MHA 600 Flashcards

1
Q

Billed for Patient Services Rendered

Where on the Balance Sheet and Income Statement?

A

Income Statement-CREDIT-Patient Services Revenue

Balance Sheet-DEBIT-Accounts Receivable
Balance Sheet-NO CREDIT

(If there is an income statement CREDIT, there is no balance sheet CREDIT)

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2
Q

Made Payment on Bank Loan

Where on the Balance Sheet and Income Statement?

A

NOT ON INCOME STATEMENT

Balance Sheet-DEBIT-Bank Loan
Balance Sheet-CREDIT-Cash

There must be a balance sheet DEBIT and CREDIT if not on the income statement.

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3
Q

Purchased Equipment for Lab

Where on the Balance Sheet and Income Statement?

A

NOT ON INCOME STATEMENT

Balance Sheet-DEBIT-Equipment
Balance Sheet-CREDIT-Cash

There must be a balance sheet DEBIT and CREDIT if not on the income statement.

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4
Q

Purchased Medical Supplies

Where on the Balance Sheet and Income Statement?

A

NOT ON INCOME STATEMENT

Balance Sheet-DEBIT-Inventory/Supplies
Balance Sheet-CREDIT-Accounts Payable

There must be a balance sheet DEBIT and CREDIT if not on the income statement.

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5
Q

Annual Change in Accumulated Depreciation

Where on the Balance Sheet and Income Statement?

A

Income Statement-DEBIT-Depreciation Expense

Balance Sheet-NO DEBIT
Balance Sheet-CREDIT-New Depreciation

If there is an income statement DEBIT, there is no balance sheet DEBIT

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6
Q

Received Draw from Bank Loan

Where on the Balance Sheet and Income Statement?

A

NOT ON INCOME STATEMENT

Balance Sheet-DEBIT-Cash
Balance Sheet-CREDIT-Bank Loan

There must be a balance sheet DEBIT and CREDIT if not on the income statement.

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7
Q

Estimated Bad Debts for the Year

Where on the Balance Sheet and Income Statement?

A

Income Statement-DEBIT-Less Bad Debt

Balance Sheet-CREDIT-Less Allowance for Bad Debts
Balance Sheet-NO DEBIT

If there is an income statement DEBIT, there is no balance sheet DEBIT

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8
Q

Made payment to CMS for retro billing audit findings

Where on the Balance Sheet and Income Statement?

A

Income Statement-DEBIT-less bad debt

Balance Sheet-NO DEBIT
Balance Sheet-CREDIT-Cash

If there is an income statement DEBIT, there is no balance sheet DEBIT

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9
Q

Received cash collections on patient billings

Where on the Balance Sheet and Income Statement?

A

NOT ON Income Statement

Balance Sheet-DEBIT-Cash
Balance Sheet-CREDIT-Accounts Receivable

There must be a balance sheet DEBIT and CREDIT if not on the income statement.

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10
Q

Medical Supplies Used in Patient Care

Where on the Balance Sheet and Income Statement?

A

Income Statement-DEBIT-Expenses

Balance Sheet-CREDIT-Supplies
Balance Sheet-DEBIT-NOT USED

If there is an income statement DEBIT, there is no balance sheet DEBIT

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11
Q

Received Bill for Property Taxes on Equipment

Where on the Balance Sheet and Income Statement?

A

Income Statement-DEBIT-Expenses

Balance Sheet-CREDIT-Accounts Payable
Balance Sheet-DEBIT-Not on Balance Sheet

If there is an income statement DEBIT, there is no balance sheet DEBIT

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12
Q

Made dividend payment to stockholders

Where on the Balance Sheet and Income Statement?

A

Income Statement-NOT on Income Statement

Balance Sheet-DEBIT-Dividends
Balance Sheet-CREDIT-Cash

There must be a balance sheet DEBIT and CREDIT if not on the income statement.

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13
Q

Paid Bill to Sodexco for EVS Consulting

Where on the Balance Sheet and Income Statement?

A

Income Statement-DEBIT-Administrative Expenses

Balance Sheet-DEBIT-Not on there
Balance Sheet-CREDIT-Cash

If there is an income statement DEBIT, there is no balance sheet DEBIT

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14
Q

Storeroom Destroyed out of date stock

Where on the Balance Sheet and Income Statement?

A

Income Statement-DEBIT-Supplies

Balance Sheet-DEBIT-not on sheet
Balance Sheet-CREDIT-Supplies Inventory

If there is an income statement DEBIT, there is no balance sheet DEBIT

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15
Q

Received Investment Income

Where on the Balance Sheet and Income Statement?

A

Income Statement-CREDIT-Investment Income

Balance Sheet-DEBIT-Cash
Balance Sheet-NOTHING on CREDIT

If there is an income statement CREDIT, there is no balance sheet CREDIT

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16
Q

Paid Expenses for Corporate Shared Services

Where on the Balance Sheet and Income Statement?

A

Income Statement-DEBIT-Admin Expenses

Balance Sheet-DEBIT-not on balance sheet
Balance Sheet-CREDIT-Cash

If there is an income statement DEBIT, there is no balance sheet DEBIT

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17
Q

Paid Interest Expense on bank loan

Where on the Balance Sheet and Income Statement?

