Developing Clinical Practice Flashcards
implementation costs
one time fixed costs; capital expenditures
operating costs
personnel cost/what’s calculated for staffing needs
seven P’s
product, price, place, promotion, people, packaging, process
four I’s
intangible, inseparability, inconsistency, inventory
incident to billing
services are defined as services or supplies furnished as an integral, although incidental, part of the physician’s personal professional services in the course of diagnosis or treatment of an injury or illness
quick and manageable process for all groups
plan, do, study, act (PDSA)
AHRQ
national strategy for quality improvement in health care; agency healthcare research quality
National Quality clearinghouse
public resource for evidence based quality measures
NCQA
national committee for quality assurance; developed the HEDIS (healthcare effectiveness data and information set)
physician quality reporting system
mandatory program with attached financial incentives and disincentives for eligible B providers, where providers must choose at least 9 measures
exceptions where pharmacists can bill to services
immunizations, diabetes education, MTM
digit cards start with __ that relate to physician visits in ambulatory setting
99 (where ending number increases as visit gets more complex)
official standard form used by individual health care providers
1500
forms used by facilities or institutions when submitting bills
CMS-1450
pharmacists can’t bill beyond ____
99211
