MGMA Medical Practice Evaluation Tool Question Title * 1. How often are payer reimbursements formally audited? Monthly Quarterly Semiannually Annually Never OK Question Title * 2. How often is a physician chart audit conducted on their CPT and ICD codes? Quarterly Semiannually Annually Every 2+ Years Never We do not track OK Question Title * 3. Do you perform prior authorizations? Yes No Unsure OK Question Title * 4. Do you have segregation of duties and other internal controls documented through policies and procedures? Yes No Unsure OK Question Title * 5. How often are all payer contracts reviewed? Monthly Quarterly Annually Every 2 years Never OK Question Title * 6. How often do you conduct financial analysis/benchmarking with budget? Monthly Quarterly Semiannually Annually Never OK Question Title * 7. Is there a policy/procedure in place to deal with employee disciplinary action? Yes No Unsure OK Question Title * 8. What methods do you use to build a staffing plan? (Select all that apply) Review the strategic plan and operating budgets. Utilize industry data, including staffing metrics. (MGMA, specialty society, other) Variables related to ancillary services, physician needs and preferences, workflow, and other factors. The impact of technology to reduce or increase the number and type of staff needed. OK Question Title * 9. How often do you review safety policies and procedures? Monthly Quarterly Annually Every 2 years or more Never Don't have one OK Question Title * 10. How often are formal (documented) staff performance reviews conducted? Monthly Annually Biannually Every 2 years Never OK Question Title * 11. Can patients fill out and submit paperwork prior to the visit? Yes No Unsure OK Question Title * 12. Do you offer interpreters in compliance with ADA? Yes No Unsure OK Question Title * 13. How often do you make regular rounds of the practice space to identify maintenance and safety repair issues? Daily/Weekly Monthly Quarterly Semiannually Annually Never OK Question Title * 14. Do you have a back-up or downtime procedure? Yes No Unsure OK Question Title * 15. Do you analyze inbound or outbound referrals to assist with your marketing efforts? Yes No Unsure OK Question Title * 16. Are systems in place for the answering services to reach the on-call physicians, cell phone, or other? Yes No Unsure OK Question Title * 17. Do you track Social Determinates of Health (SDOH)? Yes No Unsure OK Question Title * 18. Do you educate staff on Federal and State requirements and reporting? (e.g., HIPAA, OSHA, fraud and abuse, biohazard, documentation and reporting standards, epidemic response requirements) Yes No Unsure OK Question Title * 19. Do you have a Safety Data Sheet (SDS) for all hazardous materials in the office? Yes No Unsure OK Question Title * 20. Do you have staff training for cybersecurity in place? Yes No Unsure OK Question Title * 21. Do you have a physician peer review process? Yes No Unsure OK Question Title * 22. Do you have a mission, vision and values? Yes No OK NEXT
