HSM 4215 FINAL EXAM

Which is not a example of an external driver in the Value Based Purchasing Model?

Board of Directors

ICD-10 codes provide information on what?

Both diagnoses and procedures

Which of the following would not be considered a leadership characteristic?

Has the most technical competence of anyone in the practice

What is the most critical feature of accountability in the governance process?

Having measurable goals and objectives

What are the steps in the budget cycle in the order in which they occur

Improve and adjust, goals, performance metrics, budget preparation, implement the budget, measure

Medicaid has one primary eligibility requirement. What is it?

Income

What is a good working definition of organizational dynamics?

It is the script for the organization's human capital

The Triple Aim has become a very important concept for improving healthcare delivery. What are the key principles of the triple aim?

Lower per capita cost Better patient experience Better health for population as well as the individual

What organization has developed a standard chart of accounts that is used by many medical practices?

MGMA

Which of the following is not a commonly identified waste according to Lean philosophy?

Maintenance

An event that almost occured is defined as?

Near Miss

As an ambassador of a safe and effective healthcare organization, which of the following events would you actively investigate and perform root cause analysis on?

Sentinel Events Adverse events Never events

Mary is a practice manager with an internal medicine practice. The board has just met, and it feels that the practice must increase its productivity to remain viable. Emphasizing which of the following components of the physician compensation formula might be most effective in increasing practice productivity?

wRVUs

You are the administrator of a small medical practice. You have an employee who is excellent when at work but is often 10 to 15 minutes late for work. How might you handle this situation?

would meet with the employee, inform the employee of the policy regarding tardiness, and talk about the potential consequences of continued tardiness. I would discuss the matter with the employee and find out why the problem is occurring.

Quality Measure: Dr. Johnson has 350 diabetic patients in his patient panel. Of those patients, 313 are compliant and meet all of the measures used to evaluate his diabetic panel. How many are not compliant?

10.6%

How many tiers are used in HCPCS coding?

2

Which of the following is true about geriatrics?

25,000 additional geriatricians may be needed in the United States by 2025.

A person will visit a physician more than they will be admitted to the hospital. According to the text, what is the ratio of office visits to hospital admissions?

26 to 1

In a normal distribution, six sigma would represent how many defects per million attempts

3-4

What is the approximate percentage of medical are purchased by government entities?

35%

What is the estimated number of lost charges in the healthcare industry?

5%

What percentage of the American workforce is involved in healthcare?

9%, 3% of the workforce are medical professionals

Decision making in the medical practice is most influenced by ___________?

A and B are both very important (culture and mission, vision and values)

Which of the following describes a medical practice that might receive federal and state funding to provide primary care in an underserved area because the economic base in the area cannot support it?

A community health center

Jim Collins describes five levels of leadership. Which of these would be considered level 1?

A highly competent person who can give the practice knowledge, skills, and other good work habits

Which of the following is not a medical practice form?

A licensed medical organization

Which of the following best describes a patient-centered medical home (PCMH)?

A practice model focusing on prevention and early intervention for patient care

The "conspiracy of silence" is most often associated with which of the following?

A professional in trouble with alcohol or drugs who is being protected by friends, family, and colleagues A primary barrier to early inventions in substance abuse situtations

Which of the following best describes accounting?

A system for keeping score in business using dollars

Which of the following is a durable medical item?

A wheelchair

All leadership theories tend to focus on which of the following?

A will to power or a will to serve

Which of the following is not a stand-alone practice form?

Accountable care organizations

Harm that is the direct result of patient-health services interaction and not disease is called what

Adverse Event

In marketing, which of the following is an example of promotion?

Advertising

What is the difference between a merger and an acquisition of a medical practice?

An acquisition involves the purchase of a practice's assets by another practice or healthcare organization and typically includes the employment of the physicians and staff by the acquiring practice, whereas the merger of two practices involves the combining of assets of both practices to form a new entity.

Professionalism and ethical behavior require the right balance between which of the following?

An intentionally designed system Professional accountability

As of 2016. how many large health insurance carriers were operating in the United States

Approximately 35

A financial statement that illustrates assets, liabilities, and equity is best described as what?

