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Briefing: MAMC TPCP Incentive Program Date: 20 March 2007 Time: 0915. 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. Challenges.
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Briefing: MAMC TPCP Incentive Program Date: 20 March 2007 Time: 0915
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
Challenges • Develop a budget-wise program that the Command & Resource Management can support • Design a program that has value to the departments and employees • Communication and training • get to know your “customers” • Attend and give briefings • Prepare and give training to clinic staff
Why Have an Incentive Plan? Focus on positives Exemplary performance = Reward
MAMC POLICY TPC Incentive Program MAMC Incentive Plan FY 05 - 06 • 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
Employee Incentive Program FY 05 – FY 06 Third Party Collection Program Employee Incentive Award 1st Place Award $500 2nd Place Award $250 • 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 Low cost/High Value Program
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?
Analysis - MAMC TPC OutpatientCollections Was it Worth it? 1,743.4K 1, 594.5K 1,202.0K 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)
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.)
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
TPCP Incentive Plan FY 07 From To 1st Place $500 $1,000 2nd Place $250 $ 500 Third Party Collection Program Employee Incentive Award “Best Business Practice” AAA Audit Team
TPCP Incentive Plan FY 07 Third Party Collection Program Department Incentive Award • 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
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