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Physical Medicine & Rehabilitation

Physical Medicine & Rehabilitation. Cash Operations Separation of Duties Karen D. Michaels, Principal Auditor 10/22/09. Cardinal Hill Location 2 Coder (CD) 1 Admin Asst. (AA) 1 Admin/Director (AD) Employe e KMSF Procedure

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Physical Medicine & Rehabilitation

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  1. Physical Medicine & Rehabilitation Cash Operations Separation of Duties Karen D. Michaels, Principal Auditor 10/22/09

  2. Cardinal Hill Location 2 Coder (CD)1 Admin Asst. (AA)1 Admin/Director (AD) • Employee KMSF Procedure • CD&AAOpen Safe verify (1) change fund; (2) Carryover receipts • AAReceives & opens mail; endorses checks (open area/presence of another) • CDEnters mail cash receipts (cash posting) into system • CDTakes In-Person Payments: (1) endorse checks; (2) provide receipt to payer. (open area or presence of another) • CD & AAPerform Daily Cash Reconciliation • AAPrepare Bank Deposit • CD&AADeposit put in safe & Record Deposit onto log (Courier picks up) • CD &AA Cash Out: Verifies: (1) change fund; (2) cash receipts to carry over • CD &AA Put monies from cash out in safe • CD#2 Fee entry into system • CD Payments Posting into system • ADVerifies deposit through system • AD Reconciles monthly cost ledger 2 An Equal Opportunity University

  3. Monitoring & Oversight : Cardinal Hill Location • Employee KMSF Procedure • AD & AAMonitors/tests receipts: receipt in order; voids accounted for • AD & AA Ensures all employees are certified & re-certified in cash handling • AD&AAOpening of mail transpires in “open area” &/or someone is present • AD&AASign is present & apparent “Please ask for a receipt” • AD & AAReview/approve overages/shortages • ADReview Anticipated cash receipts (e.g. budget) to actual • AD & supervisorMonthly cost ledger reconciliation review/approval • AD& AAReview system (e.g. excel for recording & verifying deposits in system • ADCost ledger: reasonable entries • ADTesting: Is process taking place as it should (effective/efficient) • Are transactions handled per procedures • Are deposits timely • Periodically get involved in balancing daily cash receipts • ADListen to, & solicit, feedback from payers • ADMonitor outstanding balances • ADEmployee monitoring: (1) background check; • (2) initial & ongoing training; (3) behavior • AD Pay attention & stay involved • AD Review & update written procedures regularly 3 An Equal Opportunity University

  4. KY Clinic Location 1 PRA32 SA1 Clinic Manager • Employee KMSF Procedure • PRA3 &SA1Open Safe verify (1) change fund; (2) Carryover receipts • SA2Receives & opens mail; endorses checks (open area/presence of another) • PRA3Enters mail cash receipts (cash posting) into system • SA1Takes In-Person Payments: (1) endorse checks; (2) provide receipt to payer • PRA3 & SA1Perform Daily Cash Reconciliation • PRA3Prepare Bank Deposit • PRA3 & SA1 Deposit put in safe & Record Deposit onto log (Courier picks up) • PRA3 & SA1 Cash Out: Verifies: (1) change fund; (2) cash receipts to carry over • PRA3 & SA1Put monies from cash out in safe • SA2orPRA3 Fee Entry into system • PRA3 Post Payments into system • CMVerifies deposit through system • CM Reconciles monthly cost ledger 4 An Equal Opportunity University

  5. Monitoring & Oversight : Cardinal Hill Location • Employee KMSF Procedure • CMMonitors/tests receipts: receipt in order; voids accounted for • CMEnsures all employees are certified & re-certified in cash handling • CM Opening of mail transpires in “open area” &/or someone is present • CM Sign is present & apparent “Please ask for a receipt” • CMReview/approve overages/shortages • CM & ADReview Anticipated cash receipts (e.g. budget) to actual • AD Monthly cost ledger reconciliation review/approval • CM Review system (e.g. excel for recording & verifying deposits in system) • CM & ADCost ledger: reasonable entries • CMTesting: Is process taking place as it should (effective/efficient) • Are transactions handled per procedures • Are deposits timely • Periodically get involved in balancing daily cash receipts • CM & ADListen to, & solicit, feedback from payers • CM & ADMonitor outstanding balances • CMEmployee monitoring: (1) background check; • (2) initial & ongoing training; (3) behavior • CM & AD Pay attention & stay involved • CM & AD Review & update written procedures regularly ) 5 An Equal Opportunity University

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