A

Income Statement-DEBIT-Expenses Interest

Balance Sheet-DEBIT-not on balance sheet
Balance Sheet-CREDIT-Cash

If there is an income statement DEBIT, there is no balance sheet DEBIT

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18
Q

Paid NC State for Lean State Pricess Improvement

Where on the Balance Sheet and Income Statement?

A

Income Statement-DEBIT-Admin Expenses

Balance Sheet-DEBIT-not on balance sheet
Balance Sheet-CREDIT-Cash

If there is an income statement DEBIT, there is no balance sheet DEBIT

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19
Q

Paid Staff Bonus for meeting year end KPI goals

Where on the Balance Sheet and Income Statement?

A

Income Statement-DEBIT-Expenses

Balance Sheet-nothing on DEBIT
Balance Sheet-CREDIT-Cash

If there is an income statement DEBIT, there is no balance sheet DEBIT

20
Q

Employee Salaries Earned

Where on the Balance Sheet and Income Statement?

A

Income Statement-DEBIT-Expense Salary

Balance Sheet-DEBIT-not on balance sheet
Balance Sheet-CREDIT-Salaries

If there is an income statement DEBIT, there is no balance sheet DEBIT

21
Q

Employee Salaries Paid

Where on the Balance Sheet and Income Statement?

A

Income Statement-NOT ON INCOME STATEMENT

Balance Sheet-DEBIT-Salaries
Balance Sheet-CREDIT-Cash

22
Q

Examples of Fixed Costs

A

Labor Costs as long as they’re in a relevant range
Expenditures on facilities
Expenditures on dx equipment
Expenditures on information systems

23
Q

Examples of Variable Costs

A

Volume dictates variable costs
Clinical supplies
Leased equipment if it is per procedure

24
Q

What is underlying cost structure

A

The relationship between fixed and variable cost and volume

25
What is total cost calculation
total variable cost+fixed cost
26
What is Cost and Volume Profit Analysis
CVP- Use a base case for volume and fixed cost Look at variable cost on a per unit basis The higher volume leads to higher total costs
27
Differentiate bewteen P&L Statement and Income Statement
P&L is for decision-making; IS is for GAAP (Generally Accepted Accounting Principles) P&L can be made for subunits and not for entire organizations
28
P&L Calculation for Breakeven
Total Revenue-Total Variable Costs-Direct Fixed Costs-Overhead=$0 Profit
29
What is the contribution margin
Total Revenues - Total Variable Cost
30
Discounted FFS Profit Analysis Equation
(Undiscounted Revenue-Discounted Revenue) -----Total Revenue Total Revenue - Total Variable Costs ----this makes the contribution margin Contribution Margin-Fixed Cost-Overhead=Profit
31
Capitated Analysis
Higher volume will bring lower revenue
32
What are Direct Costs
The costs directly related to the cost of the department | lab, managers, technicians
33
Examples of indirect costs
space infrastructure general admin overhead costs
34
Relationship between fixed, variable, direct and indirect costs
FIXED-Contain direct and indirect costs not related to the volume of services VARIABLE-Only Direct Costs related to the volume of services DIRECT-Fixed and Variable that are tied directly to a subunit INDIRECT-Usually only fixed-Overhead costs that are shared resources
35
Relationship between cost pool, cost driver, allocation rate and allocation process
Cost pool-costs to be allocated Cost driver-basis that allocation is made Allocation Rate=Cost Pool/Cost Driver ``` Allocation Process 1-Determine the cost pool 2-Determine the cost driver 3-Calculate the allocation rate 4-Determine the allocation amount ```
36
Once the Cost to Charge Ratio is calculated, it is used to determine the overhead costs
ServiceOverhead cost = CCR x Service Charge
37
Full Service Cost is calculated by what method
Direct cost + Indirect Cost
38
How do you calculate average cost per visit
Total Costs/Number of Visits
39
CCR -What is it and what are the calculations
``` Indirect Costs (Overhead) are proportional to everyone Charges reflect the level of intensity of the service provided. ``` Cost to Charge Ratio=Indirect Costs/Total Charges
40
Relative Value Unit-What is it and what are the calculations
RVU-ties the use of overhead resources to complexity and time required for each service. RVU X Volume=Total RVU Overhead cost/Total RVU Cost X RVU service
41
ABC Method and what are the calculations
Identify the activities Estimate the activity (direct and indirect) Assign cost drivers Collect Activity Data Calculate total cost of services by aggregating activity costs
42
Providers as Price Takers
Insurers can set because providers are at mercy of competitive market
43
Providers as price setters
set price because of the lack of competition and the value of the service that they provide
44
Price setting strategies
Full Cost Pricing Marginal Cost Pricing Target Costing Cross Subsidization
45
Full Cost Pricing
Direct Variable Cost Direct Fixed Cost Overhead Profit
46
Marginal Cost Pricing
Mostly temporary measure for costs based on certain volume
47
Target Costing
Must lower cost to gather revenue