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Physician Practice Management WITH 100- SURE ANSWERS.
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Physician Practice Management WITH 100- SURE ANSWERS.
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10/14/24, 9:12 AMPhysician Practice Management
Jeremiah
Terms in this set (12)
- Lead the Group in a way consistent with their values.
- Lead meetings
- Hire the top administrative and medical leadership
What are the Roles of a President in a PGP?
- Provide leadership for the group
- Develop a vision for the group
- Represent the group
- Lead and manage operations and business affairs
- Lead Clinical Support Staff
What is the Role of an Administrator in a - Assure the group is profitable.
PGP? - Develop and carry out strategic initiatives
- Negotiate profitable payer contracts
- Represent the group in dealing with the community, hospitals, etc.
- Develop and lead the quality assurance program
What is the role of a Clinical Medical - Oversee the patient satisfaction survey
Director? - Develop and implement clinical info systems
- Deal with physician performance issues
- Identified as part of a respected, successful group
Physicians find value in being part of a
- Help "covering" patients when unavailable
group for the following reasons:
- Referrals and generation of new patients
- Generate Revenue by billing insurance, co-pays, deductibles, etc.
- Deduct expenses
What is the Traditional Model of payment?
- Earnings go toward physician salary
- Earnings of Group Practice are split using several different methods
- Generate revenue by billing a select, reduced number of patients for monthly fee
for nearly unlimited access to the physician
What is the Concierge Model of Payment? - Can accept insurance+monthly fee or just monthly fee.
- Deduct expenses
- Primary care physician needs approximately 250-1,500 patients.
- Generate revenue by billing patient directly for what is needed- NO INSURANCE;
What is the Direct Primary Care Model of no coding or claims.
Payment? - Deduct expenses
Physician Practice Management
- Primary care physicians need approximately 500-1,000 patients
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