What does increasing the RU RUG % do financially for the facility?
Increases Revenue
100
If Average Units per visit for PT is 2, what does this equate to in minutes?
30 minutes
100
Name the 2 classifications of HMOs
Rugged and Levels
100
Describe the Calculation for Productivity
Treated minutes divided by paid labor time
100
What does P&L stand for?
Profit and Loss
200
If your Ops report says you are 90% in the PPS Efficiency Category, what does this mean operationally?
Over providing minutes on the RUG, not "Hugging" the RUG
200
What does Missed Med B Revenue indicate?
Efficiency of management of Part B coding to the 8 minute Rule, if bill 3 miinutes extra, achieve another unit
200
How many minutes are to be scheduled for a level patient?
Always refer to HMO contract
200
How does Therapist to Assistant Ratios impact Labor Cost?
The higher the Therapist to assistant ratio is, the more labor cost, example 1:2 is higher cost than 1:4
200
Describe the basic calculation of Gross Profit Margin Dollars or P&L
Revenue minus expenses
300
Name 2 components for development of Medicare A Census
Admissions and LOS
300
Describe the Med B utilization Calculation
Total number of residdents on caseload divided by the total Med B eligible pool
300
"True or False
Concurrent Treaments can be completed with HMO level residents"
TRUE
300
How does high use of Agency and per diems effect your Labor Cost?
Increased the cost
300
If Revenue is Consistent, and Wages increase, how is Gross Profit or P&L effected?
GPM Decreases
400
What 2 components drive the Revenue of a RUG
Rehab Minutes and ADL Score
400
What is the term used when billing a modality with another service code during the same time interval?
Code Stacking
400
True or False and Generally HMO Level Rate includes: All Medications, Room and Board, Therapy treatment, nursing food, and DME, orthotics and prosthetics
FALSE
400
What is a WAR?
Average Wage Rate- (Loaded is with benefits)
400
Name this financial term: Earnings before interest, taxes, depreciation, and amortization
EBITDA
500
Name 2 factors that affect LOS
Clinical Accuity, Therapist Knowledge, Patients Choice and family satisfaction, thorough treatment planning (CG training, HEP, higher level goal setting)
500
Why do we evaluate the Ther Ex Percentage?
To monitor and teach and train regarding proper coding, and code diversity
500
If we receive a rate for a level patient at $300 per day, and average therapist rate is $40 per hour, and we provide 60 minutes per discipline (PT/OT), what is left over for the facility to manage?
$220 (less than medicaid rate in some cases)
500
Name 2 factors that effect Cost Per minute
Productivity and Wage Rate
500
If Revenue is consistent, name 2 areas of control that could be used to increase Gross Profit or P&L %
Wage Rate, Productivity, Ratios of Therapist to Assistant, use of Agency