Accounting for all reportable services and supplies rendered to a patient

The objective of IAS 18 is to prescribe the accounting treatment for revenue arising from certain types of transactions and events.

Key definition

Revenue: the gross inflow of economic benefits (cash, receivables, other assets) arising from the ordinary operating activities of an entity (such as sales of goods, sales of services, interest, royalties, and dividends). [IAS 18.7]

Measurement of revenue

Revenue should be measured at the fair value of the consideration received or receivable. [IAS 18.9] An exchange for goods or services of a similar nature and value is not regarded as a transaction that generates revenue. However, exchanges for dissimilar items are regarded as generating revenue. [IAS 18.12]

If the inflow of cash or cash equivalents is deferred, the fair value of the consideration receivable is less than the nominal amount of cash and cash equivalents to be received, and discounting is appropriate. This would occur, for instance, if the seller is providing interest-free credit to the buyer or is charging a below-market rate of interest. Interest must be imputed based on market rates. [IAS 18.11]

Recognition of revenue

Recognition, as defined in the IASB Framework, means incorporating an item that meets the definition of revenue (above) in the income statement when it meets the following criteria:

  • it is probable that any future economic benefit associated with the item of revenue will flow to the entity, and
  • the amount of revenue can be measured with reliability

IAS 18 provides guidance for recognising the following specific categories of revenue:

Sale of goods

Revenue arising from the sale of goods should be recognised when all of the following criteria have been satisfied: [IAS 18.14]

  • the seller has transferred to the buyer the significant risks and rewards of ownership
  • the seller retains neither continuing managerial involvement to the degree usually associated with ownership nor effective control over the goods sold
  • the amount of revenue can be measured reliably
  • it is probable that the economic benefits associated with the transaction will flow to the seller, and
  • the costs incurred or to be incurred in respect of the transaction can be measured reliably

Rendering of services

For revenue arising from the rendering of services, provided that all of the following criteria are met, revenue should be recognised by reference to the stage of completion of the transaction at the balance sheet date (the percentage-of-completion method): [IAS 18.20]

  • the amount of revenue can be measured reliably;
  • it is probable that the economic benefits will flow to the seller;
  • the stage of completion at the balance sheet date can be measured reliably; and
  • the costs incurred, or to be incurred, in respect of the transaction can be measured reliably.

When the above criteria are not met, revenue arising from the rendering of services should be recognised only to the extent of the expenses recognised that are recoverable (a "cost-recovery approach". [IAS 18.26]

Interest, royalties, and dividends

For interest, royalties and dividends, provided that it is probable that the economic benefits will flow to the enterprise and the amount of revenue can be measured reliably, revenue should be recognised as follows: [IAS 18.29-30]

  • interest: using the effective interest method as set out in IAS 39
  • royalties: on an accruals basis in accordance with the substance of the relevant agreement
  • dividends: when the shareholder's right to receive payment is established

Disclosure [IAS 18.35]

  • accounting policy for recognising revenue
  • amount of each of the following types of revenue:
    • sale of goods
    • rendering of services
    • interest
    • royalties
    • dividends
    • within each of the above categories, the amount of revenue from exchanges of goods or services

Implementation guidance

Appendix A to IAS 18 provides illustrative examples of how the above principles apply to certain transactions.

For Travel Reimbursements, Entertainment Reimbursements, Moving & Relocation, & Disbursement Vouchers

Whether you are submitting an entertainment reimbursement (ENT), travel reimbursement (TR), or disbursement voucher (DV), you will need to send your supporting documentation to be scanned. The guide below will help you determine what receipts, invoices, or proofs of payment you need to submit to be reimbursed in a timely manner.

Reimbursements will not normally be allowed for purchases made by gift card, reward points, prepaid vendor-specific cards (copy card, phone cards, etc.), gift certificates, etc. If proof of payment of the non-cash method can be provided, such as the receipt for a gift card purchase that can be included in the request to supplement the other receipts.  Reimbursements will not be made for travel reserved using points earned under airline, hotel or car rental loyalty programs, or a transportation/hospitality company credit.

