LEADERSHIP: CHAPTER 4: FINANCIAL MANAGEMENT IN HEALTH CA
cf cf cf cf cf cf cf
RE:
FINANCIAL MANAGEMENT IN HEALTH CARE
CHAPTER 4 QUESTIONS AND ANSWERS
AccountablecfCarecfOrganizationcf-cfanswer--
Onecfbillingcfoccurscfacrosscfthecftransitioncfofcfcare.cfGenerallycfthecfbettercfthecfqualitycfofcfcare,cfthecfbettercfthecfreimbu
ement.
BottomcfLinecf-cfanswer--Incomecfofcfancforganizationcfthatcfiscfthecfresultcfofcfrevenuecf(moneycfearned)cfminuecfexpense
Budgetcf-cfanswer--Detailedcffinancialcfplancfforcfcarryingcfoutcfthecfactivitiescfofcfancforganizationcforcfunit.
BudgetcfVariancecf-cfanswer--Differencecfbetweencfactualcfbudgetcfandcfactualcfspending.
CapitalcfBudgetcf-cfanswer--Financialcfplancfthatcfdealscfwithcfpurchasescfofcfcapitalcfassetscf(equipment,cfland,cfetc.)
CashcfBudgetcf-cfanswer--Financialcfplancfthatcftrackscfcashcfreceivedcfandcfspent.
CashcfoncfHandcf-cfanswer--Amountcfofcfcascfreadilycfavailablecftocfthecforganization.
CenterscfforcfMedicarecf&cfMedicaidcfServicescf(CMS)cf-cfanswer--
FormerlycfknowncfascfthecfHealthcarecfFinancingcfAdministration,cfthecffederalcfagencycfthatcfadministerscfMedicare,cfM
icaid,cfStatecfChildren'scfHealthcfInsurancecfProgramcf(SCHIP),cfandcfseveralcfothercfhealth-relatedcfprograms.
Continuumcfofcfcarecf-cfanswer--
Matchingcfancfindividual'scfongoingcfneedscfwithcfthecfappropriatecflevelcfandcftpecfofcfmedical,cfpsychological,cfhealth,cfo
socialcfcarecfofcfservicecfwithincfancforganizationcforcfacrosscfmultiplecforganizations.
For-profitcfOrganizationscf-cfanswer--
Organizationscfwithcfstatedcffinancialcfstructurescfthatcfincludecfprofitcfgoalscfandcftaxcfliabilities.
HealthcfMaintenancecfOrganizationcf(HMO)cf-cfanswer--Geographicallycforganizedcfsystemcfthatcfprovidescfancfagreed
oncfpackagecfofcfhealthcfmainentancecfandcftreatmentcfservices.
IndirectcfCostscf-cfanswer--
Generalizedcfcostscf(housekeeping,cfinformationcftechnology,cfetc)cfforcfsupportcfofcfthecfprogramcfandcfbilledcftocfthecfpr
ram;cfoftencfcalledcfsupportcfcosts.
ManagedcfCarecf-cfanswer--
Linkagecfbetweencfthecffinancingcfandcfdeliverycfofcfservicescfincfsuchcfacfwaycfascftocfpermitcfpayerscftocfexercisecfcontrol
vercfthecfdeliverycfofcfservices.
Medicaidcf-cfanswer--Jointcffederalcfandcfstatecfassistancecfprogramcfdesignedcftocfpaycfforcfmedicalcflong-
termcfcarecfassistancecfforcfindividualcfandcffamiliescfwithcflowcfincomecfandcflimitedcfresources.
1cf/cf5
, LEADERSHIP: CHAPTER 4: FINANCIAL MANAGEMENT IN HEALTH CA
cf cf cf cf cf cf cf
Medicarecf-cfanswer--
RE:
Healthcfinsurancecfprogramcfforcfpeoplecfagecf65cfandcfoldercforcfundercf65cfwithcfcertaincfdisabiltiescforcfanycfagecfwithcfen
stagecfrenalcfdisease.
Not-for-profitcfOrganizationscf-cfanswer--
Organizationscfwithcffinancialcfstructurescfthatcfprojectcffinancialcfgoalscfwithcfparticularcftaxcfandcflegislativecfprotectionc
fshelters.
Operatingcf(expense)cfbudgetcf-cfanswer--Financialcfplancfforcfthecfday-to-daycfactivitiescfofcfthecforganizations.
PersonnelcfBudgetcf-cfanswer--
Partcfofcfthecfoperatingcfbudgetcfthatcfdealscfwithcfpersonnelcfneededcftocfdelivercfcare,;cfcomposedcfofcfsalarycfandcfbene
costs.
