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Cost Accounting in Healthcare


The ever changing healthcare delivery environment has placed heavy burdens on board members, administrators, chief financial officers, and department directors. Advances in technology, joint ventures and mergers, and institution specialization have contributed to changes in healthcare delivery. New methods of reimbursement have surfaced: Medicare prospective payment system, Medicaid methodologies, and HMO and PPO contracts. Now, more than ever, cost information is crucial to the decision making process.


Cost Accounting

Cost accounting is the process of determining the full and incremental costs of providing services and goods to patients and customers. To determine the full cost of providing a service, we must insure that all costs have been included. For instance, a number of departments, which do not provide direct patient or customer services, are absolutely essential to the operation of the institution. The burden of these overhead departments must be allocated to the using departments. In reality, to make sound management decisions, costs must be known at the procedure, patient, and department levels.

Costs may be determined based on historical methods of charging for services, such as patient days and procedures. Products or product lines may also be defined for cost analysis, such as DRGs or a specific type of day surgery patient. Finally, we may wish to determine full and incremental costs within the structure of our organization (revenue center or department). The need to know the cost of each procedure and major product line is essential to financial stability of every healthcare institution. Without accurate cost information, hospitals are at financial risk when making decisions considering current operations as well as long-term plans. The cost of providing services is obviously only one of many considerations. Accurate costing, however, has been a major missing component of the decision-making process.

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