Related Guides:

Common Types of Supporting Documentation

The most common types of supporting documents are receipts, invoices, and proofs of payment. Here's the information that should be included on each:

Itemized Receipt

Invoice

Proof of Payment

An original document from the merchant showing:

  • Merchant's name
  • Transaction date
  • Amount paid
  • Description of purchased item(s)
  • Description of additional charges (taxes, service, delivery, etc.)
  • Form of payment used

An original document from the merchant showing:

  • Merchant's name
  • Invoice date
  • Amount billed
  • Description of billed item(s)
  • Description of additional charges (taxes, service, delivery, etc.)

Often needed in tandem with an invoice. The following are acceptable proofs of payment:

  • Credit card sales slip
  • Monthly credit card statement (when you don't have a receipt and the purchase was made with a personal credit card)
  • Check - photocopy of a cancelled check (front and back)
  • Airline receipt or itinerary showing traveler name, flight information, ticket number, airfare amount and form of payment
  • Lodging itemized receipt showing daily expenses and form of payment
  • Rental car receipt given upon car rental return (mileage in/out) and form of payment
  • Anything over $75 requires a receipt
  • Protect your traveler's personal information.  Before sending documents to scanning, please remove/redact the following data:
    • Social Security number (SSN)
    • Drivers’ license number or State-issued identification card
    • Passport number
    • Credit card number or debit card number in combination with any required security code, access code, or password

Determining if Supporting Documents Need to be Scanned

The table below lists common types of electronic financial documents (eDocs) that can be created in the Kuali Financial System and
indicates whether supporting documents need to be scanned for each.

Type of KFS eDoc

How to Handle Supporting Documents

Disbursement Vouchers (DV)

Supporting Documents must be submitted with DV. Select one of the three options in the e-document's Image Scanning tab to attach your supporting documentation. See instructions in next section for details.

Travel Reimbursements (TR) and Entertainment Reimbursements (ENT)

Supporting Documents must be submitted with TR or ENT. Select one of the three options in the e-document's Image Scanning tab to attach your supporting documentation. See instructions in next section for details.

Purchase Requisition (REQS)

Supporting documents should be electronically attached as a PDF (5 MB max) in the notes and attachments section of the requisition. Do not send documents to scanning.

Purchase Order (PO)

Supporting documents should be electronically attached as a PDF (5 MB max) in the notes and attachments section of the requisition. Do not send documents to scanning.

PALCard Document (PCDO)

Keep supporting documents in your department. Do not send to scanning.

Uploading Supporting Documents with the Image Scanning Tab

The Image Scanning tab in DV, PREQ, and TEM documents includes three sub-tabs for handling supporting documents. You can use one or any combination of these options:

You can use this option to directly upload images of your supporting documents to FileNet. This is the fastest and most reliable way to attach supporting documents to your reimbursement. Here are some tips:

    • You cannot upload files until the KFS document has been saved or submitted.
    • Make sure that sensitive or personal data is redacted. Files cannot be deleted after they are uploaded.
    • Scan or photograph your documents into one of the following file formats: .pdf, .jpg, .jpeg, .bmp, .png, .tiff, or .tif.
    • Go to the Image Scanning tab and click the Browse button to select the image from your computer.
    • Click the Upload File button to upload your image to FileNet. No coversheet is needed.
    • The Notes and Attachments Tab should never be used to upload items to a TEM or DV e-document.

If your supporting documents were scanned into a TEM or DV e-document that was subsequently disapproved, link that disapproved eDoc to the new one. Enter the document number of the disapproved document into the field in this section. Note: You cannot link DVs to TEM e-documents and vice versa. Linked e-documents must be from the same module.

Viewing Supporting Documents

After images are in FileNet, check them for quality and clarity. Images are accessible in FileNet as soon as they are uploaded. Image files appear as a single image page.

If you have difficulty scanning or photographing your documents into a digital format, you should contact the OIT Help Desk or seek technical help from your unit. If you encounter an error while uploading the file, contact the KFS Help Desk and include a screenshot of the error message. Documents that are in the Awaiting Scanning route log node and have images uploaded will advance in workflow only at preset batch processing times (afternoon and overnight). 

