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Patient ledgers

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BSmith14:
When filling out a patient ledger would you post the copayment as a charge?  My instructor says only if they do not pay it at the time of service.  I do not see how that makes sense as the copayment does not have anything to do with the charges for service.  PLEASE HELP

Merry:
Wow..a ledger!! Haven't seen one of those in years. If you were using a computer system of course this would not be an issue as the practice management systems are setup for this scenario.. If you are using a manual system, you would need to specify it as a copayment for that visit and post it as a charge and then zero it out if it were paid at the time of service. Of course the actual office charge would be posted separately and submitted to the insurance company. It is essential to keep track of every transaction. Is your instructor saying not to post it to the ledger at all if it is paid?

BSmith14:
We are being taught paper in case the EMR crashes.  Thank you that is what i was trying to explain to her.  Would love to know why the school has an instructor teaching front office if they have never worked the front office
She is saying you post it as a payment if it is paid at TOS but not to post it as a charge unless they don't pay it.  It simply made no sense to me. 
If I have to I will do it her way in class and the right way in the real world.  She has the rest of the class doing it incorrectly.

Merry:
Perhaps you can teach the class some day. Good for you for being aware. It is an accounting issue..

BSmith14:
Thank you for saying so.  It is just nice to know that I was right about my own abilities.

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