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After completing this week's readings, including The Growing Importance of Cost Accounting for
Hospitals, describe the ways in which healthcare financial managers use financial resources and cost
classifications to allocate indirect costs to direct costs when determining patient charges. Also, explain
how utilization rates are related to volumes and revenue generation. Support your answer with scholarly
resources.
Cost accounting systems like product and project cost systems are used by healthcare finance managers
to assign direct and indirect cost classification methods in determining charges on patients. One way is
an hourly rate allocation. The finance manager makes use of the time of treatment to determine the
resource consumed. The cost per minute for treatment is determined by dividing the annual indirect
patient care costs by the total time the physician spends on hospital activities. Another way is the
allocation of inpatient days. Even though it may not be true; the system assumes that all patients have
utilized an equal amount of indirect costs. The reality is patients do not use the same indirect costs
because they do not suffer from the same illness. So to calculate the unit cost per day per patient, the
accountant calculates indirect costs by dividing the number of days available per patient per day. Yet
another way is the allocation of marginal markup. The cost accountant applies a markup percentage to
direct costs, presuming uniform distribution of smaller indirect costs across all patients within the
hospital system. Utilization rates are related to both volume and generated revenues. When the
utilization rate is high then the profit margin for that healthcare organization will also be high; even if the
boost is small revenues and profits will increase. Therefore, if the volume is increased, then there is an
increase in revenue which is a clear reflection of a higher utilization rate.
I also discussed direct and indirect costs, you mentioned in your discussion “Therefore, if the volume is
increased, then there is an increase in revenue which is a clear reflection of a higher utilization rate”, but
after reading a little more on this I understood that the goal to make a profit is by increasing the revenue
or lowering cost. The utilization rate plays an important role in determining if this is the best strategy. it is
important to remember that the demand, the competition, and pricing strategies influence the
relationship between the volume and the revenue.
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Overview
For this assignment, pick a health care organization of your choice. It could be a hospital, large clinic, or care facility.
Read these articles before you begin the assignment:
The COSO Framework in Emerging Technology Environments: An Effective In-Class Exercise on Internal Control. Journal of Emerging Technologies in Accounting.
COSO Internal Control - Integrated Framework: An Implementation Guide for the Healthcare Provider IndustryLinks to an external site..
Instructions
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•
Maintain and improve the quality of clinical services.
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Improve patient service.
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Enhance employee recruitment and retention.
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Objective
Perspective
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Learning & growthCustomerInternal business processesFinancial
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