DRGs and Their Role in Hospital Reimbursement

DRGs and Their Role in Hospital Reimbursement

Overview of Medical Coding and Its Role in Healthcare Payment Systems

The concept of Diagnosis-Related Groups (DRGs) has played a pivotal role in transforming the landscape of hospital reimbursement since its inception. Understanding the historical development and implementation of DRGs is crucial to appreciating their impact on healthcare economics and management.


The story of DRGs begins in the late 1960s at Yale University, where researchers sought to create a system that could categorize hospital cases into groups with similar clinical characteristics and resource usage. The primary objective was to develop a more efficient way to manage healthcare costs while maintaining quality care. By the early 1980s, this system had gained traction as policymakers recognized its potential for reforming hospital payment structures.


In 1983, the United States took a groundbreaking step by adopting DRGs as part of Medicare's Prospective Payment System (PPS). This shift marked a departure from cost-based reimbursement, where hospitals were reimbursed based on their reported expenses, towards a fixed payment model determined by the assigned DRG category. Well-trained healthcare staff maintain accuracy in patient care and medical records medical office staffing learning. The implementation aimed to incentivize hospitals to become more efficient, reducing unnecessary tests and procedures while encouraging shorter patient stays without compromising care quality.


The introduction of DRGs was not without challenges. Hospitals needed time to adapt their administrative processes and data collection methods to align with this new payment model. Additionally, concerns arose about potential adverse effects on patient outcomes due to financial pressures on hospitals. However, over time, adjustments were made to refine DRG definitions and address these issues, ensuring that both efficiency and quality standards were upheld.


Globally, other countries observed the US experience with interest and began incorporating similar systems tailored to their unique healthcare environments. Nations such as Germany and Australia adopted variations of DRG-based reimbursements in the 1990s and early 2000s, recognizing their value in controlling costs while promoting transparency in hospital operations.


Today, DRGs continue evolving alongside advancements in medical technology and changes in patient demographics. Their role extends beyond reimbursement; they are instrumental in healthcare planning, policy formation, and improving overall health system performance. As medical practices advance and patient needs diversify further, DRGs remain at the forefront of efforts to balance cost containment with high-quality care delivery.


In conclusion, the historical development and implementation of DRGs represent a significant evolution in hospital reimbursement strategies worldwide. From their academic origins at Yale University through global adoption across various health systems, DRGs have consistently proven effective in fostering economic efficiency within hospitals while striving to maintain or enhance patient care standards.

Diagnosis-Related Groups (DRGs) play a pivotal role in the landscape of medical coding and hospital reimbursement. They represent a systematic approach to classifying hospital cases into groups that are expected to have similar hospital resource use. Understanding the structure and classification of DRGs is essential for grasping how hospitals manage finances, optimize operations, and maintain quality care.


At their core, DRGs are designed to categorize patients with comparable clinical conditions and expected treatment processes. This categorization facilitates the establishment of a standardized payment system where hospitals receive a fixed amount for patient treatment based on the assigned DRG. The primary aim of this system is to control healthcare costs while promoting efficiency in hospital management.


The classification process begins with grouping patients who have similar principal diagnoses, procedures, age, sex, discharge status, and the presence of complications or comorbidities. This process results in hundreds of distinct DRG categories. Each category aligns with specific resources required during hospitalization, allowing for predictable budgeting and resource allocation within healthcare institutions.


DRGs significantly influence hospital reimbursement because they form the foundation for prospective payment systems (PPS). Under PPS, Medicare reimburses hospitals a predetermined amount for each patient stay based on the assigned DRG rather than actual cost incurred during treatment. This incentivizes hospitals to manage resources effectively by reducing unnecessary tests or extended stays without compromising patient care quality.


Moreover, DRGs encourage standardization across healthcare facilities by providing benchmarks for evaluating performance. Hospitals can track their efficiency against national averages for each DRG category, identifying areas needing improvement and celebrating successes in cost-effective care delivery.


However, while DRGs offer many advantages in streamlining reimbursements and managing costs, they also introduce challenges. The fixed payment model may create pressure on hospitals to discharge patients prematurely or under-treat those whose needs exceed typical expectations. To mitigate such risks, continuous monitoring of outcomes is vital to ensure that financial considerations do not overshadow patient welfare.


In conclusion, the structure and classification of DRGs serve as critical components in modern healthcare systems by linking clinical realities with economic frameworks. Their role in hospital reimbursement extends beyond mere financial transactions; they drive operational efficiencies and set standards for quality care provision. As healthcare continues to evolve, so too will the methodologies around DRGs-adapting to emerging medical technologies and changing patient demographics-to better serve both institutions and individuals alike.

Impact of Fee for Service on Medical Coding Practices

Diagnosis-Related Groups (DRGs) play a pivotal role in the hospital reimbursement system, serving as a cornerstone for how healthcare facilities receive financial compensation for the services they provide. Originating from the need to create an efficient and equitable reimbursement model, DRGs have significantly influenced how hospitals operate, prioritize care, and manage their resources.


At its core, the DRG system classifies hospital cases into groups that are expected to have similar hospital resource use. This classification is based on diagnoses, procedures, age, sex, discharge status, and the presence of complications or comorbidities. By categorizing patients in this way, DRGs aim to standardize payments according to the "average" cost of care required for each group. Consequently, hospitals are incentivized to manage their operations more efficiently because they receive a fixed payment per case rather than being reimbursed for each individual service provided.


One of the primary influences of DRGs on hospital reimbursement is cost containment. Since hospitals are paid a predetermined amount based on the patient's assigned DRG, they must control costs to ensure profitability or avoid losses. This encourages hospitals to reduce unnecessary tests and procedures and optimize patient care pathways. Efficient management not only helps in staying within budget but also potentially increases a hospital's revenue if they can keep costs below the DRG payment rate.


Moreover, DRGs promote quality over quantity in healthcare delivery. By focusing on outcomes rather than services rendered, hospitals are encouraged to improve patient care standards and minimize complications that could extend hospital stays beyond what is considered average for any given DRG category. This shift can lead to better health outcomes while avoiding penalties associated with readmissions or extended inpatient times due to poor care quality.


However, reliance on DRGs also presents challenges. Hospitals treating more complex cases might find that certain patients incur costs significantly higher than what their DRG reimburses. Additionally, there can be discrepancies in how different institutions interpret classification criteria leading to variability in payments across similar cases.


In conclusion, Diagnosis-Related Groups fundamentally reshape how hospitals approach financial planning and patient care by aligning incentives with efficient resource utilization and high-quality outcomes. While not without its challenges-particularly regarding equity among diverse patient populations-the influence of DRGs continues to drive innovation in healthcare delivery models aimed at achieving sustainable cost control while maintaining high standards of patient care. As healthcare systems evolve globally, understanding and adapting these mechanisms will be crucial for administrators striving toward balanced fiscal responsibility and exceptional clinical results.

Impact of Fee for Service on Medical Coding Practices

How Value Based Care Influences Medical Coding and Documentation Requirements

Diagnosis-Related Groups (DRGs) have fundamentally reshaped the landscape of hospital financial management and resource allocation, serving as a cornerstone in the evolution of healthcare reimbursement systems. Originating from the necessity to streamline hospital payments and enhance cost efficiency, DRGs are instrumental in determining how hospitals are reimbursed for patient care. Their impact on financial management is profound, influencing everything from budgeting processes to operational strategies.


At their core, DRGs categorize patients based on diagnoses, treatments, and other relevant criteria. This classification system allows for standardized payment structures that align more closely with the actual resources utilized during patient care. By grouping similar clinical conditions into discrete categories, DRGs enable hospitals to predict costs more accurately and manage their budgets effectively. This level of predictability is crucial for maintaining financial stability, especially in environments where healthcare costs are continuously escalating.


DRGs also play a pivotal role in shaping resource allocation within hospitals. With fixed reimbursements tied to specific DRG codes, hospitals are incentivized to manage their resources efficiently to maintain profitability. This often leads to strategic decisions regarding staffing levels, the acquisition of medical technology, and even the design of patient care pathways. For instance, hospitals might invest in advanced diagnostic tools or innovative treatment protocols that can expedite patient recovery times and reduce length of stay-key factors that influence DRG-based reimbursement.


Moreover, by fostering competition among healthcare providers to deliver high-quality care at lower costs, DRGs encourage innovation and improvement within the industry. Hospitals strive not only to meet but exceed benchmarks set forth by DRG classifications, leading to enhanced service delivery models that benefit both patients and providers.


However, while DRGs offer numerous advantages in terms of cost control and efficiency enhancement, they also present challenges. The pressure to operate within fixed reimbursement frameworks can sometimes lead hospitals to prioritize financial considerations over patient-centric care approaches. There is a risk that such a focus might inadvertently result in under-treatment or early discharge if not carefully monitored.


In conclusion, DRGs have become integral to hospital financial management and resource allocation strategies by providing a structured approach to reimbursement that encourages efficiency without compromising quality care standards. As healthcare systems continue evolving towards value-based models emphasizing outcomes over volume, the role of DRGs will likely expand further-continuing to shape how institutions plan financially and allocate resources effectively in pursuit of sustainable healthcare delivery solutions.

