Quiz 3 20 points to pass. June 22, 2007 HS 6200
List of Terms to use
Charity Care, Network, Severity Index, Indemnity, as a footnote only, Point of Service, PPO, Gate Keeper, Case Mix Index, Per Diem, Cost Plus, Global , Cost, Professional, Closed Panel, Discounted Charge, Technical, APC, Direct Contracting, Income/Expense Statement, Charges, Capitation, DRG, DNFB, ICD-9,
1. _____ICD-9______is used by providers to describe diseases.
2. ______DRGs______is used by Medicare to determine what the payment is for inpatient care.
Must get all three correct for credit.
3. Medicare is funded by the (Federal, State, or Both) and covers (Old, Poor, Children, Disabled) and is administered by (Federal, State or Both).
4. Medicaid is funded by the (Federal, State, or Both) and covers (Old, Poor, Children, Disabled) and is administered by (Federal, State or Both).
5, 6 . Name 6 objective of Healthcare Finance Management (count 1 point for 3 correct answers, on the next quiz you will need to remember all 6 and a little about what each means)
- Generate Income
- Respond to Regulations
- Facilitate Relationship with Third-Party Payers
- Influence Method and Amount of Payment
- Monitor Physicians
- Protect Tax Status
7-13. $100,000,000 in revenue over 91 days, $20,000,000 of which is outpatient revenue. $56,000,000 is in Accounts receivables, 1800 discharges, 1850 admissions, 9800 patient days, 1000 Employees averaging 35 hours per week. ½ of the staff is nursing unit staff. 150 beds
- What is the Days in AR $56M/($100M/91days) = 51.4
- What is the nursing productivity (FTE* ½ of which is nursing)(1880 wrks hr/FTE per year *(91days in period/365 days in year=1/4)/patient days ((1000/2)(35/40)(1880/4)/9800 = 21 nursing hrs/patient day
- What is the number of FTEs (1000*(35/40)) = 875 FTEs
- What is the ALOS (average length of stay) =9800/1800= 5.44 days per discharge
- What is the daily census = 9800/91 = 108 pts per day
- What is the occupancy = 71%
- What is the overall productivity 875/(108(100M/80M))=6.48 FTEs pre adjusted occupied bed
14. name 3 criteria to qualify for a tax exempt status (things you should & shouldn’t do)
__provide services that the government would have to provide
Don’t pay execs excessive salaries
Don’t sell stuff under market price
Etc.
17. There are three type of labor standards
a. _engineered___ – based on detailed observations of work tasks
b. _benchmark______- based on reported data
c. _target_____ - used by manager to give a basis for Productivity
20 . There are two parts to labor standards:
a. _fixed_ – hours that have to be used no matter how many patients, represent the central staff like unit clerks
b. _variable______– based on number of patients served
22. What are two ways to define the work week.
____8/80______40______
24. What is patient dumping? Sending non paying patients to another hospital to avoid an expensive bad debt.
25. (both must be right to get one point) Controller or Treasurer ___treasurer_____ is responsible for capital management and expenditures __controller______is responsible for the accounting functions.
Bonus
Who is the secretary of HHS?
Mike Leavitt
Get all correct for 1 point
Which is taxable/for profit, and which is tax-exempt, governmental
Childrens Healthcare of Atlanta __tax exempt______
Piedmont Hospital __tax exempt______
Atlanta Medical Center ___taxable – for profit (a Tenet hospital)
Emory Healthcare ___tax exempt______
VA Hospital ______governmental______