際際滷

際際滷Share a Scribd company logo

2016 de puysynthes_howtofindajob (ct) 041717-slideshare

Download as PPTX, PDF
KarenZupko & Associates, Inc.
KarenZupko & Associates, Inc.

Practical advice for young surgeons exploring their employment options, this talk provides tips for the key practice areas to assess, questions to ask, and issues to consider. Includes a link to an article on RVU-Based Compensation.

Convert to study guideBETA

Transform any presentation into a summarized study guide, highlighting the most important points and key insights.

1 of 40
Download to read offline
September 25, 2016 How to Find a Job: Practical Tips for Young Surgeons Sponsored by: DePuy Synthes Institute, LLC Las Vegas, Nevada Presented by: Cheryl Toth, MBA
information@karenzupko.com karenzupkoandassociates @karenzupkoassoc 312.642.5616 www.karenzupko.com karenzupko&associates Cheryl Toth, MBA CTOTH@karenzupko.com (408) 489-5851
3 Source: https://commons.wikimedia.org/w/index.php?curid=10584359 You cant connect the dots looking forward; you can only connect them looking backward. So you have to trust that the dots will somehow connect in your future. -Steve Jobs
4 THIS IS YOUR JOURNEY SO HAVE A PLAN
WHAT DO YOU WANT? WHY IS THAT IMPORTANT TO YOU? 5
FIRST QUESTION: Stay? Continue working with the people who trained you. Less disruptive to family. Go? Broaden your experience. Learn a new school of thought. Compliment what you have learned. 6
WHERE DO YOU WANT TO LIVE? Where do you want to be? Urban, rural, big, small? Near family? Weather? Mountains? Ocean? Whats your lifestyle? Ski, run, hike, culture, pro sports fan? 7
WHAT ARE YOUR GOALS AND TOLERANCES? Join a Group Hospital Own Practice Control Own Destiny Revenue Potential Deal with Business Issues Meetings and Bureaucracy Politics Work-life balance Collegiality CHECK YOUR BOX WHATS IMPORTANT! 8
9 WHAT MAKES YOU PURPLE?
WHAT ELSE DO YOU WANT TO DO? 10 Board or Committee Community Service International Charity Innovative Ideas
YOUR SUPPORT TEAM 11 Spouse or Significant Other Dont make these decisions in a vacuum. Seek advice from the most important person in your life.
YOUR SUPPORT TEAM 12 Attorney Make sure they have healthcare experience to review your agreement.
YOUR SUPPORT TEAM 13 Accountant Help you understand your financial situation and help set goals.
14 YOUR SUPPORT TEAM Mentor Reach out to these people, pick their brains, remembering that they may have taken a different direction than you want.
15 www.depuysynthesinstitute.com/ futureleaders/graduation-resources
Be a Hospital Employee Join a Group Open a Practice 1 2 3 16
THE SIX BEST WAYS TO FIND YOUR NEXT JOB Tap your network Make a list of everyone you know. Connect with Alumni Grow your network. *Check Job Boards/Specialty Society Sites. AAOS Career Center, hip/knee, sports medicine societies. 17 Source: Forbes.com March 22, 2013
THE SIX BEST WAYS TO FIND YOUR NEXT JOB Attend Events Hosted by charities and professional organizations. Work the room. LinkedIn Powerful tool, search your target market. Connect with HR departments. Contact Headhunters Interview the headhunters. Dont just jump to the first one. 18 Source: Forbes.com March 22, 2013
19 6 INTERVIEWS 12 CALLS 40 LETTERS NARROWED TO 2
TYPICAL PROCESS: 20 Phone/ Skype Interview Site Visit/ Interviews /Meet and Greet Phone/ Email Contact Second Site Visit Offer
21 Insist on interviewing with the practice manager.
Timeless Advice! DOWNLOAD ARTICLE SERIES For Checklist of Assessment Questions 22
VALUES AND CULTURE How would you describe the leadership of the managing partner? What are 3 or 4 words that describe the way the doctors/administrator/administration treat the staff? How would you describe the working relationship among the partners? What qualities of the physicians are most appreciated by the current resident and fellows? What are the things most enjoyable about working here? What are the least enjoyable? What activity is valued and appreciated here? Is there anything else you think I should know? 23
PHYSICIAN/MANAGER PERSPECTIVES ON TECH: Web site/portal Text/secure messages Automation Appt. Reminders Pre/Follow Up Apps Virtual visits/telehealth Cultivating online ratings and reputation 24 Whats in place or planned?