Challenges and Benefits of Transitioning from Fee for Service to Value Based Care in Medical Coding

Diagnosis-Related Groups (DRGs) have been a cornerstone of hospital reimbursement systems for decades, representing a pivotal shift from cost-based to prospective payment methods. Initially introduced in the United States in the early 1980s as part of Medicare's Prospective Payment System, DRGs aimed to standardize payments and control escalating healthcare costs by categorizing hospital cases into groups with similar clinical characteristics and expected resource use. However, while DRGs have played a significant role in streamlining hospital reimbursements, they have not been free from challenges and controversies.


One major challenge associated with DRG-based reimbursement is its inherent complexity. The system requires accurate coding and classification of patient diagnoses and procedures, demanding meticulous documentation by healthcare providers. This complexity can lead to errors or inconsistencies in coding, ultimately affecting reimbursement accuracy. Hospitals must invest heavily in training and maintaining skilled personnel to ensure proper classification, which can be financially burdensome, particularly for smaller institutions.


Moreover, DRG-based systems can inadvertently incentivize certain behaviors that may not align with optimal patient care. Since hospitals receive a fixed payment based on the assigned DRG regardless of actual costs incurred, there is pressure to minimize expenses to maintain profitability. This financial incentive might encourage shorter hospital stays or reduced utilization of resources-potentially at the expense of patient outcomes. While efficiency is desirable, it must be balanced against the risk of compromising care quality.


Controversies also arise regarding fairness and equity within the DRG framework. Critics argue that the system does not adequately account for variations in regional healthcare costs or differences in patient populations across hospitals. Institutions serving higher proportions of complex cases or socioeconomically disadvantaged patients may find themselves at a disadvantage under the rigid structure of DRGs. These hospitals often face higher operating costs but receive standardized payments that do not reflect these additional burdens.


Furthermore, there is ongoing debate about how well DRGs capture advancements in medical technology and treatment modalities. As medical science evolves rapidly, new procedures and therapies emerge frequently; yet updating DRG classifications to incorporate these innovations can lag behind practice realities. This disconnect can result in misalignment between reimbursement levels and actual care delivery costs associated with novel treatments.


Internationally, countries adopting DRG-like systems encounter their own unique challenges tailored by their specific healthcare environments. For instance, nations with publicly funded health systems grapple with balancing cost containment against universal access goals within a DRG framework.


Despite these challenges and controversies, efforts continue to refine and adapt the DRG model to meet changing healthcare landscapes better. Innovations such as bundled payments and value-based care initiatives seek to address some limitations by focusing on overall patient outcomes rather than individual services rendered.


In conclusion, while diagnosis-related groups play a crucial role in facilitating hospital reimbursements through standardized methodologies designed for cost control and efficiency improvement-challenges related to complexity, potential impacts on care quality, issues surrounding fairness across diverse settings remain pertinent discussion points among stakeholders within global healthcare communities striving towards equitable solutions amidst evolving medical paradigms.

Case Studies Highlighting the Effects of Different Payment Models on Medical Coding Efficiency

In the complex world of healthcare reimbursement, Diagnostic Related Groups (DRGs) play a pivotal role in determining how hospitals are compensated for the services they provide. At the heart of this system are medical coders, whose expertise is essential in ensuring accurate DRG assignment, thereby directly impacting hospital reimbursement.


DRGs were introduced to create a standardized method for classifying hospital cases into groups that are expected to consume similar resources. This system allows for more predictable and equitable payment models. However, the accuracy of DRG assignment hinges on the precision with which patient data is coded, making medical coders indispensable to this process.


Medical coders meticulously review patient records to identify diagnoses and procedures that occurred during a patient's hospital stay. This involves interpreting clinical documentation and translating it into standardized codes using systems like ICD-10-CM/PCS. These codes form the basis for assigning each case to a specific DRG. As such, any inaccuracies in coding can lead to incorrect DRG assignments, which may result in financial discrepancies-either overpayments or underpayments-for hospitals.


The role of medical coders extends beyond just code assignment; they also ensure compliance with regulatory standards and guidelines. With healthcare regulations constantly evolving, coders must stay updated on changes that affect coding practices and DRG assignments. They often collaborate with physicians and other healthcare providers to clarify documentation and ensure it accurately reflects the care provided.


In addition to technical skills, effective communication is crucial for medical coders. By engaging in open dialogue with clinical staff about documentation practices, they help foster an environment where accurate coding becomes a shared responsibility among all members of the healthcare team.


Moreover, as technology advances and electronic health records become more prevalent, medical coders must adapt to new tools designed to streamline their work processes. While automated systems can assist in identifying potential codes based on documentation cues, human oversight remains critical to account for nuances that machines may not capture.


In conclusion, medical coders play an integral role in ensuring accurate DRG assignment through their detailed knowledge of coding systems and dedication to precision. Their work not only supports fair hospital reimbursement but also contributes significantly to maintaining the integrity of healthcare data overall. As guardians of this intricate system, medical coders continue to be vital players in bridging clinical care with financial sustainability within hospitals.

Future Trends: The Evolving Role of Medical Coders in a Value-Based Healthcare Environment

In the rapidly evolving landscape of healthcare, Diagnosis-Related Groups (DRGs) have emerged as a cornerstone for hospital reimbursement. Originally developed to streamline hospital payment systems and control costs, DRGs categorize patients based on their diagnoses, procedures, age, gender, and other relevant criteria. By grouping similar clinical conditions with expected resource use into one package, DRGs facilitate a more predictable and equitable reimbursement process. As we look ahead, future trends and innovations in DRG utilization are poised to reshape how hospitals approach financial management and patient care.


One significant trend is the integration of artificial intelligence (AI) and machine learning into DRG systems. These technologies are enhancing the accuracy and efficiency of coding processes by analyzing vast amounts of data at unprecedented speeds. AI can identify patterns and anomalies that may not be immediately apparent to human coders, leading to more precise assignment of DRGs. This not only reduces errors but also ensures that hospitals receive appropriate compensation for the care provided.


Additionally, as healthcare becomes increasingly personalized, there is a growing emphasis on refining DRG categories to reflect the complexity of modern medical treatments. Innovations in genomics and personalized medicine mean that patients with the same diagnosis might require vastly different levels of care based on their genetic makeup or unique health profiles. The evolution of DRGs must account for these nuances to ensure fair reimbursement while incentivizing high-quality care tailored to individual needs.


The shift towards value-based care is another pivotal factor influencing future trends in DRG utilization. Traditional volume-based models focus primarily on the quantity of services provided; however, value-based models emphasize outcomes and patient satisfaction. This paradigm shift requires rethinking how DRGs are structured to align financial incentives with quality improvements rather than sheer service delivery volume. Future innovations may include incorporating patient-reported outcome measures into DRG frameworks to better capture the effectiveness and efficiency of care from the patient's perspective.


Moreover, globalization in healthcare poses both challenges and opportunities for DRG systems. With increasing cross-border collaborations and medical tourism, there is a need for standardization across different countries' healthcare reimbursement models. Innovations aimed at harmonizing international DRG systems could facilitate smoother transitions for patients receiving treatment abroad while ensuring consistent quality standards.


Finally, as telemedicine continues its rise due to technological advancements and changing patient preferences exacerbated by events like the COVID-19 pandemic, it will inevitably influence how hospital services are categorized within DRGs. The challenge lies in adapting existing frameworks to accurately represent virtual consultations without compromising financial viability or patient safety.


In conclusion, future trends in DRG utilization point towards an era marked by technological integration, personalization through precision medicine approaches along with alignment toward value-based healthcare principles adapted globally yet locally nuanced given regional disparities amplified via telehealth platforms among others driving fundamental changes necessary aligning policy incentives matching evolving clinical practices reflective societal shifts benefiting stakeholders alike including providers payers patients policymakers researchers academia industry partners etcetera fostering sustainable growth innovation equity accessibility affordability high-quality evidence-informed decision-making ultimately improving population health outcomes collectively achieving shared goals envisioned equitable resilient comprehensive compassionate inclusive robust adaptable nimble responsive health system capable meeting demands current future generationally transgenerationally sustainability longevity well-being flourishing thriving communities worldwide interconnectedness interdependence collaboration cooperation synergy symbiosis partnership engagement participation empowerment advocacy stewardship guardianship custodianship responsibility accountability transparency trust integrity ethics morality values principles humanity dignity respect justice fairness equality diversity inclusion belonging safety security peace harmony prosperity success fulfillment satisfaction joy happiness love hope dreams aspirations possibilities potentialities transcendence transformation healing reconciliation restoration regeneration renewal rebirth rejuvenation revitalization renaissance enlightenment illumination inspiration creativity imagination vision

Employment is a relationship between two parties regulating the provision of paid labour services. Usually based on a contract, one party, the employer, which might be a corporation, a not-for-profit organization, a co-operative, or any other entity, pays the other, the employee, in return for carrying out assigned work.[1] Employees work in return for wages, which can be paid on the basis of an hourly rate, by piecework or an annual salary, depending on the type of work an employee does, the prevailing conditions of the sector and the bargaining power between the parties. Employees in some sectors may receive gratuities, bonus payments or stock options. In some types of employment, employees may receive benefits in addition to payment. Benefits may include health insurance, housing, and disability insurance. Employment is typically governed by employment laws, organization or legal contracts.

