||Hot Topics in Health Care Accounting & Auditing|
|Subject Matter Area:
|Date of Publication:
||2013 by Bisk Education, Inc. All rights reserved.|
|Recommended CPE Credits:
| Textbook w/Video Online:
||8 QAS/Registry (based on 50-minute hour)|
| Textbook Only & Online:
||6 QAS/Registry (based on 50-minute hour)|
||One year from date of receipt to complete program and submit quizzer to obtain credit|
|Passing Grade for Quizzer:
||70 percent or higher|
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 processes/practices that should be included in an effective hospital revenue cycle. 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.
Use of Materials
The user should begin by watching the DVD segment, if any, for the chapter before reading the text. The user may wish to make notes of the most important concepts and any terms that are new. Next, the user should review the learning objectives at the beginning of the chapter and read the chapter. The user should work through each of the examples. It may be helpful to highlight important material and/or to make additional notes. Next, the user should complete the study questions at the end of the chapter and review the answers. If the user answers a study question incorrectly, s/he should review the section of the text that is indicated at the end of the explanation to the study question to assure comprehension of the material. The user should review the learning objectives once more to consider achievement of the objectives. After the user has finished watching the DVD and reading the text and working through the study questions, s/he may wish to review her/his notes and any sections of the text or DVD that were difficult. When the user is ready, s/he should complete the quizzer. Reviewing notes periodically will increase retention of the material.
The user should begin by watching the streamed video segment, if any, or listening to the streamed audio segment, if any, for the chapter before reading the text. The user may wish to make notes of the most important concepts and any terms that are new. Next, the user should review the learning objectives at the beginning of the chapter and read the chapter. The user should work through each of the examples. After the user has studied each chapter, s/he should click on the link at the left to complete the interactive study questions. If the user answers a study question incorrectly, s/he should review the section of the text that is indicated at the end of the explanation to the study question to assure comprehension of the material. The user should review the learning objectives once more to consider achievement of the objectives. After the user has finished watching the streamed video, if any, or listening to the streamed audio, if any, and reading the text and working through the study questions, s/he may wish to review her/his notes and any sections of the text or video/audio, if any, that were difficult. When the user is ready, s/he should click on the link to the left to complete the quizzer. The user's CPE certificate will be provided immediately upon successful completion of the quizzer.
This program is divided into seven (7) chapters.
Chapter 1 gives an overview of the unique attributes of health care operations and risk.
Chapter 2 focuses on the hospital revenue cycle issues.
Chapter 3 examines the hospital supply chain issues.
Chapter 4 discusses the Medicare payment issues and the impact of health care reform.
Chapter 5 explains utilization management and cost efficiency in the health care industry.
Chapter 6 defines performance-based health care including consumer-driven health care and pay for performance in context of health care reform.
Chapter 7 discusses the legal and compliance issues regarding the health care industry. Helpful Guidance
Throughout this program, the user will find explanations and discussions regarding some of the issues that often face practitioners. In order to enhance the user's comprehension of the material and highlight important practical considerations, this program includes the following designations:
A Biskalert is intended to warn the practitioner of a particular situation that may require action or other consideration by the client or the practitioner on behalf of the client.
A Biskpoint presents analysis or commentary that attempts to explain or clarify authoritative guidance.
A Bisktip provides practical advice that may be used to help improve client service or service to the practitioner's organization.
Upon successful completion of this program, the user should be able to:
- Discuss the dynamic nature of the health care industry, its unique attributes and the need to have a skill set compatible with rapid change
- Identify the role of the hospital internal auditor, demonstrate how the audit function can bring value to a hospital, and review proposed changes to the AICPA Health Care Audit Guide
- Explain the risks associated with managing investments and securing affordable malpractice insurance and ways hospitals are dealing with these risks
- List the key components of a hospital revenue cycle and the key processes and practices that enhance revenue cycle performance
- Explain how the adoption of ICD-10 will impact coding and billing
- List the key components of hospital supply chain management, current and future issues, and an action plan to guide a supply cost reduction initiative
- Discuss Medicare payment policy, recent updates and future trends including the impact of health care reform
- Define the concepts of cost efficiency, utilization management and patient throughput, their impact on hospital financial viability, and methods for improvement
- Discuss the issues around pay-for-performance and what hospitals need to do to prepare for more payers to adopt this concept and for more payment to be at risk
- List the basic concepts of consumer-driven health care and issues that hospitals must be prepared to deal with in order to be successful as this concept takes hold
- Discuss the importance of the electronic health record and issues that serve as barriers to its rapid adoption as well as the incentive and penalties that have been built into health care reform
- List the key legal and compliance issues
- Discuss the impact of the Sarbanes-Oxley Act on the not-for-profit hospital
- Explain the impact of the anti-kickback law on hospital operations and decision-making
- Discuss the impact of the Stark Laws on hospital decision making and physician relationships
- Discuss the impact of the increasing scrutiny of the IRS on tax-exempt hospitals
David H. McReynolds, CPA, FHFMA, has more than thirty years' experience as a healthcare administrator. He is currently Vice President and Chief Financial Officer for Fort Sanders Regional Medical Center in Knoxville, Tennessee. He has previously held senior administrative positions in both for-profit and not-for-profit acute care and behavioral health hospitals in Tennessee, Florida and Nebraska.
Mr. McReynolds received his undergraduate education in Accounting at the University of Tennessee and holds a Master of Science in Business Administration degree from the University of South Carolina. He is a licensed certified public accountant in the state of Tennessee, a Fellow of the Healthcare Financial Management Association and a certified managed care professional.
With a keen interest in the development of services for older people and their families, Mr. McReynolds has authored a number of courses on related topics and advises CPAs on issues related to the start-up of Eldercare practices. He regularly teaches and lectures on a variety of Eldercare topics including pre- and post-retirement financial planning, Medicare and financing long term care.
Since 2009, he has also developed a number of presentations and articles addressing topics related to healthcare reform. He sees reform as the most significant impact on health care delivery and financing in the last one hundred years.
Mr. McReynolds has served for many years as a technical manuscript reviewer for the journal, Healthcare Financial Management, and is a two-time participant in the United States/United Kingdom Healthcare Financial Management Exchange Program. He received an Innovation Award from the Institute for Behavioral Health and was a finalist for the Diamond Award presented by the Mental Health Association of Greater Knoxville. He has also received numerous awards of recognition in the field of healthcare finance and accounting. (Author)
C. Lynn Northrup, CPA, CPIM, is an author, authoritative business advisor and consultant. He develops and delivers executive educational programs based on his professional expertise in operations, performance measurement, and strategic cost management. He has managed major projects selecting and implementing ERP systems. Mr. Northrup has 40 years of experience as a controller, a CPA, and an operational consultant serving a wide variety of industries. Mr. Northrup has specialized in conducting operational and workflow assessments focused on business process improvement (Lean Manufacturing and Six Sigma). He has extensive knowledge and experience in business performance management and measurement and the application of strategic cost management and analysis concepts. Mr. Northrup's training programs have been given to state societies of CPAs nationwide and to large audiences at regional and national conferences. Training experience includes national and regional CPA firms and for national providers of continuing professional education. Mr. Northrup was previously with McGladrey & Pullen's national manufacturing consulting practice, PricewaterhouseCoopers, and has held various management and executive positions in industry including Controller, Vice President of Finance, and President and Chief Operating Officer. (Author/Speaker)