Presented by:
Mary Shively
Director, Healthcare Software Systems and Support
shively@hwco.com
Helen Weeber, CPA
Director, Non-Profit Services
weeber@hwco.com
Assets = Liabilities + Owner’s Equity
or
Assets – Liabilities = Owner’s Equity
2Copyright © 2016 HW&Co. All Rights Reserved.
The Obligatory Accounting Equation
ASSETS
Cash / Bank Accounts
Accounts Receivable
Pre-Paid Expenses
Land
Buildings
Fixtures and Furnishings
Accumulated Depreciation
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Account Categories - ASSETS
LIABILITIES
Accounts Payable
Notes Payable
Accrued Liabilities
Resident Trust Payable
Security Deposits
Refunds Payable
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Account Categories - Liabilities
OWNER’S EQUITY
Capital
Withdrawals
Revenues
Expenses
Retained Earnings
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Account Categories – Owner’s Equity
Double Entry Accounting
– Each transaction affects two accounts
Cash vs. Accrual
Cash: Recognize when payment received
Accrual: Recognize when service delivered
My Asset is your Liability
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Accounting Basics
T Accounts – Representational - Divides the
account into Left and Right sides
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More Basics
1010-00 CASH
20,000 10,000
500
Debits and Credits
Debit: Left side of an account
Credit: Right side of an account
Liabilities and Owner’s Equity
8Copyright © 2016 HW&Co. All Rights Reserved.
Increases and Decreases in Accounts
(The Rules of Debit and Credit)
Increases: Decreases:
Recorded on Left side Recorded on Right side
(DEBIT) (CREDIT)
Assets
Decreases: Increases:
Recorded on Left side Recorded on Right side
(DEBIT) (CREDIT)
9Copyright © 2016 HW&Co. All Rights Reserved.
Normal Balances of Accounts
An Account’s “Normal Balance” appears on the side
of the account – debit or credit – where we
record increases.
Assets . . . . . . . . . . . . . . . Debit
Liabilities . . . . . . . . . . . . Credit
Owner’s Equity . . . . . . . Credit
Capital . . . . . . . . . . . Credit
Withdrawals . . . . . . Debit
Revenues . . . . . . . . Credit
Expenses . . . . . . . . Debit
Debit Credit
A/R - Private Pay 9,000
R&B Private Pay Revenue 9,000
A/R - Medicaid 5,400
A/R – Patient Liability 1,200
C/A – Medicare Revenue 2,400
R&B Medicaid Revenue 9,000
10Copyright © 2016 HW&Co. All Rights Reserved.
Sample Journal Entries: Room & Board Revenue
Debit Credit
A/R-Medicare 17,233
R&B Medicare Revenue 9,000
C/A – Medicare Revenue 8,233
A/R-Medicare 12,403
A/R- Medicare Co-ins 4,830
R&B Medicare Revenue 9,000
C/A – Medicare Revenue 8,233
11Copyright © 2016 HW&Co. All Rights Reserved.
Sample Journal Entries: Room & Board Revenue
Debit Credit
Cash 9,000
A/R – Private Pay 9,000
Cash 5,400
A/R – Medicaid 5,400
Cash 1,200
A/R – Patient Liability 1,200
12Copyright © 2016 HW&Co. All Rights Reserved.
Sample Journal Entries: Cash Receipts
Debit Credit
Garbage Removal Expense 525
A/P – Accounts Payable 525
Vehicle Loan Expense 924
A/P – Accounts Payable 924
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Sample Journal Entries: Invoice Entry
Debit Credit
A/P – Accounts Payable 525
Cash 525
A/P – Accounts Payable 924
Cash 924
14Copyright © 2016 HW&Co. All Rights Reserved.
Sample Journal Entries: Checks/Payments
Depreciation
- Assets decline in usefulness over lifetime
- Asset costs are allocated over that lifetime,
as an expense
Debit Credit
Depreciation Expense 1200
Accumulated Depreciation 1200
15Copyright © 2016 HW&Co. All Rights Reserved.
Other Journal Entries
Payroll Journal Entries
Complex Entities
Salaries by Position Type
Bank Withdrawals
Often imported from Payroll Company
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Other Journal Entries
Step One: Adjust off the credit
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Refund Processing: A Two-Step Process
Debit Credit
A/R Private Pay 100
Refunds Payable 100
Step Two: Pay the Refundee
Debit Credit
Refunds Payable 100
A/P - Accounts Payable 100
A/P – Accounts Payable 100
Cash 100
The Refunds Payable Clearing Account should always be
Zero, if both steps have been completed.
- Incorporate the verification into EOM checklist
18Copyright © 2016 HW&Co. All Rights Reserved.
