Experts Answer 95 New Practice Management Questions 2nd ed.

CHAPTER 1: Business Operations

• Outsourcing Business Operations
• Physician/Population Ratios and Physician Need
• Practice Assessment
• Determining Fair Market Value
• Marketing, Including Using the Internet
• Appropriate Practice Facility Size
• Adding Ancillary Services or a New Service Line
• Starting an Urgent Care Center or Retail Clinic
• Retainer or Concierge Practices

CHAPTER 2: Financial Management

• Financial Ratios and Reports
• Accounts Receivable
• Medical Practice Bad Debt
• Handling Denied Claims
• Managed Care Contract Negotiation
• Fee Schedule Optimization
• Centralized or Decentralized Billing Offices
• Billing Office Productivity
• Coding and Chart Audits
• Preventing Embezzlement and Theft

CHAPTER 3: Human Resource Management

• Physician Recruitment
• Decision to Hire a New Physician
• Physician Retention
• Part-Time Physicians and Leave Benefits
• Managing Inappropriate Physician Behavior
• Practice Administrator Employment Agreements
• Practice Administrator Incentives and Performance Reviews
• Staff Rightsizing
• Employee Turnover, Satisfaction, and Retention
• Employee Performance Reviews
• Employee Incentive Plans
• Generational Differences
• Employee Grievance Policy
• Paid-Time-Off (PTO) Policy
• Employee Cell-Phone Use Policies

CHAPTER 4: Information Management

• Practice Management System Selection and Business Intelligence Tools
• Return on Investment for Electronic Health
• Records (EHR)
• EHR System Selection
• Funding the EHR
• EHR Meaningful Use Requirements
• EHR Implementation
• EHR Optimization Patient Portals
• E-Prescribing Benefits and Incentives
• HIPAA 5010 and ICD-10
• Medical Records Retention
• Physician Chart Completion

CHAPTER 5: Organizational Governance

• Developing a Physician Compensation Model
• Trends in Buy/Sell Agreements
• Planning for Physician Retirement
• Board of Directors Responsibilities and Self-Assessment
• Managing Partner Responsibilities
• Leadership Succession Planning
• Compensation for Nonclinical Activities
• Integrating Nonphysician Providers
• Nonphysician Provider Billing and Compensation
• Adapting to Changing Healthcare Environment
• The Integration Decision
• Physician-Hospital Integration Structures
• Ensuring IDS Success
• Accountable Care Organizations (ACOs)

CHAPTER 6: Patient Care Systems

• Improving Operations to Increase Physician Productivity
• Patient Panel Size
• Patient Flow
• Appointments and Scheduling
• Patient No-Shows and Cancellations
• Appointment Wait Times
• Virtual Visits
• Patient Turnover Rates
• Telephone Operations and Benchmarks
• Becoming a Patient-Centered Medical Home (PCMH)
• Patient Compliance and Education
• Noncompliant Patients
• Increasing Physician Referrals
• Call Coverage and Schedules
• Managing Medication Samples

CHAPTER 7: Quality Management

• Pay-for-Performance Basics
• Quality Measurement Tools and Practice Guidelines
• Medicare’s Physician Quality Reporting System (PQRS)
• Patient Satisfaction Surveys
• Improving Customer Service
• Lean Management
• Physician Credentialing
• Patient Safety Programs

CHAPTER 8: Risk Management

• Risk Management Planning
• Disaster Preparedness Plans
• Fraud and Abuse Compliance Plan
• RAC Audits
• Ancillary Services and Stark Law
• HIPAA Overview
• Recent HIPAA Changes
• Patients and E-mail Communications
• Red Flags Rule (Identity Theft)
• Medicare Participation Decision
• Translation and Interpreter Services Requirements
• Where Can I Find More Resources?

Author

• Mary Mourar, MLS

Consulting editors

• Kenneth T. Hertz, FACMPE
• Cynthia L. Dunn, RN, FACMPE
• Nick A. Fabrizio, PhD, FACMPE, FACHE
• Jeffery B. Milburn, MBA, CMPE
  
  

Excerpt

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