Textbook of Urgent Care Management: Chapter 13, Financial Management
By Glenn Dean
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About this ebook
Chapter 13 includes:
Internal Control
- Control Principles
- Cash
- Petty Cash
- Billing and Collection
- Payroll and Independent Contractors
- Purchasing and Accounts Payable
- Check Requests and Expense Reports
Performance Measurement
- Revenue
- Accounts Receivable
- Working Capital
- Variance Analysis
- Financial Statements and Variances
Evaluation
- Revenue
- Accounts Receivable
- Aging by Payer
Glenn Dean
Glenn Dean was commissioned as an Armor officer through the Army ROTC program at the Florida Institute of Technology with a degree in Aerospace Engineering. He was subsequently assigned to operational Armor and Cavalry assignments in the 24th Infantry Division, 3rd Infantry Division, and the 1st Cavalry Division, as well as a tour in Recruiting Command. After completing graduate work in Industrial & Systems Engineering at the Georgia Institute of Technology, he transitioned to the Army Acquisition career field. He currently works in weapons systems development and has worked in combat development, program management, and technology development in the fields of small arms, medium caliber cannons, ammunition, and combat vehicles.
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Textbook of Urgent Care Management - Glenn Dean
CHAPTER 13
Financial Management:
Internal Control, Performance Measurement, and Evaluation
Glenn Dean
from
Chapter 13
Financial Management: Internal Control, Performance Measurement, and Evaluation
Glenn Dean
INTERNAL CONTROL
The internal control structure defines how the organization’s resources are directed, evaluated, and measured. Effective controls regulate normal operations, are consistent with established policies, and are complied with using the corresponding procedures. Controls have many functions but are primarily instituted to ensure reliability of records, to comply with rules and regulations, to secure valuable assets, or for operational efficiency. Measuring the effectiveness of the control framework relies on accurate and timely financial reporting for evaluating results over the period.
An example of the application of controls is deterrence of employee theft. Roughly 75% of small businesses experience some form of employee theft. The best defense for an organization is to implement internal controls, a series of checks and balances used in daily operations. These controls are designed, implemented, and administered in accordance with a set of principles.
Control Principles
Segregation of duties Separating duties among employees is arguably the most important concept of internal control for eliminating errors and combating employee fraud. Responsibility for related activities should be assigned to different individuals; ecordkeeping must be a separate task from authorization to purchase or from physical custody of assets.
Policies and procedures Policies are guidelines formulated by management to achieve the key objectives of the organization. Procedures are specific methods designed from the policies to create tasks and processes that result in desired outcomes.
Control over information processing Every employee and contractor with access to information processing systems must be authorized and have a unique user name and password. Authorization for data entry, accounting for transactions, appending patient records, or unlocking patient accounts should be limited to those who require specific privileges. All entries that change records must be tracked