Billing presentation 2 dr

Post on 24-Jun-2015

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Hope

Transcript of Billing presentation 2 dr

For more than 7 years, Hope Hospitals has innovated and provided solutions for India’s leading corporate hospital chains, through summits, forums, and an Award-winning concept DrMHope, a SaaS based application.. Induction for Doctors and NursesBilling Issues

BILLING DEPARTMENT

For training Doctors and Nurses

MISTAKES RMO’S MAKE

1) All Outside Investigation are not entered in Billing Activity .

E.g. :- CT – SCAN

Blood

M. R. I.

U. S. G.

2D Echo

BILLING SHEETBilling Activity I

rmo’s to enter the services here

Consultation visit and surgery time to be mentioned here

The visit of the primary consultant will be billed on all days of stay.

BILLING SHEETBilling Activity II

Nurses have to specify if it is nebulisation or catheterisation

WCL RATES1) Consultation Charges ICU Rs. 3752) Consultation Charges Ward Rs. 3753) Accommodation Charges ICU Rs. 2004) Accommodation Charges Ward Rs. 405) Hospitalization Charges ICU Rs. 4006) Hospitalization Charges Ward Rs. 1 1

07) Surgeon Charges As per Category Wise

A) Supra Major A Rs. 8,500

B) Supra Major B Rs. 12,000

C) Supra Major C Rs. 18,000

PRIVATE RATES1) Consultation Charges ICU Rs. 7502) Consultation Charges Ward Rs. 7503) Bed Charges ICU Rs. 25004) Bed Charges R / ICU Rs. 25005) Bed Charges Special Rs. 15006) Bed Charges Sharing Rs. 12007) Bed Charges G. W. Rs. 6508) Doctors Charges Rs. 3009) Nursing Charges Rs. 30010) ECG Charges Rs. 20011) Oxygen Charges Rs. 60012) Ventillator Charges Rs. 250013) Catherisation Charges Rs. 20014) Ct- Scan Brain Charges Rs. 250015) MRI- Brain Charges Rs. 650016) X-Ray Charges Rs. 35017) EMG-NCV Charges Rs. 200018) USG Charges Rs. 100019) 2D Echo Charges Rs. 150020) Intubation Charges Rs. 1000

SURGICALS CHARGES

1) Orthopadic + Ortho Implant Rs. ____________2) Neurosurgery Rs. ____________3) Gynaecology Rs. ____________4) Plastic Surgery / Urosurgery Rs. ____________

5) Surgeon Charges ( According to Tariff ) Rs. ____________6) Assi. Surgeon Charges Rs. ____________7) O. T. Charges ( 30 % on Surgeon Charges ) Rs. ____________8) Anasthes Charges ( According to Tariff ) Rs. ____________9) Ortho Implant Charges Rs. ____________10) OT Dressing Ward Charges Rs. 500 /-11) OT Dressing ICU Charges Rs. 1000 /-

TPA’s

Firstly, fill up Preauthorization form with the help of RMO’s .RMO’s are required to cooperate with the TPA staff for sanction of estimate on priority. Do not delay this process.

Service tax is not applicable in TPA’S Bill .

Tariff of each TPA is different and is available in the inside cover of all files of TPA.Patient is to be informed of discharged only after the final billing amount is sanctioned. The RMO’s should contact TPA in charge before even planning for discharge.

Presently , Ms Manjusha is in charge of TPA

WCL Files StatusSr. No.

Area Name No. of

Files

Complete In - Complete

1. Kanhan Area 1 In – Complete

2. Wani North Area

1 In – Complete

3. Nagpur Area 6 Complete

4. Umrer Area 2 Complete

5. Patharkhera Area

2 In – Complete

6. Raymond 1 In – Complete

7. E. C. H. S. 1 In – Complete

8. B. S. N. L. 1 In – Complete

Total 15 8 Files 7 Files

When a patient is admitted or shifted from one ward to another a rubber stamp stating which ward he is admitted is affixed in the file.