PreferredcfProvidercfOrganizationcf(PPO)cf-cfanswer--
Managedcfcarecfcompanycfthatcfcontractscfwithcfhealthcfcarecfproviderscf(bothcfphysicianscfandcfhospitals)cfandcfpayersc
elf-
insuredcfemployers,cfinsurancecfcompanies,cforcfmanagedcfcarecforganizations)cftocfprovidecfhealthcfcarecfservicescftocf
definedcfpoplulationcfforcfpredertminedcffixedcffees.
Revenuescf-cfanswer--Incomecfreceivedcfforcfgoodscforcfservicescfprovided.
Value-basedcfpurchasingcf-cfanswer--Reimbursementcfforcfhealthcfcarecfservicescfbasedcfoncfqualitycfofcfcare.
VariablecfCostscf-cfanswer--Costscfthatcfvarycfincfrelationcftocfvolumecfandcfproductivity.
Ancfexamplecfofcfancfindirectcfcostcfis:
A.cfCostcfCenter
B.cfInformationcftechnology
C.cfNursingcfstaff
D.cfDeliverycfofcfcarecf-cfanswer--Ans:cfA
Thecfdifferencecfbetweencfactualcfbudgetcfandcfactualcfspendingcfiscfreferredcftocfas:
A.cfBudgetcfvariance
B.cfFixedcfcost
C.cfCashcfoncfhand
D.cfRevenuescf-cfanswer--Ans:cfA
___________________cfdelivercfcomprehensivecfhealthcfmaintenancecfandcftreatmentcfservicescfforcfacfgroupcfofcfenro
edcfindividuals.
A.cfHealthcfmaintenancecforganizationscf(HMOs)
B.cfPreferredcfprovidercforganizationscf(PPOs)
C.cfIndependentcfPracticecfAssociationscf(IPAs)
D.cfPrimarycfCarecfProviderscf(PCPs)cf-cfanswer--Ans:cfA
Ancfexamplecfofcfancfindirectcfcostcfwouldcfbe:
A.cfHousekeepingcfStaff
B.cfInkcfforcfacfprintercfoncfthecfunit
C.cfUniformcfallowancecfforcflicensedcfpracticalcfnurses
D.cfRegisteredcfnursecfsalarycf-cfanswer--Ans:cfA
2cf/cf5
cf cf cf cf cf cf cf
RE:
FINANCIAL MANAGEMENT IN HEALTH CARE
CHAPTER 4 QUESTIONS AND ANSWERS
AccountablecfCarecfOrganizationcf-cfanswer--
Onecfbillingcfoccurscfacrosscfthecftransitioncfofcfcare.cfGenerallycfthecfbettercfthecfqualitycfofcfcare,cfthecfbettercfthecfreimbu
ement.
BottomcfLinecf-cfanswer--Incomecfofcfancforganizationcfthatcfiscfthecfresultcfofcfrevenuecf(moneycfearned)cfminuecfexpense
Budgetcf-cfanswer--Detailedcffinancialcfplancfforcfcarryingcfoutcfthecfactivitiescfofcfancforganizationcforcfunit.
BudgetcfVariancecf-cfanswer--Differencecfbetweencfactualcfbudgetcfandcfactualcfspending.
CapitalcfBudgetcf-cfanswer--Financialcfplancfthatcfdealscfwithcfpurchasescfofcfcapitalcfassetscf(equipment,cfland,cfetc.)
CashcfBudgetcf-cfanswer--Financialcfplancfthatcftrackscfcashcfreceivedcfandcfspent.
CashcfoncfHandcf-cfanswer--Amountcfofcfcascfreadilycfavailablecftocfthecforganization.
CenterscfforcfMedicarecf&cfMedicaidcfServicescf(CMS)cf-cfanswer--
FormerlycfknowncfascfthecfHealthcarecfFinancingcfAdministration,cfthecffederalcfagencycfthatcfadministerscfMedicare,cfM
icaid,cfStatecfChildren'scfHealthcfInsurancecfProgramcf(SCHIP),cfandcfseveralcfothercfhealth-relatedcfprograms.
Continuumcfofcfcarecf-cfanswer--
Matchingcfancfindividual'scfongoingcfneedscfwithcfthecfappropriatecflevelcfandcftpecfofcfmedical,cfpsychological,cfhealth,cfo
socialcfcarecfofcfservicecfwithincfancforganizationcforcfacrosscfmultiplecforganizations.
For-profitcfOrganizationscf-cfanswer--
Organizationscfwithcfstatedcffinancialcfstructurescfthatcfincludecfprofitcfgoalscfandcftaxcfliabilities.