Employees and employers

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An employee contributes labour and expertise to an endeavor of an employer or of a person conducting a business or undertaking (PCB)[2] and is usually hired to perform specific duties which are packaged into a job. In a corporate context, an employee is a person who is hired to provide services to a company on a regular basis in exchange for compensation and who does not provide these services as part of an independent business.[3]

Independent contractor

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An issue that arises in most companies, especially the ones that are in the gig economy, is the classification of workers. A lot of workers that fulfill gigs are often hired as independent contractors.

To categorize a worker as an independent contractor rather than an employee, an independent contractor must agree with the client on what the finished work product will be and then the contractor controls the means and manner of achieving the desired outcome. Secondly, an independent contractor offers services to the public at large, not just to one business, and is responsible for disbursing payments from the client, paying unreimbursed expenses, and providing his or her own tools to complete the job. Third, the relationship of the parties is often evidenced by a written agreement that specifies that the worker is an independent contractor and is not entitled to employee benefits; the services provided by the worker are not key to the business; and the relationship is not permanent.[4]

As a general principle of employment law, in the United States, there is a difference between an agent and an independent contractor. The default status of a worker is an employee unless specific guidelines are met, which can be determined by the ABC test.[5][6] Thus, clarifying whether someone who performs work is an independent contractor or an employee from the beginning, and treating them accordingly, can save a company from trouble later on.

Provided key circumstances, including ones such as that the worker is paid regularly, follows set hours of work, is supplied with tools from the employer, is closely monitored by the employer, acting on behalf of the employer, only works for one employer at a time, they are considered an employee,[7] and the employer will generally be liable for their actions and be obliged to give them benefits.[8] Similarly, the employer is the owner of any invention created by an employee "hired to invent", even in the absence of an assignment of inventions. In contrast, a company commissioning a work by an independent contractor will not own the copyright unless the company secures either a written contract stating that it is a "work made for hire" or a written assignment of the copyright. In order to stay protected and avoid lawsuits, an employer has to be aware of that distinction.[4]

Employer–worker relationship

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Employer and managerial control within an organization rests at many levels and has important implications for staff and productivity alike, with control forming the fundamental link between desired outcomes and actual processes. Employers must balance interests such as decreasing wage constraints with a maximization of labor productivity in order to achieve a profitable and productive employment relationship.

Labor acquisition / hiring

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The main ways for employers to find workers and for people to find employers are via jobs listings in newspapers (via classified advertising) and online, also called job boards. Employers and job seekers also often find each other via professional recruitment consultants which receive a commission from the employer to find, screen and select suitable candidates. However, a study has shown that such consultants may not be reliable when they fail to use established principles in selecting employees.[1] A more traditional approach is with a "Help Wanted" sign in the establishment (usually hung on a window or door[9] or placed on a store counter).[3] Evaluating different employees can be quite laborious but setting up different techniques to analyze their skills to measure their talents within the field can be best through assessments. Employer and potential employee commonly take the additional step of getting to know each other through the process of a job interview.

Training and development

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Wiki-training with employees of Regional Institute of Culture in Katowice 02

Training and development refers to the employer's effort to equip a newly hired employee with the necessary skills to perform at the job, and to help the employee grow within the organization. An appropriate level of training and development helps to improve employee's job satisfaction.[10]

Remuneration

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There are many ways that employees are paid, including by hourly wages, by piecework, by yearly salary, or by gratuities (with the latter often being combined with another form of payment). In sales jobs and real estate positions, the employee may be paid a commission, a percentage of the value of the goods or services that they have sold. In some fields and professions (e.g., executive jobs), employees may be eligible for a bonus if they meet certain targets. Some executives and employees may be paid in shares or stock options, a compensation approach that has the added benefit, from the company's point of view, of helping to align the interests of the compensated individual with the performance of the company.

Under the faithless servant doctrine, a doctrine under the laws of a number of states in the United States, and most notably New York State law, an employee who acts unfaithfully towards his employer must forfeit all of the compensation he received during the period of his disloyalty.[11][12][13][14][15]

Employee benefits

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Employee benefits are various non-wage compensation provided to employees in addition to their wages or salaries. The benefits can include: housing (employer-provided or employer-paid), group insurance (health, dental, life etc.), disability income protection, retirement benefits, daycare, tuition reimbursement, sick leave, vacation (paid and non-paid), social security, profit sharing, funding of education, and other specialized benefits. In some cases, such as with workers employed in remote or isolated regions, the benefits may include meals. Employee benefits can improve the relationship between employee and employer and lowers staff turnover.[16]

Organizational justice

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Organizational justice is an employee's perception and judgement of employer's treatment in the context of fairness or justice. The resulting actions to influence the employee-employer relationship is also a part of organizational justice.[16]

Workforce organizing

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Employees can organize into trade or labor unions, which represent the workforce to collectively bargain with the management of organizations about working, and contractual conditions and services.[17]

Ending employment

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Usually, either an employee or employer may end the relationship at any time, often subject to a certain notice period. This is referred to as at-will employment. The contract between the two parties specifies the responsibilities of each when ending the relationship and may include requirements such as notice periods, severance pay, and security measures.[17] A contract forbidding an employee from leaving their employment, under penalty of a surety bond, is referred to as an employment bond. In some professions, notably teaching, civil servants, university professors, and some orchestra jobs, some employees may have tenure, which means that they cannot be dismissed at will. Another type of termination is a layoff.

Wage labor

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Worker assembling rebar for a water treatment plant in Mazatlan, Sinaloa, Mexico

Wage labor is the socioeconomic relationship between a worker and an employer, where the worker sells their labor under a formal or informal employment contract. These transactions usually occur in a labor market where wages are market-determined.[10][16] In exchange for the wages paid, the work product generally becomes the undifferentiated property of the employer, except for special cases such as the vesting of intellectual property patents in the United States where patent rights are usually vested in the original personal inventor. A wage laborer is a person whose primary means of income is from the selling of his or her labor in this way.[17]

In modern mixed economies such as that of the OECD countries, it is currently the dominant form of work arrangement. Although most work occurs following this structure, the wage work arrangements of CEOs, professional employees, and professional contract workers are sometimes conflated with class assignments, so that "wage labor" is considered to apply only to unskilled, semi-skilled or manual labor.[18]

Wage slavery

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Wage labor, as institutionalized under today's market economic systems, has been criticized,[17] especially by socialists,[18][19][20][21] using the pejorative term wage slavery.[22][23] Socialists draw parallels between the trade of labor as a commodity and slavery. Cicero is also known to have suggested such parallels.[24]

The American philosopher John Dewey posited that until "industrial feudalism" is replaced by "industrial democracy", politics will be "the shadow cast on society by big business".[25] Thomas Ferguson has postulated in his investment theory of party competition that the undemocratic nature of economic institutions under capitalism causes elections to become occasions when blocs of investors coalesce and compete to control the state plus cities.[26]

American business theorist Jeffrey Pfeffer posits that contemporary employment practices and employer commonalities in the United States, including toxic working environments, job insecurity, long hours and increased performance pressure from management, are responsible for 120,000 excess deaths annually, making the workplace the fifth leading cause of death in the United States.[27][28]

Employment contract

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Australia

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Australian employment has been governed by the Fair Work Act since 2009.[29]

Bangladesh

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Bangladesh Association of International Recruiting Agencies (BAIRA) is an association of national level with its international reputation of co-operation and welfare of the migrant workforce as well as its approximately 1200 members agencies in collaboration with and support from the Government of Bangladesh.[18]

Canada

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In the Canadian province of Ontario, formal complaints can be brought to the Ministry of Labour. In the province of Quebec, grievances can be filed with the Commission des normes du travail.[21]

Germany

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Two of the prominent examples of work and employment contracts in Germany are the Werksvertrag[30][31] or the Arbeitsvertrag,[32][33][34][35] which is a form of Dienstleistungsvertrag (service-oriented contract). An Arbeitsvertrag can also be temporary,[36] whereas a temporary worker is working under Zeitarbeit[37] or Leiharbeit.[38] Another employment setting is Arbeitnehmerüberlassung (ANÜ).[39][40][41]

India

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India has options for a fixed term contract or a permanent contract. Both contracts are entitled to minimum wages, fixed working hours and social security contributions.[21]

Pakistan

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Pakistan has no contract Labor, Minimum Wage and Provident Funds Acts. Contract labor in Pakistan must be paid minimum wage and certain facilities are to be provided to labor. However, the Acts are not yet fully implemented.[18]

Philippines

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In the Philippines, employment is regulated by the Department of Labor and Employment.[42]

Sweden

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According to Swedish law,[43] there are three types of employment.

  • Test employment (Swedish: Provanställning), where the employer hires a person for a test period of 6 months maximum. The employment can be ended at any time without giving any reason. This type of employment can be offered only once per employer and in employee combination. Usually, a time limited or normal employment is offered after a test employment.[44]
  • Time limited employment (Swedish: Tidsbegränsad anställning). The employer hires a person for a specified time. Usually, they are extended for a new period. Total maximum two years per employer and employee combination, then it automatically counts as a normal employment.
  • Normal employment (Swedish: Tillsvidareanställning / Fast anställning), which has no time limit (except for retirement etc.). It can still be ended for two reasons: personal reason, immediate end of employment only for strong reasons such as crime, or lack of work tasks (Swedish: Arbetsbrist), cancellation of employment, usually because of bad income for the company. There is a cancellation period of 1–6 months, and rules for how to select employees, basically those with shortest employment time shall be cancelled first.[44]

There are no laws about minimum salary in Sweden. Instead, there are agreements between employer organizations and trade unions about minimum salaries, and other employment conditions.

