Indira Gandhi National Tribal University, Amarkantak

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Audit and Accounting Guide. Health Care Entities : September 1, 2018 / prepared by the Health Care Committee and the Health Care Audit Guide Task Force.

Contributor(s): Material type: TextTextPublisher number: EB00750678 | Recorded BooksSeries: AICPA audit and accounting guidePublisher: [New York, N.Y.] : AICPA, [2018]Copyright date: ©2018Description: 1 online resourceContent type:
  • text
Media type:
  • computer
Carrier type:
  • online resource
ISBN:
  • 9781948306164
  • 1948306166
Other title:
  • Health Care entities
Subject(s): Genre/Form: Additional physical formats: No titleDDC classification:
  • 362.10973 23
LOC classification:
  • RA399.A3
Online resources:
Contents:
1 Overview and Unique Considerations of Health Care Entities 01-13 ; Purpose 01 ; Applicability 02-06 ; Classification of Health Care Entities 07-08 ; Regulatory Environment 09-13 ; Health Care Reform 12-13 ; 2 General Auditing Considerations 01-119 ; Overview 01-02 ; An Audit of Financial Statements 03-09 ; Audit Risk 05-09 ; Terms of Engagement 10-14 ; Business Associate Agreements 14 ; Audit Planning 15-18 ; Group Audits 19-24 ; Multi-Location Audits Versus Group Audits 23 ; Complex Transactions 24 ; Materiality 25-30 ; Performance Materiality 29-30 ; Qualitative Aspects of Materiality 31-32 ; Use of Assertions in Assessment of Risks of Material Misstatement 33-34 ; Risk Assessment Procedures 35-57 ; Risk Assessment Procedures and Related Activities 37-43 ; The Entity and Its Environment 44-57 ; Additional Audit Considerations 58-99 ; Analytical Procedures 58-59 ; Accounting Estimates 60-62 ; Transactions Processed by Service Organizations 63-66 ; Compliance with Laws and Regulations 67-77 ; Going-Concern Considerations 78-92 ; Written Representations 93-99 ; Independent Auditor's Reports 100-102 ; Single Audit Act and Related Audit Considerations 103-109 ; Statutory Reporting Considerations for Health Plans 110-119 ; Risk-Based Capital Requirements 114-115 ; Deficiencies in Internal Control 116 ; Communicating Internal Control Matters in an Audit 117 ; Communications with Regulators 118-119 ; 3 Unique Financial Statement Considerations for Not-for-Profit Business-Oriented Health Care Entities 01-43 ; Complete Set of Financial Statements 02-05 ; Balance Sheet 06-08 ; Statement of Operations 09-28 ; Performance Indicator 12-17 ; Other Intermediate Subtotals 18-20 ; Discontinued Operations and Accounting Changes 21-22 ; Revenues 23-25 ; Expenses 26-28 ; Statement of Changes in Net Assets (or Equity) 29-32 ; Statement of Cash Flows 33-37 ; Notes to the Financial Statements 38 ; Subsequent Events 39-41 ; Example Financial Statements 42-43 ; 4 Cash, Cash Equivalents, and Investments 01-75 ; Cash and Cash Equivalents 01-11 ; Centralized Cash Management Arrangements 03-06 ; Cash from Restricted Donations 07 ; Other Restricted or Designated Cash Amounts 08-11 ; Investments 12-73 ; Fair Value Option 17-22 ; Investments in Debt Securities and Certain Equity Securities with a Readily Determinable Fair Value That Are Not Recorded Under the Fair Value Option 23-35 ; Investments in Certain Other Financial Instruments without a Readily Determinable Fair Value That Are Not Recorded Under the Fair Value Option 36-38 ; Investment Pools 39-47 ; Fair Value Measurements 48 ; Impairment of Investments 49-59 ; Securities Lending Activities 60 ; Transfers of Assets to an NFP or Charitable Trust for Investment 61-63 ; Regulation 64 ; Other Financial Statement Presentation Matters 65-73 ; Auditing 74-75 ; 5 Derivatives 01-44 ; Introduction 01-05 ; General Guidance 06-07 ; Accounting for Changes in Fair Value of Derivative Instruments 08-12 ; Fair Value Hedges 09 ; Cash Flow Hedges 10-11 ; Derivatives Not Designated as a Hedging Instrument 12 ; Hedge Accounting Requirements 13-28 ; Shortcut Method 20-28 ; Hybrid Instruments, Host Contracts, and Embedded Derivatives 29-37 ; Calls and Puts in Debt 33-34 ; Derivatives Embedded in Split-Interest Agreements 35-37 ; Other Matters 38-43 ; Changes in Fair Value of Hedged Item 38 ; Termination of Cash Flow Hedge by Debt Extinguishment 39 ; Additional Presentation and Disclosure Requirements for NFP Business-Oriented Health Care Entities 40-43 ; Auditing 44 ; 6 Property and Equipment and Other Assets 01-53 ; Overview 01-05 ; Capitalized Interest 06-11 ; Supplies, Rebates, and