Lecture 7 & 8 Flashcards
risk management
process of identifying potential threats that could severely damage an organization and taking action to reduce those risks
what is risk management focused on
processes to…
-avoid accidents
-decrease liability when incidents occur
-improve QOC
what could poor risk management lead to
significant financial consequences
categories of potential risk
hazard
market
reputation
operations
human capital
coding
current procedural terminology (CPT) codes
what does the federal government use
standardizes payment schedule based on a resource based relative value scale (RBRVS)
what are RBRVS systems determined by
various costs needed to provide each service identified by a CPT code
what are the 3 parts of RBRVS
provider work
practice expense
professional liability insurance
what is each part assigned –> RBRVS
a certain number of units called relative value units (RVUs)
what are payments calculated by –> RBRVS
multiplying these combined units by an IE conversation factor
what are payments set up by –> RBRVS
set annually by CMS
how do payments adjust –> RBRVS
adjusts for geographical costs also occurs
what is provider work divided into
preservice periods
intraservice periods
post service periods
what may preservice include
time spent to review records
solicit informed consent
prepare equipment
communicate with other professionals
position or otherwise prep the patient
intraservice
actual performance of the procedure
post service
analyze data collected during visit
documenting plan of care
communication with referring physician