There is a type of employment contract which is common but not regulated in law, and that is Hour employment (Swedish: Timanställning), which can be Normal employment (unlimited), but the work time is unregulated and decided per immediate need basis. The employee is expected to be answering the phone and come to work when needed, e.g. when someone is ill and absent from work. They will receive salary only for actual work time and can in reality be fired for no reason by not being called anymore. This type of contract is common in the public sector.[44]

United Kingdom

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A call centre worker confined to a small workstation/booth

In the United Kingdom, employment contracts are categorized by the government into the following types:[45]

  • Fixed-term contract: last for a certain length of time, are set in advance, end when a specific task is completed, ends when a specific event takes place.
  • Full-time or part-time contract: has no defined length of time, can be terminated by either party, is to accomplish a specific task, specified number of hours.[42]
  • Agency staff
  • Freelancers, Consultants and Contractors
  • Zero-hour contracts

United States

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All employees, private industries, by branches

For purposes of U.S. federal income tax withholding, 26 U.S.C. § 3401(c) provides a definition for the term "employee" specific to chapter 24 of the Internal Revenue Code:

Government employment as % of total employment in EU

"For purposes of this chapter, the term "employee" includes an officer, employee, or elected official of the United States, a State, or any political subdivision thereof, or the District of Columbia, or any agency or instrumentality of any one or more of the foregoing. The term "employee" also includes an officer of a corporation."[46] This definition does not exclude all those who are commonly known as 'employees'. "Similarly, Latham's instruction which indicated that under 26 U.S.C. § 3401(c) the category of 'employee' does not include privately employed wage earners is a preposterous reading of the statute. It is obvious that within the context of both statutes the word 'includes' is a term of enlargement not of limitation, and the reference to certain entities or categories is not intended to exclude all others."[47]

Employees are often contrasted with independent contractors, especially when there is dispute as to the worker's entitlement to have matching taxes paid, workers compensation, and unemployment insurance benefits. However, in September 2009, the court case of Brown v. J. Kaz, Inc. ruled that independent contractors are regarded as employees for the purpose of discrimination laws if they work for the employer on a regular basis, and said employer directs the time, place, and manner of employment.[42]

In non-union work environments, in the United States, unjust termination complaints can be brought to the United States Department of Labor.[48]

Labor unions are legally recognized as representatives of workers in many industries in the United States. Their activity today centers on collective bargaining over wages, benefits, and working conditions for their membership, and on representing their members in disputes with management over violations of contract provisions. Larger unions also typically engage in lobbying activities and electioneering at the state and federal level.[42]

Most unions in America are aligned with one of two larger umbrella organizations: the AFL–CIO created in 1955, and the Change to Win Federation which split from the AFL–CIO in 2005. Both advocate policies and legislation on behalf of workers in the United States and Canada, and take an active role in politics. The AFL–CIO is especially concerned with global trade issues.[26]

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Younger age workers

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Youth employment rate in the US, i.e. the ratio of employed persons (15–24Y) in an economy to total labor force (15–24Y)[49]

Young workers are at higher risk for occupational injury and face certain occupational hazards at a higher rate; this is generally due to their employment in high-risk industries. For example, in the United States, young people are injured at work at twice the rate of their older counterparts.[50] These workers are also at higher risk for motor vehicle accidents at work, due to less work experience, a lower use of seat belts, and higher rates of distracted driving.[51][52] To mitigate this risk, those under the age of 17 are restricted from certain types of driving, including transporting people and goods under certain circumstances.[51]

High-risk industries for young workers include agriculture, restaurants, waste management, and mining.[50][51] In the United States, those under the age of 18 are restricted from certain jobs that are deemed dangerous under the Fair Labor Standards Act.[51]

Youth employment programs are most effective when they include both theoretical classroom training and hands-on training with work placements.[53]

In the conversation of employment among younger aged workers, youth unemployment has also been monitored. Youth unemployment rates tend to be higher than the adult rates in every country in the world.[54]

Older age workers

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Those older than the statutory defined retirement age may continue to work, either out of enjoyment or necessity. However, depending on the nature of the job, older workers may need to transition into less-physical forms of work to avoid injury. Working past retirement age also has positive effects, because it gives a sense of purpose and allows people to maintain social networks and activity levels.[55] Older workers are often found to be discriminated against by employers.[56]

Working poor

[edit]
A worker in Dhaka, Bangladesh

Employment is no guarantee of escaping poverty, the International Labour Organization (ILO) estimates that as many as 40% of workers are poor, not earning enough to keep their families above the $2 a day poverty line.[44] For instance, in India most of the chronically poor are wage earners in formal employment, because their jobs are insecure and low paid and offer no chance to accumulate wealth to avoid risks.[44] According to the UNRISD, increasing labor productivity appears to have a negative impact on job creation: in the 1960s, a 1% increase in output per worker was associated with a reduction in employment growth of 0.07%, by the first decade of this century the same productivity increase implies reduced employment growth by 0.54%.[44] Both increased employment opportunities and increased labor productivity (as long as it also translates into higher wages) are needed to tackle poverty. Increases in employment without increases in productivity leads to a rise in the number of "working poor", which is why some experts are now promoting the creation of "quality" and not "quantity" in labor market policies.[44] This approach does highlight how higher productivity has helped reduce poverty in East Asia, but the negative impact is beginning to show.[44] In Vietnam, for example, employment growth has slowed while productivity growth has continued.[44] Furthermore, productivity increases do not always lead to increased wages, as can be seen in the United States, where the gap between productivity and wages has been rising since the 1980s.[44] Oxfam and social scientist Mark Robert Rank have argued that the economy of the United States is failing to provide jobs that can adequately support families.[57][58] According to sociologist Matthew Desmond, the US "offers some of the lowest wages in the industrialized world," which has "swelled the ranks of the working poor, most of whom are thirty-five or older."[59]

Researchers at the Overseas Development Institute argue that there are differences across economic sectors in creating employment that reduces poverty.[44] 24 instances of growth were examined, in which 18 reduced poverty. This study showed that other sectors were just as important in reducing unemployment, such as manufacturing.[44] The services sector is most effective at translating productivity growth into employment growth. Agriculture provides a safety net for jobs and economic buffer when other sectors are struggling.[44]

Growth, employment and poverty[44]
  Number of
episodes
Rising
agricultural
employment
Rising
industrial
employment
Rising
services
employment
Growth episodes associated with falling poverty rates
18
6
10
15
Growth episodes associated with no fall in poverty rates
6
2
3
1

Models of the employment relationship

[edit]

Scholars conceptualize the employment relationship in various ways.[60] A key assumption is the extent to which the employment relationship necessarily includes conflicts of interests between employers and employees, and the form of such conflicts.[61] In economic theorizing, the labor market mediates all such conflicts such that employers and employees who enter into an employment relationship are assumed to find this arrangement in their own self-interest. In human resource management theorizing, employers and employees are assumed to have shared interests (or a unity of interests, hence the label “unitarism”). Any conflicts that exist are seen as a manifestation of poor human resource management policies or interpersonal clashes such as personality conflicts, both of which can and should be managed away. From the perspective of pluralist industrial relations, the employment relationship is characterized by a plurality of stakeholders with legitimate interests (hence the label “pluralism), and some conflicts of interests are seen as inherent in the employment relationship (e.g., wages v. profits). Lastly, the critical paradigm emphasizes antagonistic conflicts of interests between various groups (e.g., the competing capitalist and working classes in a Marxist framework) that are part of a deeper social conflict of unequal power relations. As a result, there are four common models of employment:[62]

  1. Mainstream economics: employment is seen as a mutually advantageous transaction in a free market between self-interested legal and economic equals
  2. Human resource management (unitarism): employment is a long-term partnership of employees and employers with common interests
  3. Pluralist industrial relations: employment is a bargained exchange between stakeholders with some common and some competing economic interests and unequal bargaining power due to imperfect labor markets[44]
  4. Critical industrial relations: employment is an unequal power relation between competing groups that is embedded in and inseparable from systemic inequalities throughout the socio-politico-economic system.

