Admin & Finance - Section 1: Financial Reports & Budgeting Flashcards

1
Q

The income statement measures a company’s ____ ____ over a specific accounting period.

A

Financial performance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Financial performance is assessed by giving a summary of how the business incurs its ____ and ____ through both ____ and ____ activities.

A

Revenues and expenses; operating and non-operating activites.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The income statement shows the net profit or loss incurred over a specific accounting period, typically over a ____ ____ or ____.

A

Fiscal quarter or year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The income statement is also known as the “____ and ____ ____” or the “____ of ____ and ____”.

A

Profit and loss statement; statement of revenue and expense

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

A balance sheet is a financial statement that summarizes the company’s ____, ____, and shareholders’ ____ at a specific point in time.

A

Assets, liabilities, and shareholders’ equity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

A company’s assets, liabilities, and shareholders’ equity are balance sheet segments that give investors an idea as to what the company ____ and ____, as well as the amount invested by shareholders.

A

Owns and owes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The balance sheet aderes to the following formula: ____ + ____ = ____

A

Liabilities + shareholders’ equity = assets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A ____ ____ is a bookkeeping worksheet in which the balances of all ledgers are compiled into debt and credit columns.

A

Trial balance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A company prepares a trial balance periodically, usually at the ____ of every reporting period.

A

End

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The general purpose of producing a trial balance is to ensure the entries in a company’s bookkeping system are ____ ____.

A

Mathematically correct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The ____ ____ and ____ ____ combined makes up the components of the trial balance.

A

Income statement and balance sheet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

A trial balance is required to be presented ____ for the cost reporting period being reported.

A

Annually

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

A cash flow statement complements the ____ ____ and ____ ____.

A

Balance sheet and income statement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

A cash flow statement represents a ____ part of a company’s financial reports.

A

Mandatory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

A cash flow statement records the amount of ____ and ____ ____ entering and leaving a company.

A

Cash and cash equivalents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

A cash flow statement allows owners an understanding of: 1), 2), and 3).

A

1) How a company’s operations are running
2) Where money is coming from
3) How money is being spent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

The cash flow statement is partitioned into 3 segments: 1), 2), and 3).

A

1) Cash flow resulting from operating activities
2) Cash flow resulting from investing activities
3) Cash flow resulting from financial activities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The cash flow statement may include a disclosure of ____-____ ____ activities.

A

Non-cash financing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Cash basis accounting records incomes as it’s ____ and expenses as they’re ____.

A

Received; paid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is this an example of? As soon as you receive the check and deposit, you record in your books; as soon as you mail a check out or send a payment, it’s recorded as an expense.

A

Cash basis accounting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is this an example of? For a medical claim, the income is occurred when services are rendered but may not receive payment until 2-4 weeks later.

A

Accrual-based accounting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

RHC cost reporting requires what type of accounting?

A

Accrual-based accounting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

RHCs often have to convert financial statements from a ____ basis to ____ basis

A

Cash basis to accrual basis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

RHCs often have to convert financial statements from a ____ basis to ____ basis

A

Cash basis to accrual basis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

A term used to describe the reduction in the value of an asset over a number of years.

A

Depreciation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

A ____ ____ is a table that shows the depreciation amount over the span of the asset’s life.

A

Depreciation schedule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

For accounting and tax purposes, the ____ ____ is calculated and used to “write-off”the cost of purchasing high-value assets over time.

A

Depreciation expense

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Usually, a company will want to write-off the asset (meaning turn ____ into an ____) as soon as possible in order to increase the after-tax present worth, or profitability, of an asset.

A

Cost; expense

29
Q

RHC cost reporting requires ____-____ depreciations, using the AHA guidelines for useful life.

A

Straight-line

30
Q

What are the 3 major drivers of revenue for healthcare providers?

A

Provider productivity, internal fee schedule, and insurance payer allowables

31
Q

What are the 7 components of revenue for healthcare providers?

A

Provider productivity, internal fee schedule, insurance payer allowables, operating budget, payroll budget, expense budget, and capital budget

32
Q

What is clinical service revenue currently/mainly based on?

A

The productivity of the provider staff

33
Q

To determine the expected productivity and reimbursement for all provider staff, the ____ ____ of each individual provider and provider staff should be reviewed to forecast expected performance.

A

Historical production

34
Q

To determine the expected productivity and reimbursement for all provider staff, the current payer ____ and payer ____/____ should be reviewed.

A

Payer mix and payer schedules/reimbursement

35
Q

RHCs need to review ____ and ____ RHC rates.

A

Medicare and Medicaid

36
Q

Why are commerical payers more difficult to forecast?