Balance sheet

Which of the following is not an important activity when conducting a meeting?

Be sure that the agenda has more items than can be covered, to encourage the meeting to be as productive as possible.

Why would anyone consider negative feedback a gift?

Because, unless a person knows the negative effect of their behavior, they are unlikely to change; thus, the feedback is often appreciated.

Which of the following is not typically part of the electronic medical record?

Billing records

Which of the following statements are true about the number of shareholders a corporation may have?

C-corporations may have an unlimited number of shareholders

who is primarily responsible for enforcement of the stark law

CMS

A current asset is best defined as what?

Cash or items that can quickly be turned into cash

Which of the following is not a quality improvement tool?

Chart of Accounts

Which executive is most important to leading the value based purchasing revolution in a healthcare organization?

Chief Medical officer

Stark violations are expensive. Whar are some of the consequences of violations?

Civil money penalties Repayment of fees to medicare and medicaid exclusion from the medicare and medicaid programs criminal fines possible prison sentences

The portion of a medical claim that the patient is required to pay before insurance benefits are paid, usually expressed as a percentage, is called what?

Coinsurance

Which of the following is not typically included in a practice's governance structure?

Community members

A practice that charges a monthly or annual fee for a heightened level of service would best be described as which of the following?

Concierge practice

Which managerial function involves comparing the measurement of actual results with objectives to determine success or failure?

Controlling

Rhonda is a healthy person, 35 years old, who rarely requires healthcare. She has a business, earns a large income, and pays a significant amount of taxes each year. She has a health insurance policy from a private insurance carrier. As healthcare reform is being discussed, what might be her major concern?

Cost containment

What are the components of the "Practice Conundrum?"

Cost, quality and access

What are indirect cost?

Costs that are not specifically attributed to a service but necessary for the operation of the practice in the production of services Costs that might vary with the number of services provided Costs that might not vary with the number of services provided

Which of the following is not a component of the three dimension of healthcare used to define quality?

Delivering care in a safe and efficient enviroment

At which stage in the revenue cycle process is failure most evident?

Denial Management

Leadership's role in creating a value based purchasing model includes all of the following with the exception of ____________?

Developing new services

Which of the following would best be described as a chronic condition or disease?

Diabetes

Which of the following are health problems that are largely caused or exacerbated by one's lifestyle or behavior?

Diabetes, Traumatic injury from a car accident in which passengers were not wearing seatbelts, Lung cancer and Heart disease

What two categories of information does HIPPA require be reported to payers

Diagnosis codes and procedure codes

The American healthcare delivery system can be described as _____________?

Diversified, fragmented, complex, expensive

Root Cause Analysis involves a careful analysis of the event including variables that may contribute to a poor outcome. These variables may include:

Documentation Equipment Human Resources Technology

What are some of the positive benefits of integration?

Economies of scale can be leveraged, cost-effectiveness is more likely to be achieved, clinical care can better be coordinated, more specialty staff with greater expertise may be hired and allows greater access to capital

What is the biggest challenge when engaging your Board of Directors concerning the National movement towards value based purchasing?

Education (Clinical)

Onboarding is a critical aspect of bringing on new team members to the medical practice. Which of the following are important aspects of onboarding?

Ensuring that the employee has necessary equipment and supplies Orientation to the practice, including introduction to all team members

John, a medical practice administrator, has noticed a huge variance in the supply expense for the cardiology division of his practice. What are some of the possible reasons for this variance?

Errors were made in developing the budget. There may have been a large increase in the number of services provided by the division. There was an unexpected hire of a new position after the budget was prepared. The reason might not be clear and may require further investigation.

An electronic health record (EHR) is a absolute requirement for the medical practice

False

At one time, genomics was very promising for the future of healthcare. However, it has since been shown to have little value.

False

Chronic conditions in the United States have been decreasing rapidly over the last 20 years

False

Distribution of medical services is rarely affected by geographic factors

False

Documenting a near miss is not important because it didn't happen and we wouldn't to increase awareness for fear of job loss or potential lawsuit?

