MEDICAL GROUP PRACTICE MANAGEMENT UPDATED
QUESTIONS AND ANSWERS
Principles of Medical Group Practice Management (6) - CORRECT ANSWER✅✅✅Patient-Centered
Care
Organizational Governance
Operations Management
Financial Management
Human Resource Management
Risk and Compliance Managment
What is the three-step process of physician reimbursment from Medicare? - CORRECT
ANSWER✅✅✅1. Coding of the service
provided (CPT Codes)
2. Coding of the diagnosis (ICD - 10 Codes)
3. Centers for Medicare
and Medicaid Services determination of the appropriate fee (based on the resource-based relative value
scale (RBRVS)
What two changes did the government make to reform the medicare payments of physicians? -
CORRECT ANSWER✅✅✅1. Rates paid for services would be determined by the resources, or inputs,
necessary to perform them
2. Annual increases for services would be restricted based on the total volume of services delivered.
What is the new label of medicare physician payment rates called? - CORRECT
ANSWER✅✅✅Sustainable Growth Rate (SGR) formula.
What was then the new system doctors rates were based on? - CORRECT ANSWER✅✅✅Merit-
Based Payment Incentive System (MIPS).
, What four assessments will be made with the Merit-Based Payment Incentive System - CORRECT
ANSWER✅✅✅1. quality
2. resource use (or efficiency)
3. meaningful use of electronic health records
4. clinical practice improvement activities.
What are five things management should know about physicians? - CORRECT ANSWER✅✅✅1. They
are independent.
2. They hold all of the power.
3. Control of physicians is very difficult
4. Innovation and change is difficult
5. The system is set up to meet physician needs
Physicians expect the leaders and managers of their medical group to be/ to know what four things? -
CORRECT ANSWER✅✅✅1. Immediately responsive to their concerns
2. Accountable for a high level of competence in their area of responsibility.
3. Staff must be self-directed
4. Physicians do not respond well to hierarchal direction
Hierarchy of Medical Group Practice - CORRECT ANSWER✅✅✅1. President of physicians
2. Administrator
3. Clincal Medical Director
What are the President Roles of Medical Group Practice? (6) - CORRECT ANSWER✅✅✅1. Lead the
group in ways consistent with the values of the group.
2. Lead meetings of the entire group.
3. Hire the top administrative and medical leadership
4. Provide administrative and medical leadership for the group
5. Develop a shared strategic vision for the group
6. Represent the group
QUESTIONS AND ANSWERS
Principles of Medical Group Practice Management (6) - CORRECT ANSWER✅✅✅Patient-Centered
Care
Organizational Governance
Operations Management
Financial Management
Human Resource Management
Risk and Compliance Managment
What is the three-step process of physician reimbursment from Medicare? - CORRECT
ANSWER✅✅✅1. Coding of the service
provided (CPT Codes)
2. Coding of the diagnosis (ICD - 10 Codes)
3. Centers for Medicare
and Medicaid Services determination of the appropriate fee (based on the resource-based relative value
scale (RBRVS)
What two changes did the government make to reform the medicare payments of physicians? -
CORRECT ANSWER✅✅✅1. Rates paid for services would be determined by the resources, or inputs,
necessary to perform them
2. Annual increases for services would be restricted based on the total volume of services delivered.
What is the new label of medicare physician payment rates called? - CORRECT
ANSWER✅✅✅Sustainable Growth Rate (SGR) formula.
What was then the new system doctors rates were based on? - CORRECT ANSWER✅✅✅Merit-
Based Payment Incentive System (MIPS).
, What four assessments will be made with the Merit-Based Payment Incentive System - CORRECT
ANSWER✅✅✅1. quality
2. resource use (or efficiency)
3. meaningful use of electronic health records
4. clinical practice improvement activities.
What are five things management should know about physicians? - CORRECT ANSWER✅✅✅1. They
are independent.
2. They hold all of the power.
3. Control of physicians is very difficult
4. Innovation and change is difficult
5. The system is set up to meet physician needs
Physicians expect the leaders and managers of their medical group to be/ to know what four things? -
CORRECT ANSWER✅✅✅1. Immediately responsive to their concerns
2. Accountable for a high level of competence in their area of responsibility.
3. Staff must be self-directed
4. Physicians do not respond well to hierarchal direction
Hierarchy of Medical Group Practice - CORRECT ANSWER✅✅✅1. President of physicians
2. Administrator
3. Clincal Medical Director
What are the President Roles of Medical Group Practice? (6) - CORRECT ANSWER✅✅✅1. Lead the
group in ways consistent with the values of the group.
2. Lead meetings of the entire group.
3. Hire the top administrative and medical leadership
4. Provide administrative and medical leadership for the group
5. Develop a shared strategic vision for the group
6. Represent the group
