Free Nursing Home Services Daily Billing Log Template
Nursing Home Services Daily Billing Log
At [Your Company Name], accurate and transparent billing is essential for maintaining trust and ensuring clear communication with our residents and their families. This Daily Billing Log is intended for internal use to record all chargeable services provided to our residents on a daily basis. It aids in the precise calculation of charges and ensures all services are billed correctly.
|
Date |
Resident's Full Name |
Service Provided |
Time Spent (hrs) |
Rate ($/hr) |
Total Charge ($) |
Notes |
|---|---|---|---|---|---|---|
|
2050-04-12 |
Jonathan Wilkins |
Physical Therapy |
1 |
50 |
50 |
Initial session, evaluated |
|
2050-04-12 |
[Name] |
Medication Administration |
0.25 |
40 |
10 |
Daily diabetes medication |
|
2050-04-12 |
[Name] |
Personal Care Assistance |
2 |
30 |
60 |
Bathing and dressing support |
|
2050-04-12 |
[Name] |
Meal Assistance |
0.5 |
30 |
15 |
Help with lunch |
|
2050-04-12 |
[Name] |
Counselling Session |
1 |
70 |
70 |
Weekly scheduled session |
Instructions
-
Fill out the log every day for each resident to whom services are provided.
-
Enter all applicable details in the respective columns. Ensure that the time spent and rate per hour are accurately recorded to calculate the total charge correctly.
-
Use the 'Notes' column to provide any relevant details or observations about the service provided.
Reminders and Notes:
-
Ensure all entered data is accurate to avoid billing discrepancies.
-
Maintain patient confidentiality when handling and recording billing information.
