Never comfortable asking the patient for money.
When I was the Dir. of Admisssions for a LTC/Rehab facility, it was my job to make sure the patients could pay before accepting them for transer to the facility. I had to call the insurance co. to get the authorization for # of days of rehab (couldn't accept them if they didn't have the potential to be D/C'd from our facility before the days ran out), check availability of MCA days for rehab, Or ask the patient for a check. YUCK! Hated that part of the job so much that I quit! There were so many people that I couldn't accept, nor offer help to, broke my heart to turn people down.
When I did home care, there were several times I had to collect the check from the patient for the services. This was much easier for me since the billing dept already arranged it and the patient would have it waiting on the table, all I had to do was pick it up and take it to the office. We also had the patients sign financial paperwork as part of the admission paperwork on all patients. Most people just signed it after I explained it, but when a patient would question everything on the form, it took way too much time.
Never did I ever deal with any of this in a hospital. All paperwork and money issues delt with by admissions or the social worker.
Now, all my patients get free care. I don't worry about money issues except as how they affect my patients welllbeing and their health. I love my job.