Centralized Medical Services Configuration, Pricing & Billing Rules Management
Centralized medical services configuration with service definition, pricing, billing rules, and package management.
Key Benefits
Pricing
Module price
Select this module now. Duration and final pricing are configured at checkout.
Base module price
Duration, users and final amount will be selected during configuration.
- ✓Consistent Billing
- ✓Easy Changes
- ✓Compliance Ready
- ✓Package Management
Challenge & Solution
The Problem We Solve
The Challenge
Medical services and pricing are inconsistent across departments. Billing rules are not standardized. Changes in pricing or rules are not propagated.
The Solution
The Medical Services Settings module provides centralized configuration for all medical services—service definition with charge codes, pricing and tariff management, billing rules configuration, and departmental mapping. Single source of truth for billing configuration.
Key Features
What It Does
Service Definition & Charge Code Management
Service definition with complete details—description, category, charge code. Service categorization by department and specialty. Service mapping to clinical procedures. Service activation and deactivation.
Pricing & Tariff Management
Multiple price lists—general, corporate, insurance, packages. Tariff management with effective dates. Volume and package discounts. Price change approval workflow.
Billing Rules Configuration
Billing rules—taxes, discounts, rounding, and adjustments. Department-specific and service-specific rules. Insurance and TPA billing rules. Rule priority and override settings.
Package & Bundle Management
Package creation with bundled services. Package pricing with component breakdown. Package utilization tracking. Package profitability analysis.
Audit & Change History
Complete change history for all settings. Approval workflow for changes. Audit trail for billing configuration. Compliance documentation.
Workflow
How It Works
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Step
1Step 1: Service Definition and Setup
Services are defined with charge codes and categorization. Pricing is set with multiple price lists. Billing rules are configured.
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Step
2Step 2: Package and Bundle Creation
Packages are created with bundled services. Pricing is set with component breakdown. Packages are activated.
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Step
3Step 3: Change Management
Changes are submitted with approval workflow. Changes are reviewed and approved. Changes are propagated.
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Step
4Step 4: Audit and Compliance
Change history is maintained. Audit trail is documented. Compliance is ensured.
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Step
5Step 5: Ongoing Maintenance
Services are reviewed and updated. Pricing is reviewed and adjusted. Rules are maintained.
Integrations
Connected With
Core Masters ΓÇô Service and charge master
↗Medical Billing Masters ΓÇô Billing configuration
↗All Billing Modules ΓÇô Consumes settings
Reports
Analytics & Reports
Real-time insights and exportable reports built into every workflow.
Service & Pricing Configuration Report
Service definitions, pricing, and configuration status.
Package Utilization & Profitability Report
Package utilization, profitability, and optimization recommendations.
Billing Rule & Change Audit Report
Billing rule changes, approval history, and compliance status.
Operator Impact
What Changes for You
Consistent Billing
Standardized services and pricing across departments.
Easy Changes
Centralized configuration enables quick updates.
Compliance Ready
Complete audit trail for billing changes.
Package Management
Package creation and tracking for revenue optimization.
FAQ
Frequently Asked Questions
How are services defined?
Services are defined with charge codes, categorization, and mapping to clinical procedures.
Can we have multiple price lists?
Yes, multiple price lists—general, corporate, insurance, packages—with effective dates.
How are billing rules configured?
Taxes, discounts, rounding, and adjustments. Department-specific and service-specific rules.
Can we create packages?
Yes, packages with bundled services, pricing, and component breakdown. Utilization and profitability tracking.
Ready to add MEDICAL SERVICES SETTINGS?
Part of the Medical Billing suite