The University of Texas at Tyler Executive Health …...Healthcare Finance: An Introduction to Accounting and Financial Management, 6th edition. Health Administration Press. ISBN:

Summer 2019 Semester—EHCA 5361—Dr. Timothy Rotarius

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The University of Texas at Tyler Executive Health Care Administration MPA Program

Summer 2019

Graduate Healthcare Accounting (EHCA 5361)

Dr. Timothy Rotarius, Ph.D., MBA Professor

[email protected] 407-970-9284

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This course meets in-class for 20 hours.

There will be five (5) sessions, each four hours in length.

These five sessions will be spread over a three-day period.

The dates of in-class meetings are shown later in this syllabus.

In addition, this course regularly uses email and the course website. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Statement of Accountability for this Graduate Course

As a student in this course, please agree to the following:

I have read and understand the course policies as explained in the syllabus.

I plan to devote an average of 10 hours per week to this course.

I plan to attend all in-class sessions.

I accept responsibility for issues related to my computer and internet connection.

I will follow the email protocols as described in the syllabus.

If I cheat or plagiarize, I will accept a score of zero on the specific item.

I plan to meet every deadline or will accept a score of zero on the specific item.

I do not expect to ask for favoritism from the Professor.

Course Description (from the Course Catalog)

The purpose of this course is to provide students with essential skills of financial accounting. The course delves into many of the techniques related to financial information in healthcare: debits and credits, the recording process, accounts receivable, inventory, and depreciation methods.

Course Learning Objectives

mailto:[email protected]


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1. Analyze accounting concepts, including the standardization of accounting

methods.

2. Prepare and analyze financial statements (i.e., Income Statements, Balance

Sheets, and Cash Flow Statements).

3. Develop pricing strategies.

4. Understand revenue generation from multiple payers and sources.

5. Perform costing analyses.

6. Understand reimbursement processes as they relate to the management of

financial resources.

7. Estimate cash flow.

8. Perform investment decision analysis.

9. Examine indirect expenses to determine optimal allocation methods.

10. Assess the financial condition of different healthcare organizations.

11. Understand the Patient Protection and Affordable Care Act and its financial

implications.

12. Develop viable solutions to the long-term financial threats and opportunities

that plague the U.S. health care system.

13. Identify opportunities for using financial information in new and creative ways

to solve managerial problems.

Course Materials

Required textbook and other course materials:

Gapenski and Reiter. 2016. Healthcare Finance: An Introduction to Accounting and Financial Management, 6th edition. Health Administration Press. ISBN: 978-1-56793-741-1.

Discussion section of course website.

Microsoft Word, Microsoft Excel, and Adobe Acrobat.

Calculator (no preference as to brand or model number).

Supplemental Reference Textbooks (Not Required):

Supplemental (not required) Textbook: Baker, Baker, and Dworkin. 2018. Health Care Finance, 5th edition. Jones & Bartlett Publishers (www.jbpub.com).

Supplemental (not required) Textbook: Cleverly and Cameron. 2017. Essentials of Health Care Finance, 8th edition. Jones & Bartlett Publishers (www.jbpub.com).

Supplemental (not required) Textbook: Nowicki. 2017. Introduction to Financial Management of Healthcare Organizations, 7th edition. Chicago, IL: Health Administration Press (www.ache.org).

http://www.jbpub.com/

http://www.jbpub.com/

http://www.ache.org/


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Additional readings and reference materials may be provided via the course website

and during the in-class sessions.

Learning Objectives for the Textbook

Chapter 1—Healthcare Finance Basics

Define healthcare finance.

Explore the role of finance in the healthcare industry and explain how this role has changed over time.

Examine the structure of the healthcare finance department and list operational issues currently faced by financial managers of healthcare organizations.

Discuss the key financial elements of healthcare reform.

Chapter 2—Healthcare Insurance and Reimbursement Methodologies

Discuss health insurance concepts, including adverse selection and moral hazard.

Describe the third-party payer system of reimbursement.

Explain the purpose and organization of managed care plans.

Examine the incentives created by different reimbursement methods and their impact on provider risk.

Chapter 3—The Income Statement and Statement of Changes in Equity

Explain why financial statements are important to healthcare managers and outside stakeholders.

Describe accounting standards and understand how these standards dictate the creation of healthcare accounting information.

