Understanding Medisoft

							Understanding Medisoft
Chapter 1: Introduction
Objectives
• Estimate patient’s portion of bill
• Complete petty cash count slip
• Set up patient chart
Payment at the Time of Service
•   Does the person have a deductible?
                                       Insurance
•   Does the person have coinsurance?  Company
•   Does the person have a copayment?
•   Put information on Insurance Coverage
    Sheet (Section 6)
Estimate the Patient’s Portion
• Subtract the amount of deductible previously
  met from the yearly deductible amount. This is
  the amount of deductible remaining to be paid.
• Subtract the result from Step 1 from the total
  amount of the charges for the visit. This amount
  will be covered by the insurance at a specified
  rate.
Estimate the Patient’s Portion
• Multiply the result of Step 2 by the patient’s
  coinsurance amount.
• Add the result of Step 3 to the result of Step 1.
  This is the estimated patient responsibility of
  this bill.
  ▫ Notice this is only an estimated amount. It may be
    more or less depending on the insurance carrier.
    Patient should be made aware of this.
Example on Page 4
1. Total deductible is $100.00 subtracted from
   $50.50 (deductible already paid) = $49.50
   (unsatisfied deductible amount)
2. $145.00 (total charges) – $49.50 (unsatisfied
   deductible amount) = $95.50 (amount covered
   by insurance)
Example on Page 4 (cont.)
3. $95.50 (amount covered by insurance) x 20%
   (patient coinsurance percentage) = $19.10
   (patient responsibility)
4. $19.10 + 45.50 = $68.60

You should collect $68.60 at the time of service.
Health Insurance Portability and
Accountability Act
(HIPAA)
Two Main Issues
  1. Portability
      Transfer insurance and be covered for preexisting
  2. Accountability
      Right to privacy
Petty Cash Count Slip


 (Page 200)
Petty Cash Count
• The sections of a petty cash count slip are
  Currency, Coins, and Receipt for Petty Cash Use.
• Always count your petty cash prior to the start of
  business each day.
• Be careful - many mistakes occur because of
  mathemathical errors.
 Petty Cash Receipt


(Page 200)
Petty Cash Receipt
• Petty cash receipts should be completed at the
  time of funds withdrawal.
• Original purchase receipts should be attached to
  the petty cash receipt.
• Any change from the petty cash withdrawal
  should be documented on the petty cash receipt.
Activity: Petty Cash Envelope
                    •   8 x $20 = $160.00

  $282.48           •
                    •
                        8 x $10 = $80.00
                        6 x $5 = $30.00
                    •   6 x $1 = $6.00
                    •   18 x 0.01 = $0.18
                    •   16 x 0.05 = $0.80
                    •   20 x 0.10 = $2.00
                    •   14 x 0.25 = $3.50
Contents of a Patient File
Contents of a Patient File
•   Patient Information Sheet (page 148)
•   Insurance Coverage Sheet (page 203)
•   Any other forms that pertain to the entire family
•   Billing information—depending on the facility,
    you might have a subsection for each member of
    the family
Class File Contents
Fastener 1: Patient Information Sheet
            Insurance Coverage Sheet
            Other forms that pertains to family
Fastener 2: Billing information (claim forms, etc.)
Fasteners 3, 4, 5: Billing information for dependents
Fastener 6: Items that are ―given‖ to the patient or
 insured (change, receipts, statements, etc.)
Assignment
• Exercise 1-1 (page 6)