Essentials of Health Care Finance 8th Edition by William Cleverley, James Cleverley – Ebook PDF Instant Download/Delivery: 1284094633 , 9781284094633
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ISBN 10: 1284094633
ISBN 13: 9781284094633
Author: William Cleverley, James Cleverley
Essentials of Health Care Finance provides health management students and executives with the most authoritative text on financial decision-making in the health care industry. This trusted resource explores finance theory and its practical application in health care across a full range of facilities, from hospitals and home health agencies to skilled nursing facilities, surgical centers and private physician practices.
Essentials of Health Care Finance 8th Table of contents:
Chapter 1 Financial Information and the Decision-Making Process
Information and Decision Making
Uses and Users of Financial Information
Financial Organization
Forms of Business Organization
Summary
Chapter 2 Billing and Coding for Health Services
Generating Healthcare Claims
Scheduling and Registration
Provide Services
Medical Documentation and him/Medical Records
Charge Entry and Charge Master
Billing and Claims Preparation
Claims Editing
Claim Payment
Summary
Appendix 2-A Sample UB-04 Form and Sample CMS-1500
Chapter 3 Financial Environment of Healthcare Organizations
Financial Viability
Sources of Operating Revenue
Healthcare Payment Systems
Medicare Benefits
Medicare Payments
Summary
Chapter 4 Legal and Regulatory Environment
Part I. Knowledge of the Law and Regulations Is an Essential Part of Healthcare Financial Management
Part II. Primary Regulatory Issues Confronting Healthcare Organizations Today
Legal Audits and Investigations
Summary
Acknowledgments
Chapter 5 Measuring Community Benefit
Tax Exemption Status
Community Benefit Areas
The Community Value Index®
Estimating Financial Benefits in Not-for-Profit Healthcare Firms
Estimating Financial Benefits Provided by Not-for-Profit Healthcare Firms
Summary
Appendix 5-A Schedule H Form
Chapter 6 Revenue Determination
Payment Methods and Their Relationship to Price Setting
Methods for Controlling Revenue
Generic Principles of Pricing
Price Setting for Healthcare Services
Justifying Healthcare Firm Prices
Health Plan Contract Negotiation
Health Plan Payment Schedules
Summary
Chapter 7 Health Insurance and Managed Care
HMO and Managed-Care Development
Integrated Delivery Systems
Paying Providers in a Managed-Care Environment
Setting Prices in Capitated Contracts
Medicare and Medicaid Risk Contracts
Legal and Regulatory Issues
Summary
Chapter 8 General Principles of Accounting
Financial Versus Managerial Accounting
Principles of Accounting
Accrual Versus Cash Accounting
Fund Accounting
Conventions of Accounting
Summary
Chapter 9 Financial Statements
Organizational Structure
Balance Sheet
Statement of Operations (Revenues and Expenses)
Statement of Changes in Net Assets
Statement of Cash Flows
Summary
Appendix 9-A Case Example Audited Financial Statement
Chapter 10 Accounting for Inflation
Reporting Alternatives
Uses of Financial Report Information
Case Example: Williams Convalescent Center
Summary
Chapter 11 Analyzing Financial Position
Developing an Effective Financial Reporting System
Case Example: Harris Memorial Hospital
Summary: Harris Case
Chapter 12 Financial Analysis of Alternative Healthcare Firms
Long-Term Care Facilities and Nursing Homes
Medical Groups
Health Plans
Summary
Chapter 13 Strategic Financial Planning
Strategic Planning Process
Developing the Financial Plan
Integration of the Financial Plan with Management Control
Summary
Chapter 14 Cost Concepts and Decision Making
Concepts of Cost
Cost Measurement
Break-Even Analysis
Summary
Chapter 15 Product Costing
Healthcare Cost Accounting
Relationship to Planning, Budgeting, and Control
The Costing Process
Two Required Systems for Healthcare Costing
Relative Value Costing
Summary
Chapter 16 The Management Control Process
Essential Elements
The Budgeting Process
Zero-Base Budgeting
Benchmarking at the Departmental Level
Summary
Chapter 17 Cost Variance Analysis
Cost Control
Investigation of Variances
Variance Analysis Calculations
Variance Analysis in Budgetary Settings
Variance Analysis in Managed-Care or Bundled Payment Settings
Summary
Chapter 18 Financial Mathematics
Single-Sum Problems
Annuity Problems
Summary
Chapter 19 Capital Project Analysis
Participants in the Analytical Process
Classification of Capital Expenditures
The Capital Project Decision-Making Process
Justification of Capital Expenditures
Discounted Cash-Flow Methods
Selection of the Discount Rate
Valuation
Summary
Chapter 20 Consolidations and Mergers
Defining the Terms
M&A Activity
Overview of Theories of M&A Activity
Factors Affecting M&A Activity
Why Do Mergers Succeed or Fail?
Valuations
Summary
Chapter 21 Capital Formation
Equity Financing
Long-Term Debt Financing
Alternative Debt Financing Sources
More Recent Developments
Early Retirement of Debt
Summary
Chapter 22 Working Capital and Cash Management
Cash and Investment Management Structure
Management of Working Capital
Short-Term Bank Financing
Investment of Cash Surpluses
Summary
Chapter 23 Developing the Cash Budget
Determining Required Cash and Investment Reserves
Sources and Uses of Cash
Preparing the Cash Budget
Summary
Glossary
Index
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Tags: William Cleverley, James Cleverley, Health Care