section5 - Conducting a Medical Practice Assessment...

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Conducting a Medical Conducting a Medical Practice Assessment Practice Assessment
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Purpose Purpose To determine the readiness of the medical practice to receive payment by a given reimbursement mechanism i.e. capitation, discounted FFS
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Assessment Items Assessment Items 1. Number of active clients 2. Average visits/client/year 3. Average number of new clients/year 4. Total referrals from organization/year - Principal resource(s) employed 5. Total clients referred to organization/year - Principal source(s) of referrals
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Assessment Items Assessment Items 6. Average referral income/client/year - Principal source(s) of income 7. Average number of in-office ancillary service units/year - i.e. medical emergency 8. Percent (%) active clients/source of payment - i.e. FFS, private pay, commercial insurance, Medicare, Medicaid, managed care, etc.
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Assessment Items Assessment Items 9. Average length of time for receipt of A/R - Information subsets: collection rate, bad debt write-off, time difference between date charge generated vs. data billed to payer, ratio of denied claims, etc. 10. Listing of businesses & organizations employing significant number of employees who refer to organization for clinical services - Significant number = 100+
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Assessment Items Assessment Items 11. Average number of outpatient clients seen/week - Principal source(s) of referral 12. Average number of inpatient/residential
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This note was uploaded on 08/29/2011 for the course HSA 6126 taught by Professor Liberman during the Spring '11 term at University of Florida.

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section5 - Conducting a Medical Practice Assessment...

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