Discounts 12-13 ; Lessee Involvement in Fixed Asset Construction 14-17 ; Asset Retirement and Environmental Remediation Obligations 18-20 ; Impairment or Disposal 21-31 ; Discontinued Operations 28-31 ; Nonreciprocal Transfers 32-34 ; Other Long-Lived Assets 35-43 ; Financial Statement Presentation 44-47 ; Auditing 48-53 ; 7 Municipal Bond Financing 01-124 ; Introduction 01-13 ; Conduit Bonds That Trade in Public Markets 06-08 ; Credit Enhancement 09-11 ; Issuance of Municipal Bonds 12-13 ; Extinguishment and Modification Transactions 14-17 ; Calls and Mode Conversions 18-39 ; Defeasance 20-26 ; Modifications 27-31 ; Gain or Loss on Debt Extinguishment 32-33 ; Debt Issuance Costs Incurred in Connection With an ; Exchange or Modification of Debt Instruments 34-36 ; Puts or Tender Options 37-39 ; IRS Considerations 40-44 ; Financial Statement Presentation and Disclosure 45-72 ; Balance Sheet 45-63 ; Statement of Operations 64-65 ; Disclosures 66-72 ; Obligated Group Reporting 73-74 ; Interim Financial Reporting 75-76 ; Auditing 77-123 ; General 77-85 ; Auditor Involvement with Municipal Securities Filings 86-112 ; Letters for Underwriters and Other Requesting Parties 113-119 ; Reference to the Auditor as an "Expert" 120 ; Attestation Engagements Related to Municipal Securities Issuance 121-123 ; Appendix -- Municipal Securities Regulation 124 ; 8 Contingencies and Other Liabilities 01-129 ; Contingencies and Commitments 02-61 ; The Essentials of Recognition, Measurement, and Disclosure for Contingencies 03-09 ; Managing Risk of Loss 10-12 ; Medical Malpractice 13-47 ; Disclosures for Medical Malpractice 48-53 ; Physician Guarantees and Other Agreements With Physicians 54-61 ; Other Liabilities 62-86 ; Asset Retirement Obligations 62-64 ; Compensation and Related Benefits 65-76 ; Joint and Several Liability Arrangements 77-82 ; Agency Funds 83-84 ; Fees Paid to the Federal Government by Health Insurers 85-86 ; Tax Considerations for NFP Health Care Entities 87-101 ; Private Inurement and Intermediate Sanctions 94-95 ; Unrelated Business Income 96 ; State and Local Taxes 97 ; Tax Positions 98-99 ; Medicaid Voluntary Contribution or Taxation Programs 100-101 ; Risks and Uncertainties 102-108 ; Auditing Contingencies and Other Liabilities 109-127 ; Auditing Medical Malpractice Loss Contingencies 110-113 ; Auditing Accounting Estimates 114-119 ; Use of Actuaries and Actuarial Methods 120-123 ; Evaluating Lawyers' Responses 124-127 ; Income Taxes 128 ; Auditing Considerations 129 ; 9 Net Assets (Equity) 01-38 ; Investor-Owned Health Care Entities 01 ; Not-for-Profit Entities 02-25 ; Net Asset Classes 05-18 ; Reclassifications 19-25 ; Classification of Donor-Restricted Endowment Funds 26-32 ; Disclosure 33-37 ; Auditing 38 ; 10 Health Care Service Revenue and Related Receivables 01-61 ; Overview of the Health Care Environment 01-15 ; Rate Setting With Third-Party Payors 05-10 ; The Government Payor Environment 11-14 ; Charity Care 15 ; Types of Health Care Revenue 16 ; Types of Payment Methodologies 17 ; Patient (or Resident) Service Revenue 18-36 ; Revenue Recognition 18-29 ; Accounting and Financial Reporting Requirements 30-36 ; Premium and Capitation Revenues 37-40 ; Patient Receivables 41-45
Summary: Considered the industry's standard resource, this guide helps accountants and financial managers understand the complexities of the specialized accounting and regulatory requirements of the health care industry. Updated for 2018, this edition has been prepared and reviewed by industry experts and provides hands-on, practical guidance for those who work in and with health care entities. A critical resource for auditors, this edition includes new accounting standards and relevant GASB and FASB updates (including those related to private companies). Updates include: -FASB ASU No. 2014-09, Revenue from Contracts with Customers (Topic 606) -FASB ASU No. 2016-01, Financial Instruments - Overall (Subtopic 825-10) Recognition and Measurement of Financial Assets and Financial Liabilities -FASB ASU No. 2016-14, Not-for-Profit Entities (Topic 958): Presentation of Financial Statements of Not-for-Profit Entities -SAS No. 133, Auditor Involvement With Exempt Offering Documents -GASB Statement No. 75, Accounting and Financial Reporting for Postemployment Benefits Other Than Pensions (and Certain Issues Related to OPEB Plan Reporting) -GASB No. 83, Certain Asset Retirement Obligations.
