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MTHIS100 - HEALTH INFORMATION SYSTEM

LABORATORY | FIRST SEMESTER | 1MT03


ABELGAS, V.C.
_________________________________________________________________________________________________________________

CHAPTER 5: THE BILLING PROCESS and apparatus, laboratory examinations,


medical procedures, and professional fees, etc.
BILLING PROCESS ● In addition, this may also include discounts,
● It is important that the patient understands the refunds and unpaid balances if applicable.
purpose and cost of any proposed treatment
and procedures before acceptance as stated in DISCOUNTS AND MEDICAL PACKAGES
the Bill of Magna Carta of patients rights and ● Special pricing for medical package(s) is availed
obligations act of 2017. In doing so, the patient by selecting the appropriate package availed by
is assured that the charges (tests, utilities, the patient.
professional fees, etc) reflected in the hospital ● Additional discounts for Senior Citizen (SC),
billing is complete and accurate. People with Disability (PWD), Philhealth
● Processing the bill should also involve: eligibility and outright deduction can also be
○ Authorization applied before generating the Statement of
○ Certification Account.
○ Medical record documentation
○ Coding
○ Participating provider agreements
○ various payer guidelines
○ Different reimbursement systems.
● When using a hospital information system such
as BizBox HIS 8.0, a Statement of Account (SOA)
can be generated for review and approval. Any
COLLECTION – CASHIERING
discount and/or refund may be applied or
● The patient can settle their balance reflected in
unpaid balances can aso be included.
their Statement of Account (SOA) by paying
cash, issuing a check or charging the balance to
their credit card.
● They also have the option to deposit payments
even if they are not yet charged.
● The cashier generates a Daily Cashier Collection
Report to summarize payments received from
patients during the day.

CHAPTER SUMMARY
STATEMENT OF ACCOUNT (SOA) ● When using a hospital information system such
● The Statement of Account (SOA) reflects the as BizBox HIS 8.0, a Statement of Account (SOA)
charges for the room and bed, dispensed can be generated for review and approval. Any
medicine, medical supplies, use of equipment
MTHIS100 - HEALTH INFORMATION SYSTEM
LABORATORY | FIRST SEMESTER | 1MT03
ABELGAS, V.C.
_________________________________________________________________________________________________________________

discount and/or refund maybe applied or


unpaid balances can also be included.
● The patient proceeds to the cashier to settle the
amount due which maybe in the form of cash,
check, or credit.

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