Management Accounting for Healthcare

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Question 1 text   Question 1

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Zero based budgeting:

Question 1 answers

is being used with increasing frequency by health care delivery organizations.

decreases the chance of omitting significant costs from the budget.

helps to eliminate the perpetuation of previous inefficiencies.

all of the above.

Question 2 text   Question 2

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Break-even refers to situations in which neither a marginal profit nor a marginal loss will result from a proposed situation,

Question 2 answers

True

False

Question 3 text   Question 3

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Managers of health care services organizations can expect a rapid slowing of technological change within their industry in the future.

Question 3 answers

True

False

Question 4 text   Question 4

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Cost –volume-profit analysis is considered a short-term decision tool because:

Question 4 answers

changes in the value of independent variables in the model can only be maintained for shortperiods.

it does not consider the opportunity cost of money that might be tied up in marginal long-term assets.

it does not consider the possibility that the variables in the model may change from year to year.

all of the above

Question 5 text   Question 5

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An organization opens itself to censure or litigation by preparing separate reports for financial accounting, tax accounting and management information purposes.

Question 5 answers

True

False

Question 6 text   Question 6

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Which of the following trend analyses will give the best results over time if a continuous trend takes place?

Question 6 answers

moving average

exponential smoothing with a high smoothing proportion, p.

exponential smoothing with a low smoothing proportion, p.

time series regression.

Question 7 text   Question 7

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All cash outflows and inflows should appear in the cash budget for the period of the flow.

Question 7 answers

True

False

Question 8 text   Question 8

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Which of the following measures would be appropriate for a periodic report to executive management?

Question 8 answers

overall fixed cost capacity variance.

patient satisfaction scores on nurse response time to patients’ calls for assistance.

the direct material efficiency variance for the clinical laboratory

a ratio of surgical sterile packages opened to those used.

Question 9 text   Question 9

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Ratios using figures from both the income statement and the balance sheet can:

Question 9 answers

produce measures of future performance

produce financial performance statistics that allow comparison on various dimensions of organizations of different size.

can produce measures of financial performance relative to the investment made in the organization..

‘b’ and ‘c’ are both correct

Question 10 text   Question 10

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Comparing the cost of the care provided for a physician’s patients to the hospital revenues received for that care gives a measure of the financial value of that physician to the hospital.

Question 10 answers

True

False

Question 11 text   Question 11

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Responsibility for what measurements are included in reports to support ad hoc decisions should be the responsibility of the management accountant producing the report.

Question 11 answers

True

False

Question 12 text   Question 12

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In the future, the work of management accountants will be decreasingly related to industrial engineering and information technology.

Question 12 answers

True

False

Question 13 text   Question 13

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Product mix variance is caused by various outputs providing different unit contributions.

Question 13 answers

True

False

Question 14 text   Question 14

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Budgetary cost control requires:

Question 14 answers

countable outputs from the production process.

precise measures of output sales prices

standard costs for outputs

‘a’ and ‘c’ are both correct.

Question 15 text   Question 15

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Profit variance cause by revenue not being at expected levels can be due to:

Question 15 answers

the demand for products in the market not being at the level expected.

the organization’s share of the total market demand and prices received not being as expected.

the mix of products with different contributions not being as expected.

all of the above

Question 16 text   Question 16

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Making a decision as to whether or not to outsource an intermediate product currently made in-house:

Question 16 answers

is unaffected by fixed costs associated with the products production.

is unaffected by sustaining overhead costs.

demands analysis of variable costs of production.

is a purely quantitative decision.

Question 17 text   Question 17

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An organization goal is:

Question 17 answers

the level of a measure related to an objective that indicates the objective has been reached.

the general accomplishment that an organization is attempting perform

the status in its market that an organization hopes to reach at some time in the future.

‘b’ and ‘c’ above.

Question 18 text   Question 18

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A fixed cost is marginal to a decision if:

Question 18 answers

it was previously necessary but will not have to be made after the alternative under consideration is taken.

it was previously unnecessary but will exist after the alternative under consideration is taken.

it will not affect the total costs of the organization regardless of the decision.

‘a’ and ‘b’ are both correct.

Question 19 text   Question 19

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Standards for the cost of specific activities within an organization can be constructed by using all but which one of the following:

Question 19 answers

by examining the organization’s historical experience of with the activity.

applying the expertise of technicians to adjusting standard for the future.

using the results of prior periods as standards for the future.

examining standards published by professional and trade organizations.

Question 20 text   Question 20

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From a patient’s perspective, the price of an episode of care is not a critical factor in measuring the performance of a provider because.

Question 20 answers

at the time of care, most of the cost is paid by a third party.

patients want relief from their health problems no matter what the cost may be.

most people consider the prices charged by providers to be very reasonable.

none of the above.

Question 21 text   Question 21

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The format of routine performance reports should be changed from period to period to fit the conditions of the period.

Question 21 answers

True

False

Question 22 text   Question 22

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Supplier perspectives are important to performance because.

Question 22 answers

pressure must be kept on suppliers to prevent unacceptable price increases

coordination of resource specifications, order and delivery procedures, and payment mechanisms can reduce the vendors cost of supplying your organization.

suppliers can not keep abreast of technology changes in their own production processes.

all of the above.

Question 23 text   Question 23

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Cost-volume-profit analysis is based on the fact that the total of contributions from sales must be greater than total fixed costs if a profit is to result.

Question 23 answers

True

False

Question 24 text   Question 24

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ABC is primarily concerned with improving the process of tracing direct costs.

Question 24 answers

True

False

Question 25 text   Question 25

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Fixed overhead capacity variance:

Question 25 answers

indicates if the organization was unable to handle the volume of business it received.

indicates how much money was wasted because to many fixed cost assets were paid for.

indicates that the organization has paid too much for its fixed cost assets.

all of the above.

Question 26 text   Question 26

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Physicians pay for hospital services provided to support their work by:

Question 26 answers

paying the hospital for the services it provides them in a fee-for-service fashion.

paying the hospital on a fee per operating period basis.

admitting patients to the hospital.

either ‘a’ or ‘b’ above.

Question 27 text   Question 27

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When determining whether or not to drop a product line that financial accounting reports indicate is unprofitable, managers can simply compare its price to its full cost.

Question 27 answers

True

False

Question 28 text   Question 28

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Management accountants work is made difficult because decision makers frequently can not articulate the models they use in making decisions.

Question 28 answers

True

False

Question 29 text   Question 29

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Objectives:

Question 29 answers

are a set of measurements that indicate whether or not the organization is accomplishing its mission.

are an array of things that must be done if the organization is to accomplish its mission.

must be established before a mission is determined.

are dependent on the previous setting of goals.

Question 30 text   Question 30

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the contribution from the sale of a unit of output is:

Question 30 answers

the revenue received from the sale.

the difference between the price charged and the variable cost of production.

the amount of the revenue received that can contribute to covering fixed cost and profit.

‘b’ and ‘c’ are both correct.

Question 31 text   Question 31

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Negotiations between hospitals and physicians related to the technology made available tend to involve:

Question 31 answers

potential utilization rates of proposed high cost assets.

continued use of old assets after technological update.

the sunk costs of equipment proposed to be replaced.

all of the above.

Question 32 text   Question 32

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The primary purpose of cash budgets is to reduce the risk of running out of cash during an operating budget period.

Question 32 answers

True

False

Question 33 text   Question 33

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For a event to be considered a driver of a cost, it should have which of the following characteristics.

Question 33 answers

occur before the cost is incurred.

have a theoretical or logical reason for causing the cost.

show a positive correlation between the quantity of the driver and the amount of the cost .

have all three of the above characteristics.

Question 34 text   Question 34

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Which of the following is not a way to identify customers that are hurting the financial performance of a provider:

Question 34 answers

maintaining the separation of production from period costs.

tracking the sales cost to revenue ratio by customer.

tracking order history by diagnosis for individual physicians.

noting the level of payment requests returned by specific payers.

Question 35 text   Question 35

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The more rapidly the rate of technology changes, the more value trend analysis is for long term cost prediction.

Question 35 answers

True

False

Question 36 text   Question 36

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When designing graphical presentations for reports:

Question 36 answers

color improves the speed with which the information can be understood.

terms used in labels or comments should be ones that are understood throughout the organization.

the presentation should not require any review of any part of the report text in order to be understood.

all of the above.

Question 37 text   Question 37

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The revenue that is received from treating patients is generally a matter of a contract with a third party payer.

Question 37 answers

True

False

Question 38 text   Question 38

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Which of the following is not an essential step in formulating balanced score card reports:

Question 38 answers

confirming the mission and strategies of the organization.

conducting group sessions to define key objectives.

creating weights for the importance of various measures reported on the BSC.

communicating the measures and goals to all concerned with them.

Question 39 text   Question 39

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ABC improves the accuracy of overhead allocations by concentrating on the single variable that best acts as a basis for distributing the total costs of an overhead department.

Question 39 answers

True

False

Question 40 text   Question 40

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In negotiating prices, third party payers tend to use the fact that a payment that yields a contribution for treating a patient is better for the care provider than not having the patient. This is a strong argument when:

Question 40 answers

a provider has excess capacity.

the providers in the drawing area have excess capacity

potential patients have a strong preference for a specific provider.

‘a’ and ‘b’ above

Question 41 text   Question 41

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Which of the following is not a characteristic of an excellent graphic presentation:

Question 41 answers

it consists of complex ideas communicated clearly.

it stresses a single variable.

it tell the truth about the data.

it is interesting.

Question 42 text   Question 42

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Revenue variance analysis for health care providers assumes that profit variances caused by costs being different from those expected is analyzed in cost variance analysis.

Question 42 answers

True

False

Question 43 text   Question 43

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An organization’s learning and growth is dependent primarily on strict attention to the analysis of its current application of its people and long term assets to its mission.

Question 43 answers

True

False

Question 44 text   Question 44

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When using standard costs as a control tool, labor and material efficiency variances measure:

Question 44 answers

the skill with which management has estimated the level of production for the period.

the unnecessary cost incurred by overhead activity managers.

the difference between the dollars of direct cost resources that should have been used in the production of the period and the amount that was used.

all of the above.

Question 45 text   Question 45

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From physicians’ perspective, hospital performance is measured by:

Question 45 answers

the array of equipment made available to them.

the skill of hospital employees in effecting the intervention they order.

the speed with which the hospital schedules their patients for interventions they order.

all of the above.

Question 46 text   Question 46

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Which of the following questions from patient satisfaction surveys is actionable?

Question 46 answers

Where you satisfied with your nursing care?

On a scale of 1 to 10, to what degree were you satisfied with your nursing care?

Did you find that nurses made you more comfortable?

Did you nurse adequately explain the reasons for each thing you were asked to do?

Question 47 text   Question 47

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Variances are broken down into material, labor and overhead components because:

Question 47 answers

analyzing each component is easier than computing an overall variance.

volume variances in the components reflect on the performance of different managers.

price variances in the components reflect on the performance of different managers

all of the above

Question 48 text   Question 48

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Good operating budgets result when operating technicians and managers apply their knowledge and expertise without interference from senior staff and other managers.

Question 48 answers

True

False

Question 49 text   Question 49

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Balanced score cards attempt to report information to assist managers in making decisions:

Question 49 answers

identifying and correcting current problems.

identifying and correcting situations that could cause poor performance in the future.

that require choices among future alternatives for changing products and markets.

‘a’ an ‘b’ above.

Question 50 text   Question 50

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The variance that is most useful in assessing the performance of the purchasing department is the:

Question 50 answers

material price variance.

the variable overhead efficiency variance.

the material usage variance.

the overhead spending variance.

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