Out patient management
Outpatient’ refers to a patient who leaves the medical facility on the same day after his or her consultation, diagnosis and treatment. Outpatient Services are an integral part of the care pathway of patients and may occur at the beginning, middle or end of the patient journey within the hospital setting. A patient's impression of the hospital begins at the OPD. This impression often influences the patient's sensitivity to the hospital and therefore it is essential to ensure that OPD services provide an excellent experience for customers. It is also well-established that 8 to 10 per cent of OPD patients need hospitalization. There is a growing emphasis on continuous quality improvement, flexibility and innovation in health service delivery at this entry point of a hospital.
Waiting and treatment times are usually regarded as indicators of service quality. Unizion’s OP Management module offers automated workflows to streamline your outpatient management processes, reduce waiting times and boost productivity.
Features & Benefits:
- Centralised Appointment system based on time or token number
- Patient registration as well as advanced booking
- Options for cross consultation and record requisition
- Compare your monthly visits & revenue
- Search options based on patient details such as name , address, MRD number and phone number
- Image capturing and storage
- Integrated with multiple money collection modes
- Get daily statements
- Ensure confidentiality with tight security settings
- Attach the documents and reports your patients bring in
- Generate consultation fees automatically
- Record insurance details
- Pre-record your procedure rates
- Keep a record of Medico Legal Cases separately
- Create unique MRD numbers for each patient
- Bar code generation and support
- Integrated with ICD-10 (International Coding for Diseases)
- Interfaced with finance module
E- Appointments booking
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Insurance desk
Treatment costs of an insured patient visiting your hospital is normally paid direct by the insurance company and the payment is based on the agreements between his/her insurer and the hospital. The insurance processing in a medical office should well integrate with the front office/OPD modules and other billing and finance modules in order to reduce data entry errors, to meet the validation and requirement constraints and to generate claims according to the insurance company’s policies and rules.
Mediware’s Insurance Desk module works with hospitals that are under cashless insurance network as well as the ones that offer reimbursement facility to patients. This module deals with transactions such as insurance scheme settings, claim generation, billing, claim submission, tracking of submitted claims and reports , claim status updating etc . Rates can be set based on various insurance schemes of insurance companies and TPA’s( third party administrators). It supports co-payment and deductible amount settings also.
Features :
- Set Individual rates and discounts for various insurance companies / TPAs
- Online data validation checks for all health insurance card types
- Generate insurance claims, follow up pending and partly settled claims
- Keep a record of pending claims and resubmissions, rejected claims
- Update claim status
- Insurance receivables register
- Record of resubmitted claims got rejected
- Online insurance number validation option
- Record of partly settled claims
Automated SMS & email system
Treatment costs of an insured patient visiting your hospital is normally paid direct by the insurance company and the payment is based on the agreements between his/her insurer and the hospital. The insurance processing in a medical office should well integrate with the front office/OPD modules and other billing and finance modules in order to reduce data entry errors, to meet the validation and requirement constraints and to generate claims according to the insurance company’s policies and rules.
Mediware’s Insurance Desk module works with hospitals that are under cashless insurance network as well as the ones that offer reimbursement facility to patients. This module deals with transactions such as insurance scheme settings, claim generation, billing, claim submission, tracking of submitted claims and reports , claim status updating etc . Rates can be set based on various insurance schemes of insurance companies and TPA’s( third party administrators). It supports co-payment and deductible amount settings also.
Features :
- Set Individual rates and discounts for various insurance companies / TPAs
- Online data validation checks for all health insurance card types
- Generate insurance claims, follow up pending and partly settled claims
- Keep a record of pending claims and resubmissions, rejected claims
- Update claim status
- Insurance receivables register
- Record of resubmitted claims got rejected
- Online insurance number validation option
- Record of partly settled claims
Insurance desk
Treatment costs of an insured patient visiting your hospital is normally paid direct by the insurance company and the payment is based on the agreements between his/her insurer and the hospital. The insurance processing in a medical office should well integrate with the front office/OPD modules and other billing and finance modules in order to reduce data entry errors, to meet the validation and requirement constraints and to generate claims according to the insurance company’s policies and rules.
Mediware’s Insurance Desk module works with hospitals that are under cashless insurance network as well as the ones that offer reimbursement facility to patients. This module deals with transactions such as insurance scheme settings, claim generation, billing, claim submission, tracking of submitted claims and reports , claim status updating etc . Rates can be set based on various insurance schemes of insurance companies and TPA’s( third party administrators). It supports co-payment and deductible amount settings also.
Features :
- Set Individual rates and discounts for various insurance companies / TPAs
- Online data validation checks for all health insurance card types
- Generate insurance claims, follow up pending and partly settled claims
- Keep a record of pending claims and resubmissions, rejected claims
- Update claim status
- Insurance receivables register
- Record of resubmitted claims got rejected
- Online insurance number validation option
- Record of partly settled claims
OP billing
This module enables generation of bills for the services provided and the money collected from the patient. For insured patients, a copy of the bill is sent to the company for payment. This module facilitates collection of advance amount and refunding the excess amount received after providing the required services. OP Billing module can fetch all the charges incurred by the patients at different departments within the hospital. Services like lab investigations done, medicines issued, fee for consultation, food, beverage and miscellaneous expenses will automatically get updated on the OP Billing module.
Features :
- Individual & consolidated bills
- Multiple payment options