These models are important because they help reveal why individuals hold differing perspectives on human resource management policies, labor unions, and employment regulation.[63] For example, human resource management policies are seen as dictated by the market in the first view, as essential mechanisms for aligning the interests of employees and employers and thereby creating profitable companies in the second view, as insufficient for looking out for workers’ interests in the third view, and as manipulative managerial tools for shaping the ideology and structure of the workplace in the fourth view.[64]

Academic literature

[edit]

Literature on the employment impact of economic growth and on how growth is associated with employment at a macro, sector and industry level was aggregated in 2013.[65]

Researchers found evidence to suggest growth in manufacturing and services have good impact on employment. They found GDP growth on employment in agriculture to be limited, but that value-added growth had a relatively larger impact.[44] The impact on job creation by industries/economic activities as well as the extent of the body of evidence and the key studies. For extractives, they again found extensive evidence suggesting growth in the sector has limited impact on employment. In textiles, however, although evidence was low, studies suggest growth there positively contributed to job creation. In agri-business and food processing, they found impact growth to be positive.[65]

They found that most available literature focuses on OECD and middle-income countries somewhat, where economic growth impact has been shown to be positive on employment. The researchers didn't find sufficient evidence to conclude any impact of growth on employment in LDCs despite some pointing to the positive impact, others point to limitations. They recommended that complementary policies are necessary to ensure economic growth's positive impact on LDC employment. With trade, industry and investment, they only found limited evidence of positive impact on employment from industrial and investment policies and for others, while large bodies of evidence does exist, the exact impact remains contested.[65]

Researchers have also explored the relationship between employment and illicit activities. Using evidence from Africa, a research team found that a program for Liberian ex-fighters reduced work hours on illicit activities. The employment program also reduced interest in mercenary work in nearby wars. The study concludes that while the use of capital inputs or cash payments for peaceful work created a reduction in illicit activities, the impact of training alone is rather low.[66]

Globalization and employment relations

[edit]

The balance of economic efficiency and social equity is the ultimate debate in the field of employment relations.[67] By meeting the needs of the employer; generating profits to establish and maintain economic efficiency; whilst maintaining a balance with the employee and creating social equity that benefits the worker so that he/she can fund and enjoy healthy living; proves to be a continuous revolving issue in westernized societies.[67]

Globalization has affected these issues by creating certain economic factors that disallow or allow various employment issues. Economist Edward Lee (1996) studies the effects of globalization and summarizes the four major points of concern that affect employment relations:

  1. International competition, from the newly industrialized countries, will cause unemployment growth and increased wage disparity for unskilled workers in industrialized countries. Imports from low-wage countries exert pressure on the manufacturing sector in industrialized countries and foreign direct investment (FDI) is attracted away from the industrialized nations, towards low-waged countries.[67]
  2. Economic liberalization will result in unemployment and wage inequality in developing countries. This happens as job losses in uncompetitive industries outstrip job opportunities in new industries.
  3. Workers will be forced to accept worsening wages and conditions, as a global labor market results in a “race to the bottom”. Increased international competition creates a pressure to reduce the wages and conditions of workers.[67]
  4. Globalization reduces the autonomy of the nation state. Capital is increasingly mobile and the ability of the state to regulate economic activity is reduced.

What also results from Lee's (1996) findings is that in industrialized countries an average of almost 70 per cent of workers are employed in the service sector, most of which consists of non-tradable activities. As a result, workers are forced to become more skilled and develop sought after trades, or find other means of survival. Ultimately this is a result of changes and trends of employment, an evolving workforce, and globalization that is represented by a more skilled and increasing highly diverse labor force, that are growing in non standard forms of employment (Markey, R. et al. 2006).[67]

Alternatives

[edit]

Subcultures

[edit]

Various youth subcultures have been associated with not working, such as the hippie subculture in the 1960s and 1970s (which endorsed the idea of "dropping out" of society) and the punk subculture.

Post-secondary education

[edit]

One of the alternatives to work is engaging in post-secondary education at a college, university or professional school. One of the major costs of obtaining a post-secondary education is the opportunity cost of forgone wages due to not working. At times when jobs are hard to find, such as during recessions, unemployed individuals may decide to get post-secondary education, because there is less of an opportunity cost.

Social assistance

[edit]

In some countries, individuals who are not working can receive social assistance support (e.g., welfare or food stamps) to enable them to rent housing, buy food, repair or replace household goods, maintenance of children and observe social customs that require financial expenditure.

Volunteerism

[edit]

Workers who are not paid wages, such as volunteers who perform tasks for charities, hospitals or not-for-profit organizations, are generally not considered employed. One exception to this is an internship, an employment situation in which the worker receives training or experience (and possibly college credit) as the chief form of compensation.[68]

Indentured servitude and slavery

[edit]

Those who work under obligation for the purpose of fulfilling a debt, such as indentured servants, or as property of the person or entity they work for, such as slaves, do not receive pay for their services and are not considered employed. Some historians[which?] suggest that slavery is older than employment, but both arrangements have existed for all recorded history.[citation needed] Indentured servitude and slavery are not considered compatible with human rights or with democracy.[68]

Self-employment

[edit]

Self-employment is the state of working for oneself rather than an employer. Tax authorities will generally view a person as self-employed if the person chooses to be recognised as such or if the person is generating income for which a tax return needs to be filed. In the real world, the critical issue for tax authorities is not whether a person is engaged in business activity (called trading even when referring to the provision of a service) but whether the activity is profitable and therefore potentially taxable. In other words, the trading is likely to be ignored if there is no profit, so occasional and hobby- or enthusiast-based economic activity is generally ignored by tax authorities. Self-employed people are usually classified as a sole proprietor (or sole trader), independent contractor, or as a member of a partnership.

Self-employed people generally find their own work rather than being provided with work by an employer and instead earn income from a profession, a trade, or a business that they operate. In some countries, such as the United States and the United Kingdom, the authorities are placing more emphasis on clarifying whether an individual is self-employed or engaged in disguised employment, in other words pretending to be in a contractual intra-business relationship to hide what is in fact an employer-employee relationship.

Local employment

[edit]

Local employment initiatives aim to ensure that residents of the area adjacent to an employers' premises are offered employment there. Local jobs initiatives are common in a construction context.[69] In retail, the Westfield Centre in west London, which opened in 2008, has been noted as an example offering employment to local residents: during the period when the centre was under construction, up to 3000 local people received pre-employment training through a partnership scheme aiming to ensure that a significant proportion of the centre's jobs were taken up by local people. 40% of the centre's management staff had been locally recruited at the time when the centre opened.[70]

Statistics

[edit]

See also

[edit]
  • Alternative employment arrangements
  • Automation
  • Bullshit job
  • Career-oriented social networking market
  • Critique of work
  • Domestic inquiry
  • Employer branding
  • Employer registration
  • Employment gap
  • Employment of autistic people
  • Employment rate
  • Employment website
  • The End of Work
  • Equal opportunity employment
  • Equal pay for equal work
  • Ethnic Penalty
  • Faithless servant
  • Green growth
  • Job analysis
  • Job description
  • Job guarantee
  • Jobless recovery
  • Labor economics
  • Labor power
  • Labor rights
  • List of largest employers
  • Lump of labor fallacy
  • Onboarding
  • Payroll
  • Personnel selection
  • Post-work society
  • Protestant work ethic
  • Refusal of work
  • Reserve army of labor (Marxism)
  • Salary inversion
  • Staffing models
  • Universal basic income
  • Work ethic
  • Work (human activity)

