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
Confidence is communicated and mistakes are minimized when the medical assistant is knowledgeable about financial matters

4. Accounting
Accounting: system of recording and summarizing business and financial transactions
Bookkeeper: recorder of transactions

5. Accounting Accounting Systems Debits Credits Single-Entry Accounting
Increases assets
Credits
Decreases assets
Single-Entry Accounting
Not self-balancing

6. Accounting Accounting Systems Single-entry accounting General ledger
Accounts-receivable (A/R) ledger
Accounts-payable (A/P) ledger
Petty cash fund
Payroll records

7. Accounting Accounting Systems Double-entry accounting
Books must balance
Assets
Anything owned by business
Capital
Original investment
Property owned

8. Accounting Accounting Systems Double-entry accounting Liabilities
Monies owed by business
Proprietorship
Owner’s net worth or equity

9. Accounting Accounting Systems Pegboard accounting Manual system
Layered forms
Accurate
Easy to learn
Write-it-once process

10. Accounting

11. Accounting Accounting Systems Computerized accounting
Increases accuracy
Provides electronic billing
Generates reports easily

12. Patient Accounts Ledger Card/Patient Account Chronological history
Financial transactions of patient’s account
Charges
Payments
Adjustments
Contract adjustment
Uncollectable debt adjustment
Refund adjustment
Running balance

13. Patient Accounts

14. Daysheet Cumulative Daily List of: Patients seen Services rendered
Fees charged
Payments made
Adjustments calculated
Balances owed

15. Daysheet
Prepare the Pegboard; Post Charges, Payments, and Adjustments, and Balance the Daysheet
Procedure 15-1

16. Accounts Receivable Control
Computer Balance of Outstanding Accounts
A/R Balance on Daysheet
Must be equal
If not equal, error must be found

17. Accounts Receivable Control
Computerized Reports
Summary of information stored in database
Daysheet
Patient ledgers
Various reports
Easier and quicker
Crosscheck transactions

18. Accounts Receivable Control
Locating Errors
Missed figure
Miskeyed number
Transposed number; amount divisible by 9
Posted in wrong column; amount divisible by 2
Sliding a number

19. Cash Funds Change Drawer Make change for cash payments Issue receipts
Balance drawer

20. Cash Funds

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

22. Cash Funds Petty Cash Petty cash record
Amounts received
Expenditures
Balance
Establish, Record, Balance and Replenish Petty Cash Fund
Procedure 15-2

23. Stop and Think Case Scenarios
Review the scenario “Determine an Accounting System”
State what questions you would ask to obtain information necessary to make this decision
Name the advantages and disadvantages of each accounting system

24. Stop and Think Case Scenarios
Review the scenario “Obtaining Change for a Patient”
What would you do?
Consider the suggestions listed and comment on each choice stating which action you would take and why