Foreword | p. xv |
Preface | p. xvii |
Acknowledgments | p. xix |
Financial Management | |
Financial Management in Context | p. 3 |
Learning Objectives | p. 3 |
Introduction | p. 3 |
Purpose of Healthcare Financial Management | p. 4 |
Major Objectives of Healthcare Financial Management | p. 7 |
Quality Assessment and Healthcare Financial Management | p. 9 |
Effects of Quality on Profitability | p. 13 |
Organizational Ethics and Healthcare Financial Management | p. 14 |
Value of Healthcare Financial Management | p. 15 |
Effect of Financial Management on the Changing Face of Healthcare | p. 16 |
Financial Accounting Outline | p. 17 |
Economics Outline | p. 20 |
Statistics Outline | p. 25 |
Organization of Financial Management | p. 31 |
Learning Objectives | p. 31 |
Introduction | p. 31 |
Governing Body | p. 32 |
Alternative Corporate Structures | p. 44 |
Tax Status of Healthcare Organizations | p. 49 |
Learning Objectives | p. 49 |
Introduction | p. 49 |
Rationale for Tax-Exempt Status | p. 49 |
Value of Tax-Exempt Status | p. 50 |
Qualifying for Tax-Exempt Status | p. 51 |
IRS Challenges to Tax-Exempt Status | p. 61 |
Legislative Challenges to Tax-Exempt Status | p. 63 |
Recommended Readings-Part I | p. 69 |
Operating Revenue | |
Third-Party Payment | p. 75 |
Learning Objectives | p. 75 |
Introduction | p. 75 |
History of Third-Party Payment | p. 76 |
Managed Care Organizations | p. 78 |
Post-Managed Care | p. 83 |
Methods of Payment | p. 86 |
Cost Shifting | p. 90 |
Medicare and Medicaid | p. 99 |
Learning Objectives | p. 99 |
Introduction | p. 99 |
Medicare | p. 100 |
Medicaid | p. 109 |
Balanced Budget Act of 1997 | p. 134 |
Balanced Budget Refinement Act of 1999 | p. 138 |
Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 | p. 141 |
Medicare Prescription Drug Improvement and Modernization Act of 2003 | p. 143 |
Health Insurance Portability and Accountability Act of 1996 | p. 144 |
Federal Safe Harbors | p. 152 |
Cost Accounting | p. 161 |
Learning Objectives | p. 161 |
Introduction | p. 161 |
Methods of Classifying Costs | p. 161 |
Methods of Allocating Costs | p. 163 |
Methods of Assembling Costs | p. 165 |
Methods of Determining Product Costs | p. 168 |
Relationship of Costs to Volume and Revenue | p. 174 |
Setting Charges in Healthcare | p. 179 |
Learning Objectives | p. 179 |
Introduction | p. 179 |
Historic Context | p. 179 |
Healthcare Pricing Comes Under Public Scrutiny | p. 182 |
Methods of Setting Charges | p. 184 |
Future of Setting Charges | p. 187 |
Cost-Shift Pricing | p. 189 |
Recommended Readings-Part II | p. 192 |
Working Capital | |
Managing Working Capital | p. 197 |
Learning Objectives | p. 197 |
Introduction | p. 197 |
Definition of Working Capital | p. 197 |
Importance of Working Capital | p. 198 |
Sources of Working Capital | p. 198 |
Financing Temporary Working Capital Needs | p. 200 |
Managing Cash Flow | p. 203 |
Managing Accounts Receivable | p. 211 |
Learning Objectives | p. 211 |
Introduction | p. 211 |
Definition of Accounts Receivable | p. 211 |
Importance of Accounts Receivable | p. 213 |
Managemnt of Accounts Receivable | p. 214 |
From Accounts Receivable Management to Revenue Cycle Management | p. 220 |
Financing Accounts Receivable | p. 221 |
Federal Laws Governing Accounts Receivable | p. 221 |
Evaluating Accounts Receivable Performance | p. 223 |
Managing Materials | p. 227 |
Learning Objectives | p. 227 |
Introduction | p. 227 |
Definition of Materials and Inventory Management | p. 227 |
Importance of Materials Management | p. 227 |
Inventory Valuation | p. 228 |
Management of Inventory | p. 231 |
Recommended Readings-Part III | p. 238 |
Resource Allocation | |
Strategic and Operational Planning | p. 241 |
Learning Objectives | p. 241 |
Introduction | p. 241 |
Definition of Planning | p. 241 |
Prerequisites to Planning | p. 242 |
Types of Planning | p. 242 |
Corporate Planning | p. 244 |
Strategic Planning | p. 245 |
The Planning Process | p. 245 |
Operational Planning | p. 250 |
Evaluating Plan Performance | p. 253 |
Budgeting | p. 257 |
Learning Objectives | p. 257 |
Introduction | p. 257 |
Definition of Budgeting | p. 257 |
Prerequisites to Budgets | p. 258 |
Types of Budgets | p. 259 |
Steps in the Budgeting Process | p. 260 |
Evaluating Budget Performance | p. 267 |
Capital Budgeting | p. 275 |
Learning Objectives | p. 275 |
Introduction | p. 275 |
Definition of Capital Expenditures | p. 276 |
Types of Capital Expenditure Budgets | p. 277 |
Steps in the Capital Budgeting Process | p. 277 |
Financing Capital Expenditures | p. 285 |
Lease Versus Purchase Decisions | p. 287 |
Evaluating Capital Budgeting Performance | p. 289 |
Recommended Readings-Part IV | p. 292 |
Fiancial Analysis | |
Financial Analysis and Management Reporting | p. 295 |
Learning Objectives | p. 295 |
Introduction | p. 295 |
Steps in Financial Analysis | p. 295 |
Ratio Analysis | p. 303 |
Operating Indicators | p. 308 |
Financial Analysis and Annual Reports | p. 310 |
Recommended Reading-Part V | p. 313 |
Healthcare's Future | |
Future Trends | p. 317 |
Learning Objectives | p. 317 |
Past Prediction | p. 317 |
Healthcare Reform | p. 322 |
The Future of Healthcare | p. 332 |
The Economy and Healthcare | p. 338 |
Clinton Healthcare Plan | p. 340 |
Recommended Readings-Part VI | p. 346 |
List of Acronyms | p. 349 |
Glossary | p. 353 |
Index | p. 373 |
About the Author | p. 385 |
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