IP ADMISSION PROCESS

·         After doctor's consultation in the OPD, the patient approaches the IP counter for IP admission.

·         Admission request form, consent form, is sent by the doctor along with them to the IP counter.

·         PCE at the counter places an IP registration form along with the above forms and requests the patient bystander to fill it as part of the admission             procedure.

·         Surgery patient will have an Anaesthesia consent form along with the above forms.

·         Room availability and rates are communicated to them.

·         For surgery patients, they undergo financial counselling before fixing the date of admission. They would be clearly informed that depending upon            the room rate surgery level charges differ.

·         During admission a patient card is provided to the bystander. This is meant for their smooth flow in the IP floor.

·         After admission taken system wise, the PCE at the counter communicates to the floor manager and Nursing station who sets the room ready                  within a short time.

·         The PCE/Nurse communicate to the IP counter when the room is ready. The patient is escorted by an attender to the concerned floor from where             the nurse takes charge.

·         Insurance patients has to provide the insurance company name and customer ID during admission.

IP DISCHARGE PROCESS

·         When the doctor advice discharge for a patient, the nurses complete the patient file which is then sent to the discharge pool. This is coordinated               by the PCE.

·         In the discharge pool as per the RMO's instruction’s the medical transcriptionist prepares the discharge summary.

·         The typed summary is handed over to the concerned consultant to get their signature and seal.

·         This is then submitted to the nursing station at the earliest.

·         All this is being coordinated by the PCE

·         Surgical Oncology doctor's send a voice mail regarding the discharge summary to the medical transcriptionist who type the summary and the                  RMO signs it and the consultant seal is placed.

·         This is the given to the nursing station

·         During the period in which the discharge summary is signed by the doctor, the medicine return is done and return slip collected and given to the               nursing station.

·         The discharge plan is then set.

·         The billing department staff at the IP discharge counter monitor the discharge tracker, confirm with the pharmacy and lab and settle the bill. For                 surgery patients OT confirmation is also needed.

·         Patient card provided during admission has to be collected from the patient bystander and then bill settled.

·         We have to give priority for insurance patients and get the discharge summary typed and sealed at the earliest. This is then submitted to the                     insurance department along with the authorized report.

·         When all the services provided to the patient is confirmed, the services are stopped system wise and then the full break up bill is submitted to the             insurance department.

·         The insurance department communicate with the insurance company. The amount not approved by the insurance company is collected as Co-                 Pay and the remaining amount is settled as credit voucher.

·         Insurance patient bill settlement procedure takes near to 3 hours.

·         For death cases the billing procedure is speeded and death discharge done system wise.

·         In rare cases insurance patient discharge will be delayed if no approval is got due to some circumstances like company working hour ends for                the   day. Patient bystander is communicated regarding this and full payment collected as fund. Behind the copy of discharge summary, the                      bystander consent regarding discharge of patient and non-clearance of discharge system wise is written along with the reason and name,                        signature and contact number documented.

·         After approval of claim, the amount is transferred to the account and bill settled as credit voucher.