Module 3 - Financial Management of the Medical Practice Flashcards

1
Q

What is a Budget?

A

It measures projected financial goals with the actual financial performance by taking the past few years of expenses/revenue into consideration.

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2
Q

What is Budget Development?

A

The Control Process that projects revenue (short and long term)

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3
Q

What are the Aspects to Consider when establishing Budget Goals?

A
  1. Number of Providers
  2. Services Provided
  3. Facility
  4. Support Personnel
  5. Patient Load
  6. Plans (fee schedules, what’s profitable, etc.)
  7. Marketing Plan
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4
Q

What are the considerations when planning a Financial Objective?

A
  1. Capital (cash, credit, accounts receivable)
  2. Capabilities of Facilities (expand, add new service, hire?)
  3. Inflation (expect and plan for it)
  4. Competition
  5. Trends in Reimbursement
  6. Unexpected Events
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5
Q

Average Cost per Patient

A

Total Expenses/Total Patient Visits = Average Cost Per Patient

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6
Q

Total Expense per Patient

A

Total Expenses/Total Number of Patient Visits = Total Expense per Patient

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7
Q

Average Net Charges per Patient

A

Total Net Collections per Month / Total Number of Patient Visits per Month = Average Net Charges per Patient

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8
Q

Capitated Income

A

Contracted managed care payment made based on covered lives - per member, per month
aka
Fixed amount of money per patient per unit of time paid in advance to the physician for the delivery of health care services.

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9
Q

Direct Expenses

A

Expenses that are directly related to a cost center

I.E. What x-ray equipment is to a Radiology Department - they’re directly related

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10
Q

Indirect Expenses

A

Expense that is not directly related to medical services

I.E. utilities, cleaning services - they aren’t related to the medical services

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11
Q

Expense to Earning Ratio

A

Total Expenses / Total Collections

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12
Q

Fixed Expense

A

Constant expenses that do not vary with volume of services

I.E. rent, salaries, loans.

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13
Q

Variable Expense

A

Expenses directly related to the number of patients seen and services provided

I.E. How many members we have

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14
Q

Income Statement (Profit and Loss Statement, P&L)

A

Record of Income Generated minus(-) Expenses of Practice

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15
Q

Net Profit

A

Net Income - Expenses = Net Profit

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16
Q

Overhead (Expense-to-Earnings Ratio)

A

Ongoing Expenses necessary for the business to function (don’t relate directly to sales)

I.E. Rent, Utilities, medial supplies, insurance

NOT: salaries

17
Q

Expense-to-Earnings Ratio (Overhead)

A

I.E.

50% Expense = 50% of earnings are used for practice expenses (1:2 Ratio) is considered good.

18
Q

Forecasting Patient Volume

A

Track percentages of increase/decrease in patient volume for past few years

19
Q

Gross Collection Ratio

A

Gross Collection Ratio = Total Collections/Total Gross Charges

20
Q

Net Collection Ratio pg. 46

A

Total Collections / Net Charges (Gross Charges - Adjustments)

21
Q

What are the Two Types of Employee Theft?

A
  1. Forgery: Signing or Altering documents/checks which change financials of the practice
  2. Embezzlement: obtaining property or cash without approval
22
Q

What is the Federal Fair Credit Billing Act?

A

It protects the consumer from unfair and inaccurate credit billing

(Patients can dispute unauthorized charges from us)