HSCI 4300 CH 10-12
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School
California State University, Stanislaus *
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Course
4300
Subject
Health Science
Date
Feb 20, 2024
Type
Pages
2
Uploaded by ElderExploration12951
HSCI 4300
INTRODUCTION TO HEALTH CARE MANAGEMENT
Chapters 10 - 12 Q’s
1. What is a contractual allowance?
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This is the maximum dollar amount an insurance carrier will reimburse a provider for
services rendered based on the CPT code. Contractual amounts are usually negotiated
with third-party payors and are set by the CMS for Medicare and Medicaid covered
patients.
2.
What does the term ‘contribution margin’ refer to?
-
It refers to how much profit is obtained after variable cost per unit of service is removed
from revenue obtained from each unit of service. Another way of looking at the
contribution margin is how much revenue is contributed to paying for fixed costs before
the break-even point is achieved.
3. What is board certification a form of?
-
Voluntary demonstrations of competency within a specialty; serves as a proxy for quality.
4. What percentage of physicians in the United States were International Medical Graduates
(IMGs) in 2013?
-
In 2013, IMGs represented 24% of the practicing physician population in the U.S.
5. Where do Licensed Practical Nurses and Licensed Vocational Nurses typically work?
-
According to the BLS, they typically work in nursing homes and extended care facilities,
hospitals, physicians’ offices, and private homes.
6. What are the related tasks for workforce planning and recruitment?
-
Components of strategic workforce planning include evaluating the current talent as
employees leave the organization, anticipating future talent needs, estimating potential
barriers to hiring and developing and implementing an effective strategy for analyzing the
workforce
7. What can third-party websites assist the Human Resources staff with?
-
Third-party websites can facilitate online job postings for healthcare institutions or offer
resume referral services to jobseekers.
8. When does negotiation of an employment offer by a candidate occur?
-
Offers of employment are typically contingent on a successful background check.
Depending on the position, there may be a period of negotiation over salary, benefits,
start time, flexible scheduling, and other issues.
9. What are not-for-profit organizations and what is their tax status?
-
These organizations have taken care of the poor, needy, and indigent residents of
communities and have been granted tax-exempt status.
10. What are ‘accounts receivable’ funds?
-
They are funds that are owed to the health care organization but have not yet been
recieved.
11. What type of tax form does a for-profit file? What type of tax form does a not-for-profit file?
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For-profit: must file an annual for-profit tax return.
-
Not-for-profit: must file the IRS 990 annual corporate tax return, including a community
services benefits report.
12. Define ‘structured interviews’ and ‘behavioral-based questioning’.
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Structured interviews are a script with clearly defined questions to assess job candidates.
Behavioral-based questioning focuses on the candidate’s response to questions that yield
insight into actions taken in particular situations.
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