Refund Processing: A Two-Step Process
Contractual Adjustments
A/R – Medicare B 1.24
C/A – Medicare B 1.24
Bad Debts
Bad Debt Expense 300
A/R – Medicare B 300
Balance Transfers
A/R – Medicare A Coins – Private 200
A/R - Medicare A Co-ins-Insurance 200
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Adjustments
- Balance Cash to Bank Statements
- Process take-backs and offsets properly
- Make sure all deposits are accounted for
- Correct cash errors through cash, not adjustments
- Perform Revenue checks to make sure census
balances to the revenue journal entry
- Make sure A/R Aging Report Balances to GL A/R
account balances
- End Result: A Perfect Journal Entry for the GL
20Copyright © 2016 HW&Co. All Rights Reserved.
Revisit your A/R End Of Month Processes
Chart of Accounts
General Ledger
Trial Balance
Bank Reconciliation
The Accounting Close Process
Financial Statements
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More Basics
Shows Financial Performance over a
Period of Time
Two sections:
Revenue & Expenses
Financial Performance- how well did the
business do this period?
Let’s look at an example
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The Income Statement
Shows the entity’s financial situation
at a given Point in Time
Three sections:
Assets
Liabilities
Owners’ Equity
Let’s look at an example
23Copyright © 2016 HW&Co. All Rights Reserved.
The Balance Sheet
SNFs:
Q Codes
Ancillaries – PS&R
Invoice/Expense Coding
Case Mix
ICFs:
Invoice/Expense Coding
IAF Score
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Considerations for Cost Reporting Purposes
25Copyright © 2016 HW&Co. All Rights Reserved.
Accounting for Coinsurance Bad Debts
26Copyright © 2016 HW&Co. All Rights Reserved.
Accounting for Coinsurance Bad Debts
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Thank You!
Mary Shively
shively@hwco.com
Helen Weeber, CPA
weeber@hwco.com
23240 Chagrin Blvd., Suite 700
Cleveland, OH 44122
P. 216.831.1200
F. 216.831.1842
460 Polaris Parkway, Suite 300
Westerville, OH 43082
P. 614.794.8710
F. 614.794.8712
8800 Tyler Blvd.
Mentor, OH 44060
P: 440.951.1777
F: 440.951.2143
www.hwco.com
877.FOR.HWCO
Copyright © 2016 HW&Co. All Rights Reserved.

Accounting for Non-Accountants

  • 1.
    Presented by: Mary Shively Director,Healthcare Software Systems and Support shively@hwco.com Helen Weeber, CPA Director, Non-Profit Services weeber@hwco.com
  • 2.
    Assets = Liabilities+ Owner’s Equity or Assets – Liabilities = Owner’s Equity 2Copyright © 2016 HW&Co. All Rights Reserved. The Obligatory Accounting Equation
  • 3.
    ASSETS Cash / BankAccounts Accounts Receivable Pre-Paid Expenses Land Buildings Fixtures and Furnishings Accumulated Depreciation 3Copyright © 2016 HW&Co. All Rights Reserved. Account Categories - ASSETS
  • 4.
    LIABILITIES Accounts Payable Notes Payable AccruedLiabilities Resident Trust Payable Security Deposits Refunds Payable 4Copyright © 2016 HW&Co. All Rights Reserved. Account Categories - Liabilities
  • 5.
    OWNER’S EQUITY Capital Withdrawals Revenues Expenses Retained Earnings 5Copyright© 2016 HW&Co. All Rights Reserved. Account Categories – Owner’s Equity
  • 6.
    Double Entry Accounting –Each transaction affects two accounts Cash vs. Accrual Cash: Recognize when payment received Accrual: Recognize when service delivered My Asset is your Liability 6Copyright © 2016 HW&Co. All Rights Reserved. Accounting Basics
  • 7.
    T Accounts –Representational - Divides the account into Left and Right sides 7Copyright © 2016 HW&Co. All Rights Reserved. More Basics 1010-00 CASH 20,000 10,000 500 Debits and Credits Debit: Left side of an account Credit: Right side of an account
  • 8.
    Liabilities and Owner’sEquity 8Copyright © 2016 HW&Co. All Rights Reserved. Increases and Decreases in Accounts (The Rules of Debit and Credit) Increases: Decreases: Recorded on Left side Recorded on Right side (DEBIT) (CREDIT) Assets Decreases: Increases: Recorded on Left side Recorded on Right side (DEBIT) (CREDIT)
  • 9.
    9Copyright © 2016HW&Co. All Rights Reserved. Normal Balances of Accounts An Account’s “Normal Balance” appears on the side of the account – debit or credit – where we record increases. Assets . . . . . . . . . . . . . . . Debit Liabilities . . . . . . . . . . . . Credit Owner’s Equity . . . . . . . Credit Capital . . . . . . . . . . . Credit Withdrawals . . . . . . Debit Revenues . . . . . . . . Credit Expenses . . . . . . . . Debit
  • 10.
    Debit Credit A/R -Private Pay 9,000 R&B Private Pay Revenue 9,000 A/R - Medicaid 5,400 A/R – Patient Liability 1,200 C/A – Medicare Revenue 2,400 R&B Medicaid Revenue 9,000 10Copyright © 2016 HW&Co. All Rights Reserved. Sample Journal Entries: Room & Board Revenue
  • 11.