FINANCIAL DUE DILIGENCE Are there any capital projects being discussed or in process? Have there been any recent tax audits? What is the shareholder loan policy? Any big ones outstanding? What is the retirement policy including any pull-back policies. Any specific age? How funded? Malpractice policy and claim history? Any capital reserves? What is the groups debt history? Line of credit? Borrowing power? 25 This information is provided for general guidance and not intended to be all inclusive. Please check with your financial consultant for guidance on specific information which may be important to you.
Net Collection Rate* Days in A/R % A/R > 90 Days Dr. X 94.0% 30 22% KZA Rec 98-100% 20-25 <20% IMPORTANT A/R METRICS 26 *Collections / [Charges Contractual Adjustments]
OPERATIONAL QUESTIONS What are the specifics around call coverage? Which computer systems and other technologies are used? (PMS, EHR, appointment reminders, patient portal, payment tech). What new technologies are planned? Does the practice collect patient responsibilities at the point of service? Pre-surgical deposits? Recurring payment plans. Who does the coding? What is the physicians participation in the process? Does the practice conduct internal coding reviews? Whats the expected turnaround for op notes, charting? Who does the credentialing and how will I work with her/him? 27
ELECTRONIC MEDICAL RECORDS 28 How are they incorporated/utilized? Clicks Dictation Scribes
Pre-Reg and Scheduling Encounter Pre-surgical Coordination Surgery Charge Capture Claims Prep and Submission 3rd Party Payer A/R Management Payment Posting Adjustments Patient A/R Management Patient Portion Collected? Emergency HOW IS REVENUE CYCLE STRUCTURED? 29
30 American Journal of Orthopedics, Sept/Oct 2016 ASK ABOUT ONBOARDING
REQUIREMENTS VS. NICE-TO-HAVES 31 WRITE DOWN YOUR:
Salary $_________ Bonus $_________ Health Insurance $_________ Life Insurance $_________ Disability Insurance $_________ Malpractice Insurance $_________ Pension Contributions $_________ Automobile Expenses $_________ Cellphone $_________ CME Registration $_________ CME Travel $_________ COMPENSATION IS A PACKAGE 32 SALARY + BENEFITS
RVU-BASED COMP 33 Sarah Wiskerchen, MBA, CPC KarenZupko & Associates
GET CLARITY 34 Precedent Hours/Week On Call Emergencies Independence Practice Building
OTHER EMPLOYMENT AGREEMENT ITEMS Scope of employment Term and termination Expense reimbursement Liability protection Confidentiality restrictions CME Invention assignment issues Disability and death Post-employment limitations Disability resolution Source: http://www.forbes.com/sites/allbusiness/2013/11/11/negotiating-employment-agreements-checklist-of-14-key-issues/#7d4af8475fee 35
NEGOTIATION MYTHS 1. This is a business transaction; its not personal. 2. I cant ask for more money/stand-up desk/time for research. 3. Why would they say yes to ____? After all, Im right out of school 36
GOOD ADVICE: 1. Never assume. Get the details in writing. 2. Ask questions. 3. Check the math. 37
FINAL THOUGHTS Know What You Want Culture/Operations Matter Ask About Physician Precedent Dont Be Afraid to Negotiate 38
WWW.KARENZUPKO.COM
ABOUT KARENZUPKO & ASSOCIATES (KZA) KZA is a consulting and education firm that has been helping physicians increase revenue, optimize efficiency, reduce risk, and improve the patient experience for more than 30 years. We specialize in practice management, revenue cycle improvement, and coding and documentation review. Our education and training programs teach physicians and staff how to code correctly, manage effectively, and maintain a successful and profitable practice. Our team has deep expertise in the operational and strategic challenges that practicing physicians face every day. KZA is known for its significant knowledge of surgical specialties, including orthopaedics, otolaryngology, neurosurgery, plastic surgery, general surgery, and vascular surgery. We also work with dermatology, interventional pain, and critical care providers. 40 Practice Evaluation Revenue Cycle Assessment Practice Check Up Coding and Documentation Review Coding and Documentation Education Practice Management Education Hourly Coding and Management Guidance Physician Employment Contract Review Administrator Recruitment and Onboarding

