Modules
Module 2: Patient Care RevenueToolbox
Post-Test
  1. Which of the following is NOT a major source of clinic patient revenue?
    1. Public programs (Medicaid, SCHIP, and public and private nonprofit program contracts).
    2. Grants.
    3. Private pay (full pay, sliding fee scale or other reduced-fee arrangements, and minimum).
    4. Commercial insurance (indemnity and managed care).
  2. Which are the two key pieces of information needed to project patient care revenue for each payer source?
    1. Number of patient visits and average reimbursement per visit.
    2. Number of scheduled appointments and average reimbursement per visit.
    3. Urgency of treatment needs and relative value units.
    4. Length of appointment times and 50th percentile of usual, customary, and reasonable fees.
  3. Which of the following does NOT affect patient care revenue?
    1. Payer mix.
    2. Bad debt rate.
    3. Inefficient patient scheduling.
    4. Overhead expenses.
  4. How should clinics set their full fee schedules?
    1. Full fee schedules should be set at approximately 50 percent of the prevailing rates in the private sector.
    2. Full fee schedules depend on patients’ ability to pay.
    3. Full fee schedules should approximate prevailing rates in the private sector.
    4. Full fees should be the same as Medicaid fees.
  5. What are two key questions relevant to a clinic’s sliding fee schedule?
    1. What is the minimum fee, and what is the maximum fee?
    2. What is the minimum fee, and what is the policy for denying care because of inability to pay?
    3. What is the maximum fee, and how many people are in the family?
    4. What is the federal poverty level, and how many services did the patient receive?
  6. When a clinic enters into a contract, what type of obligation does the clinic incur?
    1. Renew the contract if additional funding becomes available.
    2. Hire new staff.
    3. Provide oral health services to patients covered by the contract.
    4. Inform the payer about all services provided.
  7. What are the two major sources of non-patient care revenue for clinics?
    1. Grants and fundraising.
    2. Grants and clinic fees.
    3. Fundraising and donations.
    4. Clinics do not usually have any other sources of revenue besides patient care revenue.