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WorksheetsOT Outpatient Clinic Management (Week 10)
Total questions: 67
Worksheet time: 16hrs 21mins
All of the following are examples of the types of personnel usually found in outpatient clinics, except
PRN
Part Time
Full Time
Volunteers
Contract
This type of personnel are hourly, but expensive. They are important for flow, but rarely brought in because they are so expensive.
Contract
Full Time
Part Time
Volunteers
Which of the following are considered "front office" personnel?
Business Office Manager
Receptionist
Authorization Specialist
Biller
Collections Specialist
Which of the following are considered "back office" personnel?
Biller
Collections Specialist
Authorization Specialist
Real Estate Officers
Which of the following are considered "Support" Personnel?
Legal Team (such as Lawyers)
Real Estate Officers
Accounting, compliance and marketing officers
HR (including personnel, management, benefits and payroll) specialists
Contracting
Which of the following are generally considered "Contract Services" Personnel?
Temporary licensed staff
Janitorial
Pest control
Volunteers
Receptionists
According to the lecture, _____ do things right, while ____ do the right thing.
Managers; leaders
Leaders ; Managers
Human Resource Officers ; Employees
Bosses ; Employees
Managing personnel requires which of the following?
Clear expectations
Providing tools and training
Providing feedback
Contracting employees
Assigning employees to task forces
When disciplinary actions are involved, treat all issues as if though they may be scrutinized by a _______
Counselor
Third party
Receptionist
Occupational therapist
A form of disciplinary action, ____ involves communicating the issue, without showing emotion.
Oral Warning
Termination
Counseling
Written warning
Which of the following are common disciplinary actions?
Oral warnings
Verbal warnings
Counseling
Termination
Passive aggressive gossip
What are the 2 types of referral sources?
Individualized vs. socialized
Institutional vs. independent
Inpatient vs. outpatient
In-network vs. out of network
Asking a patient to share his or her experience with OT with the physician is an example of ______
Affordable advocacy
Patient advocacy
Affable advocacy
Avaliable advocacy
What are the "three A's" to remember when selling or promoting your business?
Affable, Available, Affordable
Affectionate, Accommodating, Action-Oriented
Accommodating, Available, Advocacy
Affordable, Advocacy, Assessment-Driven
Who are considered the "gatekeepers" of outpatient facilities?
Patients
Receptionists or Secretaries
Doctors
Occupational Therapists
Increasingly, consumers with search for _____ for potential healthcare providers to make a "buying decision".
Social Media
Newspapers
TV Commercials
Radio advertisements
When marketing, it is important to have a personal _____ ready at all times.
Elevator Speech
Stump Speech
Hoyer Speech
Soap-Box Speech
Which of the following are considered basic elements of managing an occupational therapy business?
Maintaining facility licensure, credentialing, contracts and certifications
Managing staffing
Improving patient experiences
Providing Facility leadership and management
Ensuring free parking for all new customers
Which of the following can a patient experience in an occupational therapy outpatient clinic?
Having to pay out of pocket for therapy services
Having to pay for parking
Finding convenient or inconvenient hours of operations
Having to wait in a waiting room
None of the above
______ addresses how an OT is reimbursed for services.
Revenue
Advocacy
Refunds
Performance Reviews
Generally, OTs in outpatient settings are paid by
Cash
Contracts
Private, Government, or other third-party insurances and reimbursements
Deductibles or co-pays
When it comes to reimbursement, OTs in the outpatient setting spend a large amount of time educating patients about their _____________.
Options in purchasing medical insurance
Medical insurance benefits
Medical insurance denials
Medical insurance agents
Under ______, there has been a shift of cost from the insurance payer to the consumer, leading to large paperwork hurdles for providers and increasing the chances of denials.
Systematic umbrella coverage management
Systematic utilization management
Systematic underlying managers
Simplifying underlying mortgages
Simplifying utilized monetary costs
Under Systematic Utilization Management, OTs are more likely to have to provide free services due to _____ that have to be met, such as authorization, filing deadlines, and uncovered services.
Insurance inspections
Administrative burdens
Liability waivers
Signed HIPPA waivers
A trend in reimbursement, which of the following are considered "fee for service" approaches?
Billed charges
Discount fee-for service
Fee schedules
Case rates
Per diem
A trend in reimbursement, which of the following are considered "global strategies"?
Cost-based reimbursement
Per diem
Case rates
Capitation
Fee schedules
Documentation standards mandated by ____ are ultimately adopted by commercial payers.
Medicare
Medicaid
CHIP
Blue Cross Blue Shield
_____ certification becomes the "standard" for facility acceptance.
TOTA
Medicare
HHS
Medicaid
Payment by Medicare for OT services in the outpatient setting is based on a _____ structure.
Fee-per-service
Global strategies
Fee per bi-weekly service
Rigid
All rehab agencies and OT outpatient clinics must submit functional ______ at the initial evaluation, each 10th visit, and discharge.
B-codes
G-codes
Y-Codes
C-Codes
Which of the following are part of the four principles of accounting?
Tracking AP and AR
Monitoring cash flow
Budgeting
Managing risk for profitability
Managing a checking account
_____ means that income and expenses follow actual cash in and out the door. For example, if we bill for $150 worth of OT, that amount is not recorded in the books until the customer hands you the money or you receive the check.
