Issues in Cost Accounting for Health Care Organizations / Edition 1

Issues in Cost Accounting for Health Care Organizations / Edition 1

by Steven A. Finkler
     
 

ISBN-10: 0834205297

ISBN-13: 9780834205291

Pub. Date: 01/28/1994

Publisher: Wolters Kluwer Law & Business

This new second edition is based on a thorough literature review of all cost accounting articles published in the last five years. It is an excellent resource for readings on the topic of health care cost measurement and analysis, this text provides the insights of leading authorities in the area of health care costs. Each article is linked with the conceptual…  See more details below

Overview

This new second edition is based on a thorough literature review of all cost accounting articles published in the last five years. It is an excellent resource for readings on the topic of health care cost measurement and analysis, this text provides the insights of leading authorities in the area of health care costs. Each article is linked with the conceptual discussion in the companion volume, Essentials of Cost Accounting for Health Care Organizations.

Features:

  • A combination of classic articles and the most recent published applications of cost accounting to the health care setting (it is the most complete compilation of articles on the topic of health care cost accounting)
  • Has a new focus on not only hospitals, but also other types of health care providers including managed care, nursing homes, home health, clinics, and physician practices
  • Each article provides insight about a specific potential problem area in the management of health care organizations.

Read More

Product Details

ISBN-13:
9780834205291
Publisher:
Wolters Kluwer Law & Business
Publication date:
01/28/1994
Edition description:
Older Edition
Pages:
287

Table of Contents

Preface
Pt. ICost Accounting Foundations1
Ch. 1Introduction to Cost Accounting5
Reading 1-1Reader's Forum: The Value of a Cost Accounting System5
Reading 1-2Understanding the Hospital Cost Accounting Process8
Reading 1-3The Human Element in Cost Accounting14
Ch. 2Cost Definitions19
Reading 2-1The Identification of Surgical Services Costs19
Reading 2-2Cost Finding for High-Technology, High-Cost Services: Current Practice and a Possible Alternative24
Reading 2-3Horizontal Accounting Considered for the Hospital Setting37
Reading 2-4Costing Out Nursing Services44
Reading 2-5Cost Accounting for Emergency Services49
Ch. 3Product Costing56
Reading 3-1Job-Order Costing in Physician Practice56
Reading 3-2Product Cost Analysis in the Clinical Laboratory62
Reading 3-3Product Costing for Health Care Firms71
Reading 3-4A Microcosting Approach81
Ch. 4Cost Allocation85
Reading 4-1The Distinction between Cost and Charges85
Reading 4-2Using Reciprocal Allocation of Service Department Costs for Decision Making98
Reading 4-3RVUs: Relative Value Units or Really Very Useful?104
Reading 4-4Alternative Costing Methods in Health Care111
Reading 4-5Accounting for the Move to Ambulatory Patient Groups116
Reading 4-6Cost Allocation in the Emergency Department128
Ch. 5Costing for Nonroutine Decisions134
Reading 5-1HMO Negotiations and Hospital Costs134
Reading 5-2Capitated Hospital Contracts: The Empty Beds versus Filled Beds Controversy138
Reading 5-3Privatization in Health Care Institutions142
Reading 5-4Considering Cost Effectiveness in the Hospital Setting152
Reading 5-5Cost-Effectiveness Analysis in Health Care156
Ch. 6Cost-Volume-Profit Analysis165
Reading 6-1Breakeven Analysis for Capitated Arrangements165
Reading 6-2Managed Care and Breakeven Analysis: A Clarification167
Reading 6-3Using Breakeven Analysis with Step-Fixed Costs171
Reading 6-4Alternative Contribution Margin Measures176
Pt. IICost Accounting Information for Planning and Control181
Ch. 7Predicting Future Costs183
Reading 7-1Regression-Based Cost Estimation and Variance Analysis: Resolving the Impact of Outliers183
Reading 7-2The Learning Curve and the Health Care Industry189
Ch. 8Budgeting197
Reading 8-1The Financial Evolution of Hospitals and the Zero-Base Budget Approach197
Reading 8-2Zero-Based Budgeting for a Radiology Service: A Case Study in Outsourcing205
Reading 8-3Developing and Using a Budget Manual211
Reading 8-4Outcome Budgeting Shifts Focus to Meeting Objectives215
Reading 8-5Flexible Budgeting Allows for Better Management of Resources As Needs Change224
Ch. 9Flexible Budgeting and Variance Analysis229
Reading 9-1Physician Cost Variance Analysis under DRGs229
Reading 9-2A Contemporary Approach to Budget Variance Analysis: A Pharmacy Application233
Reading 9-3Rolling Budgets and Variance Reports241
Reading 9-4Statistical Cost Control: A Tool for Financial Managers245
Ch. 10Management Control250
Reading 10-1Developing a Planning and Control System for a Responsibility Unit250
Reading 10-2Cost Control Systems253
Reading 10-3Competitive Pricing Models for Intra-Hospital Services259
Reading 10-4Transfer Pricing in the Hospital-HMO Corporation262
Pt. IIIAdditional Cost Accounting Tools to Aid in Decision Making267
Ch. 11Cost Accounting Ratios269
Reading 11-1Ratio Analysis: Use with Caution269
Reading 11-2Hospital Industry Cash Flow Ratio Analysis: A Sufficiency and Efficiency Perspective278
Reading 11-3Ratio Analysis for the Development Office of Health Care Institutions283
Ch. 12Measuring Productivity289
Reading 12-1Productivity Management: A Model for Participative Management in Health Care Organizations289
Ch. 13Inventory300
Reading 13-1Inventory Management System Reaps Savings for Department300
Ch. 14Dealing with Uncertainty307
Reading 14-1Decision Analysis and Capital Budgeting: Application to the Delivery of Critical Care Services307
Reading 14-2Expected Value Technique Useful in HMO Negotiations: Tool Helps Managers Consider Potential Outcomes of Bidding Process315
Reading 14-3Decision Making under Uncertainty: A Linear Programming Approach324
Ch. 15Information Systems for Costing329
Reading 15-1Saving Money throughout the Cost Accounting Installation Cycle329
Reading 15-2Cost Accounting Software Design337
Reading 15-3An Integrated Planning and Management Control System for Hospitals342
Ch. 16Performance Evaluation and Incentive Compensation347
Reading 16-1Measuring Segment Performance: New Ventures of Today's Innovative Hospital System Pose Evaluation Challenges347
Reading 16-2The Impact of Motivation and Incentive Programs on Financial Budgets354
Pt. IVCost Accounting for the Year 2000 and Beyond363
Ch. 17New Approaches to Cost Accounting365
Reading 17-1Activity-Based Costing in the Operating Room at Valley View Hospital365
Reading 17-2Activity-Based Costing for Hospitals371
Reading 17-3ABC Estimation of Unit Costs for Emergency Department Services385
Ch. 18Total Cost Management: Measuring the Costs of Quality393
Reading 18-1Measuring the Costs of Quality393
Reading 18-2Total Quality Management: An Application in a Biomedical Laboratory399
Index405
About the Authors421

Read More

Customer Reviews

Average Review:

Write a Review

and post it to your social network

     

Most Helpful Customer Reviews

See all customer reviews >