Notes and references

[edit]
  1. ^ a b Dakin, Stephen; Armstrong, J. Scott (1989). "Predicting job performance: A comparison of expert opinion and research findings" (PDF). International Journal of Forecasting. 5 (2): 187–94. doi:10.1016/0169-2070(89)90086-1. S2CID 14567834.
  2. ^ Archer, Richard; Borthwick, Kerry; Travers, Michelle; Ruschena, Leo (2017). WHS: A Management Guide (4th ed.). Cengage Learning Australia. pp. 30–31. ISBN 978-0-17-027079-3. Retrieved 2016-03-30. The most significant definitions are 'person conducting a business or undertaking' (PCBU). 'worker' and 'workplace'. [...] 'PCBU' is a wider ranging term than 'employer', though this will be what most people understand by it.
  3. ^ a b Robert A. Ristau (2010). Intro to Business. Cengage Learning. p. 74. ISBN 978-0-538-74066-1.
  4. ^ a b Bagley, Constance E (2017). The entrepreneur's guide to law and strategy. Cengage Learning. ISBN 978-1-285-42849-9. OCLC 953710378.
  5. ^ "ABC test". Legal Information Institute (LII). Retrieved 2022-10-06.
  6. ^ Dynamex Operations West, Inc. v. Superior Court, vol. 4, April 30, 2018, p. 903, retrieved March 30, 2020
  7. ^ "Overview of Independent Contractor Guidelines". Findlaw. Retrieved 2020-03-30.
  8. ^ "Employer Liability for Employee Conduct". Findlaw. Retrieved 2020-03-30.
  9. ^ J. Mayhew Wainwright (1910). Report to the Legislature of the State of New York by the Commission appointed under Chapter 518 of the laws of 1909 to inquire into the question of employers' liability and other matters (Report). J. B. Lyon Company. pp. 11, 50, 144.
  10. ^ a b Deakin, Simon; Wilkinson, Frank (2005). The Law of the Labour Market (PDF). Oxford University Press.
  11. ^ Glynn, Timothy P.; Arnow-Richman, Rachel S.; Sullivan, Charles A. (2019). Employment Law: Private Ordering and Its Limitations. Wolters Kluwer Law & Business. ISBN 978-1-5438-0106-4 – via Google Books.
  12. ^ Annual Institute on Employment Law. Vol. 2. Practising Law Institute. 2004 – via Google Books.
  13. ^ New York Jurisprudence 2d. Vol. 52. West Group. 2009 – via Google Books.
  14. ^ Labor Cases. Vol. 158. Commerce Clearing House. 2009 – via Google Books.
  15. ^ Ellie Kaufman (May 19, 2018). "Met Opera sues former conductor for $5.8 million over sexual misconduct allegations". CNN.
  16. ^ a b c Marx, Karl (1847). "Chapter 2". Wage Labour and Capital.
  17. ^ a b c d Ellerman 1992.
  18. ^ a b c d Ostergaard 1997, p. 133.
  19. ^ Thompson 1966, p. 599.
  20. ^ Thompson 1966, p. 912.
  21. ^ a b c Lazonick, William (1990). Competitive Advantage on the Shop Floor. Cambridge, MA: Harvard University Press. p. 37. ISBN 978-0-674-15416-2.
  22. ^ "wage slave". merriam-webster.com. Retrieved 4 March 2013.
  23. ^ "wage slave". Dictionary.com Unabridged (Online). n.d.
  24. ^ "...vulgar are the means of livelihood of all hired workmen whom we pay for mere manual labour, not for artistic skill; for in their case the very wage they receive is a pledge of their slavery." – De Officiis [1]
  25. ^ "As long as politics is the shadow cast on society by big business, the attenuation of the shadow will not change the substance", in "The Need for a New Party" (1931), Later Works 6, p163
  26. ^ a b Ferguson 1995.
  27. ^ Pfeffer, Jeffrey (2018). Dying for a Paycheck: How Modern Management Harms Employee Health and Company Performance – and What We Can Do About It. HarperBusiness. p. 38. ISBN 978-0-06-280092-3.
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  29. ^ "House of Reps seals 'death' of WorkChoices". ABC News. Australian Broadcasting Corporation. 2008-03-19. Retrieved 2014-02-15.
  30. ^ Gross, Willi; Söhnlein, Walter (1990), Gross, Willi; Söhnlein, Walter (eds.), "Werkvertrag", Bürgerliches Recht 3: Fall · Systematik · Lösung · Schuldrecht · Besonderer Teil. Kauf und Tausch · Schenkung · Miete und Pacht · Leihe · Verwahrung · Darlehen · Bürgschaft · Dienst- und Werkvertrag (in German), Wiesbaden: Gabler Verlag, pp. 127–135, doi:10.1007/978-3-322-99402-8_13, ISBN 978-3-322-99402-8, retrieved 2021-04-11
  31. ^ "§ 631 BGB – Einzelnorm". www.gesetze-im-internet.de. Retrieved 2021-04-11.
  32. ^ "Arbeitsrecht". Recht – Schnell Erfasst. 2006. doi:10.1007/3-540-32544-1. ISBN 3-540-32541-7.
  33. ^ Höhl, Rebekka (2017). "Kollegen anstellen: Was beim Arbeitsvertrag zu beachten ist!". Uro-News (in German). 21: 45. doi:10.1007/s00092-017-1358-0.
  34. ^ "§ 611a BGB – Einzelnorm". www.gesetze-im-internet.de. Retrieved 2021-04-11.
  35. ^ "Links zu Musterverträgen". IHK Frankfurt am Main (in German). Retrieved 2021-04-11.
  36. ^ "Arbeitsvertrag (Befristet)". IHK Frankfurt am Main (in German). Retrieved 2021-04-11.
  37. ^ "Zeitarbeit: Infos und Stellen | Bundesagentur für Arbeit". www.arbeitsagentur.de. Retrieved 2024-05-17.
  38. ^ "Zeitarbeit = Leiharbeit: häufige Fragen – Bundesagentur für Arbeit". www.arbeitsagentur.de. Retrieved 2021-04-11.
  39. ^ Auer, M.; Egglmeier-Schmolke, B. (2009-10-01). "Arbeitnehmerüberlassung aus Deutschland im Bereich des Baugewerbes". Baurechtliche Blätter (in German). 12 (5): 199. doi:10.1007/s00738-009-0718-x. ISSN 1613-7612. S2CID 176538819.
  40. ^ Stieglmeier, Jacqueline (2005), Hök, Götz-Sebastian (ed.), "Internationales Arbeitsrecht", Handbuch des internationalen und ausländischen Baurechts (in German), Berlin, Heidelberg: Springer, pp. 361–368, doi:10.1007/3-540-27450-2_24, ISBN 978-3-540-27450-6, retrieved 2021-04-11
  41. ^ "AÜG – nichtamtliches Inhaltsverzeichnis". www.gesetze-im-internet.de. Retrieved 2021-04-11.
  42. ^ a b c d "Brown v. J. Kaz, Inc., No. 08-2713 (3d Cir. Sept. 11, 2009)". Archived from the original on 2012-03-23. Retrieved 2010-01-23.
  43. ^ Lag om anställningsskydd (1982:80)
  44. ^ a b c d e f g h i j k l m n o p Claire Melamed, Renate Hartwig and Ursula Grant 2011. Jobs, growth and poverty: what do we know, what don't we know, what should we know? Archived May 20, 2011, at the Wayback Machine London: Overseas Development Institute
  45. ^ "Contract types and employer responsibilities". gov.uk. Retrieved 21 May 2014.
  46. ^ 26 U.S.C. § 3401(c)
  47. ^ United States v. Latham, 754 F.2d 747, 750 (7th Cir. 1985).
  48. ^ "Termination". United States Department of Labor. Archived from the original on 27 September 2012. Retrieved 27 September 2012.
  49. ^ "Bluenomics". Archived from the original on 2014-11-17.
  50. ^ a b "Young Worker Safety and Health". www.cdc.gov. CDC NIOSH Workplace Safety and Health Topic. Retrieved 2015-06-15.
  51. ^ a b c d "Work-Related Motor Vehicle Crashes" (PDF). NIOSH Publication 2013-153. NIOSH. September 2013.
  52. ^ "Work-Related Motor Vehicle Crashes: Preventing Injury to Young Drivers" (PDF). NIOSH Publication 2013-152. NIOSH. September 2013.
  53. ^ Joseph Holden, Youth employment programmes – What can be learnt from international experience with youth employment programmes? Economic and private sector professional evidence and applied knowledge services https://partnerplatform.org/?fza26891
  54. ^ Pastore, Francesco (2018-01-23). "Why is youth unemployment so high and different across countries?". IZA World of Labor. doi:10.15185/izawol.420.
  55. ^ Chosewood, L. Casey (May 3, 2011). "When It Comes to Work, How Old Is Too Old?". NIOSH: Workplace Safety and Health. Medscape and NIOSH.
  56. ^ Baert, Stijn (February 20, 2016). "Getting Grey Hairs in the Labour Market: An Alternative Experiment on Age Discrimination". Journal of Economic Psychology. 57: 86–101. doi:10.1016/j.joep.2016.10.002. hdl:10419/114164. S2CID 38265879.
  57. ^ Henderson, Kaitlyn (May 3, 2023). "Where hard work doesn't pay off: An index of US labor policies compared to peer nations". Oxfam. Retrieved February 18, 2024. The US is falling drastically behind similar countries in mandating adequate wages, protections, and rights for millions of workers and their families. The wealthiest country in the world is near the bottom of every dimension of this index.
  58. ^ Rank, Mark Robert (2023). The Poverty Paradox: Understanding Economic Hardship Amid American Prosperity. Oxford University Press. pp. 4, 121. ISBN 978-0190212636. The tendency of our free market economy has been to produce a growing number of jobs that will no longer support a family. In addition, the basic nature of capitalism ensures that unemployment exists at modest levels. Both of these directly result in a shortage of economic opportunities in American society. In addition, the absence of social supports stems from failings at the political and policy levels. The United States has traditionally lacked the political desire to put in place effective policies and programs that would support the economically vulnerable. Structural failing at the economic and political levels have therefore produced a lack of opportunities and supports, resulting in high rates of American poverty.
  59. ^ Desmond, Matthew (2023). Poverty, by America. Crown Publishing Group. p. 62. ISBN 9780593239919.
  60. ^ Kaufman, Bruce E. (2004) Theoretical Perspectives on Work and the Employment Relationship, Industrial Relations Research Association.
  61. ^ Fox, Alan (1974) Beyond Contract: Work, Power and Trust Relations, Farber and Farber.
  62. ^ Budd, John W. and Bhave, Devasheesh (2008) "Values, Ideologies, and Frames of Reference in Industrial Relations," in Sage Handbook of Industrial Relations, Sage.
  63. ^ Befort, Stephen F. and Budd, John W. (2009) Invisible Hands, Invisible Objectives: Bringing Workplace Law and Public Policy Into Focus, Stanford University Press.
  64. ^ Budd, John W. and Bhave, Devasheesh (2010) "The Employment Relationship," in Sage Handbook of Handbook of Human Resource Management, Sage.
  65. ^ a b c Yurendra Basnett and Ritwika Sen, What do empirical studies say about economic growth and job creation in developing countries? Economic and private sector professional evidence and applied knowledge services https://partnerplatform.org/?7ljwndv4
  66. ^ Blattman, Christopher; Annan, Jeannie (2016-02-01). "Can Employment Reduce Lawlessness and Rebellion? A Field Experiment with High-Risk Men in a Fragile State". American Political Science Review. 110 (1): 1–17. doi:10.1017/S0003055415000520. ISSN 0003-0554. S2CID 229170512.
  67. ^ a b c d e Budd, John W. (2004) Employment with a Human Face: Balancing Efficiency, Equity, and Voice, Cornell University Press.
  68. ^ a b Rayasam, Renuka (24 April 2008). "Why Workplace Democracy Can Be Good Business". U.S. News & World Report. Retrieved 16 August 2010.
  69. ^ Joseph Rowntree Foundation, Local labour in construction: tackling social exclusion and skill shortages, published November 2000, accessed 17 February 2024
  70. ^ All Party Urban Development Group, Building local jobs, p. 18, published in 2008, accessed on 25 December 2024