False

Financial value and quality value can not coexist in the healthcare environment?

False

In a well-run medical practice, physicians should be exempt from most human resource policies.

False

It is absolutely illegal to rent an office from the hospital where the physician admits patients, due to the Stark law.

False

Medical practices have little influence on population health. Population health is a government and large institutional function.

False

Most practice managers consider managing the revenue cycle and dealing with third-party payers to be a simple mechanical task.

False

Negative feedback is much easier to provide than positive feedback

False

Provider assessment has not traditionally been done in medical practices. According to the author, assessing providers is a waste of time and creates more difficulties than benefits.

False

Services that are provided in the inpatient or outpatient setting are reimbursed at the same rate by most insurance carriers.

False

Stand-alone system are the most efficient and effective IT system.

False

Technology has made the burden of healthcare delivery more burdensome on the physician?

False

There is substantial evidence that electronic records increase clinical productivity

False

Although "burnout" is a problem in the medical practice, there are no effective ways to measure it.

False because the Maslach Burnout inventory is available and useful in identifying burnout

What are three important laws that govern medical practice billing practices

False claims act, the anti-kickback statute and stark law

High-deductible health plans (HDHPs) and health savings accounts (HSAs) are synonymous for all practical purposes.

False, High deductible health plans may use health savings accounts

Bad debt and charity care are the same, because they both result in loss of revenue

False, It is true the both result in loss of revenue but in the case of charity care revenue was never expected

Despite their many benefits, electronic records have increased record vulnerability and privacy violations.

False, electronic records are much more secure than paper records

Risk can be eliminated with careful planning

False, it may be reduced but it can never be eliminated

Which of the following is associated with the idea of the "first curve" in practice management?

Fee for service and Volume

Which of the following would best describe the American healthcare system?

Fragmented Expensive High cost and low value in proportion to cost One the best places in the world to receive specialty care

Legal issues in the practice management realm generally fall into which of the following categories?

General application of the law, which includes most areas of state and federal law that apply to all businesses and all employment situations Specific applications of the law, which apply to the medical practice and the healthcare environment Medical practices as regulated by state laws Medical licenses issued by state medical examining boards

What does GAAP stand for?

Generally accepted accounting principles

What are "SMART" goals?

Goals that are specific, measurable, attainable, realistic, and timely Goals that are effective in managing performance in the medical practice

The process that practices use to make significant decisions is which of the following

Governance

Larry is a practice manager in a large multispecialty practice. What are some of the accounts receivable financial metrics that Larry should pay close attention to if he is concerned about growing accounts receivable?

Greater than 120 day accounts receivable 0 to 30 day accounts receivable 61 to 90 day accounts receivable 91 to 120 day accounts receivable

Provider "burnout" is a significant issue in medical practice management. According to an article cited in the text, approximately what percentage of physicians experienced at least one symptom of burnout?

Greater than 45%

HIPPA stands for

Health insurance portability and accountability act

Which of the following provides a quick and understandable way to convey the status of important practice metrics?

Heat Map

What has Daniel Goleman posited as the most important attribute of an effective manager?

High emotional intelligence (EQ)

Which of the following would be an inappropriate question to ask a potential employee during the interview?

How many children do you have?

Which of the following would be considered a component of transformational leadership and management?

I believe in what I'm doing

Roger is a practice administrator who is considering the increased use of social media in the practice. However, he is concerned that the potential negatives will outweigh the benefits. Which of the following points would be appropriate and correct for you to make to Roger about social media?

I would tell Roger that social media can improve communication with the public, with colleagues, with employees, and with patients.

Which of the following is not a major piece of healthcare legislation?

IHI

Which of the following is an aspect of transformational leadership?

Idealized influence

Which of the following is a reason why cash-basis accounting methods are chosen by medical practices?

In some respects, they are simpler and more readily understood

Providers that have negotiated fees with the health plan and have contracts to provide services at an agreed-upon fee at full payment are considered to be what?

In-network

Which of the following are exceptions to the Stark law?

