Operations Management 2 Flashcards

1
Q

According to total quality management theory, which of the following is the source of most errors in the medical office?
A. Having limited resources to provide the desired outcome.
B. The work process.
C. Not having enough time to perform the task.
D. Negligence or skills of staff.

A

B, The work process

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2
Q

What is the purpose of a needs assessment?
A. A survey to determine what patients want from their providers.
B. A tool to communicate what the practice wants from a vendor.
C. A process to identify gaps between current conditions and desired conditions.
D. A process to match the needs of providers with available resources.

A

C, A process to identify gaps between current conditions and desired conditions.

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3
Q

Which of the following describes the change in management style that must accompany successful total quality management efforts?
A. Shift from team to physician management.
B. Shift from physician to professional administrative management.
Cf Shift from top-down to team management.
D. Shift from bottom-up to professional management.

A

C, Shift from top-down to team management.

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4
Q
Which of the following is critical to engaging providers in population health management processes?
A.	Competition with other providers.
B. 	Bonuses.
C.	Actionable data.
D. 	Suggestion boxes.
A

C, Actionable data.

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5
Q

What is quality assurance?
A. An evaluation method to measure the final quality of a service or product.
B. A set of tools that map and measure processes in order to determine the likely quality of process outcomes.
C. The maintenance of a desired level of quality in a service, especially through attention to every stage of the process of delivery.
D. A set of quality standards promoted by the government or payors to affect payment to providers.

A

C, The maintenance of a desired level of quality in a service, especially through attention to every stage of the process of delivery.

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6
Q

Which of the following describes the requirements for protecting employees through the use of specified equipment and/or clothing?
A. Clinical Laboratory Information Act (CLIA).
B. Occupational Safety and Health Administration (OSHA).
C. Americans with Disabilities Act (ADA).
D. Fair Labor Standards Act (FLSA).

A

B, Occupational Safety and Health Administration (OSHA).

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7
Q

What do KPls do?
A. KPls rate the probability that a provider will be sued formal practice.
B. KPls provide a data repository to identify medical providers.
C. KPls define, reflect and measure progress toward organizational goals.
D. KPls are units of measurement that provide information about a provider’s productivity.

A

C, KPls define, reflect and measure progress tow a rd organizational goals.

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8
Q

What is the purpose of an operational plan?
A. To review individual performance.
B. To develop policies and procedures.
C. To review the previous year’s performance and prepare for the coming year.
D. To review the strategy of the past five years and prepare for the next five years.

A

C, To review the previous year’s performance and prepare for the coming year.

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9
Q

What are operational plans designed to address?
A. Long-term projections of resources needed.
B. Short-term issues of the organization.
C. Staff behavioral issues.
D. Three-year budget projections

A

B, Short-term issues of the organization.

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10
Q

Your board of directors has asked you to evaluate a new echocardiograph system. What is your first step?
A. Choose a consultant to assist you.
B. Determine the feasibility of the project.
C. Perform a need determination.
D. Perform a GAP analysis.

A

C, Perform a need determination.

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11
Q

What is branding?
A. The process of developing an identity for a product or service.
B. A focus group that is developed for a practice.
C. The value derived by a consumer from a product or service.
D. A set of human characteristics associated with a product or service.

A

A, The process of developing an identity for a product or service.

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12
Q

Which of the following is characteristic of a market forecast?
A. It originates at the lowest management level.
B. It directs a course of action to achieve a given objective.
C. It is based upon the process of assembling and analyzing data.
D. It provides a framework for the organizational structure.

A

C, It is based upon the process of assembling and analyzing data.

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13
Q

Which of the following is characteristic of a market forecast?
A. It originates at the lowest management level.
B. It directs a course of action to achieve a given objective.
C. It is based upon the process of assembling and analyzing data.
D. It provides a framework for the organizational structure.

A

C, It is based upon the process of assembling and analyzing data.

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14
Q

How are commercial payor and Medicare “gain sharing” bundled payments usually structured?
A. Providers are paid for the number and type of procedures they do.
B. Providers are paid based on the health gains experienced by their patients.
C. Providers are paid a portion of the total budget based on the expenditures of all participants.
D. Providers are paid portion of the budget savings for procedures that are not performed.

A

C, Providers are paid a portion of the total budget based on the expenditures of all participants.

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15
Q
Currently, medical practices usually bill medical services at which of the following?
A.	Full charge
B.	Cost
C.	Payor fee schedule
D.	Cost plus profit
A

A, Full charge

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16
Q

All of the following factors should be considered when determining the valuation of a medical practice EXCEPT the:
A. Nature and history of the practice.
B. Economic outlook of the local medical community.
C. Demographics of the practice.
D. Current legal structure of the practice.

A

D, Current legal structure of the practice.

17
Q

Which of the following is NOT a direct cost to a satellite office of a multi-site practice?
A. Corporate overhead reallocation.
B. Temporary staffing costs.
C. Long distance phone charges.
D. Allocation of staff and physician pension investments

A

A, Corporate overhead reallocation.

18
Q

Which method of establishing a fee schedule has the greatest possibility of ensuring that revenue generated covers costs?
A. Using historical charges.
B. Using prevailing market rates.
C. Using a percentage of the Medicare fee schedule.
D. Using practice expenditures.

A

D, Using practice expenditures.

19
Q

Fee schedules should be revised utilizing all of the following EXCEPT:
A. a three-year reimbursement history from a managed care plan.
B. an analysis of the practice’s operating costs.
C. an analysis of current procedural terminology (CPT) changes.
D. an analysis of market conditions.

A

A, a three-year reimbursement history from a managed care plan.

20
Q

If a physician’s encounters decrease, what impact do you project it would have on the practice?
A. Accounts receivable will increase.
B. Accounts receivable will decrease.
C. Cash collections will immediately decrease.
D. Payer mix will change considerably.

A

B, Accounts receivable will decrease.