Examine the components of the healthcare income statement: revenues and expenses.

Discuss the differences between net income and cash flow.

Chapter 4—The Balance Sheet and Statement of Cash Flows

Discuss the purpose of the Fundamental Accounting Equation.

Explain how the Balance Sheet is related to the Income Statement.

Define cash flow and its importance within healthcare organizations.

Describe the purpose of a cash flow statement.

Chapter 5—Organizational Costing and Profit Analysis

Differentiate between financial accounting and managerial accounting.

Describe how healthcare costs are classified according to their relationship with volume of units.

Conduct profit analyses to determine the expected financial changes as strategic assumptions change.

Examine fee-for-service and capitation reimbursement methodologies.


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Chapter 6—Departmental Costing and Cost Allocation:

Differentiate between direct and indirect costs.

Explain why cost allocation is important to healthcare department managers.

Define a cost driver and determine whether a cost driver is considered “good” or “poor.”

Compare different cost allocation models in use in the healthcare industry.

Chapter 7—Service Line Costing and Pricing

Compare the various methods used to “cost” individual medical procedures.

Examine the differences between full cost pricing and marginal cost pricing.

Learn how to set prices and determine appropriate healthcare service offerings under different reimbursement methodologies.

Explain why a provider would want to be either a price setter or a price taker.

Course Work & Grading

Course work consists of:

Solving end-of-chapter problems sets (HW1...HW7)

Writing and reviewing exam questions (7 Qs & 7 Rs)

Analyzing cases and preparing reports (Small Case & Big Case)

Course Work from the Textbook: 67%

HW1...HW7 End-of-Chapter problem sets = 35 points Q1...Q7 Writing exam questions from the textbook = 21 points R1...R7 Reviewing exam questions from the textbook = 14 points

Case Assignments: 33%

SC Small Case Analysis = 14 points BC Big Case Analysis = 20 points

TOTAL POINTS = 104 points 100%

Course grading scale: A = 90+ points B = 80-89 points C = 70-79 points F = fewer than 70 points

Neither makeup work nor extra credit will be offered in this course.

Learning Schedule

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Please visit the university’s academic calendar for important dates (www.uttyler.edu).

In-Class Sessions

May 30 8:00 am to 12:00 pm in-class Introductions and review of syllabus.

Textbook: Chapter 1.

Small Case Discussion.

May 30 1:00 pm to 5:00 pm in-class Textbook: Chapter 2.

Small Case Group Work.

May 31 8:00 am to noon in-class Textbook: Chapters 3, 4.


May 31 1:00 pm to 5:00 pm in-class Textbook: Chapters 5, 6.


June 1 8:00 am to noon in-class Textbook: Chapter 7.

Small Case Group Presentations.

General Dates

May 20 Semester begins

May 22 Complete course preparation:

Access course website to become familiar with the course. Identify open and due dates during the semester.

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Problem Sets from the Textbook

June 10 June 20

HW1 opens HW1 due

June 10 June 20

HW2 opens HW2 due

June 21 June 29

HW3 opens HW3 due

June 30 July 8

HW4 opens HW4 due

July 9 July 18

HW5 opens HW5 due

July 19 July 28

HW6 opens HW6 due

July 29 Aug 7

HW7 opens HW7 due

From the Textbook

June 10 June 10 June 21 June 30 July 9 July 19 July 29

Finish Reading Chapter 1 Finish Reading Chapter 2 Finish Reading Chapter 3 Finish Reading Chapter 4 Finish Reading Chapter 5 Finish Reading Chapter 6 Finish Reading Chapter 7

Case Assignments

May 22 May 30 June 1

Begin reading the Small Case Small Case Directions open (in-class) Submit Small Case Paper and Present to Peers (in-class)

May 24 June 19 Aug 8

Begin reading the Big Case Big Case Directions open Big Case paper due

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Questions Reviewed

June 15 June 18

R1 opens R1 due

June 15 June 18

R2 opens R2 due

June 26 June 28

R3 opens R3 due

July 5 July 7

R4 opens R4 due

July 14 July 16

R5 opens R5 due

July 24 July 26

R6 opens R6 due

Aug 3 Aug 5

R7 opens R7 due

Questions Written (using the Textbook)

