BILLING & INSURANCE (REVENUE CYCLE MANAGEMENT)
Capture Every Charge. Settle Every Bill. Protect Every Rupee.
Revenue leakage is the silent killer of hospital profitability. A bedside consumable not charged. An OT implant documented on paper but never posted to the bill. An insurance claim rejected because of incomplete documentation. eHospitalSuite’s Billing & Insurance module — your Revenue Cycle Management engine — ensures that every service rendered is captured in real time, every bill is accurate and transparent, and every settlement is completed efficiently.
Tariff Master Management
A centralized price master for every service your hospital provides — consultations, procedures, lab tests, radiology studies, room charges, nursing fees, and consumables. Support for multiple price lists means the system automatically applies the correct rate based on the patient’s room category:
| Room Category | Example: Appendectomy Package |
| General Ward | Base rate |
| Shared Room (Semi-Private) | Base rate + 25% premium |
| Private Room | Base rate + 50% premium |
| Deluxe / Suite | Base rate + 100% premium |
Deposit Management
Record advance payments at the time of admission, with the deposit amount auto-adjusted against the final bill at discharge. Multiple deposits throughout the stay are tracked and displayed as a running balance — giving patients and their families transparency into their financial position at all times.
Patient Deposit Alerts
A dashboard warning appears on Nursing Stations when a patient’s deposit balance falls below the minimum threshold. This early warning enables the accounts team to request additional deposits before the balance goes negative — preventing the uncomfortable scenario of a large outstanding amount at discharge.
Real-Time Charging
This is the feature that stops revenue leakage at the source. Every clinical action that generates a charge posts to the patient’s provisional bill the moment it happens:
- Nurse marks a medication as “Administered” → Pharmacy charge posts to bill
- Lab technician marks a test as “Authenticated” → Lab charge posts to bill
- OT team scans an implant barcode → Implant charge posts to bill
- Nursing station records a consumable → Consumable charge posts to bill
No handwritten charge sheets. No end-of-shift manual billing. No forgetting to charge for the 2 AM IV set change.
Package Management
Fixed-price surgery and treatment bundles — “Maternity Package,” “Cardiac Bypass Package,” “Knee Replacement Package,” “Cataract Surgery Package” — where the hospital offers a single price covering room, surgeon fees, anesthesia, OT charges, medications, investigations, and a defined length of stay.
The system tracks actual consumption against the package inclusions. If the patient exceeds the included length of stay or requires additional procedures, excess charges are calculated and added to the bill automatically — with full transparency to the patient.
Final Settlement
The bill finalization process ensures accuracy, authorization, and compliance:
- Provisional Bill Review: Every charge is displayed for final review before the bill is locked
- Authorized Discounts: Discount requests follow an approval workflow — logged with the authorizing person’s ID and reason. This is a major fraud prevention control.
- Tax-Compliant Invoice: GST calculation and tax-compliant invoice generation per Indian tax regulations
- Insurance Split: Automatic calculation of Patient Share vs. Payer Share based on TPA-approved amounts
- Multi-Mode Payment: Cash, credit/debit card, UPI, bank transfer, or combination — all recorded against the bill
Stop Revenue Leakage. Start Revenue Protection.
See how eHospitalSuite’s Billing & Insurance module ensures every service is captured, every bill is accurate, and every settlement is efficient.