In-office ancillary services prepaid plans implants furnished in an ACS Inra-family rural referrals

Which approaches do third-party payers use to increase consumer self-rationing of care?

Increasing deductibles, coinsurance and noncovered items

The most important activity in the scheduling and registration process is?

Insurance verification

Which of the following is not a characteristic of evidenced based medicine?

Isolated decision

What is one of the biggest disadvantages to the "internal rate of return" method of capital investment analysis?

It assumes reinvestment at the internal rate of return

The Management by Strengths Survey is intended for what purpose?

It is a self-assessment survey that measures temperament and contributes to self-awareness, which is critical in conflict management.

What is the purpose of a checklist in medical practice?

It is a simple table or list that enumerates all the necessary steps or processes needed to complete a function. It is a way to reduce errors and increase quality in surgery. It helps overcome human inaccuracy. It stems from the fact that human beings can only focus on so much at any given time. It helps prevent omission errors due to distraction.

Which of the following is true about professionalism

It is a vocation or calling that implies service to others

Which of the following can be said of authentic trust?

It is built over time It is more important than naive trust It is essential part of practice management It is a close ally of integrity

Which of the following is true about a dyad management structure?

It is often used by medical practices it often involves a clinical leader and administrative leader It requires a clear agreement between the two leaders

The resource-based relative value scale (RBRVS) is used for which if the following purposes?

It is used for funding Medicare and Medicaid services

Medigap coverage provides payment in which of the following circumstances?

It may pay for some services not covered by Medicare A and B. It pays for the deductible on Medicare Part A It pays for the deductible on Medicare Part A and a portion of the coinsurance for Part B

Which of the following is an important purpose of budgeting in a medical practice?

It provides a communication document. It is a way of quantifying the goals of the organization in dollar terms.

Which of the following is a potential benefit of a telehealth program operated by a medical practice?

It provides healthcare access to people in remote areas. It provides tools for managing chronic illnesses. It may increase the number of patients who can be seen or treated in a given time. It is in demand by patients.

Which of the following statements describes the Medicare Access and CHIP Reauthorization Act (MACRA)?

It repeals the sustainable growth rate methodology (SGR). It provides a new incentive structure for providers. It provides an annual positive or flat fee adjustment to the Medicare fee-for-service through 2025. It consolidates all existing Medicare quality programs into the merit-based incentive payment system (MIPS).

What are some of the reasons that the revenue cycle fails to produce optimum results?

Lack of proper insurance information, Ineffective denial management, Incomplete or erroneous registration data

Which of the following statements is true?

Medicare covers people over the age of 65. Medicare covers people on kidney dialysis. Medicaid and Medicare cover the disabled. Medicare Part D helps pay for prescription drugs. A dual-eligible person may be covered by both Medicare and Medicaid.

The cycle of practice development begins with which of the following?

Mission

According to the National Center for Health Statistics, what percentage of visits involved dug therapy?

More than 75%

As a general "rule of thumb," which of the following is true?

None of the above

John is a practice manager in a large multispecialty group, and it has come to his attention that one of the physicians in the group has been exhibiting disruptive behavior. What might be a reasonable course of action in this situation?

None of the above

Which of these items are not a component of patient centered care?

None of these

which of the following is not a nonphysician practitioner that can be found in medical practice?

Nurse practitioner Art psychotherapist kinesiotherapist social worker perfunisonist

Which of the following are types of managed care plans?

Open-panel HMO, Closed-panel HMO, POS plans

According to Warren Bennis, organization development is concerned with which of the following?

Organizational effectivenes

Why is good patient experience so important?

Patients become more likely to adhere to their treatment plan It creates a more pleasant working enviroment

Medicare is funded by which of the following sources?

Payroll taxes, premiums, payments from Medicaid for Part B coverage.

The influencer model focuses on the notion that individuals must be motivated and have the ability to carry out their function. In which of the following domains do motivation and ability occur?

Personal, Social, and Structural

which is not a step in the revenue cycle?

Physician and staff compensation

What are two barriers to prevention in the current healthcare environment?

