3.6 Bookkeeper Sending Bill Case Study

Please read case study and answer questions in detail for each part of the question.

A bookkeeper is preparing to send a bill to a resident’s son for the total charges accrued for the month of July. This resident, and 85-year old man, is not eligible for Medicaid and thus must pay out of pocket for routine charges, such as room and board. The son, who has the power of attorney for the resident, pays this bill on his behalf from the resident’s checking account. The bookkeeper sees that the resident has occupies his room for all 31 days of the month and that his daily room rate is $75. Additionally, the bookkeeper has received charge slips for services provided to the resident that are not bundled into the daily rate. She then calculates the total routine charge for the resident and adds to it the charges for ancillary services, to determine the total charge. Once it is prepared, the bookkeeper sends the bill.

Several months later, the bookkeeper notes that the bill has still not been paid. She sends a letter requesting payment, per facility policy. A month after sending the letter, she has still not received payment and makes a phone call to the son. The phone has been disconnected.

What form does the bookkeeper consult to determine the resident’s occupancy for the month?
What is the patient’s total charge for the month of July, and what report is used to calculate this?
In addition to the bill sent to the resident (in care of the resident’s son) for the routine charges, who else might the bookkeeper be billing for services provided to the residents?
If you were the bookkeeper, what would you do next regarding collection of payment for this delinquent bill? If the bill is ultimately uncollectable, what would you do?

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