Retention of Documents Uploaded to FileNet

Receipts and other supporting documents uploaded to FileNet are considered original documents and will be retained in compliance with UCOP Document Retention Policies. According to UC policy, each department is the office of record for its supporting documents. It is therefore the responsibility of the department to determine whether storage of original documents on FileNet is sufficient to ensure compliance or if paper records should also be retained locally. At minimum, the Accounting Department recommends retaining supporting documents until the KFS document is final, has hit the ledger, is paid out, and has been reconciled.

See the Document Retention for Accounting Guide for more information.

Required Supporting Documents by Expense Type

For each of the types of expense listed in the table below, you will need to send the indicated support documents to Document Services to be scanned or upload items to the Image Scanning tab. These documents are needed for Accounts Payable staff to insure compliance with university policies and for various auditors to conduct their audits. If you don't have a required document, you will need to get exceptional approval. Also, keep in mind that your department may have more stringent receipt requirements than those shown in the following table.

Travel and Event Management

Expense Type

KFS eDoc Type

Required Supporting Documentation

Other Considerations

Travel Expenses

Travel Reimbursement (TR)

Itemized receipts with proof of payment are required for the following:

  • Airfare: must include the ticket number
  • Lodging: hotel folios or similar receipt with dates of stay, room charge, and taxes
  • Car Rental: must include rental agreement number, total charge, and miles in/out
  • Any other expenses that exceed $75 
  • Business Purpose/Agendas: The business purpose of a trip must be clearly indicated in the Travel Reimbursement. An agenda is the preferred way to document the business purpose. If an agenda is not readily available or contains sensitive information, please detail the nature of the trip in the Business Purpose section of the reimbursement, e.g. that the trip was for a University-wide meeting of functional offices, location-based meeting of deans and directors, extended formal training session, meeting of a University-appointed committees, or a meeting of a professional association or other external organization. Failure to clearly indicate the business purpose of a trip is an audit risk for UCI and is impermissible under UC policy as it would result in the reimbursement becoming subject to income taxes.
  • Package Deals: No package deals unless they are itemized for every expense: air, car, and hotel.
  • For foreign nationals: The following completed forms must be attached to the check request:
    • Copy of passport
    • Copy of I-94 stamp on visa
    • Certification of Academic Activity

Business Meetings or Entertainment

Entertainment Reimbursement (ENT)

  • For reimbursements to employees of $75 or more, include either an itemized receipt or an invoice with proof of payment. Include guest full names, business affiliation and purpose of the meeting, when meals are involved.
  • For payments to merchants, include an invoice or itemized receipt.
  • For facility or room rentals, a rental agreement including a certificate of insurance and a signature from the purchasing department is required.
  • All entertainment reimbursements require a clear description in the notes section of the ENT eDoc stating why the expense was necessary to complete university business.
  • The description in the notes section should be corroborated by supporting documents such as an agenda, conference pamphlet, or other form indicating the date and location of the event.

Moving, Relocation and House Hunting

Moving & Relocation

  • Offer Letter
  • Exceptional Approval Letter for Academic Appointments only.
  • Relocation Expense Form
  • Relocation Tax Agreement
  • Itemized receipt or an invoice with proof of payment.
  • Airfare: must include the ticket number.
  • Lodging: must include the hotel folio or similar receipt with dates of stay, room charge and taxes.
  • Household, personal items and other eligible moving costs are only reimbursed at 50% for Academic appointments.
  • The department may agree to pay 100% of these costs which will require an exceptional approval letter:
    • Academic Appointees: signed by the Office of the Provost and Executive Vice Chancellor.

Disbursement Vouchers

Expense Type

KFS eDoc Type

Required Supporting Documentation

Other Considerations

Honoraria

Disbursement Voucher (DV) with reason code E

  • A letter of invitation to the individual including the date of the event and amount being offered.
  • A flyer of the event.
  • For foreign individuals receiving an honoraria the following is required:
    • Copy of the Passport
    • Completed Glacier Information Form
    • Copy of I-94 (front and back)
    • Visa Sticker/Stamp (in Passport)
    • Certification of Academic Activity Form
  • ALL payments under this category require additional approval from the dean or designated approver.