June 10 June 14

Q1 opens Q1 due

June 10 June 14

Q2 opens Q2 due

June 21 June 25

Q3 opens Q3 due

June 30 July 4

Q4 opens Q4 due

July 9 July 13

Q5 opens Q5 due

July 19 July 23

Q6 opens Q6 due

July 29 Aug 2

Q7 opens Q7 due

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University Administrative Issues

UT Tyler Honor Code Every member of the UT Tyler community joins together to embrace: Honor and integrity that will not allow me to lie, cheat, or steal, nor to accept the actions of those who do. Students Rights and Responsibilities To know and understand the policies that affect your rights and responsibilities as a student at UT Tyler, please follow this link: http://www.uttyler.edu/wellness/rightsresponsibilities.php Campus Carry We respect the right and privacy of students 21 and over who are duly licensed to carry concealed weapons in this class. License holders are expected to behave responsibly and keep a handgun secure and concealed. More information is available at http://www.uttyler.edu/about/campus-carry/index.php UT Tyler a Tobacco-Free University All forms of tobacco will not be permitted on the UT Tyler main campus, branch campuses, and any property owned by UT Tyler. This applies to all members of the University community, including students, faculty, staff, University affiliates, contractors, and visitors.

Forms of tobacco not permitted include cigarettes, cigars, pipes, water pipes (hookah), bidis, kreteks, electronic cigarettes, smokeless tobacco, snuff, chewing tobacco, and all other tobacco products. There are several cessation programs available to students looking to quit smoking, including counseling, quitlines, and group support. For more information on cessation programs please visit www.uttyler.edu/tobacco-free. Grade Replacement/Forgiveness and Census Date Policies Students repeating a course for grade forgiveness (grade replacement) must file a Grade Replacement Contract with the Enrollment Services Center (ADM 230) on or before the Census Date of the semester in which the course will be repeated. Grade Replacement Contracts are available in the Enrollment Services Center or at http://www.uttyler.edu/registrar. Each semester’s Census Date can be found on the Contract itself, on the Academic Calendar, or in the information pamphlets published each semester by the Office of the Registrar.

Failure to file a Grade Replacement Contract will result in both the original and repeated grade

being used to calculate your overall grade point average. Undergraduates are eligible to exercise

grade replacement for only three course repeats during their career at UT Tyler; graduates are

eligible for two grade replacements. Full policy details are printed on each Grade Replacement

Contract.

The Census Date is the deadline for many forms and enrollment actions of which students need to

be aware. These include:

Submitting Grade Replacement Contracts, Transient Forms, requests to withhold directory information, approvals for taking courses as Audit, Pass/Fail or Credit/No Credit.

Receiving 100% refunds for partial withdrawals. (There is no refund for these after the Census Date)

Schedule adjustments (section changes, adding a new class, dropping without a “W” grade)

Being reinstated or re-enrolled in classes after being dropped for non-payment

Completing the process for tuition exemptions or waivers through Financial Aid

http://www.uttyler.edu/wellness/rightsresponsibilities.php

http://www.uttyler.edu/about/campus-carry/index.php

http://www.uttyler.edu/tobacco-free

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State-Mandated Course Drop Policy Texas law prohibits a student who began college for the first time in Fall 2007 or thereafter from dropping more than six courses during their entire undergraduate career. This includes courses dropped at another 2-year or 4-year Texas public college or university. For purposes of this rule, a dropped course is any course that is dropped after the census date (See Academic Calendar for the specific date). Exceptions to the 6-drop rule may be found in the catalog. Petitions for exemptions must be submitted to the Enrollment Services Center and must be accompanied by documentation of the extenuating circumstance. Please contact the Enrollment Services Center if you have any questions.

Disability/Accessibility Services In accordance with Section 504 of the Rehabilitation Act, Americans with Disabilities Act (ADA) and the ADA Amendments Act (ADAAA) the University of Texas at Tyler offers accommodations to students with learning, physical and/or psychological disabilities. If you have a disability, including a non-visible diagnosis such as a learning disorder, chronic illness, TBI, PTSD, ADHD, or you have a history of modifications or accommodations in a previous educational environment, you are encouraged to visit https://hood.accessiblelearning.com/UTTyler and fill out the New Student application. The Student Accessibility and Resources (SAR) office will contact you when your application has been submitted and an appointment with Cynthia Lowery, Assistant Director of Student Services/ADA Coordinator. For more information, including filling out an application for services, please visit the SAR webpage at http://www.uttyler.edu/disabilityservices, the SAR office located in the University Center, # 3150 or call 903.566.7079.