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Online resource; title from PDF title page (EBSCO, viewed December 24, 2018).

Includes bibliographical references and index.

1 Overview and Unique Considerations of Health Care Entities 01-13 ; Purpose 01 ; Applicability 02-06 ; Classification of Health Care Entities 07-08 ; Regulatory Environment 09-13 ; Health Care Reform 12-13 ; 2 General Auditing Considerations 01-119 ; Overview 01-02 ; An Audit of Financial Statements 03-09 ; Audit Risk 05-09 ; Terms of Engagement 10-14 ; Business Associate Agreements 14 ; Audit Planning 15-18 ; Group Audits 19-24 ; Multi-Location Audits Versus Group Audits 23 ; Complex Transactions 24 ; Materiality 25-30 ; Performance Materiality 29-30 ; Qualitative Aspects of Materiality 31-32 ; Use of Assertions in Assessment of Risks of Material Misstatement 33-34 ; Risk Assessment Procedures 35-57 ; Risk Assessment Procedures and Related Activities 37-43 ; The Entity and Its Environment 44-57 ; Additional Audit Considerations 58-99 ; Analytical Procedures 58-59 ; Accounting Estimates 60-62 ; Transactions Processed by Service Organizations 63-66 ; Compliance with Laws and Regulations 67-77 ; Going-Concern Considerations 78-92 ; Written Representations 93-99 ; Independent Auditor's Reports 100-102 ; Single Audit Act and Related Audit Considerations 103-109 ; Statutory Reporting Considerations for Health Plans 110-119 ; Risk-Based Capital Requirements 114-115 ; Deficiencies in Internal Control 116 ; Communicating Internal Control Matters in an Audit 117 ; Communications with Regulators 118-119 ; 3 Unique Financial Statement Considerations for Not-for-Profit Business-Oriented Health Care Entities 01-43 ; Complete Set of Financial Statements 02-05 ; Balance Sheet 06-08 ; Statement of Operations 09-28 ; Performance Indicator 12-17 ; Other Intermediate Subtotals 18-20 ; Discontinued Operations and Accounting Changes 21-22 ; Revenues 23-25 ; Expenses 26-28 ; Statement of Changes in Net Assets (or Equity) 29-32 ; Statement of Cash Flows 33-37 ; Notes to the Financial Statements 38 ; Subsequent Events 39-41 ; Example Financial Statements 42-43 ; 4 Cash, Cash Equivalents, and Investments 01-75 ; Cash and Cash Equivalents 01-11 ; Centralized Cash Management Arrangements 03-06 ; Cash from Restricted Donations 07 ; Other Restricted or Designated Cash Amounts 08-11 ; Investments 12-73 ; Fair Value Option 17-22 ; Investments in Debt Securities and Certain Equity Securities with a Readily Determinable Fair Value That Are Not Recorded Under the Fair Value Option 23-35 ; Investments in Certain Other Financial Instruments without a Readily Determinable Fair Value That Are Not Recorded Under the Fair Value Option 36-38 ; Investment Pools 39-47 ; Fair Value Measurements 48 ; Impairment of Investments 49-59 ; Securities Lending Activities 60 ; Transfers of Assets to an NFP or Charitable Trust for Investment 61-63 ; Regulation 64 ; Other Financial Statement Presentation Matters 65-73 ; Auditing 74-75 ; 5 Derivatives 01-44 ; Introduction 01-05 ; General Guidance 06-07 ; Accounting for Changes in Fair Value of Derivative Instruments 08-12 ; Fair Value Hedges 09 ; Cash Flow Hedges 10-11 ; Derivatives Not Designated as a Hedging Instrument 12 ; Hedge Accounting Requirements 13-28 ; Shortcut Method 20-28 ; Hybrid Instruments, Host Contracts, and Embedded Derivatives 29-37 ; Calls and Puts in Debt 33-34 ; Derivatives Embedded in Split-Interest Agreements 35-37 ; Other Matters 38-43 ; Changes in Fair Value of Hedged Item 38 ; Termination of Cash Flow Hedge by Debt Extinguishment 39 ; Additional Presentation and Disclosure Requirements for NFP Business-Oriented Health Care Entities 40-43 ; Auditing 44 ; 6 Property and Equipment and Other Assets 01-53 ; Overview 01-05 ; Capitalized Interest 06-11 ; Supplies, Rebates, and Discounts 12-13 ; Lessee Involvement in Fixed Asset Construction 14-17 ; Asset Retirement and Environmental Remediation Obligations 18-20 ; Impairment or Disposal 21-31 ; Discontinued Operations 28-31 ; Nonreciprocal Transfers 32-34 ; Other Long-Lived Assets 35-43 ; Financial Statement Presentation 44-47 ; Auditing 48-53 ; 