Accrual Accounting
Cash Accounting
Fee-for-service accounting
Reporting accounting
Under _____, revenues are reported when they are earned, and expenses are reported when the expense occurs. For instance, if we bill $150, it is recorded as revenue immediately when the bill is issued, even if you receive the money a few days or weeks later.
Accural accounting
Cash accounting
Fee-for-service accounting
Delayed accounting
_____ provides a better measure of profitability during a specific time period.
Accural Accounting
Cash Accounting
Fee-For-Service Accounting
Delayed Accounting
Which of the following are components of an income statement?
Statistical Analysis
Revenue
Expenses
Profit/Loss
Number of fired employees
A component of an income statement, statistical analysis includes which of the following?
The number of patient visits
The number of new patients
The number of productive days in the month
The number of units
The number of full time employees
A component of an income statement, revenue includes which of the following?
Charges and collections
Net revenue
The number of days in the month
The number of billed units
The number of full time employees
A component of an income statement,expenses include which of the following?
Labor
Fixed expenses
Variable expenses
Revenue
Number of new patients
____ is about forecasting and understanding trends.
Budgeting
Fixed costs
Capital costs
Variable costs
Which of the following are types of trends in OT practices?
Volume trends
Reimbursement trends
Cost trends
Advertising trends
Which of the following are types of costs?
Fixed
Variable
Capital
Volume
Non-refundable
Which of the following can be examples of key indicators of how well a business is doing?
Getting referrals
Having few self-discharges
Having high productivity
Charging per visit
Having low productivity
People will only exchange their hard-earned money for what two things?
Things that solve their problems or make them feel better
Things that make them feel sad or make problems
Things that are difficult to understand or rare
Things that are imported or made overseas
When starting a business, what things do we need to consider?
The cost involved
How will revenue be generated
What is our competition
The number of potential tax cuts
Roula earns a salary and benefits at her job at an OT hand clinic. What type of personnel is she most likely to be?
PRN
Full time
Part time
Contract
Frankie is paid hourly, but has few benefits from working at his job. Most likely, he is what type of personnel?
PRN
Full time
Contract
Part time
When hiring a therapist, which of the following are usually looked at?
The candiate's resume or CV
The email/inquiries the candidate makes, and his/her responsiveness
The candidate's social media accounts
The candidate's interviewing skills and interests
A background check and credentialing of the candidate
True or False: When trying to sell yourself, understand the referral source's hot buttons.
True
False
When selling yourself, offer a ____, ____ or ____ that others do not have.
Product
Service
Enhancement
Shady business deal
Advertising promotion
True or False: According to the lecture, make sure that your staff is aware that customer service is priority
True
False
When selling yourself, be remarkable by being ______
Concise
Lengthy
Eccentric
Generous
Which of the following is true about marketing?
Have a purpose and strategy
Be sensitive to the environment you are in
Don't "show up and throw up" by providing too much info at once
Sell as a consultant
Ask for your business
Which of the following must occur in order to receive patient visits?
The facility must be certified by Medicare and the state
There must be a contract to provide services
The therapist and clinic must have credentials
Benefits must be verified & authorized
Patient responsibility must be determined through co-pays/deductibles
Which of the following must occur to get paid from a patient visit?
An evaluation, report and plan of care must be established & authorized
DME, number of visits, units, and time frames must be authorized
Patient co-pay must be collected
Client claims must be submitted in a timely fashion
Follow up may have to occur
True or False: Clinics need to create a national provider identifier (NPI) number with the Centers of Medicare & Medicaid in order to be reimbursed by Medicare
True
False
CPT codes are categorized as ____ or _____
Procedures
Modalities
Unsupervised
Constant
CPT codes for procedures are further classified as ____ and _____
Timed
Constant
Untimed
Unsupervised
CPT codes for modalities are further classified into ____ or ___
Untimed
Unsupervised
Timed
Constant
When must all clinic submit G-codes?
Whenever the therapist has time
At the initial evaluation
During each 10th visit
At discharge
During every 5th visit
True or False: Documentation for OT services must reflect medical necessity
True
False
According to lecture, which of the following is true about patients who rely on Medicare?
Beneficiaries have a $183 deductible
Beneficiaries have a 20% co-pay
Beneficiaries have a 50% co-pay
Beneficiaries have a $500 deductible
The annual cap for OT services was previously $1980
Net Revenue accounts for which of the following?
Expected payments
Bad debt
Write-offs
Fixed Rent
Expected discounts
Which of the following are examples of fixed expenses?
Rent
Utilities
Lease
Supplies
Which of the following are examples of variable expenses?
Supplies
Utilities
Labor
Fixed Rent
Which of the following are some real life decisions that OT managers must make?
Whether to hire an experienced OT or a new grad
Whether to buy a new piece of equipment or not
Whether to renew the lease on a space or expand to a new location
How much to spend on marketing
The cost of turnover
Which of the following are characteritics of OT Enrepreneurs?
They are motivated to achieve greatness
They have integrity, self-discipline, and build relationships with successful people
They are willing to do whatever to succeed
They have a lot of energy
They quit at the first sign of trouble
Which of the following is describes characteristics of OT Entrepreneurs?
They want to be in charge
They collaborate with others to achieve goals
They want to fill the gaps in the knowledge
They know their shortcomings and try to overcome them
They earn loyalty and respect because they help others succeed
