ambulatory care exam 2
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School
University of New Haven *
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Course
6601
Subject
Health Science
Date
Dec 6, 2023
Type
docx
Pages
2
Uploaded by tenreirolex
How can a patient’s scheduling system improved operations in ambulatory care?
-Practice resources can be monitored and utilized most efficiently
Which of the following highlights the unique nature of healthcare finance?
-use of identifiers (i.e. CPT-4 codes and ICD-10 codes) required to get reimbursed
for services provided
Organizations often post “report cards”
that display the financial performance of the
practice. The four operational areas that appear on report cards includes:
-Demand for services provided
-General accounting measures of the practice
-Payer mix of the practice
-Patient charges
(NOT recurring complaints of patients)
Which of the following statements best describes the current relationship between
hospitals and physician group practices?
-hospitals and physician groups are moving from more distinct structures to more
networked structures
Operations management includes all of the following
-staff organization and training
-patient flow dynamics
-anti trust regulation
-efficient provision of services
Which of the following questions might be answered by a vertical analysis of a
practice’s income statement?
-is the employee benefit package too generous given other personnel expenditures?
(we are looking at category of benefit packages vs. all employee personnel
expenditures)
The best service operations systems at a physician practice derive from:
-strategic planning documents of the practice (if your talking strictly operations)
If your accounts receivable turnover rate is well above the industry norms, what
action might you suggest to bring the A/R turnover rate more aligned to those goals?
-change your fee schedule for encounters and procedures or review your contracts
with third-party payers (perhaps you have to renegotiate your payer contracts) –
might have too low of charges may have to increase charges and see which contracts
they are affected by
Information Technology is being encouraged in multiple ways for ambulatory care
practices. Which of the following is a true statement?
-The high price of information technology systems has not been a barrier to
adoption by ambulatory care practices
All of the following are required for submission of a valid health insurance claim:
-
the patient’s health insurance identifier
-
-the CPT codes used
-
Verification of the medical provider providing services
-
ICD-10 code
-
NOT treatment plan proscribed (that would go under medical notes)
Monitoring of a practice’s finances will help the manager with all of the following
management responsibilities:
-identifying operational areas that need change or modification
-a method for exhibiting practice performance
-a basic management tool used in HC industry
-a best practice recommended by MGMA
The biggest obstacle to implementing an effective and useful information technology
system in an ambulatory care practice is:
-physicians who are unwilling to learn a new information technology
Name 3 obstacles
-physician interests
-costs
-amount of work and time it would take for staff to be trained
Core financial statements that are available to managers in al health care
organizations include all the following:
-the practice balance sheet
-the fee schedule for services provided
-an income statement for the organization
-the payer mix for patients treated
-NOT predictive financial trends for the practice
You are charged with analyzing the use of the telephone by patients at a clinic site.
Which of the following is an important indicator you could monitor to improved
patients’ telephone usage?
-reasons patients do not show for their appointment
-(did we call them, did they call back, how to we prevent that from happening over
and over again)
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