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Financial Management in the Healthcare Industry Week IV. HCM 302. -Practice Exam III (Answers) -Group Project Class work -Debate Physician Shortage - HC Youtube -Midterm. Week IV Outline. Group Project 02/09/2012. HCM 302. 1- Dana 3- Deja 2-Theresa 4- Nancy

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Hcm 302

Financial Managementin the Healthcare Industry

Week IV

HCM 302


Week iv outline

  • -Practice Exam III (Answers)

  • -Group Project

    • Class work

  • -Debate

    • Physician Shortage

  • -HC Youtube

  • -Midterm

Week IV Outline


Hcm 302

Group Project

02/09/2012

HCM 302


Group a

  • 1- Dana

  • 3- Deja

  • 2-Theresa

    4- Nancy

  • Medical Practice Name: Women’s Specialty Care

  • Details :

  • Specialty: OB-GYN

  • # Of Employees: 10

  • # Of Physicians: 6

  • # Of PA's :2

  • # Of MW‘s: 2

  •   # Of Offices: 3

  • # Org Type: C-Corp

Group A


Group b

  • 1- Diana

  • 3- Hana

  • 2- Devon

    4- Cailin

  • Medical Practice Name: Community Care of New Castle County

  • Details :

  • Specialty: Family Medicine

  • # Of Employees: 14

  • # Of Physicians: 9

  • # Of PA's :3

  • # Of NP‘s: 3

  •   # Of Offices: 2

  • # Org Type: LLC

Group B


Group c

  • 1- Natalia

  • 3- Irene

  • 2-Norberto

    4- Alyssa

  • Medical Practice Name: Pediatric Physician Care

  • Details :

  • Specialty: Pediatric

  • # Of Employees: 10

  • # Of Physicians: 6

  • # Of PA's :2

  • # Of MW‘s: 2

  •   # Of Offices: 3

  • # Org Type: C-Corp

Group C


Week iv v

  • 1)Mission statement

  • 2) Sample contracts for physicians

  • 3) Hiring of other office staff – LPNs/medical assistant/accountants/receptionist

  • 4) Contracts with hospitals

  • 5) Hospital privileges

  • 6) Insurance Credentialing

  • 7) Cell phones/pagers for physicians

  • 8) Contract with office space (rent/buy)

  • 9) Scheduling

  • 10) Plan for how to grow patient base/how to receive more patients from local PCPs

    • Uninsured/unassigned/PCPs

    • PCPs in Southern Delaware that still do not utilize hospitalists to the extent of Christiana area

  • 11) Retention strategy

  • 12) Flow charts for structure of organization

  • 13) Use specific dates for process; especially with hospital privileges and/or credentialing

  • 14) Website

Week IV & V


Hcm 302

Medicare

02/09/2012

HCM 302


Table 5 1 percentage of u s population 65 years and older

Table 5.1Percentage of U.S. Population 65 years and older


Table 5 2 u s life expectancy at 65 years

Table 5.2U.S. Life Expectancy at 65 Years


Medicare medicaid fraud and abuse

  • Services billed but not rendered (49 percent);

  • Forgiveness (i.e., kickbacks) of deductibles and coinsurance (12 percent);

  • Fraudulent coding (i.e., upcoding) (7 percent);

  • Billing two parties for the same service (4 percent);

  • Billing for brand-name drugs when generics were dispensed (3 percent);

  • Billing for unlicensed practitioners (2 percent); and

  • Other (2 percent).

Medicare/Medicaid Fraud and Abuse


Exhibit 13 10 organization of the finance system

Exhibit 13.10Organization of the Finance System

Reports Directly to Finance Committee of the Board

Chief Financial Officer

Associate Financial Officer

Controller

Internal Auditor

Systems & Procedures

Budget Officer

Payroll

Accounts Receivable

Property Control

Managerial Accounting

Transaction Accounting

Credit and Collection

Transaction Accounting

General Ledger Accounting

Investment and Debt Management


Hcm 302

EMR ROI

02/09/2012

HCM 302


Return on investment summary

RETURN ON INVESTMENT SUMMARY


Paper versus emr

PAPER VERSUS EMR

EMR = With Standardized Coding X Efficiency

Paper = Prior to EMR

Differential = EMR - Paper


Hcm 302

Physician Shortage

02/09/2012

HCM 302


Physician shortage

-There are also concerns that the growing number of female GPs, many of whom work part-time because of family commitments, will lead to further shortfalls.

-Two thirds of trainee GPs are women and research by the Royal College of Physicians has found that women GPs will outnumber their male colleagues by 2013.

-Dr Sarah Wollaston, a Tory MP and former family doctor, said: “It creates all sorts of pressures as women take time out with family commitments. There is a real risk of a shortage

Physician Shortage


Female physicians responsible for shortage of doctors

- Have less longevity than their male counterparts,

- Take more time off for maternity and family matters, and

- Work less hours and take less overnight call.

Female Physicians Responsible for Shortage of Doctors?


Female physicians responsible for shortage of doctors1

- Women students

At the start of 1970, women medical students in the class of 1971-72 comprised 13.7 percent of all physicians in-training. (1) At that time, some 50 percent of women doctors trained for hospital-based positions--radiology, pathology and anesthesiology.

They wanted a flexible lifestyle that would adapt to family needs. The number of women rose strongly by the decade: 30.8 percent in 1981-81 and 39.8 in 1991-92. In the year 2001-02, some 48 percent of students were women and the trend looks like it will go beyond 50 percent in the decade ahead.

But the demands of family life will have a price. Hospitals are already discounting the economic benefit of a female physicians labor at "point-eight" (0.8) of the full-time week of 60-plus hours of today's male physicians.

Female Physicians Responsible for Shortage of Doctors?


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