Physician training and economic model

Which managerial function involves the determination of goals and objectives

Planning

The ability to provide more specific treatments to individual patients based on their genetic profile is an example of __________________?

Precision medicine

Change management is a significant issue for the medical practice manager. What are four aspects of a change management model as described by the author?

Prepare, act, sustain, transform

In preparing the operational budget, which of the following is not budgetary component?

Pro forma P&L

Value of physician work falls into what two categories?

Quantifiable and nonquantifiable

The ultimate survival of medical practice depends on waht

Recurring flow of cash from services provided to patients

What is the principal concept of Lean for medical practice management?

Reduction of waste as defined by the patient

What are three components of the income statement

Revenue, expenses, profits

Employees may be categorized as exempt or nonexempt and are distinguished by which of the following?

Salary Job duties

An unanticipated or unexpected medical error that results in serious physical or psychological consequences is what?

Sentinel Event

Which of the following is the most appropriate leadership theory for a practice manager to subscribe to?

Situational leadership, trait leadership, behavioral theory, and contingency theory

Which of the following appropriately describes cost behavior in a financial management system?

Step variable, Fixed, Flexible

Which of the following are essential elements for modern-day practice management?

Strategic planning, Project management, Marketing,

What are the four elements of a SWOT analysis?

Strengths, Weaknesses, opportunities and threats

Which of the following would be considered aggressive disruptive behaviors?

Swearing

Quality improvement strategies are most effective when they focus on which of the following?

System performance

The breakeven point in a breakeven analysis is represented by which of the following formulas?

TR-TC=0

What financial statement would best illustrate the profitability of the practice?

The P&L

Which of the following is not true about global health threats

The Transatlantic Task Force on Antimicrobial Resistance has jurisdiction over infectious disease policy in member countries.

Which of the following was a central feature of the Affordable Care Act (ACA)?

The accountable care organizations (ACO) and A standardized benefit structure.

Which of the following is not a driving force for resistance to change?

The fact that people are often just stubborn

What is meant by the "democratization of healthcare"?

The idea that medical information is now widely available to everyone who has access to the internet

What does IOM stand for?

The institute of medicine

The present value factor in a capital investment analysis is equal to which of the following?

The interest rate over a specified period of time

The PDSA model is an important aspect of quality improvement. Which of the following is an appropriate definition of PDSA?

The model stands for Plan, Do, Study, Act and is essentially a quick way to evaluate proposed improvement ideas for effectiveness. It is a model that can be used to sustain and improve a function within the medical practice.

The medical practice manager or administrator provides as essential link between which of the following? Please choose the best answer

The organization's employees and the governing board

According to the Institute of Medicine report titled Crossing the Quality Chasm, which of the following is not a principle for redesigning healthcare processes?

The physician should always be in control

Which of the following relate to antitrust issue for the medical practice

The sherman act the clayton act the robertson-patman act the hart scott-rodino act

Jargon can be confusing. What does PA stand for?

The state of pennsylvania, physician assistant, and professional association

What is the most important benefit of an easy interface for an IT system?

The system is more likely to be accepted by stakeholders.

Which of the following best describes an affinity chart?

The tool provides a method for organizing key themes from a brainstorming activity

A control chart, in the context of quality improvement, illustrates which of the following?

The variation of a process over time

Project management represents a constrained relationship between which of the following factors?

Time, Scope of the Project and Cost

What is the primary purpose of health insurance?

To protect against risk

What is a key objective of data analytics?

To turn unstructured data into new knowledge applicable in the medical practice

Average reimbursement for a service could be determined by what?

Total revenue by service divided by the number of services

Public reporting of practice performance is increasing. This would be an example of which of the following?

Transparency

A chart of accounts is an accounting tool used to list all the categories of expenses and revenue sources used by the practice.

True

According to Dr. Deming, in many instances, a properly functioning process is more important to the outcome than the individuals doing the work.

True

In order for value based purchasing to be successful in healthcare, physicians need to transition their mindset that quality indicators, safety goals, and evidence based medicine are compliance issues instead of performance issues and improvement opportunities?

