CPPM Policy Chapter 2: General and Financial Management (2024)

ThisCore Policy and Procedures Manual chapterclarifies government's general and financial management framework founded on Part 2 of the Financial Administration Act (FAA). The accountabilities of Treasury Board, the Minister of Finance, deputy ministers, executive financial officers, the Comptroller General and central agencies are stated, along with supporting policy. Government's approach to control and risk is updated from a traditional input focus to broader measures of performance and achievement of objectives.

The role of the Financial Management Branch, Office of the Comptroller General, in maintaining the Core Policy and Procedures Manual and developing financial management policy is covered, as are the responsibilities of other central agencies by subject area in an appendix table.

  • 2.0 General and Financial Management
    • 2.1 Objectives
    • 2.2 General
      • 2.2.1 Management Framework
      • 2.2.2 Control and Risk
      • 2.2.3 Roles and Responsibilities
        • Treasury Board
        • Minister of Finance
        • Deputy Ministers
        • Comptroller General
        • Treasury Board Staff
        • Central Agencies
    • 2.3 Policy

2.1 Objectives

  • provide central direction for general, financial and administration policies across government
  • ensure essential processes are a part of management and financial administration systems
  • define the framework of accountability, organizational principles and functional relationships for management and financial functions
  • ensure financial management processes and control systems are adequately documented, communicated and understood

2.2 General

The Financial Administration Act, Part 2, establishes the organization, authority and responsibility for ministries and central agencies to carry out government operations and financial function activities.

2.2.1 Management Framework

The management principles for government's operating framework are:

  • resource allocation decisions made during the budget process communicate the government's priorities;
  • government and ministry goals and objectives must be communicated clearly to the public and staff throughout the hierarchy to ensure that all staff are working toward the same ends;
  • assignment of responsibilities to minimize duplication of tasks and to ensure that someone is responsible for completing each function;
  • staff who have been assigned responsibilities are given the authority to carry them out. Statutes grant authority to ministers and deputy ministers, and the authority is delegated throughout the organization; and
  • individuals are held accountable for their stewardship after objectives have been established, responsibility assigned, authority delegated and resources allocated to individuals.

The key components of the government's financial management framework include:

  • legislation, regulations, policies and procedures;
  • financial planning and budgetary control;
  • systems and internal controls;
  • delegation of authorities and responsibilities;
  • adherence to standards; and
  • holding individuals and organizations accountable for performance.

2.2.2 Control and Risk

Government's approach to the broad area of control has evolved with new demands for enhanced governance and has moved beyond traditional financial and general management control. In any organization, the essence of internal control is purpose, commitment, capability and monitoring. This is embodied in a redefined management and comptrollership for government.

Government resources, structures, systems, processes and culture all support management and staff in achieving objectives. Control can assist in monitoring performance by providing reliable information on measures used, which may lead to further management decisions or actions. However, control cannot prevent the taking of decisions that are, in retrospect, flawed. There are inherent limitations even though due care and diligence may have been exercised. Risk assessments are necessary in making choices in the face of uncertainty, because of the possibility of adverse consequences from those choices.

2.2.3 Roles and Responsibilities

a. Treasury Board

Treasury Board acts as a committee of the Executive Council in matters relating to (Financial Administration Act, Section 4):

  • accounting policies and practices;
  • government management practices;
  • government financial management and control, including expenditures and assets;
  • evaluation of government programs as to economy, efficiency and effectiveness;
  • government personnel management; and
  • other matters referred to it by the Executive Council.

In addition, Treasury Board may make regulations or issue directives respecting:

  • the planning, management and reporting of capital expenditures by government and government bodies (Financial Administration Act, Section 4.1); and
  • accounting policies and practices for the government reporting entity, and the form and content of documents required to be made public (Budget Transparency and Accountability Act, Section 23).

b. Minister of Finance

The Minister of Finance is responsible for:

  • the management and administration of the Consolidated Revenue Fund;
  • oversight of revenues and expenditures;
  • government fiscal policy; and
  • any other financial matter not assigned to Treasury Board or to any other person.

