifier 25, pointing out common pitfalls and offering guidance on best practices.

This discussion underscores the vital role of accurate coding and documentation in healthcare billing and the ongoing need for education and dialogue among practitioners.

• 00:32 Diving Deep into Modifier 25
• 01:49 Understanding the Definition and Application of Modifier 25
• 05:33 Exploring Real-World Scenarios and Challenges with Modifier 25
• 08:33 Navigating Documentation and Billing Challenges
• 15:04 Specific Cases and Auditing Insights
• 27:36 Concluding Thoughts and Future Topics
• 29:54 Engaging the Audience and Closing Remarks

Links to other resources:

• AMA | Reporting CPT Modifier 25 (https://www.ama-assn.org/system/files/reporting-CPT-modifier-25.pdf)
• Podcast covering Medicare Annual Wellness Visits (https://www.cokergroup.com/podcasts/episode-122-understanding-annual-wellness-visits-for-healthcare-organizations/)