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Discuss the relationship between the current ratio and the quick ratio.

1.
Discuss the relationship between the current
ratio and the quick ratio.

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2.
Give three reasons the ratio of Days of
Supplies in Inventory could be lower than the national average for an acute
care hospital located in Chicago Illinois.

3.
The capitalization ratio for GSU Hospital is
65% net assets to total assets. Is this
a good ratio for this type of healthcare institution? Defend your answer.

4.
The average age of the physical plant for
GSU Hospital is 6.7 years. Is this a
good statistic as compared to other similar hospitals in the United
States? Why/Why not?

5.
Calculate the Days of Revenue in Accounts
Receivable given the following information for the year ended December 31, 2013: .

Gross patient accounts receivable $
25,000,000

Gross patient service revenues $ 164,384,000

a.
___________
Days of Revenue in Gross Accounts Receivable

b.
Is this a good ratio? Defend your answer.

6.
GSU Medical Clinic plans to purchase a
turn-key computer system to handle the medical records for the seven physician
practice. What is a turn key
system? Are there any
disadvantages/advantages for purchasing such a system for a medical practice?

7.
Should the GSU Nursing Home cafeteria maintain a
change fund? Why/why not?

8.
Describe at least three activities a hospital
should employ to prevent fraud and abuse

9.
ABC Hospital maintains its payroll checking
account on an “imprest” basis. How much
money should be in the checking account at the end of the month?

10. Define
the term “upcoding” as it relates to patient account billing.

11. To
whom should the position of Internal Auditor report to? Why?

12. Discuss
at least three ways GSU Hospital can prevent fraud/theft from taking place in
its storeroom.

13. Which
department(s) should be in charge of the following functions? (Explain your
answer)

a.
Authorizing the payment of overtime pay.

b.
Distributing payroll checks to employees.

c.
Submitting payroll rate changes to the payroll
computer system.

14. Discuss
the physical safety and information security requirements for GSU Hospital’s
Data Center located in the basement of the main hospital.

15. As
part of your academic practicum report, you are to analyze the last ten years’
financial statements of GSU Hospital.
The term “fund balance” shows up in the hospital’s Balance Sheets. What is this “fund balance”?

16. At
present GSU Hospital’s Days of Expenses in Accounts Payable is 95 days. What operational problems could you expect to
face given such a ratio? Give at least three
examples

17. What
is a “stale dated check”? How does one
handle the disposition of such a problem?

18. Give
at least one reason for using the LIFO method of inventory in valuing Pharmacy
Drugs at GSU Hospital. Explain
fully.

19. The
Medicare auditor has arrived at your nursing home. She has requested access to three specific
patients’ detailed medical bills as well as the related patients’ medical
records. What is she looking for? Why?

20. Your
Vice President of Finance states that the facility using a “sweep banking account”. What is it?
Why would you want to use it?

21. Who
is eligible for Medicare? List three
types of patients currently eligible to enroll in the Medicare Program. Be specific

22. You,
a Medicare patient, were hospitalized for congestive heart failure on January
22, 2014. After being discharged January
28, 2014, you were again admitted to the same hospital suffering from renal
failure on February 1, 2014. Describe
the Part “A” deductibles and coinsurance, if any, you would be liable for on
this second admission.

23. Based
on question 22, you were discharged from the second admission on February 6,
2014 and admitted to the skilled nursing unit at GSU Nursing Home on the same
day. Will Medicare pay for this nursing
home care? Yes/No. Explain the rationale for your answer.

24. Based
on question 23, you were discharged after 22 days in GSU Nursing Home. What would you, the patient, have to pay to
GSU Nursing Home for your care? Provide
the total dollar amount you would be liable for. Show your calculations.

25. Does
the federal government require states to offer home health services to adults
enrolled in the state’s Medicaid program?
Yes/No

26. GSU
insurance company is Medicare’s Intermediary.
What does this mean?

27. Calculate
the physician’s Medicare reimbursement and the amount the patient must pay
under the following scenarios:

Given:
Dr. Gellatly bills $120.00 for an intermediate office visit. The usual and

customary Medicare payment is $90.00. The patient’s net taxable income for 2013 was

$42,000.
She filed a single person’s federal income tax return.

a.
Dr. Gellatly accepts Medicare assignment Medicare ____ Patient ____

b. Dr.
Gellatly does not accept Medicare assignment
Medicare ____ Patient ____

28. GSU Hospital received an invoice dated February 21, 2014
for $9,000.00.

The
invoice total included $400.00 in sales taxes and $150.00 in freight costs.

The terms of the invoice were 2%10EOM.

a. If the hospital paid the bill on time, how
much would be the discount amount?

b. When did the invoice have to be paid in order
to earn the discount?

29. GSU Hospital received an invoice with terms stated FOB
Shipping Point.

a. Who pays the freight costs?

b. When does title to the goods transfer to GSU
Hospital?

30. How often does
the Medicare program require hospitals to take the following

physical inventories?

a. Supplies

b. Property, plant and equipment assets

31. Discuss how a hospital records the value of goods taken
on consignment. For example,

art work available for sale in the hospital’s gift
shop.

32. Your friend has
made the following statements. Is she
correct or wrong?

Defend your answers.

a. While your friend was visiting
London England, she broke her leg. She
said that

Medicare would pay the bill.

b. “Medicare is going broke
because of expensive nursing home and retirement

home costs for the babyboomers.”

c. “Medicaid is going broke
because of all of those welfare moms and their kids.”

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