HealthcfMaintenancecfOrganizationcf(HMO)cf-cfanswer--Geographicallycforganizedcfsystemcfthatcfprovidescfancfagreed
oncfpackagecfofcfhealthcfmainentancecfandcftreatmentcfservices.
IndirectcfCostscf-cfanswer--
Generalizedcfcostscf(housekeeping,cfinformationcftechnology,cfetc)cfforcfsupportcfofcfthecfprogramcfandcfbilledcftocfthecfpr
ram;cfoftencfcalledcfsupportcfcosts.
ManagedcfCarecf-cfanswer--
Linkagecfbetweencfthecffinancingcfandcfdeliverycfofcfservicescfincfsuchcfacfwaycfascftocfpermitcfpayerscftocfexercisecfcontrol
vercfthecfdeliverycfofcfservices.
Medicaidcf-cfanswer--Jointcffederalcfandcfstatecfassistancecfprogramcfdesignedcftocfpaycfforcfmedicalcflong-
termcfcarecfassistancecfforcfindividualcfandcffamiliescfwithcflowcfincomecfandcflimitedcfresources.
1cf/cf5
, LEADERSHIP: CHAPTER 4: FINANCIAL MANAGEMENT IN HEALTH CA
cf cf cf cf cf cf cf
Medicarecf-cfanswer--
RE:
Healthcfinsurancecfprogramcfforcfpeoplecfagecf65cfandcfoldercforcfundercf65cfwithcfcertaincfdisabiltiescforcfanycfagecfwithcfen
stagecfrenalcfdisease.
Not-for-profitcfOrganizationscf-cfanswer--
Organizationscfwithcffinancialcfstructurescfthatcfprojectcffinancialcfgoalscfwithcfparticularcftaxcfandcflegislativecfprotectionc
fshelters.
Operatingcf(expense)cfbudgetcf-cfanswer--Financialcfplancfforcfthecfday-to-daycfactivitiescfofcfthecforganizations.
PersonnelcfBudgetcf-cfanswer--
Partcfofcfthecfoperatingcfbudgetcfthatcfdealscfwithcfpersonnelcfneededcftocfdelivercfcare,;cfcomposedcfofcfsalarycfandcfbene
costs.
PreferredcfProvidercfOrganizationcf(PPO)cf-cfanswer--
Managedcfcarecfcompanycfthatcfcontractscfwithcfhealthcfcarecfproviderscf(bothcfphysicianscfandcfhospitals)cfandcfpayersc
elf-
insuredcfemployers,cfinsurancecfcompanies,cforcfmanagedcfcarecforganizations)cftocfprovidecfhealthcfcarecfservicescftocf
definedcfpoplulationcfforcfpredertminedcffixedcffees.
Revenuescf-cfanswer--Incomecfreceivedcfforcfgoodscforcfservicescfprovided.
Value-basedcfpurchasingcf-cfanswer--Reimbursementcfforcfhealthcfcarecfservicescfbasedcfoncfqualitycfofcfcare.
VariablecfCostscf-cfanswer--Costscfthatcfvarycfincfrelationcftocfvolumecfandcfproductivity.
Ancfexamplecfofcfancfindirectcfcostcfis:
A.cfCostcfCenter
B.cfInformationcftechnology
C.cfNursingcfstaff
D.cfDeliverycfofcfcarecf-cfanswer--Ans:cfA
Thecfdifferencecfbetweencfactualcfbudgetcfandcfactualcfspendingcfiscfreferredcftocfas:
A.cfBudgetcfvariance
B.cfFixedcfcost
C.cfCashcfoncfhand
D.cfRevenuescf-cfanswer--Ans:cfA
___________________cfdelivercfcomprehensivecfhealthcfmaintenancecfandcftreatmentcfservicescfforcfacfgroupcfofcfenro
edcfindividuals.
A.cfHealthcfmaintenancecforganizationscf(HMOs)
B.cfPreferredcfprovidercforganizationscf(PPOs)
C.cfIndependentcfPracticecfAssociationscf(IPAs)
D.cfPrimarycfCarecfProviderscf(PCPs)cf-cfanswer--Ans:cfA
Ancfexamplecfofcfancfindirectcfcostcfwouldcfbe:
A.cfHousekeepingcfStaff
B.cfInkcfforcfacfprintercfoncfthecfunit
C.cfUniformcfallowancecfforcflicensedcfpracticalcfnurses
D.cfRegisteredcfnursecfsalarycf-cfanswer--Ans:cfA
2cf/cf5