190 likes | 288 Views
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
E N D
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
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
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?