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What is budgeting?
an organization's plan for how it will accomplish its operational goals and objectives by earning revenue and spending funds during a specified time period
Retrospective
evaluating past financial decisions
Concurrent
overseeing daily financial operations
Prospective
planning long-term financial direction and deciding future strategy
What is revenue cycle management?
the process of managing reimbursements from patients and third party payers
cost allocation
determining the total cost of producing a particular healthcare service
cost centers
organizational unit that incur cost but don't directly generate revenues
- HR Staff
- Billers
- Accounting dep
- Housekeeping and janitorial services
profit center
organizational unit that generate both revenue and cost
- Medical care
- Physician billed time
Direct Costs
traced to a particular product/ service, directly offers care to patients
- supplies, salaries
Indirect costs
overhead
- utilities
- HR staff
Full costs
total of all direct and indirect costs
Fixed cost
stays the same regardless if changes in volume (rent, utilities)
Variable cost
changes as volume changes (supplies and hourly wages)
semi-variable costs
part fixed, part variable. depends on patient voume
Marginal value
increase in total benefit caused by purchasing 1 more unit
Marginal revenue
increase in total revenue caused by producing 1 more unit
What is break-even analysis?
where total cost = total revenue
Above break even point
profit
Below break even point
loss
Operating budget
budget that shows an organizations revenue, expense and profit or loss
Profit
Revenue - Expenses
Capitation
type of physician reimbursement that provides an upfront fixed amount per patient regardless of service use
Balance Sheet
A financial statement that reports assets, liabilities, and owner's equity
assets
things you own
liabilities
things you owe
Equity
Assets - Liabilities
Zero-based budgeting method
- all line items start at zero
- justify each revenue or expense item based on expected services volume and cost