Discussion: Number & Mix of Patients

Discussion: Number & Mix of Patients

Discussion: Number & Mix of Patients

Discussion: Number & Mix of Patients

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Week 6 assignment Each week, you are required to enter your patient encounters into CORE. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using this template . The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Submissions Area. When submitting your note, be sure to include the reference number from CORE. Submission Details: By the due date assigend enter your patient encounters into CORE and complete at least one SOAP note in the template provided. Name your SOAP note document SU_NSG6340_W6_SOAPLastName_FirstInitial.doc. Include the reference number from CORE in your document. Submit your document to the Submissions Area by the due date assigned.

These differences in patient mix, practice style, and proportion of practice devoted to specialty medicine may help explain some or all of the cost differentials between family physicians and general internists.

For example, Medicare claims may not include many factors that influence the cost of medical care, including specialty location, patient mix, other demographics, and practice costs.

The survey is conducted between 2 and 42 days after discharge using one of four approved survey modes: mail only, telephone only, mail with telephone follow-up of nonrespondents, and active Interactive Voice Response; scores are adjusted for survey mode and patient mix (also known as case mix) (Elliott et al.

I suspect my short-list approach to coding creates the impression that my patient mix is of low complexity.

Perhaps more importantly at this time, many hospitalists are subsidized by a health plan or the hospital where they work because their patient mix tends to include a high proportion of uninsured people.

Table 3: Estimated Revenue Budget and Reimbursement Rates Source Visits Patient Mix Reimbursement Rate Medicaid 10,690 40% $65 Medicare 5,345 20% $62 Third Party Insurance 2,672 10% $45 Self-Pay 8,017 30% $35 Total 26,724 100%

Lastly, rather than traditional physician practices which served a median of 7% self-pay and 0.1% charity care and professional courtesy care patients in 2001 (MGMA, 2002a), federal Community Health Centers (CHCs) have a more similar patient mix(Forrest & Whelan, 2000; McAlearney, 2002) and would be a better comparison group for ANMC.

* As you abide by an admissions policy aimed at ensuring the optimal blend of targeted patient mix available in your marketplace, you can allow the facility to operate uninterruptedly at a high occupancy rate.

* Achieving (within a range) estimates of service utilization for a particular physician or practice site based on an actuarial analysis of the physician’s patient mix using the variables of sex, age, and severity of illness.

Bradley and Gehlbach[12] reported on the involvement of the Duke-Watts family medicine program with two prepaid plans in 1983-1984, and the resultant changes in the clinic’s patient mix, clinical practice profile, financial, status, and educational programs.

With risk adjustment, differences in patient mix across hospitals can be taken into account such that hospitals caring for sicker patients are not unfairly penalized for their higher admission rates.

So if you’re going to put out how many knee surgeries someone is doing or how many Mohs surgeries someone is doing and you’re just basing it on one payer, depending on somebody’s patient mix you could miss the vast majority of what they’re doing,” Dr.

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