Session 4 Human Resources Part 3

Question 1

Factors to consider when creating a benefits plan

Answer 1

Practice Budget
Full Time v Part Time rates
IRS taxable benefits

Question 2

Fee for service plans

Answer 2

Patients visit the physician of their choice and are reimbursed

Question 3

Managed care plans

Answer 3

HMO
PPO
POS

Question 4

HMO

Answer 4

Health maintenance organization

Physician within “network”
Required a referral from primary care

Question 5

PPO

Answer 5

Preferred Provider Organization

Blend of fee for service and HMO

Has a network, but doesn’t require referrals

Question 6

POS

Answer 6

Point of Service

HMO, but does not need referral

Question 7

Section 125 plans

Answer 7

A tax savings plan for employee(and er)
Allows employees to pay certain expenses including a portion of the premium or other contribution before taxes are deducted from their paycheck.

HSA

FSA

Question 8

HSA (Health savings account)

Answer 8

Used with high deductible plans and can be used to pay a variety of medical services and supplies.

Your HSA is owned by you

Funds role over year to year

Question 9

FSA flexible spend account

Answer 9

Same as HSA but owned by employer and has a use it or lose it rule for funds

Question 10

PPACA

Answer 10

Patient Protection and Affordable Care Act

Question 11

PPACA does what

Answer 11

Complex law signed into law in 2010
Companies with 50 or more employees need to provide benefits or be penalized.
Places certain caps and conditions on HSA and FSA

Question 12

ERISA

Answer 12

Employee Retirement Income Security Act

Question 13

Title 1 of ERISA of 1974 covers

Answer 13

Funding
Vesting
Fiduciary standards applicable to employee benefits plans
Enforced by US DoL

Question 14

Simple IRA

Answer 14

Short Incentive Match Plan for Employees Individual Retirement Plan

Question 15

What do Simple IRAs do?

Answer 15

Established by employer
Allow employee to contribute pretax dollars to plan
Employees mutch offer some matching contribution
Low cost

Question 16

401K

Answer 16

Established by employers to allow employees to contribute pretax dollars

Employers are not required to contribute

Added optional profit sharing

Costly to administer (needs professional administrator)

Question 17

SEPs

Answer 17

Simple Employee Pension Plans

Question 18

SEPs are/do

Answer 18

Similar to profit sharing plans

Funded by tax deductible employer contributions

Employees can’t contribute

Question 19

CE budgeting recommendation

Answer 19

It is recommended that practices budget 5% of gross revenue annually for team development (CE)

Question 20

If CE is mandatory in the practice

Answer 20

Must be in the handbook
Must be paid time and counted in over-time
Can set a limit of what is covered by work (cost of CE, travel, meals)

Question 21

Disability insurance

Answer 21

Maintained to protect an employee against an injury or illness that results in the inability to earn a living

Question 22

Employee total compensation/benefit statement

Answer 22

A detailed breakdown of the value of the total compensation and benefits package including salary, bonuses, social security/Medicare contributions, health insurance, liability insurance, disability insurance, holiday pay, PTO, retirement, dues, licenses, etc

Question 23

Which plans are a blend of fee for service and hmo

Answer 23

Preferred Provider Organization

Question 24

Personnel Files

Answer 24

All documents centered on the position and the employees role within it

Question 25

Personnel file storage

Answer 25

Internal revenue code and fair labor standards act require payroll and benefits data to be stored separately including the I-9

Question 26

Why store I-9s separate?

Answer 26

If requested hand the auditor one folder instead of a stack so they have less cause to dig deeper

Question 27

What not to include in a personnel file

Answer 27

If a document cannot be legally used to make a decision on hiring, firing, promotion, demotion or any other employment decision

Question 28

Employee medical records

Answer 28

Need to be stored separately and confidentially on a need to know basis.
Health/Life insurance forms
Physicians notes
Insurance or workers comp claims
Physical exam results
FMLA documents

Question 29

What are the 5 potential employee files?

Answer 29

True personnel file for job related documents
A file for any docs related to garnishments, background/credit check results, and other forms that have no legal role in employment decisions
Medical file
Payroll file
I-9 folder

Question 30

Request to view employee files

Answer 30

Employee records are considered property of the employer, but employees are allowed to access. Employer controls where, when and how long.

There should be a written policy that requests should be made in writing 2-5 days in advance

Question 31

Personnel file retention length

Answer 31

Retention time frame from date of termination:

3yr - basic info (I-9s, hiring/termination info)

4yrs (not related to termination) - tax records, payroll records

5yr - job related injuries or illness

30yr - toxic exposure reports, blood borne pathogen exposure, etc

Question 32

Personnel file - federal law input

Answer 32

Civil rights act and ADA require records to be retained 1 yr post termination

FMLA - 3yrs as the statute of limitations for employee to file a claim is 3 yrs long

Question 33

Employee wage garnishment files are to be stored?

Answer 33

A) with payroll
B) with general personnel
C) a&b
D) neither

D)

Question 34

Which entities require employers to keep payroll and benefits data?

Answer 34

Internal revenue code
And
Fair Labor Standards Act

Question 35

3 purposes of manuals

Answer 35

A reference tool for SOCs and practice guidelines
Training and instructional tool
Defining a standard to which employees can be held accountable to reach

Question 36

Considerations for manual

Answer 36

Put a disclaimer saying that manuals are not contracts of employment

Employee manuals should be positive not authoritarian

Question 37

3 primary functions of patient and procedure logs

Answer 37

1. They allow the convenient storage of important data
2. Improve the quality of patient care and client service
3. Facilitate charge and capture and auditing processes

Question 38

Types of patient and procedure logs

Answer 38

Hybrid - euthanasias
Patient - specific services eg. Lab logs
Procedure - task log eg. Cleaning

Question 39

Hospital Safety Manuals

Answer 39

HSM

Question 40

At the core of every plan or manual is the _____ law

Answer 40

Right to know law

Question 41

A section for chemo should be included in the HSM even if not preformed at the practice true or false

Answer 41

True

Question 42

DEA registration lasts for ______ years

Answer 42

3 years