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Reporting Practices and Ethics

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Reporting Practices and Ethics
Raquel Heppner
HCS405
January 23, 2013
Steve Linerode

Financial management is a very important sector of any health care organization. Without proper financial management it would be impossible to keep the doors of any organization, but in health care where the sales equal an intangible good like a visit with the doctor it is even more critical. There are four elements in sound financial management. These include controlling, planning, organizing and decision making. Controlling includes setting certain specifications on how work is done and how to maintain confidentiality with private sensitive information. This aspect of financial management also prevents breaching the elements defined in HIPPA. Planning is essential because by the very nature of healthcare it is important to plan for those times when payments from insurance and government agencies are received and times when payments may not be as forthcoming. Also as healthcare is an ever changing industry it is important to plan for those changes. Organizing is integral to healthcare in order to maintain or reduce costs and give the best service to patients and others who are relying on results from the organization in order to perform their jobs. Decision making is the backbone of any organization but particularly healthcare. Ideas and changes must be weighed, for example what EHR program to choose, how to implement any changes and how to enforce regulations which must be followed in the healthcare industries. Without these four important components financial management would not be possible.

Along with the four components mentioned above there are other financial guidelines which must be followed to have a sound healthcare organization. These guidelines are known as “Generally Accepted Accounting Principles or GAAP”. In addition to GAAP there are general financial ethical standards. GAAP refers to uniform minimum standards and guidelines to financial accounting and reporting. By following these standards it allows for a reasonable comparison among financial reports. Ethics by definition is a standard of behavior that offers how to act in situations. It refers to honesty and integrity in reporting financial issues through financial statements. The American Institute of Certified Public Accountants (AICPA) established a set of standards allow developers of financial statements to maintain ethical behavior in these situations. They include independence, objectivity, and integrity.

An example that is given in the article “Ethical Standards in a Financial Statement" is the standard of objectivity. This relates closely to independence. If an individual has a direct interest in a company that might compete with the company he is working for, there may not be objectivity. For example if the individual is working for Doctor A. but his wife owns a part of another healthcare organization, the questionability of his objectivity might come into play. Another scenario which could be played out involves integrity. An accountant cannot knowingly misrepresent facts on a financial statement. In addition he or she cannot comply with a supervisors request to skew the numbers or facts reported on any financial report. In an article on FierceHealthFinance.com a health care system in Florida known as Jackson Health Systems misstated their losses for a single year by roughly four times less than what they actually were. The Jackson Health System lowered their accounts receivable accounts by $157 million after an audit which redistributed this much of their accounts receivable to a bad debt expense based on their collection percentage for the year. This error is a result of lacking objectivity and integrity by misrepresenting numbers on a financial statement. With this error taken into account it was established that Jackson Health would go broke in seven months. To prevent a future misstatement Jackson Health switched to a cash basis, claiming only receipts actually collected as income.

It is significant to follow standards outlined in GAAP so these types of mistakes aren’t made. In the first example of objectivity if the financial statements were taken into a meeting for a federal grant or funding the accountant who did the financial statements could be accused of understating something to give his wife’s company an advantage in getting the grant or funding. Even if this is not the case the mere appearance of not being independent is enough of an ethical dilemma to make the financial statements questionable. With Jackson Health the problem lies with integrity. A previous year’s collection percentage was used to figure out what they would claim as viable receivables without taking this year’s percentages into account. This may or may not have been at the suggestion of a supervisor, but the accountant who was responsible had an ethical responsibility to make sure this number was reliable.

Through the use of the four major elements for good financial management, controlling, planning, organizing, and decisions it is possible to run a financially sound healthcare organization. With these elements in place the organization will be able to use the standards outlined in GAAP to make sure there financial papers are accurate and of use to those that need them for planning and development. Ethics in practice will ensure a sense of independence, objectivity, and integrity in the financial aspects of an organization making the healthcare organization as a whole a fiscally sound operation.

References

Baker, J.J., & Baker, R.W. (2011). Health care finance: Basic tools for nonfinancial managers (3rd ed.). Jones & Bartlett.
Davis, C. (2010). Fierce HealthIT. Bad Accounting Creates Financial Crisis at Fla. Health
System. Retrieved from http://www.fiercehealthfinance.com/story/bad-accounting-creates-financial-crisis-fla-health-system/2010-02-03 . Retrieved on January 21, 2013.
Sarfin, R.L. (2013). eHow. Ethical Standards in a Financial Statement. Retrieved from http://www.ehow.com/list_7428290_ethical-standards-financial-statement.html . Retrieved on January 21, 2013.

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