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Change in Health Care Accounting Environment INTRODUCTION The environment wi

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The environment within which health care accounting is performed is in the midst of dramatic change.1 The accurate costing of delivered services is, within this dynamic environment, assuming an ever greater significance.2 This research examines one change being introduced into the hospital cost accounting process: the application of a twostage activitybased cost accounting.3

The findings of this examination are presented in three separate discussion. The first of these discussions considers existing cost models, while the second discussion examines the twostage activitybased cost accounting procedure, and the third discussion assesses the probable impact on hospital administration of the application of the twostage activitybased cost accounting procedure.

1D. W. Young, "Cost Accounting and Cost Comparisons: Methodological Issues and Their Policy and Management Implications," Accounting Horizons, v. 2, March 1988, pp. 6869.

2S. Mendenhall, R. Shepherd, and E. Kabrinski, "Cost Accounting in Health Care Organizations: Who Needs It?" Health Care Financial Management, v. 4, January 1987, p. 40.

3R. Cooper, "The TwoStage Procedure in Cost Accounting: Part One," Jorunal of Cost Management for the Manufacturing Industry, v. 1, Summer 1987, pp. 4351; R. Cooper, "The TwoStage Procedure in Cost AccountingPart Two," Jorunal of Cost Management for the Manufacturing Industry, v. 1, Fall 1987, pp. 3945.

. . .
ng concepts. The use of costs derived through the application of these managerial accounting concepts permits managers to make valid and rapid decisions on the basis of performance variances from managerial accounting cost factors or ratios. Internal cost controls within organizations cover a multitude of factors and considerations, depending on the activity being controlled. Within production organizations, one of the most important forms of internal cost control involves the use of standard costs. Hospitals are, in one sense, production organizations, and wide use is made among hospitals of the standard cost concept in cost accounting.7 The use of standard costs in an internal cost control program involves the evaluation of the efficiency of the production process through the analysis of the variance between standard and actual costs. Process cost and job order cost systems provide the cost accountant with the means of determining actual and historical __________ 7J. C. Nackel, P. J. Fenaroli, and G. M. J. Kis, "Product Line Performance Accounting: A Key to Cost Management," Health Care Financial Management, v. 41, November 1987, p. 54. 6unit costs of production. The purpose of both actual and historical cos
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Some common words found in the essay are:
MODELS Health, Accounting Research, Financial Management, Management Accounting, Financial Management, Accounting March, , ACTIVITYBASED COSTING, COST ACCOUNTING, CONCLUSION RECOMMENDATION, cost accounting, health care, standard costs, accounting procedure, cost accounting procedure, twostage activitybased, standard cost, activitybased cost, twostage activitybased cost, activitybased cost accounting, health care financial, care financial, financial management, 1987 pp, care financial management,
Approximate Word count = 2669
Approximate Pages = 11 (250 words per page)

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