True

Lean is more focused on improving patient flow and eliminating waste, whereas Six Sigma is more focused on process breakthroughs, design improvement, and reducing variation.

True

Many of the barriers to telemedicine and virtual care have been overcome, including payment issues and patient acceptance.

True

Mergers and acquisitions are on the increase, resulting in practices of larger sizes

True

Most medical practice budgets are prepared on an annual basis.

True

Substance abuse is primarily a biogenic and psychosocial disease

True

The United States has fewer physicians per capita than many other OECD countries.

True

The United States has more specialty practitioners per capita than many other industrialized countries

True

To be a certified PCMH, the practice must be certified by the NCQA

True

Variation is the enemy of quality

True

Which of the following is a benefit of good communication

Understanding and trust Compliance and better outcomes Better patient satisfaction

Which of the following is the public health concept of looking at the root causes of health problems and concerns and directing resources to address those causes.

Upstreaming

Which of the following would not be considered a management characteristic?

Usually not analytical

Which of the following would be considered important public health achievements the twentieth century?

Vaccinations Motor vehicle safety decline in death from coronary disease and stroke

What is the quantifiable measurement used in physician compensation production systems?

WRVUs

Defining value in a healthcare organization involves the following variables: quality, cost, resource utilization, and satisfaction. This definition is missing one variable what is it?

Waste

Why do mergers and acquisitions frequently produce suboptimal results

a clash of culture occurs

Which of the following best describes accountability?

accepting responsibility for decisions that affect organizational performance

All of the following are alternative or complementary medical therapies except for what?

cardiac ablation

Which of the following would be important elements to include in the employment policy manual of a practice ?

health insurance terms and conditions Retirement benefits if offered disciplinary actions process terms of employment

IBM's supercomputer Watson quickly iterates nuanced information provided by the user to mimic _____________?

human intelligence

A historic report by the Institute of Medicine in 2000 estimated that as many as 98,000 people are harmed each of year in the healthcare system. Since that report, there has been a tremendous effort to improve the quality and safety of the healthcare system. In the wake of these efforts and expenses, a recent study has estimated that the number of people harmed in the healthcare system has ___________.

increased

In recent years, deductibles and coinsurances for most commercial health plans have been ____________________.

increasing rapidly

Outcome measure that is to determine performance is called what?

indicator

When doing a breakeven analysis, fixed cost ____________?

is constant

A fundamental aspect of any organization, including a medical practice is _______________?

its governance structure

Relative to systems in other nations, the United States healthcare system tends to be characterized as ___________?

low in quality, proportional to its high cost

Quality and reliability are _______________________.

system properties

An employee is chronically late by 10 to 15 minutes every day. You have given the employee repeated warnings (including a final written warning), reviewed the practice policies regarding tardiness, held numerous meetings and discussions with the employee about the issue, and attempted to mitigate the problem by reassigning the employee to another shift (at the employee's request). Still, the problem continues. This employee is very good when at work. What is the proper course of action?

terminate the employee because all employees must follow the policies of the practice

Relative to the systems of other developed countries, what is the most unique feature of the American healthcare system?

the number of citizens without healthcare coverage (insurance or other forms of third-party payment)

Which of the following is an example of a long-term asset?

the value of land Building minus accumulated depreciation

An osteopathic medical school graduate may take an allopathic residency

true

Federal law requires all physicians to be licensed in the United States by the state where they practice. No federal license is required.

true

Traditional medicare provides uniform benefits to all recipients in all 50 states

true

What is the approximate number of physicians licensed in the United States?

1 million

Which of the following statements is true regarding IT and value-based care?

A modern IT system is essential if the practice wishes to participate in value-based care, Manual systems are perfectly acceptable in providing value-based care; however, using a manual system may be unrealistic. Value-based care requires the acquisition and analysis of large data sets.

Which of the following is the best definition of meaningful use?

A three-stage process requiring practices to effectively use electronic record systems for the benefit of patients, allowing providers to receive incentives under the Medicare and Medicaid EHR incentive programs

When training physicians and non physician staff on a new IT system, which of the following approaches is best?

Carefully plan and designed training for each group that will be using the system

Which of the following are good sources of information for the practice manager?