The Minister of Finance is also the chair of Treasury Board.

c. Deputy Ministers

Deputy Ministers, on behalf of their respective ministers, are responsible for:

  • supervising the management of the business and affairs of their respective ministries. Specific financial responsibilities are normally delegated, as appropriate, to assistant deputy ministers and to other executive, senior and financial officers. Deputy ministers review and approve matters related to ministry operations, strategic direction and organizational structure to ensure government and the public's best interests are served. Duties include:
    • strategic planning, review of service plans and identification of ministry opportunities and challenges;
    • approval of annual operating and capital budgets;
    • review principal risks of the ministry and plans, systems and processes to manage such risks;
    • oversight on the reliability and integrity of internal control and management information systems, and management practices and processes to ensure compliance with applicable policy and legislation;
    • monitoring senior executive performance and succession planning; and
    • communicating with stakeholders in a timely, accurate and effective manner.

d. Comptroller General

The Comptroller General is responsible for:

  • government's financial management and administration policy and procedures;
  • policies and procedures for maintaining the central accounts of government;
  • preparing the Public Accounts and other financial statements and reports required by Treasury Board or the Minister of Finance;
  • direction and coordination of financial management and administration policy and procedures, control and reporting systems; and
  • the approval of ministry financial organizational structures.

e. Treasury Board Staff

Treasury Board Staff are responsible for:

  • providing the support to Treasury Board necessary to fulfill its statutory responsibilities, excluding those specific duties assigned by statute or delegation to other central agencies such as the Office of the Comptroller General and the BC Public Service Agency.

f. Central Agencies

Central Agencies such as Shared Services BC, the BC Public Service Agency and the Chief Information Office are responsible for:

  • coordinating government-wide activities in specific areas under the authority of different statutes and authorities.

2.3 Policy

  1. Ministry and agency systems of financial administration must integrate and be fully compatible with government-wide systems to ensure a cohesive framework for overall financial management and control.
  2. Ministries must establish, maintain and operate systems of financial administration that are consistent with statutes, regulations, policy and directives.
  3. Deputy ministers must ensure staff that are assigned responsibilities for program delivering, including financial administration, complete their responsibilities in accordance with government policy.
  4. Deputy ministers must delegate authority for ministry systems of financial administration to an executive financial officer, or to another officer depending on the size, structure and activities of the organization. This officer must be referred to as the chief financial officer and must report to an executive financial officer.
  5. Executive financial officers are accountable for the overall performance and effectiveness of ministry financial administration systems, and in most cases, have responsibility for personnel, data processing and general administrative services.
  6. Responsibility centre managers must manage the human, physical and financial resources allocated to them for achieving their program objectives. Ministries must ensure that responsibility centre managers are clearly identified in their organizational structure and approve their signing authorities.
  7. Financial systems, processes and procedures related to a ministry's system of financial administration are to be clearly defined, documented and communicated to all levels within the ministry.
  8. Ministries must periodically review their financial administration systems for compliance with policy, best practice improvements and to ensure activities are carried out efficiently and effectively.
  9. Responsibility centre managers and their subordinate staff are subject to the functional direction provided, on behalf of the deputy minister, by executive and chief financial officers in matters related to the financial administration and control.
  10. Personnel charged with functional responsibilities must have the requisite qualifications and experience to assure an overall quality of management and financial administration. Professional development and training will be required as necessary to maintain standards.
  11. Position descriptions for personnel must reflect key functions and activities for the organization, and accurately describe the knowledge, skills and abilities required for the position.
  12. Deputy ministers, executive financial officers and, where applicable, chief financial officers will be subject to the functional direction and guidance of the Comptroller General in matters related to the administration and control of the government's system of financial administration.
  13. The Comptroller General must be part of selection processes in appointing chief financial officers.
  14. The Comptroller General must review any proposals for the establishment of, or revision to, regulations under the Financial Administration Act.
  15. The Minister of Finance must approve all proposals for the establishment of, or revision to, Treasury Board Regulations prior to submission to Treasury Board (see Information and References, Regulations, Order in Councils and Directives).
  16. The Financial Management Branch, Office of the Comptroller General, develops, issues and maintains the online Core Policy and Procedures Manual. Review and consultation with Treasury Board Staff, the Deputy Minister Committee, Assistant Deputy Ministers on Corporate Service Committee, Chief Financial Officer Council, and other central agencies, as appropriate, must precede the issuance of new policy.
  17. Ministries, central agencies and offices sponsoring amendments to policy must circulate the proposed policy change to the Office of the Comptroller General. In conjunction with the Office of the Comptroller General, the ministry, sponsoring central agency or office, is responsible for obtaining approval for the policy from the appropriate agency identified in policy 16.

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CPPM Policy Chapter 2: General and Financial Management (2024)

FAQs

How can you prevent a common billing error is invalid or truncated ICD 10 CM codes? ›

A COMMON BILLING ERROR IS INVALID OR TRUNCATED ICD-10-CM CODES. HOW CAN YOU PREVENT THIS? UPDATE THE PRACTICE MANAGEMENT SYSTEM WHEN NEW , DELETED AND REVISED CODES ARE RELEASED.

