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What was developed in 1982 when the federal government instituted a payment system for medicare patients?
diagnostic related groups
What are diagnostic related groups?
services provided for hospital patients
What is a for-profit hospital?
large commercial systems
What are not-for-profit hospitals?
community based hospitals
What are examples of for profit hospitals in texas?
Methodist hospital, medical city, saint davids
What are examples of not-for-profit hospitals in texas?
Baylor scott, shriners, Covenant, university
What is a CPT?
current procedural terminology code
used to bill
How are revenue projections compiled?
historical data, patient day forecasts, regulatory charges, growth projections
How do we get final approval for a laboratory decision?
summary, benefits, data, financials and interpretations
What is a billable procedure?
test billed to a payer
like actual lab test on sample
What is a non-billable procedure?
a procedure that contributes to a test
like QC, calibration
What is micro costing?
accounting for all expenses related to a test
labor, supplies, interpretations
What is cost per reportable results?
cost of reagents and equipment needed to run the test
What are relative value units?
units that represent the complexity and time it takes to perform a test
The break even analysis is based on what principles?
costs increase, profits decrease
costs decrease, profits increase
volume increase, profits increase
volume decrease, profits decrease
What is the break even formula?
V = (FC + I) / (R - VC)
What are 5 areas of capital acquisitions?
cash flow
commitment buy in
cost time
tax impact
obsolescence risk-expected life cycle
What is the formula of ROI?
ROI = profit margin * assets turnover