    Debit Credit A/R-Medicare 17,233 R&BMedicare Revenue 9,000 C/A – Medicare Revenue 8,233 A/R-Medicare 12,403 A/R- Medicare Co-ins 4,830 R&B Medicare Revenue 9,000 C/A – Medicare Revenue 8,233 11Copyright © 2016 HW&Co. All Rights Reserved. Sample Journal Entries: Room & Board Revenue
  • 12.
    Debit Credit Cash 9,000 A/R– Private Pay 9,000 Cash 5,400 A/R – Medicaid 5,400 Cash 1,200 A/R – Patient Liability 1,200 12Copyright © 2016 HW&Co. All Rights Reserved. Sample Journal Entries: Cash Receipts
  • 13.
    Debit Credit Garbage RemovalExpense 525 A/P – Accounts Payable 525 Vehicle Loan Expense 924 A/P – Accounts Payable 924 13Copyright © 2016 HW&Co. All Rights Reserved. Sample Journal Entries: Invoice Entry
  • 14.
    Debit Credit A/P –Accounts Payable 525 Cash 525 A/P – Accounts Payable 924 Cash 924 14Copyright © 2016 HW&Co. All Rights Reserved. Sample Journal Entries: Checks/Payments
  • 15.
    Depreciation - Assets declinein usefulness over lifetime - Asset costs are allocated over that lifetime, as an expense Debit Credit Depreciation Expense 1200 Accumulated Depreciation 1200 15Copyright © 2016 HW&Co. All Rights Reserved. Other Journal Entries
  • 16.
    Payroll Journal Entries ComplexEntities Salaries by Position Type Bank Withdrawals Often imported from Payroll Company 16Copyright © 2016 HW&Co. All Rights Reserved. Other Journal Entries
  • 17.
    Step One: Adjustoff the credit 17Copyright © 2016 HW&Co. All Rights Reserved. Refund Processing: A Two-Step Process Debit Credit A/R Private Pay 100 Refunds Payable 100
  • 18.
    Step Two: Paythe Refundee Debit Credit Refunds Payable 100 A/P - Accounts Payable 100 A/P – Accounts Payable 100 Cash 100 The Refunds Payable Clearing Account should always be Zero, if both steps have been completed. - Incorporate the verification into EOM checklist 18Copyright © 2016 HW&Co. All Rights Reserved. Refund Processing: A Two-Step Process
  • 19.
    Contractual Adjustments A/R –Medicare B 1.24 C/A – Medicare B 1.24 Bad Debts Bad Debt Expense 300 A/R – Medicare B 300 Balance Transfers A/R – Medicare A Coins – Private 200 A/R - Medicare A Co-ins-Insurance 200 19Copyright © 2016 HW&Co. All Rights Reserved. Adjustments
  • 20.
    - Balance Cashto Bank Statements - Process take-backs and offsets properly - Make sure all deposits are accounted for - Correct cash errors through cash, not adjustments - Perform Revenue checks to make sure census balances to the revenue journal entry - Make sure A/R Aging Report Balances to GL A/R account balances - End Result: A Perfect Journal Entry for the GL 20Copyright © 2016 HW&Co. All Rights Reserved. Revisit your A/R End Of Month Processes
  • 21.
    Chart of Accounts GeneralLedger Trial Balance Bank Reconciliation The Accounting Close Process Financial Statements 21Copyright © 2016 HW&Co. All Rights Reserved. More Basics
  • 22.
    Shows Financial Performanceover a Period of Time Two sections: Revenue & Expenses Financial Performance- how well did the business do this period? Let’s look at an example 22Copyright © 2016 HW&Co. All Rights Reserved. The Income Statement
  • 23.
    Shows the entity’sfinancial situation at a given Point in Time Three sections: Assets Liabilities Owners’ Equity Let’s look at an example 23Copyright © 2016 HW&Co. All Rights Reserved. The Balance Sheet
  • 24.
    SNFs: Q Codes Ancillaries –PS&R Invoice/Expense Coding Case Mix ICFs: Invoice/Expense Coding IAF Score 24Copyright © 2016 HW&Co. All Rights Reserved. Considerations for Cost Reporting Purposes
  • 25.
    25Copyright © 2016HW&Co. All Rights Reserved. Accounting for Coinsurance Bad Debts
  • 26.
    26Copyright © 2016HW&Co. All Rights Reserved. Accounting for Coinsurance Bad Debts
  • 27.
    27Copyright © 2016HW&Co. All Rights Reserved.
  • 28.
    Thank You! Mary Shively shively@hwco.com HelenWeeber, CPA weeber@hwco.com 23240 Chagrin Blvd., Suite 700 Cleveland, OH 44122 P. 216.831.1200 F. 216.831.1842 460 Polaris Parkway, Suite 300 Westerville, OH 43082 P. 614.794.8710 F. 614.794.8712 8800 Tyler Blvd. Mentor, OH 44060 P: 440.951.1777 F: 440.951.2143 www.hwco.com 877.FOR.HWCO Copyright © 2016 HW&Co. All Rights Reserved.