MGMA ANSWERS AND QUESTIONS SET A+
✔✔Straight Salary Pros - ✔✔easiest to understand and use
✔✔Straight Salary Cons - ✔✔Does not encourage quality improvements or cost savings
✔✔Salary plus bonus pros - ✔✔May encourage quality and productivity improvements
✔✔Salary plus bonus cons - ✔✔Bonus criteria must be carefully chosen
✔✔Equal shares pros - ✔✔Physicians typically watch resource use
✔✔Equal shares cons - ✔✔Can create conflict
✔✔Pay for performance pros - ✔✔Incentivizes performance and quality objectives
✔✔Pay for performance cons - ✔✔Complex and more difficult to track and administer
✔✔Productivity-based pro - ✔✔Extra effort and cost savings are rewarded
✔✔Productivity-based con - ✔✔May create competitive environment amount physicians
✔✔Full partner, Senior Physician - ✔✔These are physicians who may have founded or
started the practice or who worked there for many years and earned a partnership.
These contracts will consist of more benefits and privileges' than the other contract
types
✔✔Associate or New Physician - ✔✔These are contracts for new physicians joining the
practice. The practice may offer part ownership or partnerships to new physicians, or
they may be considered employees.
✔✔Locum tenens or fill-in physicians - ✔✔Contracts for physicians that may work at the
practice during times when the regular practice physicians are taking time off for various
reasons. They may see patients for a few days, weeks, or for months at a time.
, ✔✔Special circumstance - ✔✔There may be times when the practice requires extra
coverage on a part time or on call basis. Contracts will need to provide details of the
circumstances, maximum and minimum number of hours required, etc.
Employment status should be spelled out in the contract, explaining whether the
physician is considered an owner, partner, employee, or independent contractor.
✔✔Credentialing - ✔✔verification and review of the applicants education, training, and
experience, and licensing to practice medicine
✔✔Patient relations - ✔✔ensuring that the patients are satisfied with the care and
treatment they receive while visiting the facility and that any complaints or concerns are
addressed should be part of every physicians job.
✔✔Provider benchmarks - ✔✔consist of key performance indicators associate with
each item being measured
✔✔Which sentence describes an equal share-based physician compensation plan?
A. Physicians are paid according to attribute panel size
B. Physicians are paid an annual salary based on the regional market
C. All physicians in the practice are paid an equal share of the revenue after expenses
have been paid
D. Physicians are paid shares of the revenue based on their schedules or work hours -
✔✔C. All physicians in the practice are paid an equal share of the revenue after
expenses have been paid
✔✔Which is a way expenses can be allocated when calculating physicians
compensation?
A. Square footage
B. Panel Size
C. Participation in alternate payment systems
D. Participation in service recovery programs - ✔✔A. Square footage
✔✔Quality management programs - ✔✔used to reduce errors and improve patient care
✔✔Utilization review accreditation commission (URAC) - ✔✔evaluating the medical
necessity, appropriateness, and efficiency of healthcare services, procedure, and
facilities.
✔✔Prospective reviews - ✔✔review of medical necessity prior to the procedure,
treatment, or services being provided
✔✔Concurrent reviews - ✔✔review of medical necessity decisions while procedure,
service, or treatment is being provided
✔✔Straight Salary Pros - ✔✔easiest to understand and use
✔✔Straight Salary Cons - ✔✔Does not encourage quality improvements or cost savings
✔✔Salary plus bonus pros - ✔✔May encourage quality and productivity improvements
✔✔Salary plus bonus cons - ✔✔Bonus criteria must be carefully chosen
✔✔Equal shares pros - ✔✔Physicians typically watch resource use
✔✔Equal shares cons - ✔✔Can create conflict
✔✔Pay for performance pros - ✔✔Incentivizes performance and quality objectives
✔✔Pay for performance cons - ✔✔Complex and more difficult to track and administer
✔✔Productivity-based pro - ✔✔Extra effort and cost savings are rewarded
✔✔Productivity-based con - ✔✔May create competitive environment amount physicians
✔✔Full partner, Senior Physician - ✔✔These are physicians who may have founded or
started the practice or who worked there for many years and earned a partnership.
These contracts will consist of more benefits and privileges' than the other contract
types
✔✔Associate or New Physician - ✔✔These are contracts for new physicians joining the
practice. The practice may offer part ownership or partnerships to new physicians, or
they may be considered employees.
✔✔Locum tenens or fill-in physicians - ✔✔Contracts for physicians that may work at the
practice during times when the regular practice physicians are taking time off for various
reasons. They may see patients for a few days, weeks, or for months at a time.
, ✔✔Special circumstance - ✔✔There may be times when the practice requires extra
coverage on a part time or on call basis. Contracts will need to provide details of the
circumstances, maximum and minimum number of hours required, etc.
Employment status should be spelled out in the contract, explaining whether the
physician is considered an owner, partner, employee, or independent contractor.
✔✔Credentialing - ✔✔verification and review of the applicants education, training, and
experience, and licensing to practice medicine
✔✔Patient relations - ✔✔ensuring that the patients are satisfied with the care and
treatment they receive while visiting the facility and that any complaints or concerns are
addressed should be part of every physicians job.
✔✔Provider benchmarks - ✔✔consist of key performance indicators associate with
each item being measured
✔✔Which sentence describes an equal share-based physician compensation plan?
A. Physicians are paid according to attribute panel size
B. Physicians are paid an annual salary based on the regional market
C. All physicians in the practice are paid an equal share of the revenue after expenses
have been paid
D. Physicians are paid shares of the revenue based on their schedules or work hours -
✔✔C. All physicians in the practice are paid an equal share of the revenue after
expenses have been paid
✔✔Which is a way expenses can be allocated when calculating physicians
compensation?
A. Square footage
B. Panel Size
C. Participation in alternate payment systems
D. Participation in service recovery programs - ✔✔A. Square footage
✔✔Quality management programs - ✔✔used to reduce errors and improve patient care
✔✔Utilization review accreditation commission (URAC) - ✔✔evaluating the medical
necessity, appropriateness, and efficiency of healthcare services, procedure, and
facilities.
✔✔Prospective reviews - ✔✔review of medical necessity prior to the procedure,
treatment, or services being provided
✔✔Concurrent reviews - ✔✔review of medical necessity decisions while procedure,
service, or treatment is being provided
