Exam (elaborations)
CMOM-Practice Management Institute (Questions + Answers) 2024
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CMOM-Practice Management Institute (Questions + Answers) 2024
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Name: Score:118 Multiple choice questions
Definition 1 of 118
retain for two years
Direct Expense
Wage records
Formal Budget
Identifiers
Term 2 of 118
People Pleaser
forces the office supervisor to analyze expenditures and eliminates many unnecessary
purchases.
"to protect the consumer against inaccurate and unfair credit billing"
this type of person may tend to be fickle and unreliable
those who have an impairment that "substantially limits" one or more major life activities.
Definition 3 of 118
Medicare's internet-based provider enrollment is also known
Projected Status (soft data)
PECOS
Average Cost per Patient
Ratio
,Term 4 of 118
Sexual Harassment
Total variable expenses per month or year/Total patients by month or year
consists of making an employee "uncomfortable" in the workplace based on sex.
approval for services, including diagnostic services and inpatient or outpatient treatment.
competition is a factor to consider when making changes to a fee schedule
Definition 5 of 118
HIPPA violation at $50,000 per violation and an annual maximum of $1.5million.
Fee Schedule Changes to consider...
Average Net Charges per Patient
Tiered Increase in Civil Monetary Penalties
The Notice of Privacy Practices should be...
Definition 6 of 118
1. Send patient certified return letter, termination may or may not be stated on the letter
2. if termination is due to noncompliance say so clearly on the letter
3. Avoid stating reason in writing if there's a personality conflict, an unpaid bill, or for a reason not
to be made public.
4. Keep the receipt for the certified letter in patients chart with a copy of the letter.
Health Information (PHI)
Hepatitis B Vaccination
Patient Termination Guidelines
Complex Reviews RAC Audit
,Term 7 of 118
HIV+Employee
suggests at least some
-low patient volume
-excess expense
-overstaffing or inefficient staffing
-poor managed care contracts
do not very with the volume of services. Examples would be rent, insurance, loan payment,
etc. (Will always be every month).
An employee can be required to submit to an HIV test unless it is a bona fide occupational
requirement.
to make an estimate of the number of new patients visits over the past 3-4 years.
Definition 8 of 118
to make an estimate of the number of new patients visits over the past 3-4 years.
Leadership
Fixed Expense
Capitation
Forecasting
, Term 9 of 118
Actual Status
report indicating financial operations of the last reporting period that can be for a period
of one, three, six or twelve months and can also be obtained from past reports.
a record of the financial "performance" of a business (ability to make money) over a period
of time. Also called a P&L, profit or loss statement.
accounts receivable that will likely remain uncollectable and will be written off as
collection or bad debt. (Appears as an expense to the practice income statement, thus
reducing net income.
relation to risk pool. Dollars that are set aside that may be returned to the doctor if other
docs included in risk pool watches utilization and cost of providing services
Definition 10 of 118
the intentional deception or misrepresentation that an individual knows to be false or does not
believe to be true and makes, knowingly that the deception could result in some unauthorized
benefit to himself/herself or some other person.
ex. Billing for services that were not furnished and or supplies that were not provided
-Billing for services as if performed by a particular entity when they were, in fact, performed by
another entity not eligible to be paid by Medicare
-Using in incorrect or inappropriate provider number ni order to be paid (using a deceased
provider number to defraud Medicare).
Ratio
Fraud
Actual Status
Breach
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