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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

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Financial Managementin 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

  • 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


  • 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


  • 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


  • 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


Medicare

02/09/2012

HCM 302


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


Table 5.2U.S. Life Expectancy at 65 Years


  • 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 13.10Organization 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


EMR ROI

02/09/2012

HCM 302


RETURN ON INVESTMENT SUMMARY


PAPER VERSUS EMR

EMR = With Standardized Coding X Efficiency

Paper = Prior to EMR

Differential = EMR - Paper


Physician Shortage

02/09/2012

HCM 302


-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


- 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?


- 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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