Centers for Medicare and Medicaid Services , Dartmouth Atlas, Institute for Healthcare Improvement, and Kaiser family foundation

What are some good ways to prevent having issues with Stark, inurement, and anti-kickback laws?

Check the National Provider Database each time a clinician is hired, have a compliance plan, train all practice staff on compliance issues

Which of the following is the most common form of malpractice coverage as of 2017?

Claims made coverage

Physicians who treat patients are known as which of the following

Clinical staff and Providers

Which statement best describes the decision-support functions of an IT system?

Decision support assists practices in justifying the business case for actions it plans to take

Certificate-of-need laws (CON) were once found in every state; however, today only Alaska and Hawaii still use CON.

False

Judging from the merger checklist in the text, mergers and acquisitions are relatively simple if the checklist is followed

False

What are the three levels of health information technology interoperability?

Foundational, structural and semantic

A large medical practice is concerned about waiting time, and it has considered three potential alternatives: same-day appointments, next day access to primary care, and an after-hours urgent care center. These ideas represent which of the following attributes?

Increased access to appropriate care

What are some advantages of the "Time to Payback" method of capital investment analysis

It is easy to calculate and it is easy to interpret

In many states, medical practice tax years must be based on the calendar year regardless of the organizational form. Why is this?

It prevents medical practices from shifting income from a personal tax year to a corporate tax year and Medical practices are taxed at the highest personal income tax rate

Why might you choose the "net present value" method in doing a capital investment analysis?

It results in dollars

In what manner is "the perfect storm" is a metaphor for medical practice today?

It symbolizes the convergence of many of today's challenges on the medical practice.

IT systems have a significant learning curve, and initially productivity ___________ until staff is fully trained and adapted to the system.

Likely decrease

Which of the following are direct reports to the governing board who are held accountable for the practice's achievement of its objectives?

Management

Which of the following could be threats to a medical practice?

New regulations, A growing elderly population, complex business services

Which managerial function involves proper structuring of resources to accomplish the activities to meet the objectives of the practice?

Organizing

The PCMH would be more likely to practice which of the following?

Patient-directed care

Which of the following is not an ancillary service

Physician services

What are the four Ps of marketing?

Price, Promotion, place, product

What are some potential advantages of cloud computing in the medical practice?

Reduce cost, increase security, Backup, expertise, flexibility

Which of the following features of an employment agreement tends to be most controversial?

Restrictive covenants

Which of the following are organizational forms that a medical practice may utilize?

S-corporations, partnerships, c-corporations

Project management is often described as a constrained relationship between which of the following?

Scope, time, quality, and cost

In the healthcare organization, who is responsible for the protection of the patient's health information?

The medical providers All healthcare professionals The nonclinical staff The practice manager

A system in equilibrium tends to favor which of the following?

The status quo

Which of the following is not a cause of escalating medical costs in the United States?

Too few hospitals

The National provider Data Bank (NPDB) does which of the following

Tracks the significant negative occurrences of medical professionals

The Health Insurance Portability and Accountability Act (HIPAA) allows the sharing of protected health information in which of the following principal areas?

Treatment Payment Healthcare operations

A group practice is defined as a medical practice consisting of two or more practitioners working in a common management and administrative structure.

True

Accountable care organizations (ACOs) focus on improving population health, improving patient experience and reducing the total cost of care.

True

For our purposes, population health management is defined as "a process by which patient data are collected from multiple sources, compiled into patient records, and accessed by providers to inform them on the populations health status."

True

In developing a strategic plan, communication is one of the most critical factors.

True

Most medical practices require a general business licence in many cities and municipalities

True

When doing a market analysis, which of the following is a factor that should be considered

Untapped markets for new procedures, Hiring new physicians in practice, Hiring new physicians in the practice, The need for gerontology in the community, Underserved areas in the community

Which of the following are important characteristics of an IT system in the medical practice?

Usable, Specific,Scalable, and Secure

Clinical integration is an alternative care delivery model that aligns the incentives of physcians

the statement is true but integration also involves many additional elements