Billing
This overview provides a big-picture look at how billing data and workflows are organized, from recording healthcare services to collecting payments. The subsequent pages detail each component and its usage.
Key Billing Concepts
| Concept | Description |
|---|---|
| Charge Item Definition | Specifies billing rules and pricing for services or products. |
| Charge Item | Represents a specific billable service or product provided to a patient. |
| Account | Aggregates all financial transactions for a patient, including charges and payments. |
| Invoice | Formal document summarizing charges and payments, issued to request payment. |
| Payment Reconciliation | Process of matching received payments with billed charges to ensure accuracy. |
High-Level Billing Flow
Below is a simplified look at how these pieces fit together:
- Charge Item Definition: Administrators configure pricing rules and codes.
- Charge Item: When a service is provided, a charge is created for the patient's Account, with cost details derived from the definition.
- Account: Aggregates all patient charges and payments.
- Invoice: Groups outstanding charges into a final bill. Once issued, the charges become billed.
- Payment Reconciliation: Records any incoming payment, updating the invoice and account balances accordingly.
Concept Diagram