Student Absence due to Religious Observance Students who anticipate being absent from class due to a religious observance are requested to inform the instructor of such absences by the second class meeting of the semester. Student Absence for University-Sponsored Events and Activities If you intend to be absent for a university-sponsored event or activity, you (or the event sponsor) must notify the instructor at least two weeks prior to the date of the planned absence. At that time the instructor will set a date and time when make-up assignments will be completed. Social Security and FERPA Statement It is the policy of The University of Texas at Tyler to protect the confidential nature of social security numbers. The University has changed its computer programming so that all students have an identification number. The electronic transmission of grades (e.g., via e-mail) risks violation of the Family Educational Rights and Privacy Act; grades will not be transmitted electronically. Emergency Exits and Evacuation Everyone is required to exit the building when a fire alarm goes off. Follow your instructor’s directions regarding the appropriate exit. If you require assistance during an evacuation, inform your instructor in the first week of class. Do not re-enter the building unless given permission by University Police, Fire department, or Fire Prevention Services. Student Standards of Academic Conduct Disciplinary proceedings may be initiated against any student who engages in scholastic dishonesty, including, but not limited to, cheating, plagiarism, collusion, the submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts.

https://hood.accessiblelearning.com/UTTyler

http://www.uttyler.edu/disabilityservices

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i.“Cheating” includes, but is not limited to:

copying from another student’s test paper;

using, during a test, materials not authorized by the person giving the test;

failure to comply with instructions given by the person administering the test;

possession during a test of materials which are not authorized by the person giving the test, such as class notes or specifically designed “crib notes”. The presence of textbooks constitutes a violation if they have been specifically prohibited by the person administering the test;

using, buying, stealing, transporting, or soliciting in whole or part the contents of an unadministered test, test key, homework solution, or computer program;

collaborating with or seeking aid from another student during a test or other assignment without authority;

discussing the contents of an examination with another student who will take the examination;

divulging the contents of an examination, for the purpose of preserving questions for use by another, when the instructors has designated that the examination is not to be removed from the examination room or not to be returned or to be kept by the student;

substituting for another person, or permitting another person to substitute for oneself to take a course, a test, or any course-related assignment;

paying or offering money or other valuable thing to, or coercing another person to obtain an unadministered test, test key, homework solution, or computer program or information about an unadministered test, test key, home solution or computer program;

falsifying research data, laboratory reports, and/or other academic work offered for credit;

taking, keeping, misplacing, or damaging the property of The University of Texas at Tyler, or of another, if the student knows or reasonably should know that an unfair academic advantage would be gained by such conduct; and

misrepresenting facts, including providing false grades or resumes, for the purpose of obtaining an academic or financial benefit or injuring another student academically or financially.

ii. “Plagiarism” includes, but is not limited to, the appropriation, buying, receiving as a gift, or obtaining by any means another’s work and the submission of it as one’s own academic work offered for credit. iii. “Collusion” includes, but is not limited to, the unauthorized collaboration with another person in preparing academic assignments offered for credit or collaboration with another person to commit a violation of any section of the rules on scholastic dishonesty. iv. All written work that is submitted will be subject to review by plagiarism software. UT Tyler Resources for Students

UT Tyler Writing Center (903.565.5995), [email protected]

UT Tyler Tutoring Center (903.565.5964), [email protected]

The Mathematics Learning Center, RBN 4021, this is the open access computer lab for math students, with tutors on duty to assist students who are enrolled in early-career courses.

UT Tyler Counseling Center (903.566.7254)

Course Policies and Rules

Your up-to-date grade percentage is calculated as follows: (sum of your scores at this time ÷ total possible points at this time)



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Do not plagiarize. Plagiarism is defined as using another’s work without any indication of the source, thereby attempting to convey the impression that such work is your own. All submitted course work must represent the student’s own scholarly and creative efforts, which means that an anti-plagiarism statement must be included on all submitted work (or penalty points will be deducted).

Computer Issues

Students are responsible for any computer problems (such as disk crashes and internet connection failures) that you experience.

If you sincerely believe there was a problem with the university’s computer system, visit the university website to find if a university-caused computer problem has occurred.

