Definition 1 of 118
a business is not required to provide accomodations to disabled individuals, this definition woulc
cause a significant difficulty or expense ex.
-nature and cost of accommodation
-size, type and financial resource
-type of operation
Concurrent Review
High overhead
Undue Hardship
Fee for Service
Term 2 of 118
Independent Practice Associates IPA
suggests at least some
-low patient volume
-excess expense
-overstaffing or inefficient staffing
-poor managed care contracts
a separate legal entity that can either organize physicians and contact on their behalf with
MCOs to provide services
the adult seeking treatment is responsible for the bill. The person bringing the child is still
responsible to you for payment, the patient can bill their estranged, but not responsibility
of the practice.
Information that is a subset of health information, including demographic, information
collected from an individual.
,Definition 3 of 118
An employee can be required to submit to an HIV test unless it is a bona fide occupational
requirement.
Low overhead
HIV+Employee
Income Statement
Indirect Expense
Definition 4 of 118
report indicating the financial situation for the next reporting period.
Automated Reviews RAC Audit
Average Cost per Patient
Average Net Charges per Patient
Projected Status (soft data)
Definition 5 of 118
ask for elaboration, typically a poor listener so summarize main points to make sure they heard
you and understood
Silent employees
Whistleblower
Formal Budget
Fixed Expense
,Term 6 of 118
Fair Labor Standards Act (FLSA)
working with outside consultants is vital. An up-to-date plan helps the owners/physicians
ascertain the current position of the practice, and hopefully where it is going in the future.
There are seven steps
requires employers to keep records on wages and hours worked.
this type of person may tend to be fickle and unreliable
Term 7 of 118
Accounts payable A/P
called overheard ratio. Total expenses/total collection
are directly related to a cost center
Total variable expenses per month or year/Total patients by month or year
bills that the practice owes to vendors
Definition 8 of 118
can be held directly accountable by federal or state authority for failure to comply with HIPAA
statutory or regulations. ex. IT techs, Janitors, Cleaning Services, Vendors, Collection agencies,
Consultants and Billing Services.
ICD-10 Major Changes
Income Statement
Automated Reviews RAC Audit
Business Associates
, Definition 9 of 118
normally seen as a "positive" indication it can indicate an underlying problem for the future
-inequitably high fees
-lack of proper patient management
-failure to deliver high quality medical care
-understaffing or low salary
Low overhead
Fee for Service
Recordkeeping
High overhead
Term 10 of 118
Polygraph Protection Act
requires employers to keep records on wages and hours worked.
makes it unlawful to discriminate on woman based on their pregnancy, childbirth or related
medical condition. Unlawful not to hire or promote if ability exists.
requires that a notice be posted where all employees can see the protections listed under
the act ex.
-To written notice prior to testing
-To refuse or discontinue the test
-Not to have disclosure of the results to unauthorized persons.
working with outside consultants is vital. An up-to-date plan helps the owners/physicians
ascertain the current position of the practice, and hopefully where it is going in the future.
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