General bibliography

[edit]
  • Acocella, Nicola (2007). Social pacts, employment and growth: a reappraisal of Ezio Tarantelli's thought. Heidelberg: Springer Verlag. ISBN 978-3-7908-1915-1.
  • Anderson, Elizabeth (2017). Private Government: How Employers Rule Our Lives (and Why We Don't Talk about It). Princeton, NJ: Princeton University Press. ISBN 978-0-691-17651-2.
  • Dubin, Robert (1958). The World of Work: Industrial Society and Human Relations. Englewood Cliffs, N.J: Prentice-Hall. p. 213. OCLC 964691.
  • Ellerman, David P. (1992). Property and Contract in Economics: The Case for Economic Democracy. Blackwell. ISBN 1-55786-309-1.
  • Freeman, Richard B.; Goroff, Daniel L. (2009). Science and Engineering Careers in the United States: An Analysis of Markets and Employment. Chicago: University of Chicago Press. ISBN 978-0-226-26189-8.
  • Ferguson, Thomas (1995). Golden Rule : The Investment Theory of Party Competition and the Logic of Money-Driven Political Systems. Chicago: University of Chicago Press. ISBN 0-226-24317-6. Retrieved January 26, 2023.
  • Lee, Eddy (January 1996). "Globalization and Employment: Is Anxiety Justified?". International Labour Review. 135 (5): 485–98. Archived from the original on 2013-05-16. Retrieved 2017-08-27.
  • Markey, Raymond; Hodgkinson, Ann; Kowalczyk, Jo (2002). "Gender, part-time employment and employee participation in Australian workplaces". Employee Relations. 24 (2): 129–50. doi:10.1108/01425450210420884.
  • Ostergaard, Geoffrey (1997). The Tradition of Workers' Control. London: Freedom Press. ISBN 978-0-900384-91-2.
  • Stone, Raymond J. (2005). Human Resource Management (5th ed.). Milton, Qld: John Wiley. pp. 412–14. ISBN 978-0-470-80403-2.
  • Thompson, E. P. (1966) [1963]. The Making of the English Working Class. New York: Vintage. ISBN 978-0-394-70322-0.
  • Wood, Jack M. (2004). Organisational Behaviour: A Global Perspective (3rd ed.). Milton, Qld: Wiley. pp. 355–57. ISBN 978-0-470-80262-5.
[edit]
  • Business Link (archived from the original on 29 September 2012)
  • "Labor and Employment". Government Information Library. University of Colorado at Boulder. Archived from the original on 2009-06-12. Retrieved 2009-08-05.
  • "Overview and topics of labour statistics". Statistics and databases. International Labour Organization.

 

Financial accounting is a branch of accounting concerned with the summary, analysis and reporting of financial transactions related to a business.[1] This involves the preparation of financial statements available for public use. Stockholders, suppliers, banks, employees, government agencies, business owners, and other stakeholders are examples of people interested in receiving such information for decision making purposes.

Financial accountancy is governed by both local and international accounting standards. Generally Accepted Accounting Principles (GAAP) is the standard framework of guidelines for financial accounting used in any given jurisdiction. It includes the standards, conventions and rules that accountants follow in recording and summarizing and in the preparation of financial statements.

On the other hand, International Financial Reporting Standards (IFRS) is a set of accounting standards stating how particular types of transactions and other events should be reported in financial statements. IFRS are issued by the International Accounting Standards Board (IASB).[2] With IFRS becoming more widespread on the international scene, consistency in financial reporting has become more prevalent between global organizations.

While financial accounting is used to prepare accounting information for people outside the organization or not involved in the day-to-day running of the company, managerial accounting provides accounting information to help managers make decisions to manage the business.

Objectives

[edit]

Financial accounting and financial reporting are often used as synonyms.

1. According to International Financial Reporting Standards: the objective of financial reporting is:

To provide financial information that is useful to existing and potential investors, lenders and other creditors in making decisions about providing resources to the reporting entity.[3]

2. According to the European Accounting Association:

Capital maintenance is a competing objective of financial reporting.[4]

Financial accounting is the preparation of financial statements that can be consumed by the public and the relevant stakeholders. Financial information would be useful to users if such qualitative characteristics are present. When producing financial statements, the following must comply: Fundamental Qualitative Characteristics:

  • Relevance: Relevance is the capacity of the financial information to influence the decision of its users. The ingredients of relevance are the predictive value and confirmatory value. Materiality is a sub-quality of relevance. Information is considered material if its omission or misstatement could influence the economic decisions of users taken on the basis of the financial statements.
  • Faithful Representation: Faithful representation means that the actual effects of the transactions shall be properly accounted for and reported in the financial statements. The words and numbers must match what really happened in the transaction. The ingredients of faithful representation are completeness, neutrality and free from error. It signifies that the accountants have acted in good faith during the process of representation.

Enhancing Qualitative Characteristics:

  • Verifiability: Verifiability implies consensus between the different knowledgeable and independent users of financial information. Such information must be supported by sufficient evidence to follow the principle of objectivity.
  • Comparability: Comparability is the uniform application of accounting methods across entities in the same industry. The principle of consistency is under comparability. Consistency is the uniform application of accounting across points in time within an entity.
  • Understandability: Understandability means that accounting reports should be expressed as clearly as possible and should be understood by those to whom the information is relevant.
  • Timeliness: Timeliness implies that financial information must be presented to the users before a decision is to be made.

Three components of financial statements

[edit]

Statement of cash flows (cash flow statement)

[edit]

The statement of cash flows considers the inputs and outputs in concrete cash within a stated period. The general template of a cash flow statement is as follows: Cash Inflow - Cash Outflow + Opening Balance = Closing Balance

Example 1: in the beginning of September, Ellen started out with $5 in her bank account. During that same month, Ellen borrowed $20 from Tom. At the end of the month, Ellen bought a pair of shoes for $7. Ellen's cash flow statement for the month of September looks like this:

  • Cash inflow: $20
  • Cash outflow:$7
  • Opening balance: $5
  • Closing balance: $20 – $7 + $5 = $18

Example 2: in the beginning of June, WikiTables, a company that buys and resells tables, sold 2 tables. They'd originally bought the tables for $25 each, and sold them at a price of $50 per table. The first table was paid out in cash however the second one was bought in credit terms. WikiTables' cash flow statement for the month of June looks like this:

  • Cash inflow: $50 - How much WikiTables received in cash for the first table. They didn't receive cash for the second table (sold in credit terms).
  • Cash outflow: $50 - How much they'd originally bought the 2 tables for.
  • Opening balance: $0
  • Closing balance: $50 – 2*$25 + $0 = $50–50=$0 - Indeed, the cash flow for the month of June for WikiTables amounts to $0 and not $50.

Important: the cash flow statement only considers the exchange of actual cash, and ignores what the person in question owes or is owed.

Statement of financial performance (income statement, profit & loss (p&l) statement, or statement of operations)

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The statement of profit or income statement represents the changes in value of a company's accounts over a set period (most commonly one fiscal year), and may compare the changes to changes in the same accounts over the previous period. All changes are summarized on the "bottom line" as net income, often reported as "net loss" when income is less than zero.

The net profit or loss is determined by:

Sales (revenue)

cost of goods sold

– selling, general, administrative expenses (SGA)

depreciation/ amortization

= earnings before interest and taxes (EBIT)

– interest and tax expenses

= profit/loss

The balance sheet is the financial statement showing a firm's assets, liabilities and equity (capital) at a set point in time, usually the end of the fiscal year reported on the accompanying income statement. The total assets always equal the total combined liabilities and equity. This statement best demonstrates the basic accounting equation:

Assets = Liabilities + Equity


The statement can be used to help show the financial position of a company because liability accounts are external claims on the firm's assets while equity accounts are internal claims on the firm's assets.

