Second weekend lecture

Question 1

Basic Steps for Network Contracting

Answer 1

Know your costs
• Volume doesn’t necessarily make up for low contract rates
• Antitrust laws prevent you from just using others’ costs… they can be
a starting point
• Consult with Attorney for contract review
• Negotiate
• Rank priorities (low, medium, high… walk away if don’t get high
priorities) examples: audits, paperwork requirements
• Assignment clauses (PPO stacking or silent PPO’s)
• See the fee schedule in advance (if used)
• Claims time limits
• Termination Clauses
• Prior Authorization

Question 2

Payment Methodologies think like fee for service or like per diem

Answer 2

Fee-for-Service
• Per-Visit (Per Diem)
• Per Episode ( certain amount of days)
• Capitation ( fixed rates depending on the service)
• Multiple Procedure or Cascade (bundle package)
• Patient (Self-pay)

Question 3

Human Resources (HR): Recruitment

Answer 3

Personnel recruitment
• Employee talent & expertise important business asset
• Human Capital…… retaining employees, hiring from within (training &
recruitment costs)
• Seasoned professionals
• Recent graduates
• All potential Employees

Question 4

what is human capital and what are the 3 asssests that make it up

Answer 4

skills, roles. people Human capital is the stock of knowledge, habits, social and personality attributes, including creativity, embodied in the ability to perform labor so as to produce economic value.

Alternatively, Human capital is a collection of resources—all the knowledge, talents, skills, abilities, experience, intelligence, training, judgment, and wisdom possessed individually and collectively by individuals in a population

Question 5

explain the INTERVIEW process HR

Answer 5

Plan
• Screen
• Prepare questions in advance
• During interview
• Establish rapport
• Explain process
• Gather information
• Allow time for questions
• Conclude interview
• After the interview
• Complete assessment, compare notes/discuss, check references,
make decision, make offer, inform candidates

Question 6

what questions are not allowed in the interview process to avoid any kind of possible discrimination???

Answer 6

• How old are you?
• Have you ever been arrested?
• Are you married?
• Do you have children?
• Are you a US citizen?
• Do you belong to any clubs?
• Do you live nearby?

Question 7

review page 6

Answer 7

review page 6

Question 8

how does the FSBPT define competency and continuing competency

Answer 8

the application of knowledge skills and behavior to function effectively safely, ethically and legally within in the confines of our scope of practice

continuing competency - is the ongoing development and self assessment, continuing education, and always bettering oneself basically and continuing to document and treat effectively and efficiently.