General Category > General Questions

Posting Payments

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lcrofton:
OK, it's been 14 years since I've been in the medical billing profession and am a little rusty not to mention lots has changed.  (Lucky to have been able to stay home with my kids) Anyway, just started working at a small pediatric therapy clinic owned by a non-medical gentleman.  =)  Major discussion came up yesterday between his new biller(no exp but accounting background), the office mgr and myself regarding proper billing practice of posting payments.  If a patient has a balance on their account, comes in to be seen... lets say they missed paying their copay the last 3 visits.  Is it common practice to post the copay for todays visit to today?

Any help is appreciated.

kwardbilling:
I always post the payment to the oldest due copay.....

PMRNC:
Proper accounting would be to post the corresponding copay to the date of service the copay corresponds with. For example if Mrs. Jones has 3 outstanding copay's due @$10.00 each = $30.00 If she comes in on the 4th visit and pays all of balance plus that day's copays, each posted payment of $10.00 each would get posted to their corresponding date of service. Now let's say she comes in and gives you the $30.00 but doesn't pay for today's visit, you would go back and post the $30 to the previous visits and she'd be left with $10 copay owed. If she comes in and just pays today's copay, that should get posted for that date (today). What I do for my offices works great. They confirm appointments so they will get a copy of their schedule with balances and then when they make the reminder call they can remind the patient to bring in their previous balances (copay's)

ellie:
patient's coinsurance is $ 321.00 they only pay $ 200.00. remaining balance is $ 131.00 Patient returns to clinic coinsurance again is $ 321.00 only can pay $ 200.00 do you  pay off his remaining balance due and leave remaining for current coinsurance ?

Pay_My_Claims:

--- Quote from: ellie on February 27, 2010, 10:43:34 PM ---patient's coinsurance is $ 321.00 they only pay $ 200.00. remaining balance is $ 131.00 Patient returns to clinic coinsurance again is $ 321.00 only can pay $ 200.00 do you  pay off his remaining balance due and leave remaining for current coinsurance ?

--- End quote ---

Of course, the total balance owed would still remain the same. If you don't do that, you have several days of open balances, it will make your AR huge not doing it regardless of it being the "proper" way to do it.

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