Exam (elaborations)
CSPPM Study Guide (Certified Specialist Physician Practice Management) Verified 100% Correct!!
- Course
- Institution
CSPPM Study Guide (Certified Specialist Physician Practice Management) Verified 100% Correct!!
[Show more]
Content preview
Name: Score:243 Multiple choice questions
Term 1 of 243
Key performance indicators (KPIs) for effective claims managment
PALMER
DENR
COPE
DAR
Term 2 of 243
Presents vendors with data about the medical group's operations, plus specific data about the
operations being considered for a computer acquisition or enhancement.
SOW
RFP
RFQ
RFI
Term 3 of 243
The total fixed cost divided by the contribution margin per uit equals:
point of service collections
the break-even point in sales volume
ensuring successful completion of the contract
average days of revenue in receivables
,Definition 4 of 243
represents the excess cost required to acquire a business over and above what would be
considered the sum of the fair market value of its assets less its liabilities.
Public Relations
Goodwill
Inventory
Define Coaching
Term 5 of 243
A 403(b) plan
Geographic adjustments
is available only to family farmers.
also known as a tax-sheltered annuity plan, is a retirement plan for certain employees of
public schools, employees of certain Code Section 501(c)(3) tax-exempt organizations and
certain ministers.
production formulas designed to reward physicians in direct relationship to the revenue
they produce.
Term 6 of 243
Revenue budget
is the calculation of employee salaries
is the process of reducing costs
is a projection of income from all sources
is the estimation of total company expenses
,Definition 7 of 243
results when a patient who has been determined to have the financial capacity to pay for
healthcare services is unwilling to settle the claim (for example, a patient who has a bank account
or other assets but chooses not to pay a legitimate bill).
Uncollectable Account
Bad Debts
Investment In Health Education
Contracts
Definition 8 of 243
Collection of funds. It should occur as rapidly as possible, normally within 24 hours of service.
Charity accounts
Charge posting
Differential costing
Contracts
, Definition 9 of 243
*A vendor may have access to staffing and/or computer systems not available to the medical
group.
*The vendor assumes responsibility for hiring, training, and supervision of staff.
*The vendor may accept a contract that includes some financial risk if the cost of handling A/R
increases or that includes an "efficiency" factor.
*A vendor may receive economies of scale, not available to smaller medical groups, by handling
A/R in a central location for a variety of groups
*If A/R billing and collections are outsourced, it is critical to manage the vendor closely and hold
them accountable for pre-determined and agreed-to deliverables.
D&O insurance:
Steps in the Credentialing Process:
Stop-loss insurance coverage
Outsourcing Advantages
Definition 10 of 243
To provide info to the insurance plan about the treatment the patient received.
Differential Costing
System Analysis
Purpose of Encounter
Capitation Formulas
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller legitnurse. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80630 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