More Related Content

2016 de puysynthes_howtofindajob (ct) 041717-slideshare

  • 1. September 25, 2016 How to Find a Job: Practical Tips for Young Surgeons Sponsored by: DePuy Synthes Institute, LLC Las Vegas, Nevada Presented by: Cheryl Toth, MBA
  • 3. 3 Source: https://commons.wikimedia.org/w/index.php?curid=10584359 You cant connect the dots looking forward; you can only connect them looking backward. So you have to trust that the dots will somehow connect in your future. -Steve Jobs
  • 5. WHAT DO YOU WANT? WHY IS THAT IMPORTANT TO YOU? 5
  • 6. FIRST QUESTION: Stay? Continue working with the people who trained you. Less disruptive to family. Go? Broaden your experience. Learn a new school of thought. Compliment what you have learned. 6
  • 7. WHERE DO YOU WANT TO LIVE? Where do you want to be? Urban, rural, big, small? Near family? Weather? Mountains? Ocean? Whats your lifestyle? Ski, run, hike, culture, pro sports fan? 7
  • 8. WHAT ARE YOUR GOALS AND TOLERANCES? Join a Group Hospital Own Practice Control Own Destiny Revenue Potential Deal with Business Issues Meetings and Bureaucracy Politics Work-life balance Collegiality CHECK YOUR BOX WHATS IMPORTANT! 8
  • 10. WHAT ELSE DO YOU WANT TO DO? 10 Board or Committee Community Service International Charity Innovative Ideas
  • 11. YOUR SUPPORT TEAM 11 Spouse or Significant Other Dont make these decisions in a vacuum. Seek advice from the most important person in your life.
  • 12. YOUR SUPPORT TEAM 12 Attorney Make sure they have healthcare experience to review your agreement.
  • 13. YOUR SUPPORT TEAM 13 Accountant Help you understand your financial situation and help set goals.
  • 14. 14 YOUR SUPPORT TEAM Mentor Reach out to these people, pick their brains, remembering that they may have taken a different direction than you want.
  • 17. THE SIX BEST WAYS TO FIND YOUR NEXT JOB Tap your network Make a list of everyone you know. Connect with Alumni Grow your network. *Check Job Boards/Specialty Society Sites. AAOS Career Center, hip/knee, sports medicine societies. 17 Source: Forbes.com March 22, 2013
  • 18. THE SIX BEST WAYS TO FIND YOUR NEXT JOB Attend Events Hosted by charities and professional organizations. Work the room. LinkedIn Powerful tool, search your target market. Connect with HR departments. Contact Headhunters Interview the headhunters. Dont just jump to the first one. 18 Source: Forbes.com March 22, 2013
  • 19. 19 6 INTERVIEWS 12 CALLS 40 LETTERS NARROWED TO 2
  • 20. TYPICAL PROCESS: 20 Phone/ Skype Interview Site Visit/ Interviews /Meet and Greet Phone/ Email Contact Second Site Visit Offer
  • 21. 21 Insist on interviewing with the practice manager.
  • 22. Timeless Advice! DOWNLOAD ARTICLE SERIES For Checklist of Assessment Questions 22
  • 23. VALUES AND CULTURE How would you describe the leadership of the managing partner? What are 3 or 4 words that describe the way the doctors/administrator/administration treat the staff? How would you describe the working relationship among the partners? What qualities of the physicians are most appreciated by the current resident and fellows? What are the things most enjoyable about working here? What are the least enjoyable? What activity is valued and appreciated here? Is there anything else you think I should know? 23
  • 24. PHYSICIAN/MANAGER PERSPECTIVES ON TECH: Web site/portal Text/secure messages Automation Appt. Reminders Pre/Follow Up Apps Virtual visits/telehealth Cultivating online ratings and reputation 24 Whats in place or planned?
  • 25. FINANCIAL DUE DILIGENCE Are there any capital projects being discussed or in process? Have there been any recent tax audits? What is the shareholder loan policy? Any big ones outstanding? What is the retirement policy including any pull-back policies. Any specific age? How funded? Malpractice policy and claim history? Any capital reserves? What is the groups debt history? Line of credit? Borrowing power? 25 This information is provided for general guidance and not intended to be all inclusive. Please check with your financial consultant for guidance on specific information which may be important to you.
