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Inpatient Management
Overview of the various admission categories, each with unique protocols.
Examples:
- Ward Admission: Standard admission process, including bed assignment and initial care planning.
- ETU (Emergency Treatment Unit): Protocols for urgent care admissions, focusing on rapid response and stabilization.
- Eye Surgery: Specialized admissions for ophthalmic procedures, detailing pre-operative and post-operative care.
Comprehensive data collection at the point of admission to ensure holistic care.
- Patient Details: Personal information, contact details, and medical history.
- Clinical Details: Presenting symptoms, diagnosis, and treatment plans.
- Referral Details: Information from referring physicians or hospitals, if applicable.
- Care Team Details: Record of healthcare professionals involved in patient care.
By Admission Type: Differentiating charges based on the category of admission, ensuring billing aligns with the level of care provided. Charged only once at the time of the admission.
By Stay Duration: Charging based on the length of hospital stay, including room charges and other amenities.
Examples:
- Room Charges: Costs associated with different types of accommodation (private, semi-private, general ward).
- MO (Medical Officer) Charges: Fees for medical consultations and treatment management.
- NO (Nursing Officer) Charges: Charges for nursing care and support services.
- Administrative Charges: Fees for administrative tasks, record-keeping, and processing.
- Etc: Other miscellaneous charges related to the patient's stay.
Examples:
- Nebulisation: Charges for respiratory treatments, including equipment and medication.
- Cleaning & Dressings: Fees for wound care and management.
- Professional Charges: Fees for consultations and services provided by healthcare professionals.
- Medicinal/Consumable Charges: Costs associated with medication, medical consumables, and supplies used during the stay.
- Timed Service Charges: Billing for services based on duration.
Examples:
- Oxygen Therapy (O2): Charges based on the duration of oxygen administration.
- Pulse Oximeter: Monitoring charges, calculated based on usage time (start time, end time), with rates determined per minute/hour.
- Outside Charges: Fees for services or consultations referred outside the hospital facility.
- Surgical Services: Capture Surgery Details & Due Fees: Recording specific details about the surgical procedure and associated costs.
By Surgery Charges:
- Consultants: Professional/Consultant fees for primary and assisting surgeons.
- Other Doctors: Charges for anaesthetists, radiologists, or other specialists involved.
- Non-Doctors: Fees for support staff such as nursing, technical, and administrative personnel.
- Medicine: Costs for medications administered before, during, or after the procedure. Services/Investigations/Radiology Tests: Charges for pre-operative and post-operative diagnostics and supportive services.
- Time-Based Services: Billing for services that are charged based on duration, similar to the in-patient timed services.
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Payment Responsibility: Handling payments made by the patient or through insurance providers.
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Interim Bills: Issuing up-to-date bills detailing charges incurred during the patient's stay.
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Final Billing: Upon discharge, finalizing the bill that includes all charges from admission to discharge.
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Managing credits from insurance and ensuring accurate reflection in the final bill.
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Settlements: Ensuring timely payment to doctors, external service providers, and other stakeholders.
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Documentation: Issuing a discharge summary and diagnosis card, outlining the care provided and recommendations for follow-up or outpatient care. This expanded structure provides a comprehensive and detailed framework for managing admissions, charging mechanisms, and the billing process in a healthcare setting, ensuring clarity and transparency in all aspects of inpatient care and financial transactions.