What is a billing error quizlet? ›

i. " Billing errors" include charges. that are not properly payable/unauthorized; 1 / 17.

When reviewing payer contracts, how is the revenue per visit (rpv) calculated? ›

Total amount collected divided by the total number of patient visits. Rationale: The RPV is calculated by determining the average dollars collected from a payer and dividing it by the number of patient visits from that payer.

Which of the following is a chronological description of the development of the patient's complaints? ›

History of Present Illness (HPI): A description of the development of the patient's present illness. The HPI is usually a chronological description of the progression of the patient's present illness from the first sign and symptom to the present.

What is the best way to prevent denials for invalid codes? ›

Submitting outdated codes on a claim will result in claim rejections. It is important to work with your Information Technology (IT) Department each year to ensure that all billing codes in your Electronic Medical Record (EMR) are updated to prevent the billing of outdated codes.

What are some examples of common coding errors using ICD-10? ›

Common ICD-10 coding errors include:
  • Coding the diagnosis code and forgetting to code the procedure code.
  • Coding the incorrect procedure code based on insufficient documentation in the medical record.

How do you respond to a billing error? ›

If you believe an error has been made on your credit card bill, you should send your credit card company a written letter within 60 days of the charge appearing on your billing statement. The letter should include information that identifies yourself and what you are disputing.

How do you apologize for a billing error? ›

Apology letter for billing or pricing errors

I apologize for the recent [billing or pricing] error in your transaction at [Company Name]. Ensuring accuracy and transparency is our priority, and I am sorry for any inconvenience caused. We're actively addressing this issue and [offer resolution/a refund/etc.].

What is the proper way to correct a billing error? ›

A letter or other written notice from you to your credit card issuer is required in order for you to benefit from the "billing error law." In order for the billing-error law to apply, you must notify your card issuer in writing no later than 60 days after the card issuer mails the first periodic statement that includes ...

What questions are on the AAPC Cppm exam? ›

Breakdown of the 135-question CPPM exam
  • Healthcare business processes (11 questions) ...
  • Healthcare reform (3 questions) ...
  • Compliance (17 questions) ...
  • Quality in healthcare (3 questions) ...
  • Medical office accounting (17 questions) ...
  • Physician reimbursem*nt (14 questions) ...
  • Healthcare revenue cycle management (17 questions)

How do you calculate sales per visit? ›

Revenue per visitor is calculated by simply dividing the total revenue earned during a given time period by the number of visitors during the same time period.

How do you calculate visit value? ›

Revenue / Total Web Visitors = Visitor Value

Now before you pull out your trusty calculator and begin crunching the numbers, make sure that the revenue generated and web visitors you're looking at are all for the same amount of time, for example 6 months or 1 year.

What are the 7 elements of HPI? ›

The HPI is a chronological description of the development of the patient's present illness from the first sign and/or symptom or from the previous encounter to the present. It includes the following elements: location; quality; severity; duration; timing; context; modifying factors; and associated signs and symptoms.

How to write a good chief complaint? ›

The Chief Complaint explains the reason for the encounter.

The CC should be a concise statement describing the symptom, problem, condition, diagnosis, or other factor that is the reason for the encounter, usually stated in the patient's own words.

What is the most common complaints heard from patients? ›

Address common patient complaints such as long wait times, slow response times, lack of provider availability, and more. Give patients ample face-to-face time with providers during appointments so they don't feel rushed.

What are the common billing errors in medical coding and how would you prevent them? ›

One of the most common medical billing errors is the misuse of modifiers. Using an incorrect modifier, or failing to use one when necessary, can lead to claim denials. Regular training for staff on the latest coding changes is part of effective strategies for addressing medical coding errors and how to prevent them.

How do you reduce billing errors? ›

5 simple, yet effective ways to decrease billing mistakes
  1. Always verify patient information and insurance benefits. ...
  2. Eliminate repetitive tasks. ...
  3. Check against the most up-to-date rules. ...
  4. Address potential eligibility issues up front. ...
  5. Use the right tools for faster correction guidance.

What are some ways to avoid missing invalid code denials on submitted claims? ›

Ensure Accurate Coding

The best way to reduce denials is by coding to the highest level of specificity. This often means coding up to the fifth digit. If you are using an outdated codebook or your coder or your biller enters the wrong code, your claim could be denied.

What processes do you put in place to avoid any errors to your medical coding? ›

Follow these rules to correct medical billing and coding errors: make sure the insurance has been verified, file medical claims within deadlines, find and eliminate your own errors, revisit your processes, keep up with medical billing and coding trends, avoid duplicate billing, avoid upcoding or undercoding, double- ...

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