Hospital billing, packages and GST invoicing
One bill per stay, built as the care happens.
Charges reach the bill from where they arise: the consult, the pharmacy counter, the ward at night, the theatre at completion. Billing staff see a running bill they can explain line by line, raise an interim bill at any time, and issue the GST invoice at settlement.
| Line | Amount ₹ |
|---|---|
| Total knee replacement package | 1,85,000.00 |
| Private room, 3 nightsIncluded in package | 0.00 |
| Theatre charge, major, spinalIncluded in package | 0.00 |
| Surgeon's feeIncluded in package | 0.00 |
| Implant upgradeOutside package | 24,000.00 |
| Pharmacy and consumablesOutside package | 3,750.00 |
| GST 5% on ₹ 27,750.00 | 1,387.50 |
| Round-off | 0.50 |
| Bill total | 2,14,138.00 |
What changes on the floor
Billing and insurance. Included in: Hospitals, Hospital groups, Clinics.
The final bill is assembled from five departments' slips
Every department posts to the same bill as it works, so the bill is complete on the day of discharge.
Package patients are billed for things the package covers
A package lists what it includes with counts. Covered charges post at zero and name the package; the next charge beyond the count bills normally.
Discounts and round-offs leave tax that does not add up
A discount reduces tax in proportion across every GST rate on the bill, and round-off is its own ledger line, so taxable value times rate always equals tax.
Rules the software enforces
These are checks in the product, with the reason shown to the person at the screen.
- CheckedTax reconciles per rate
After any discount or reversal, each GST rate's taxable value times its rate equals the tax shown.
- CheckedAn interim bill is never an invoice
Interim bills are titled as such and carry no invoice number. The number is issued once, at settlement.
- RefusedA discount larger than the charges
A discount cannot exceed the charges, or with its tax, the balance.
- RecordedReversals, not deletions
A wrong line is reversed by a new line. The original and the correction both stay on the bill.
What is in it
The bill
- Consultation, pharmacy, bed, theatre, consumable and misc lines
- Tax rules per kind of charge
- Advances, payments and refunds
- Cash, card, UPI and bank transfer
- Round-off to the nearest rupee as a line
Packages
- Package price with a counted list of inclusions
- Different package prices per payer class
- Covered charges shown at zero under the package
- Charges beyond the count billed normally
Documents
- Interim bill with advances held and payer share
- GST tax invoice numbered at settlement
- A4, thermal and PDF prints on the letterhead
- CGST and SGST shown per rate
Questions hospitals ask
Can we set our own tariffs?+
Yes. Consultation fees, bed tariffs by bed type, theatre tariffs and packages are set per hospital, with separate prices per payer class where needed.
When is the invoice number issued?+
At settlement. Until then the bill is a running bill, and any print is titled as an interim bill with no invoice number.
See billing on your own setup.
A demo is set up with your departments, bed types and tariffs, so you see your hospital and not a sample one.