A

Many do not release comprehensive fee schedules as Medicare and Medicaid.

37
Q

Refer to ____ when forecasting for commerical payers.

A

Contracts

38
Q

Forecast clinical revenue by applying allowables and RHC rates to the ____ ____ by payer.

A

Expected productivity

39
Q

It is critical to the performance of the RHC to periodically review and update your clinic’s ____ ____.

A

Fee schedule

40
Q

Clinics should know how the fee schedule was developed and implemented in order to: 1), 2), 3), and 4).

A

1) Compare to current costs
2) Compare to current Medicare Physician Fee Schedule (MPFS)
3) Assess fee schedule based on wRVUs (physician compensation mesaure)
4) Compare to commerical fee schedule

41
Q

When comparing the clinic fee schedule to the commerical fee schedule, be sure that the clinic fees cover the ____ ____.

A

Commercial allowable

42
Q

RHC Medicare will pay ____% of the rate.

A

80%

43
Q

With RHC Medicare, patients are responsible for co-insurance of at ____% of the fee.

A

20%

44
Q

What is the 2021 Part B deductible?

A

$198

45
Q

When is the “deductible season” that should be included in budgeting considerations?

A

January - March

46
Q

Which reimbursement varies by state: RHC Medicare or RHC Medicaid?

A

RHC Medicaid

47
Q

RHC Medicaid typically pays ____% of the PPS rate or the Medicare rate.

A

100%

48
Q

Medicaid Managed Care typically pays ____% of the encounter rate with a “wraparound” payment of ____% paid by the state.

A

90%; 10%

49
Q

What is self-pay dependent on? 5 items

A

1) Is the clinic a National Health Service Corps Loan Repayment site?
2) Must have a sliding fee schedule
3) Must have policies that you must include all patients
4) Clinic’s internal policies
5) Financial and collection policies must be equal for all payer types in order to claim Medicare bad debt on cost report

50
Q

____ and ____ policies must be equal for all payer types in order to claim Medicare bad debt on cost report

A

Financial and collection

51
Q

What 4 items does the operating budget consist of?

A

1) Statistical information (actual vs estimated)
2) Revenue budget
3) Payroll budget
4) Expense budget

52
Q

The ____ ____ is an estimation of the number of encounters of procedures expected from each of the clinic’s services, such as medical, mental health, and ancillary.

A

Statistical information

53
Q

After the first year of budgeting, how can the statistical budget be estimated quite accurately?

A

By using the previous year’s utilization and then adjusting for an expected rate of growth or change in program status.

54
Q

What 3 things does the revenue budget include?

A

1) Expected revenue
2) Adjustments to that revenue
3) Other receipts the clinic ultimately collects

55
Q

What 5 things does revenue include?

A

1) Fee income from third-parties and patients for services rendered
2) Grants
3) Donations
4) Income from space rental
5) Other miscellaneous income, if applicable

56
Q

TRUE or FALSE: Gross or total revenue generated from services rendered will be realized at 100%.

A

FALSE. Will not be realized at 100%.

57
Q

What causes gross or total revenue to not be realized at 100%?

A

Contractual allowances, patient fee for service discounts, and bad debt expense will reduce the amount that is ultimately collected.

58
Q

What 5 things will affect the actual reimbursement amount?

A

1) Clinic fee schedule
2) The number of encounters
3) The average charge per encounter
4) The percentage of charges collected
5) The contractual allowance

59
Q

List 6 examples of other income.

A

1) Rent income
2) Interest income
3) Grant income
4) Meaningful use income
5) Quality payments
6) Expense refunds

60
Q

What is the largest expense in most RHCs?

A

Payroll

61
Q

What can assume 40-60% of total revenue?

A

Provider payroll

62
Q

Why is it critical for the budgeting process to assess staffing costs associated with the clinic?

A

Because provider payroll can account for 40-60% of total revenue.

63
Q

What percentage of gross payroll will fringe benefits typically account for?

A

10%-25%

64
Q

Many clinic expenses are ____, but many others are ____.

A

Fixed; variable

65
Q

The expense budget should be developed based on ____ performance and adjusted for fluctuations in ____ and ____.

A

Historical; volume and inflation

66
Q

What are some examples of medical expenses?

A

Medical supplies, malpractice expenses, and continuing medical education

67
Q

What are some examples of facility expenses?

A

Rent expense, insurance, interest, depreciation expense, and housekeeping

68
Q

What are some examples of office expenses?

A

Office salaries, office supplies, professional fees (legal, accounting, and consulting), and telephone

69
Q

What are examples of non-reimburseable costs?

A

Bad debt, meals and entertainment, and contributions