The Complexity of Hospital Billing in India
Multiple Departments with Different Billing Rules
OPD, IPD, lab, pharmacy, and radiology each have different pricing structures and billing rules that are difficult to manage manually.
TPA/Insurance Claim Processing
Complex TPA claim generation, submission, and reconciliation processes are time-consuming and error-prone.
Manual Entry Errors
Manual data entry leads to billing errors, incorrect charges, and revenue loss.
Delayed Claim Settlements
Slow TPA claim processing delays revenue recognition and impacts cash flow.
Complex Pricing Structures
Package deals, discounts, concessions, and insurance coverage create complex billing scenarios.
Compliance Requirements
Meeting regulatory requirements for billing, invoicing, and tax compliance is challenging without automation.
Automated Billing Across All Departments
OPD Billing
Automated billing for consultations, procedures, and services in outpatient department.
IPD Billing
Real-time charge capture for room charges, procedures, medications, and services during inpatient stay.
Lab Test Billing
Automated billing for lab tests with package pricing and individual test options.
Pharmacy Billing
Integrated pharmacy billing with inventory tracking and prescription fulfillment.
Radiology Billing
Automated billing for radiology procedures with RIS integration.
Package Deals & Discounts
Flexible package pricing, discounts, and concessions management.
Key Features of Hospital Billing Software
Multi-Department Billing
- Unified billing across OPD, IPD, Lab, Pharmacy, Radiology
- Real-time charge capture
- Automatic calculation
- Package pricing
- Discount management
TPA Integration
- Automated TPA claim generation
- Pre-authorization management
- Claim submission
- Claim status tracking
- Settlement reconciliation
- Multiple TPA support
Payment Modes
- Cash
- Card (Credit/Debit)
- UPI (PhonePe, Google Pay, Paytm)
- Net banking
- Cheque
- Insurance/TPA
- Payment plans
Reports and Analytics
- Daily revenue reports
- Department-wise revenue
- TPA claim reports
- Outstanding reports
- Payment mode analysis
- Revenue trends
Benefits for Billing Staff
- ✓ 60% reduction in billing time
- ✓ Automated calculations
- ✓ Reduced errors
- ✓ Faster TPA processing
- ✓ Better queue management
- ✓ Mobile billing support
Benefits for Hospital Administration
- ✓ 35% reduction in billing errors
- ✓ Real-time revenue visibility
- ✓ Faster claim settlements
- ✓ Better cash flow
- ✓ Comprehensive reports
- ✓ Compliance automation
Success Story: Hospital Reduces Billing Errors by 35%
Hospital: 80-bed hospital, Delhi
Challenge: Manual billing, TPA claim delays, billing errors
Solution: Implemented Sanvya Billing Software with TPA integration
Results:
- 35% reduction in billing errors
- 50% faster TPA claim processing
- 40% reduction in outstanding
- 25% improvement in cash flow
"Sanvya's billing module with TPA integration transformed our revenue cycle. Claims are processed faster, and billing errors are minimal. The infrastructure approach helps us grow our business while managing operations efficiently." - Mr. Ramesh Kumar, Finance Manager
Frequently Asked Questions
Which TPAs are supported?
We support all major TPAs in India including Medi Assist, MDIndia, Paramount, Star Health, and others. Our system can integrate with any TPA that provides API access.
Can we customize billing rules?
Yes, our hospital billing software allows complete customization of billing rules, pricing structures, package deals, discounts, and TPA configurations based on your hospital's requirements.
How does payment reconciliation work?
Our system automatically reconciles payments across all modes (cash, card, UPI, TPA) with daily reports. TPA settlements are tracked and reconciled automatically when claims are approved.
Part of Complete Hospital Management
Billing integrates seamlessly with all modules in our hospital management software platform.
OPD Billing
Integrated with OPD management for outpatient billing.
IPD Billing
Seamless integration with IPD management for inpatient billing.
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