If there really was a university problem, it will show up on the university website within a day or so. Keep looking at those webpages and, if you see that a university problem occurred when you were having difficulties, let me know.

If the university computer department says that there was a university problem, I will make every effort to make sure students’ scores are not adversely affected by university computer problems.

Email Communication Protocol

For communications containing private and personal information, please use the private course email system. In your email to me, please remember to include your phone number (if necessary).

For course-related (i.e., non-personal) communications, please use the public course communication system.

Medical Issues

Verifiable medical documentation and funeral documentation will be reviewed to determine if special arrangements are warranted.

If you believe you deserve special consideration for these types of issues, please scan your documentation into a pdf file and send the file to me (via the private course email system).

Course Work Guidelines

Course work provides opportunities for students to demonstrate practical application of accounting concepts, critical thinking skills, and general knowledge in various accounting content areas.

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Since repetition in problem solving is the key to understanding the principles of accounting, the completion of course work is critical to achieving success in this course.

Course assignments will be open for a defined number of days during which time students need to (a) read the assignment and (b) submit their homework.

Late course work cannot be accepted. Course work cannot be changed once it is submitted.

Submitted course work that is deemed incomplete by the Professor will incur a penalty up to, and including, the loss of all the points for the assignment. The decision of “incomplete” rests entirely with the Professor. For example, a homework submission that the student believes is 99% complete may still be considered “incomplete” for purposes of assessing the penalty.

All general inquiries related to course work should be posted to the appropriate discussion section of the course website. That way, everyone in the course will benefit from the discussion of the issue.

Individual homework scores will be available about 3-5 days after the due date.

For most homework assignments, after the scores are computed, I submit a “Results” posting within the general discussion section of the course website. These “Results” postings show the main reasons why students lost points on specific assignments.

Formatting for Course Work

Submitted homework should not be handwritten. Everything should be typed.

All homework will be submitted as a pdf file (with the following filename extension: .pdf).

Course work submitted as a word processing file will NOT be accepted for credit.

Course work submitted as a spreadsheet file will NOT be accepted for credit.

Please do not use a separate cover page for your homework.

Be sure to place your full name somewhere near the top of your first page.

Discussion Section of the Course Website

To simulate the question-and-answer portion of an in-class course, we will utilize the discussion section of the course website. Periodically, topics of interest will be posted

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that are intended to facilitate learning the chapter content. While students do not have to respond to these postings, responses are encouraged.

There are no participation points related to student involvement with the course discussion section (just as there are no points for reading the textbook). However, you still need to keep up with the discussions. These discussion postings are intended to help you. I read every student discussion posting and, as necessary, make corrections to student postings. In addition, I sometimes provide clarifications that may alter a course expectation (such as changing a due date or altering an assignment requirement or changing something else in the course).

Regarding the discussion postings, we do not want our course discussion section to resemble a disorganized pile of postings. Therefore, please post your discussions in the appropriate place. If, for example, you want to ask a question about Assignment 2, look for the discussion section titled A2. If it exists, then post your thoughts there. If it does not exist, feel free to create the new discussion section.

Here are some guidelines for using the discussion section:

Every student is expected to read every posting in the discussion section.

The discussion section is not to be used as a forum to have other students do your work.

Do not use the discussion section to ask questions regarding, for example, when an assignment is due (that specific answer is in the syllabus).

Feel free to use the discussion section to schedule a place to meet to study together.

Please use the discussion section to ask questions about interpreting the assignments and to post discussions about current healthcare issues. That is one way we can learn from others.

Closing Details

Now that you have finished reading the syllabus, it is a good idea to re-read it one more time so that you understand your responsibilities and your required commitment to this course. That way, there will be no surprises later.

This syllabus is subject to change based on the Professor's perception of the overall preparation and progress of the class.

One last point—As you decide how much time to devote to this course, please keep the following in mind:

If you spend a lot of time listening to music, you will remember a lot of songs.

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If you spend a lot of time watching TV, you will know a lot about TV.

If you spend a lot of the time following sports, you will learn a lot about sports.

If you spend a lot of time studying healthcare accounting, you will learn a lot about healthcare accounting.

Good luck!!

Documents

The University of Texas at Tyler Executive Health …...Healthcare Finance: An Introduction to Accounting and Financial Management, 6th edition. Health Administration Press. ISBN: