Nursing

Here are three alternative solutions: 1. Meet with the patient to discuss his case and explain that with his initial clinical presentation, the physician’s decision to place the PICC line was reasonable and the hospital will not waive charges. 2. Agree to negotiate charge with the patient because the PICC line was placed with reasonable […]

Problems Affecting Budgetary:Performance Reimbursement Problems The manager may be called upon to help with problems of reimbursement. Here are some examples: ● Insurance company disputes charges for a patient stay and refuses to pay them. The insurance company thinks patient should have been discharged a day sooner and refuses to pay for last day of

MANAGING RESOURCES:a price increase is to take the estimated total ending expense for the year and multiply it by the inflationary factor. a price increase is to take the estimated total ending expense for the year and multiply it by the inflationary factor. To determine projected price increases: Multiply current total line item expense $12,758

Managing the Supply and Nonsalary Expense Budget The supply and nonsalary expense budget identifies patient-related supplies needed to operate the nursing unit. In addition to supplies, other operating expenses—such as office supplies, rental fees, maintenance costs, and equipment service contracts—may also be paid out of the nursing unit’s nonsalary budget. An analysis of the current

Premiums Some organizations offer premiums for certifications or clinical ladder steps. In this situation, a fixed dollar amount may be added to the base hourly rate of eligible personnel; for example, an CHAPTER 14 • BUDGETING AND MANAGING FISCAL RESOURCES 191 additional $1.00 per hour paid for professional certifications. This would result in the hourly

Monthly Salary Budget and Year-to-Date Budget Comparison Report Fiscal Year Ending June 30 Position June Actual Salary June Budgeted Salary June Variance Year-to- Date Actual Salary Year-to-Date Budgeted Salary Year-to-Date Variance Nurse Manager $6,250 $6,250 $0 $68,750 $75,000 $6,250 Registered Nurses 95,722 93,825 (1,897) 1,048,813 1,125,878 77,065 Licensed Practical Nurses 19,025 20,800 1,775 231,426 249,600

Determine hours of replacement time per individual. To determine FTEs required for replacement: 1. Determine hours of replacement time per individual. 2. Then determine FTE requirement. Benefit Time Hours/shift Replacement Hours 15 vacation days * 8 hours = 120 8 holidays * 8 hours = 64 4 personal days * 8 hours = 32 5

BUDGETING AND MANAGING FISCAL RESOURCES:Determining the Salary (Personnel) Budget Determining the Salary (Personnel) Budget The salary budget, also known as the personnel budget, projects the salary costs that will be paid and charged to the cost center in the budget period (see Table 14-1). Managing the salary budget is directly related to the manager’s ability

Expenditures may also be direct or indirect. Direct costs are expenses that directly affect patient care. For example, salaries for nursing personnel who provide hands-on patient care are considered direct costs. Indirect costs are expenditures that are necessary but don’t affect patient care directly. Salaries for security or maintenance personnel, for example, are classified as

Classification of Costs:Costs are commonly classified as fixed or variable. Fixed costs are costs that will remain the same for the budget period regardless of the activity level of the organization, such as rental payments and insurance premiums. Variable costs depend on and change in direct proportion to patient volume and patient acuity, such as