  • 26. Net Collection Rate* Days in A/R % A/R > 90 Days Dr. X 94.0% 30 22% KZA Rec 98-100% 20-25 <20% IMPORTANT A/R METRICS 26 *Collections / [Charges Contractual Adjustments]
  • 27. OPERATIONAL QUESTIONS What are the specifics around call coverage? Which computer systems and other technologies are used? (PMS, EHR, appointment reminders, patient portal, payment tech). What new technologies are planned? Does the practice collect patient responsibilities at the point of service? Pre-surgical deposits? Recurring payment plans. Who does the coding? What is the physicians participation in the process? Does the practice conduct internal coding reviews? Whats the expected turnaround for op notes, charting? Who does the credentialing and how will I work with her/him? 27
  • 28. ELECTRONIC MEDICAL RECORDS 28 How are they incorporated/utilized? Clicks Dictation Scribes
  • 29. Pre-Reg and Scheduling Encounter Pre-surgical Coordination Surgery Charge Capture Claims Prep and Submission 3rd Party Payer A/R Management Payment Posting Adjustments Patient A/R Management Patient Portion Collected? Emergency HOW IS REVENUE CYCLE STRUCTURED? 29
  • 30. 30 American Journal of Orthopedics, Sept/Oct 2016 ASK ABOUT ONBOARDING
  • 32. Salary $_________ Bonus $_________ Health Insurance $_________ Life Insurance $_________ Disability Insurance $_________ Malpractice Insurance $_________ Pension Contributions $_________ Automobile Expenses $_________ Cellphone $_________ CME Registration $_________ CME Travel $_________ COMPENSATION IS A PACKAGE 32 SALARY + BENEFITS
  • 33. RVU-BASED COMP 33 Sarah Wiskerchen, MBA, CPC KarenZupko & Associates
  • 34. GET CLARITY 34 Precedent Hours/Week On Call Emergencies Independence Practice Building
  • 35. OTHER EMPLOYMENT AGREEMENT ITEMS Scope of employment Term and termination Expense reimbursement Liability protection Confidentiality restrictions CME Invention assignment issues Disability and death Post-employment limitations Disability resolution Source: http://www.forbes.com/sites/allbusiness/2013/11/11/negotiating-employment-agreements-checklist-of-14-key-issues/#7d4af8475fee 35
  • 36. NEGOTIATION MYTHS 1. This is a business transaction; its not personal. 2. I cant ask for more money/stand-up desk/time for research. 3. Why would they say yes to ____? After all, Im right out of school 36
  • 37. GOOD ADVICE: 1. Never assume. Get the details in writing. 2. Ask questions. 3. Check the math. 37
  • 38. FINAL THOUGHTS Know What You Want Culture/Operations Matter Ask About Physician Precedent Dont Be Afraid to Negotiate 38
  • 40. ABOUT KARENZUPKO & ASSOCIATES (KZA) KZA is a consulting and education firm that has been helping physicians increase revenue, optimize efficiency, reduce risk, and improve the patient experience for more than 30 years. We specialize in practice management, revenue cycle improvement, and coding and documentation review. Our education and training programs teach physicians and staff how to code correctly, manage effectively, and maintain a successful and profitable practice. Our team has deep expertise in the operational and strategic challenges that practicing physicians face every day. KZA is known for its significant knowledge of surgical specialties, including orthopaedics, otolaryngology, neurosurgery, plastic surgery, general surgery, and vascular surgery. We also work with dermatology, interventional pain, and critical care providers. 40 Practice Evaluation Revenue Cycle Assessment Practice Check Up Coding and Documentation Review Coding and Documentation Education Practice Management Education Hourly Coding and Management Guidance Physician Employment Contract Review Administrator Recruitment and Onboarding