A billing operation in an academic practice.
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Biomedical subjects
Publications and source records attributed to D V Shaw.
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A multilocus method of estimating mating system parameters in populations is presented that recovers information from classification over multiple loci that single-locus estimators do not detect. It is shown that the multilocus estimator provides a standard of reference (null hypothesis) that can be useful in analyzing the effects of factors such as population heterogeneity and post-mating zygotic selection on the transmission of genetic information at the population level.
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A-U-D-I-T...the very word instills fear in the hearts of many. We recently received a letter from the director of the University of Rochester's Internal Audit Department, notifying us that they had scheduled a routine operational audit of our department. What is an "operational audit"? What is meant by "routine"? Who are these internal auditors and what do they want from us? This article illustrates two actual experiences: an operational audit and the process used to develop and implement standards and practices consistent with an auditor's recommendations. Additionally, it provides information on what an auditor looks for during an audit, and lastly, provides tips on how to prepare for a "painless" audit.
During the past 12 years, the number of uninsured has continued to climb. A sign of hope occurred in 1999, however; a decline of 1.7 million people was registered. While this decrease brings optimism of a new downward trend replacing the old upward trend, the number of uninsured remains unacceptably high-42.6 million people. Additionally, a significant portion of the 1.7 million people who were able to obtain health insurance were individuals covered by employment-based insurance, leading one to believe that the decline in the uninsured that we saw in 1999 might be connected to the US economy's full employment status. Supporting this thought is the Census Bureau's finding that the 10.4 million poor who had no health insurance in 1998 did not change significantly in 1999. This article provides a profile of the uninsured and describes how health care's evolution towards a market place commodity has contributed to America's unacceptably high number of uninsured. After reviewing various programs and initiatives launched in an attempt to expand health care coverage, a summary of problems with the current program is provided. An alternative is offered.
In the pursuit of clinical excellence in today's competitive medical market place, practice managers--clinical or non-clinical--can loose sight of standard management and business principles that are key to success. Also, at times individuals are hesitant to identify a physician practice as a 'business,' preferring to see it as a social good. Still, it is a business--perhaps dealing with a product that is a social good, but still, a business. And, as such, benefits can be derived from a review of business management theory. This article provides a brief review of such theory and also illustrates how to apply this theory to the physician's practice. Key factors in building a successful business will be discussed and applied to the clinical practice, such as resource maximization, rate of return and product mix synergy. Some tools to assist the reader in analyzing their practice will also be provided, such as the RVU Analysis and the Ratio of Service Analysis.
One of the major challenges facing today's health care executive is that of achieving maximum efficiency. The public also requires an efficient health care system. However, a problem occurs when the health care executive defines "efficiency" in a manner that is diametrically opposed to the public's definition. Maximum efficiency in the physician practice is defined by productivity equal to capacity. Maximum efficiency of the health care system is defined by lower health care costs. If the physician practice is achieving its goal of maximum efficiency, the market economy will likely force a failure in achieving the public's goal of a lower cost health care system! The following case study provides an opportunity to review this health care management conundrum and offers insights into a possible approach for some solution through attention to physician compensation.