- NY Credits : 4.0
- TX Credits : 4.0
Utilization and Performance of Health Care Accounting and Auditing
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 focus on a number of important topics, including: the hospital supply chain; Medicare payment concerns; patient throughput; and legal and compliance issues, as well as explain the importance of performance-based health care and the premise behind the pay-for-performance movement. It also provides explanation and analysis of how the 2010 health care reform legislation will impact health care delivery and financing in the coming years.
Beginning in 2017, the new administration is planning on proposing changes to the PPACA. The current legislation remains in place until any revisions are implemented.
Upon successful completion of Utilization and Performance of Health Care Accounting and Auditing, the user should be able to:
recognize cost efficiency, its definition, and the different perspectives of providers and purchasers of health care services,
identify the issues of patient throughput and limited capacity on hospital operations and financial viability,
identify the key elements of a successful patient throughput model,
recognize the rationale behind pay-for-performance, the reasons for its adoption and proliferation, and the impact it may have on hospital processes and decisionmaking,
identify key strategies that should be adopted by hospitals to prepare for expanded pay-for-performance initiatives and increasing amounts of payment at risk,
identify the key drivers for consumer-driven health care and its implications,
recognize the impact of the Sarbanes-Oxley Act on not-for-profit hospitals, and
identify the implications of the federal Anti-Kickback Law.