1. Chapter 15
Bookkeeping

2. Objectives
Review the learning and performance objectives for this chapter
By the end of this chapter, demonstrate the procedures in the textbook and the job skills in the workbook

3. Heart of the Health Care Professional
Service
Communicate confidence and minimize mistakes when assisting patients who have billing or payment questions.

4. Bookkeeping Process Record the financial affairs of a business
Monitor patient accounts
Managed care contracts
Stop loss
Withhold

5. Bookkeeping Systems Single-entry accounting Debits Credits
Increases in assets
Credits
Decreases in assets
Not self-balancing

6. Bookkeeping Systems Single-entry accounting General ledger
Accounts-receivable ledger
Accounts-payable ledger
Petty cash fund
Payroll records

7. Bookkeeping Systems Double-entry accounting Books must balance Assets
Every debit has a corresponding credit
Assets
Anything owned by the business
Liabilities
Monies owed by the business

8. Bookkeeping Systems Double-entry accounting Capital Proprietorship
Original investment
Property owned
Proprietorship
Owner’s net worth or equity

9. Bookkeeping Systems Pegboard accounting Manual system Layered forms
Write-it-once process

10. Bookkeeping Systems Computerized accounting Increases accuracy
Electronic billing
Generate reports easily

11. Bookkeeping Process

12. Patient Accounts Ledger card/patient account Chronological history
Financial transactions of patient’s account
Charges
Payments
Adjustments

13. Daysheet Cumulative daily list Patients seen Services rendered
Fees charged
Payments made
Adjustments calculated

14. Daysheet Procedure 15-1 Prepare the pegboard
Post charges, payments, and adjustments
Balance the daysheet

15. Accounts Receivable Control
Balance of outstanding accounts
A/R balance on daysheet
Must be equal
If not equal, error must be found

16. Accounts Receivable Control
Computerized reports
Easier
Quicker
Crosscheck transactions

17. Accounts Receivable Control
Locating errors
Missed figure
Incorrect number
Transposed number
Sliding a number

18. Cash Funds Change drawer Make change for cash payments Issue receipts
Figure 15-6

19. Cash Receipt

20. Cash Funds Petty cash Cash for small, unanticipated purchases
Office supplies
Delivery fees
Setting up petty cash fund
Initial amount of cash

21. Cash Funds Petty cash Petty cash record
Expenditures
Replenishments
Establish, record, balance and replenish a petty cash fund
Procedure 15-2

22. Stop and Think Determine a bookkeeping system Review the scenario
State what questions you would ask to obtain information necessary to make the decision
Name the advantages and disadvantages of each bookkeeping system

23. Stop and Think Obtaining change for a patient Review the scenario
What would you do?
Consider suggestions listed and comment on each choice stating the action you would take and why