Accounting standards often set out a general format that companies are expected to follow when presenting their balance sheets. International Financial Reporting Standards (IFRS) normally require that companies report current assets and liabilities separately from non-current amounts.[5][6] A GAAP-compliant balance sheet must list assets and liabilities based on decreasing liquidity, from most liquid to least liquid. As a result, current assets/liabilities are listed first followed by non-current assets/liabilities. However, an IFRS-compliant balance sheet must list assets/liabilities based on increasing liquidity, from least liquid to most liquid. As a result, non-current assets/liabilities are listed first followed by current assets/liabilities.[7]

Current assets are the most liquid assets of a firm, which are expected to be realized within a 12-month period. Current assets include:

  • cash - physical money
  • accounts receivable - revenues earned but not yet collected
  • Merchandise inventory - consists of goods and services a firm currently owns until it ends up getting sold
  • Investee companies - expected to be held less than one financial period
  • prepaid expenses - expenses paid for in advance for use during that year

Non-current assets include fixed or long-term assets and intangible assets:

  • fixed (long term) assets
    • property
    • building
    • equipment (such as factory machinery)
  • intangible assets
    • copyrights
    • trademarks
    • patents
    • goodwill

Liabilities include:

  • current liabilities
    • trade accounts payable
    • dividends payable
    • employee salaries payable
    • interest (e.g. on debt) payable
  • long term liabilities
    • mortgage notes payable
    • bonds payable

Owner's equity, sometimes referred to as net assets, is represented differently depending on the type of business ownership. Business ownership can be in the form of a sole proprietorship, partnership, or a corporation. For a corporation, the owner's equity portion usually shows common stock, and retained earnings (earnings kept in the company). Retained earnings come from the retained earnings statement, prepared prior to the balance sheet.[8]

Statement of retained earnings (statement of changes in equity)

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This statement is additional to the three main statements described above. It shows how the distribution of income and transfer of dividends affects the wealth of shareholders in the company. The concept of retained earnings means profits of previous years that are accumulated till current period. Basic proforma for this statement is as follows:

Retained earnings at the beginning of period

+ Net Income for the period

- Dividends

= Retained earnings at the end of period.[9]

Basic concepts

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The stable measuring assumption

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One of the basic principles in accounting is "The Measuring Unit principle":

The unit of measure in accounting shall be the base money unit of the most relevant currency. This principle also assumes the unit of measure is stable; that is, changes in its general purchasing power are not considered sufficiently important to require adjustments to the basic financial statements."[10]

Historical Cost Accounting, i.e., financial capital maintenance in nominal monetary units, is based on the stable measuring unit assumption under which accountants simply assume that money, the monetary unit of measure, is perfectly stable in real value for the purpose of measuring (1) monetary items not inflation-indexed daily in terms of the Daily CPI and (2) constant real value non-monetary items not updated daily in terms of the Daily CPI during low and high inflation and deflation.

Units of constant purchasing power

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The stable monetary unit assumption is not applied during hyperinflation. IFRS requires entities to implement capital maintenance in units of constant purchasing power in terms of IAS 29 Financial Reporting in Hyperinflationary Economies.

Financial accountants produce financial statements based on the accounting standards in a given jurisdiction. These standards may be the Generally Accepted Accounting Principles of a respective country, which are typically issued by a national standard setter, or International Financial Reporting Standards (IFRS), which are issued by the International Accounting Standards Board (IASB).

Financial accounting serves the following purposes:

  • producing general purpose financial statements
  • producing information used by the management of a business entity for decision making, planning and performance evaluation
  • producing financial statements for meeting regulatory requirements.

Objectives of financial accounting

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  • Systematic recording of transactions: basic objective of accounting is to systematically record the financial aspects of business transactions (i.e. book-keeping). These recorded transactions are later on classified and summarized logically for the preparation of financial statements and for their analysis and interpretation.
  • Ascertainment of result of above recorded transactions: accountant prepares profit and loss account to know the result of business operations for a particular period of time. If expenses exceed revenue then it is said that the business is running under loss. The profit and loss account helps the management and different stakeholders in taking rational decisions. For example, if business is not proved to be remunerative or profitable, the cause of such a state of affairs can be investigated by the management for taking remedial steps.
  • Ascertainment of the financial position of business: businessman is not only interested in knowing the result of the business in terms of profits or loss for a particular period but is also anxious to know that what he owes (liability) to the outsiders and what he owns (assets) on a certain date. To know this, accountant prepares a financial position statement of assets and liabilities of the business at a particular point of time and helps in ascertaining the financial health of the business.
  • Providing information to the users for rational decision-making: accounting as a 'language of business' communicates the financial result of an enterprise to various stakeholders by means of financial statements. Accounting aims to meet the financial information needs of the decision-makers and helps them in rational decision-making.
  • To know the solvency position: by preparing the balance sheet, management not only reveals what is owned and owed by the enterprise, but also it gives the information regarding concern's ability to meet its liabilities in the short run (liquidity position) and also in the long-run (solvency position) as and when they fall due.

Graphic definition

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The accounting equation (Assets = Liabilities + Owners' Equity) and financial statements are the main topics of financial accounting.

The trial balance, which is usually prepared using the double-entry accounting system, forms the basis for preparing the financial statements. All the figures in the trial balance are rearranged to prepare a profit & loss statement and balance sheet. Accounting standards determine the format for these accounts (SSAP, FRS, IFRS). Financial statements display the income and expenditure for the company and a summary of the assets, liabilities, and shareholders' or owners' equity of the company on the date to which the accounts were prepared.

Asset, expense, and dividend accounts have normal debit balances (i.e., debiting these types of accounts increases them).

Liability, revenue, and equity accounts have normal credit balances (i.e., crediting these types of accounts increases them).

0 = Dr Assets                            Cr Owners' Equity                Cr Liabilities  
          .       _____________________________/\____________________________       .
          .      /    Cr Retained Earnings (profit)         Cr Common Stock  \      .
          .    _________________/\_______________________________      .            .
          .   / Dr Expenses       Cr Beginning Retained Earnings \     .            .
          .     Dr Dividends      Cr Revenue                           .            .
      \________________________/  \______________________________________________________/
       increased by debits           increased by credits


          Crediting a credit                         
Thus -------------------------> account increases its absolute value (balance)
           Debiting a debit                             


          Debiting a credit                         
Thus -------------------------> account decreases its absolute value (balance)
          Crediting a debit

When the same thing is done to an account as its normal balance it increases; when the opposite is done, it will decrease. Much like signs in math: two positive numbers are added and two negative numbers are also added. It is only when there is one positive and one negative (opposites) that you will subtract.


However, there are instances of accounts, known as contra-accounts, which have a normal balance opposite that listed above. Examples include:

  • Contra-asset accounts (such as accumulated depreciation and allowances for bad debt or obsolete inventory)
  • Contra-revenue accounts (such as sales allowances)
  • Contra-equity accounts (such as treasury stock)

Financial accounting versus cost accounting

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  1. Financial accounting aims at finding out results of accounting year in the form of Profit and Loss Account and Balance Sheet. Cost Accounting aims at computing cost of production/service in a scientific manner and facilitate cost control and cost reduction.
  2. Financial accounting reports the results and position of business to government, creditors, investors, and external parties.
  3. Cost Accounting is an internal reporting system for an organisation's own management for decision making.
  4. In financial accounting, cost classification based on type of transactions, e.g. salaries, repairs, insurance, stores etc. In cost accounting, classification is basically on the basis of functions, activities, products, process and on internal planning and control and information needs of the organization.
  5. Financial accounting aims at presenting 'true and fair' view of transactions, profit and loss for a period and Statement of financial position (Balance Sheet) on a given date. It aims at computing 'true and fair' view of the cost of production/services offered by the firm.[11]
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Many professional accountancy qualifications cover the field of financial accountancy, including Certified Public Accountant CPA, Chartered Accountant (CA or other national designations, American Institute of Certified Public Accountants AICPA and Chartered Certified Accountant (ACCA).

See also

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References

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  1. ^ "Financial Accounting - Definition from KWHS". The Wharton School. 28 February 2011. Retrieved 13 July 2018.
  2. ^ "Who We Are - January 2015" (PDF). IFRS.org. IFRS Foundation. Archived from the original (PDF) on 1 May 2015. Retrieved 28 April 2015.
  3. ^ IFRS Conceptual Framework(2010) Par. OB2
  4. ^ European Accounting Association, Response to Question 26, Comment Letter to the Discussion Paper regarding the Review of the Conceptual Framework, on Page 2 of comment letters, dated 2014-01-24 Archived 2014-07-29 at the Wayback Machine
  5. ^ "IAS 1 - Presentation of Financial Statements". Deloitte Global. Retrieved May 9, 2017.
  6. ^ Larry M. Walther, Christopher J. Skousen, "Long-Term Assets", Ventus Publishing ApS, 2009
  7. ^ Gavin, Matt (30 August 2019). "GAAP VS. IFRS: WHAT ARE THE KEY DIFFERENCES AND WHICH SHOULD YOU USE?". Harvard Business School Online. Retrieved 2 November 2020.
  8. ^ Malhotra, DK; Poteau, Ray (2016). Financial Accounting I. Academic Publishing. ISBN 978-1627517300.
  9. ^ Fred., Phillips (2011). Fundamentals of financial accounting. Libby, Robert., Libby, Patricia A. (3rd ed.). Boston: McGraw-Hill Irwin. ISBN 9780073527109. OCLC 457010553.
  10. ^ Paul H. Walgenbach, Norman E. Dittrich and Ernest I. Hanson, (1973), New York: Harcourt Grace Javonovich, Inc. Page 429.
  11. ^ Cost and Management Accounting. Intermediate. The Institute of Cost Accountants of India. p. 17.

Further reading

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Frequently Asked Questions

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Medical coders assign ICD-10-CM/PCS codes based on patient diagnoses and procedures documented in medical records. These codes determine the appropriate DRG for each case. Accurate coding ensures correct DRG assignment, directly impacting hospital reimbursement rates.
Hospitals may encounter challenges such as ensuring accurate documentation to support coding, managing costs within fixed payments, dealing with potential audits or penalties for incorrect coding, and adapting to changes in regulations or updates to the DRG system itself.