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 -Practice Exam III (Answers)  -Group Project  Class work  -Debate  Physician Shortage  -HC Youtube  -Midterm.

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Presentation on theme: " -Practice Exam III (Answers)  -Group Project  Class work  -Debate  Physician Shortage  -HC Youtube  -Midterm."— Presentation transcript:

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2  -Practice Exam III (Answers)  -Group Project  Class work  -Debate  Physician Shortage  -HC Youtube  -Midterm

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4   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 

5  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 

6  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 

7  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

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9 YearPercent 19305.4 19406.8 19508.1 19609.3 19709.8 198011.3 199012.5 200012.8 201013.3 202016.4 203020.1 204020.7 205020.4

10 YearMenWomen 195012.815.0 196012.815.8 197013.117.0 198014.118.3 199015.118.9 200016.420.0 201017.220.8 202018.021.5 203018.922.3 204019.823.2 205020.824.0

11  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).

12 Chief Financial Officer Controller Associate Financial Officer Internal Auditor Reports Directly to Finance Committee of the Board Systems & Procedures Property Control Transaction Accounting Payroll Accounts Receivable Credit and Collection Investment and Debt Management Budget Officer Managerial Accounting Transaction Accounting General Ledger Accounting

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15 EMR = With Standardized Coding X Efficiency Paper = Prior to EMR Differential = EMR - Paper

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17  - 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.Royal College of Physicians  -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

18  - 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.

19  - 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.


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