NMS




30075 Greenfield Rd., Suite 100
Southfield, MI 48076

Phone: (248) 290-2940
Fax: (248) 290-2941


July 2007 - Cash Management and Controls

Now that you have collected the cash, you must have good management and controls to ensure that all of the payments are posted to the correct account and deposited in the your bank  account

So what cash management tools  should you focus on?  Perhaps a lockbox is first on the list.  The advantage of a lockbox is to separate staff from processing cash.  Why is that important?  Unfortunately fraud in the physician’s office does occur and is something you should prepare to prevent.

And if you don’t use a billing service, you also need to separate the cash processing duties from the cash management responsibility.  Procedurally separating those responsibilities across at least 3 individuals can provide effective controls and balances.

Your practice readiness checklist should include a documented process for collecting payment, processing the payment to the account, balancing  cash, depositing daily cash and other transactions.

Not to be ignored either, is the empowerment of individuals  with the ability to pay bills and write checks. Many practices have accountants to handle these transactions.  Smaller practices may utilize their office staff.  Please ensure that you limit the number of individuals who can sign documents or checks on your behalf and that a system of safeguards is in place.  You should also be  consistently engaged in your office finances and ensure that they are  routinely audited.