- NY Credits : 6.0
- TX Credits : 6.0
As health care costs in the U.S. continue their upward spiral, many experts believe that we are not getting an adequate return on investment for the health care services being provided. Ongoing medical record reviews provide documentation of the existence of troubling patient safety concerns. This program will provide coverage of leading accounting and auditing topics affecting the health care industry. It will discuss the unique attributes and risks associated with health care operations and review the key practices that should be included in an effective hospital revenue cycle. Changes have been proposed to the ACA under the new Republican administration, but since nothing is in place at this time, the law will function with the existing regulations until a change has been implemented.
Upon completion of this chapter, the user should be able to:
recognize a basic understanding of significant health care industry changes including the reform of the health care financing system,
identify the different roles of the internal and external auditor in the health care setting,
recognize the importance of the hospital revenue cycle and its implications on continuing financial viability,
identify the importance of performance metrics and to define key metrics to be used in evaluating revenue cycle processes,
recognize the importance of hospital supply chain management and the goals of an effective hospital supply chain process,
recognize the importance of including effective disaster recovery planning as a part of overall hospital supply chain management,
recognize the significance of the funding problem with the Medicare trust fund, and
identify the basics of Medicare payment for hospital services including recent changes and their implications.