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GAO conducted a survey to identify: (1) the financial management systems used by the Department of Health and Human Services (HHS); (2) the internal control strengths and weaknesses in these systems; and (3) the interrelationships of the systems. GAO identified 81 HHS financial management systems. GAO found that: (1) HHS budget development systems, except for the Social Security Administration's system, are not directly integrated with its accounting systems; (2) budget development timeframes preclude the use of the actual financial results of the preceding year's program and administrative operations in developing budget requests; (3) Congress can directly control only about 13 percent of HHS budget authority through the appropriation process; (4) accountability for the four trust funds that support major benefit payment programs is divided between three agencies; (5) HHS does not maintain a central accounting system; and (6) HHS maintains eight accounting systems which are supported by 63 subsidiary systems. The eight general ledger systems and the disbursement systems for administrative costs seem adequate, the central personnel/payroll system and the disbursement systems for six benefit payment programs did not appear to be adequate, while the personal property system and the grant and contract systems did appear generally adequate. However, GAO also found that many of the systems are not designed to operate efficiently and do not effectively use electronic data processing resources. GAO ranked, according to risk, 73 of the 81 financial management systems, and found that HHS has 3 high-risk systems, 32 medium-risk systems, and 38 low-risk systems.
Healthcare Financial Management: Applied Concepts and Practical Analyses is a comprehensive and engaging resource for students in health administration, health management, and related programs. It brings together the problem-solving, critical-thinking, and decision-making skills that students need to thrive in a variety of health administration and management roles. Engaging case studies, practice problems, and data sets all focus on building the core skills and competencies critical to the success of any new health administrator. Real-world examples are explored through a healthcare finance lens, spanning a wide variety of health care organizations including hospitals, physician practices, long-term care, and more. Core conceptual knowledge is covered in detailed chapters, including accounting principles, revenue cycle management, and budgeting and operations management. This conceptual knowledge is then brought to life with an interactive course project, which allows students to take ownership of and apply their newly-acquired skills in the context of a nuanced real-world scenario. Healthcare Financial Management is an engaging and thorough resource that will equip students with both the theoretical and practical skills they need to make a difference in this dynamic and rapidly-growing field. Key Features: Student-focused textbook that builds critical thinking, problem-solving and decision-making skills around financial strategy, financial management, accounting, revenue cycle management, budgeting and operations, and resource management 20+ years of the author’s professional industry experience is applied to the textbook theory, preparing students for the complexities of real-world scenarios Microsoft Excel exercises accompany the standard healthcare finance calculations, for hands-on practice and application of concepts Chapter case studies based on timely subject matter are presented at the end of every chapter to reinforce key concepts An interactive course project demonstrates the entire healthcare finance role by bringing together the healthcare finance concepts and calculations in an all-inclusive exercise