Membership, Subscriptions, and Dues

Disbursement Voucher (DV) with reason code I

  • For payments to merchants, include an application showing the amount to be paid or an invoice.
  • For reimbursements to employees, include an application or invoice from the merchant with proof of payment.
  • PALCard is the preferred method of payment.
  • Information about PALCard is available at:

Gifts and Non-Cash Awards

Disbursement Voucher (DV) with reason code U

  • For reimbursements to employees, include an itemized receipt with proof of payment and recipient name list with full names.

Payment to Research Participants

Disbursement Voucher (DV) with reason code C

  • Include a copy of the IRB showing the expiration date and a signed participant acknowledgement / statement form.
  • If it has been determined an IRB is not required please provide the determination letter that IRB is not required.
  • A completed Certification of Payment to Anonymous Persons form is required to reimburse an employee who has used personal funds.
  • Please do not include Social Security numbers.
  • A reimbursement made payable to the employee for the total amount to be reimbursed, should be approved by the PI (if employee is the PI, chair or dean need to approve).
  • Link to policy: http://www.policies.uci.edu/policies/procs/701-03.php

Registration Fees (Not Travel Related)

Disbursement Voucher (DV) with reason code L

  • For payments to merchants, include an invoice or registration application form.
  • For reimbursements to employees, include an invoice or an application with proof of payment.
  •  PALCard is the preferred method of payment.

Supplies and Materials (No Food or Travel)

Disbursement Voucher (DV) with reason code B

NOTE: PALCard or Purchase Order (PO) are  the preferred methods of payment

  • For reimbursements to employees, include an itemized receipt or an invoice with proof of payment.
  • A Payee Certification must be signed by the payee and submitted to scanning with supporting documentation.
  • PALCard is the preferred method of payment.
  • A thorough description of the items purchased is required in the notes section for all out of pocket reimbursements.
  • An explanation of why this purchase was not made through proper purchasing methods and the urgent need for the purchase MUST be included in the Explanation.
  • For purchases of more than $500 the document must be adhoc routed to Snehal Bhatt, Director of Purchasing and Risk Services, for approval. Please be sure that all department approvals have gone through before routing. The accounting reviewer will need to adhoc route the document.
  • Supplies purchased for a specific event need to be processed on an Entertainment Reimbursement document and related to any other ENT documents for that event.

Fees and Employee Tuition

Disbursement Voucher (DV) with reason code P

Program Sponsorships

Disbursement Voucher (DV) with reason code Q

  • A letter, email or invoice from the organization requesting UC's support and a description of what UC will be supporting.
  • Transmittal letter on University or UCI Medical Center letterhead to the vendor must include:
    • Statement that the contribution/donation is made "on behalf of UC"
    • Name and title or occupation of the recipient must be included on the letter
    • Business justification describing how UC will benefit from making the contribution/donation
    • Amount of sponsorship or donation
  • Example Transmittal Letter
  • Support, Sponsor, or contribute to a specific function - such as a conference or educational/research related study.
  • Payments must be paid directly to the vendor only (never as an out of pocket reimbursement).
  • ALL payments under this category require exceptional approval.
  • Payments under this selection may be tax reportable unless the payee is a corporation.

Have more questions about supporting documentation?

For assistance with any of the above information, please contact Accounts Payable at [email protected].

What is the financial process used by healthcare systems to track the revenue from patients?

Healthcare revenue cycle management (RCM) is the process by which health systems bill for services and generate revenue - from a patient's first appointment all the way through to the payor's acceptance of final payment.

Which is the process of collecting appropriate reimbursement for services rendered?

ACCOUNTS RECEIVABLE MANAGEMENT assists providers in the collection of appropriate reimbursement for services rendered, and include the following: Insurance verification and eligibility.

Which is a computerized permanent record of all financial transactions between the patient and the practice?

Processing an Insurance Claim.

What is RCM in healthcare?

Healthcare revenue cycle management is the financial process facilities use to manage the administrative and clinical functions associated with claims processing, payment, and revenue generation.