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Billing Presentation

The billing department plays an important role as a liaison between management and patients. Its functions include obtaining reimbursement for hospital services, registering patients, posting charges, coding charts, preparing claims, and monitoring accounts receivable. The billing process involves outpatient and inpatient billing departments, which are located in the basement and ground floor respectively. Billing department staff include cashiers, executives, and assistants. Common insurance schemes accepted are CGHS and Aarogyasri.

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1K views

Billing Presentation

The billing department plays an important role as a liaison between management and patients. Its functions include obtaining reimbursement for hospital services, registering patients, posting charges, coding charts, preparing claims, and monitoring accounts receivable. The billing process involves outpatient and inpatient billing departments, which are located in the basement and ground floor respectively. Billing department staff include cashiers, executives, and assistants. Common insurance schemes accepted are CGHS and Aarogyasri.

Uploaded by

data science
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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BILLING DEPARTMENT

INTRODUCTION
•The billing department plays an important role, as liaison
office between the management and the patients.
•The hospital billing process is mainly to obtain remuneration
for the services and materials provided by hospital to
patients.
•Billing process is the final step in hospital, which is directly
proportional to patient satisfaction. Billing plays a vital role in
the discharge process and billing documents are even legally
important.
Functions of billing department
• To obtain reimbursement for services and items rendered by the hospital
• The billing process involves all the functions performed to prepare charges
for submission to patients and other payers.
• It includes patient registration, posting charges to the patient’s account,
chart review and coding, preparing claim forms and patient statements for
charge submission, and monitoring and follow-up on outstanding accounts
• The claims process refers to the portion of billing that involves preparing
claims for submission to payers Collections (accounts receivable [A/R]
management) is an extension of the billing process that involves
monitoring and follow-up on outstanding accounts.
Billing Process Flow:
• Types of Billing
They are two types of billing: Outpatient billing and Inpatient billing

• Inpatient billing department (IPD Billing):


• Location – Ground Floor
• Front Desk – Cash counter, Corporate Desk
• Billing – Cash, Debit/Credit (In case of emergency. Deposit will be made)
• Staff - One executive, Two assistants

• Working hours:
• 9:am to 5 pm
• 1 pm to 9 pm
• 9 pm to 9 am
Outpatient billing department (OPD Billing) :
• Location – Basement
• Billing – Cash, Debit/Credit
• Staff - One executive, Two assistants

• Working hours:
• 9:am to 5 pm
• 1 pm to 9 pm
• 9 pm to 9 am
Billing Department Staff:
• Cashiers
• Executive
• Assistant

Insurance Schemes:
• Central government health scheme: CGHS
• Government of Telangana Health Scheme: Aarogyasri
Special Features of Prathima Hospital
1. Advanced multi-specialty hospital
2. Features Centre’s of Excellence in Cardiology, Critical Care, Gastroenterology, Mother &
Childcare, Neonatology and Orthopedics
3. 1000 bed hospital
4. 24/7 emergency & trauma centre
5. Strategically located at Kachiguda & Kukatpally
6. NABH accredited
7. Easily accessible by located on main road
8. Online appointment by website
9. Staffed by top most doctor’s in city
10. Managed by PRATHIMA Group which is a multifaceted business house with interests in
the healthcare, education, energy, telecom, hospitality & entertainment, real estate, and
manufacturing sectors.
11. Celebrity Ambassadors such as Saif Ali khan and Kareena Kapoor
12. In house blood bank
13. Provides various health packages such as cardiac, diabetic, Kidney, Gastro & liver,
Ortho & sports, Urology, General, Women’s health, Men’s and Children Check-ups

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