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Grantham University *

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212

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Accounting

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Feb 20, 2024

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Week 3 Assignment Complete the followin g charts using the instructions and links provided under Week 3 Assignment of the CDT. (Total of 177 entries) Use PowerPoint slides # 35 – 37 for guidance in completing this assignment . Part I: Completing a Patient Ledger for Ben Jones Complete the patient ledger for Ben Jones , DOB 06/07/1961 , an imaginary person with an account number of 962. He went to see Dr. Curtains 3 times on 01/01/2019, 02/01/2019, and 03/01/2019 He was charged $120.00 for each E&M level III established patient visit (CPT 99213). His Healthnet insurance pays 80% and has an allowable amount of $100.00 for each of these visits. Mr. Jones is responsible for the 20% coinsurance which he paid on the date of service (he does not have an annual deductible). The insurance paid on 02/01/2019, 03/01/2019, and 04/01/2019. His beginning balance from last year was $0.00. Acumen Medical Practice 691 North Lane Somewhere, USA Practice Patient Ledger Patient: ___________________________ Date of Birth: _________________ Date Description (CPT) Type $ Charges $ Credits $ Balance Beginning Balance $ 0.00 01/01/2019 99213 Invoice $ 120.00 $ 20.00 $ 120.00 01/01/2019 Copay $ 120.00 $ 20.00 $ 100.00 02/01/2019 Ins. Payment $ 120.00 $ 80.00 $ 20.00 02/01/2019 W/O $ 120.00 $ 20.00 $ 0.00 03/01/2019 Ins. Payment $ 120.00 $ 80.00 $20.00 04/01/2019 Ins. Payment $ 120.00 $ 80.00 $20.00 Student Name: Lisa Damiano

Ending Balance $ 280.00 **Be sure ALL boxes and blanks are filled in for all three charts. (74 total entries, 21 have been completed for you, 49 entries to be completed by student ) Part 2 : Completing a daysheet: Patients to include on this DOS (date of service): Ben Jones, Ross Parker, Darla Sissle, and Amanda Chin. Acumen Medical Practice 691 North Lane Somewhere, USA Patient Daysheet Date of Service: 03/01/2019 Location: 791 North Lane, Somewhere, USA Account No Patient Name CPT Provider $ Charge $ Adjustment $ Credit $ Net Change 962 Ben Jones 9921 3 Dr. Curtains 120.00 20.00 80.00 20.00 678 Ross Parker 9921 2 Dr. Warner 150.00 0.00 0.00 11.00 1015 Darla Sissle 9921 3 Dr. Warner 130.00 0.00 0.00 130.00 777 Amanda Chin 9920 5 Dr. Pepper 170.00 0.00 0.00 17.00 Totals 570.00 20.00 80.00 178.00 Patients to include on this DOS (date of service): Ben Jones, Ross Parker, Darla Sissle , and Amanda Chin. ** A daysheet documents the transactions on a single day…. Does not include any previous balances. (32 entries) Part 3 : Completing an Insurance Claims Registry: Patients to include are 3 visits for Ben Jones, 1 visit for Ross Parker, 1 visit for Darla Sissle, and 1 visit for Amanda Chin. All insurance companies have paid the amount

billed. There were no Unusual Procedures Reported (NA should be entered in each box). Acumen Medical Practice 691 North Lane Somewhere, USA Insurance Claims Registry Date Filed Patient Name Insurance Company Unusual Procedure Reported $ Amount Due $ Amount Paid The Date Filed = DOS DOS = Date of Service (36 entries)

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