7 Municipal Bond Financing 01-124 ; Introduction 01-13 ; Conduit Bonds That Trade in Public Markets 06-08 ; Credit Enhancement 09-11 ; Issuance of Municipal Bonds 12-13 ; Extinguishment and Modification Transactions 14-17 ; Calls and Mode Conversions 18-39 ; Defeasance 20-26 ; Modifications 27-31 ; Gain or Loss on Debt Extinguishment 32-33 ; Debt Issuance Costs Incurred in Connection With an ; Exchange or Modification of Debt Instruments 34-36 ; Puts or Tender Options 37-39 ; IRS Considerations 40-44 ; Financial Statement Presentation and Disclosure 45-72 ; Balance Sheet 45-63 ; Statement of Operations 64-65 ; Disclosures 66-72 ; Obligated Group Reporting 73-74 ; Interim Financial Reporting 75-76 ; Auditing 77-123 ; General 77-85 ; Auditor Involvement with Municipal Securities Filings 86-112 ; Letters for Underwriters and Other Requesting Parties 113-119 ; Reference to the Auditor as an "Expert" 120 ; Attestation Engagements Related to Municipal Securities Issuance 121-123 ; Appendix -- Municipal Securities Regulation 124 ; 8 Contingencies and Other Liabilities 01-129 ; Contingencies and Commitments 02-61 ; The Essentials of Recognition, Measurement, and Disclosure for Contingencies 03-09 ; Managing Risk of Loss 10-12 ; Medical Malpractice 13-47 ; Disclosures for Medical Malpractice 48-53 ; Physician Guarantees and Other Agreements With Physicians 54-61 ; Other Liabilities 62-86 ; Asset Retirement Obligations 62-64 ; Compensation and Related Benefits 65-76 ; Joint and Several Liability Arrangements 77-82 ; Agency Funds 83-84 ; Fees Paid to the Federal Government by Health Insurers 85-86 ; Tax Considerations for NFP Health Care Entities 87-101 ; Private Inurement and Intermediate Sanctions 94-95 ; Unrelated Business Income 96 ; State and Local Taxes 97 ; Tax Positions 98-99 ; Medicaid Voluntary Contribution or Taxation Programs 100-101 ; Risks and Uncertainties 102-108 ; Auditing Contingencies and Other Liabilities 109-127 ; Auditing Medical Malpractice Loss Contingencies 110-113 ; Auditing Accounting Estimates 114-119 ; Use of Actuaries and Actuarial Methods 120-123 ; Evaluating Lawyers' Responses 124-127 ; Income Taxes 128 ; Auditing Considerations 129 ; 9 Net Assets (Equity) 01-38 ; Investor-Owned Health Care Entities 01 ; Not-for-Profit Entities 02-25 ; Net Asset Classes 05-18 ; Reclassifications 19-25 ; Classification of Donor-Restricted Endowment Funds 26-32 ; Disclosure 33-37 ; Auditing 38 ; 10 Health Care Service Revenue and Related Receivables 01-61 ; Overview of the Health Care Environment 01-15 ; Rate Setting With Third-Party Payors 05-10 ; The Government Payor Environment 11-14 ; Charity Care 15 ; Types of Health Care Revenue 16 ; Types of Payment Methodologies 17 ; Patient (or Resident) Service Revenue 18-36 ; Revenue Recognition 18-29 ; Accounting and Financial Reporting Requirements 30-36 ; Premium and Capitation Revenues 37-40 ; Patient Receivables 41-45

Considered the industry's standard resource, this guide helps accountants and financial managers understand the complexities of the specialized accounting and regulatory requirements of the health care industry. Updated for 2018, this edition has been prepared and reviewed by industry experts and provides hands-on, practical guidance for those who work in and with health care entities. A critical resource for auditors, this edition includes new accounting standards and relevant GASB and FASB updates (including those related to private companies). Updates include: -FASB ASU No. 2014-09, Revenue from Contracts with Customers (Topic 606) -FASB ASU No. 2016-01, Financial Instruments - Overall (Subtopic 825-10) Recognition and Measurement of Financial Assets and Financial Liabilities -FASB ASU No. 2016-14, Not-for-Profit Entities (Topic 958): Presentation of Financial Statements of Not-for-Profit Entities -SAS No. 133, Auditor Involvement With Exempt Offering Documents -GASB Statement No. 75, Accounting and Financial Reporting for Postemployment Benefits Other Than Pensions (and Certain Issues Related to OPEB Plan Reporting) -GASB No. 83, Certain Asset Retirement Obligations.

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