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Re: [Gnumed-devel] Introducing myself and questions on billing/accountin
From: |
Karsten Hilbert |
Subject: |
Re: [Gnumed-devel] Introducing myself and questions on billing/accounting |
Date: |
Thu, 19 May 2011 11:11:40 +0200 |
User-agent: |
Mutt/1.5.21 (2010-09-15) |
On Thu, May 19, 2011 at 08:27:07AM +0200, Hilbert, Sebastian wrote:
> 1) That leads to the question if GNUmed passes on billable items and LSMB
> processes them by reviewing them and creating an (e.g.) printed invoice what
> happens if at the LSMB level somone decides to kick a few billable items.
>
> It is of any concern to the EMR / doctor ? Would the doctor be interested to
> know that a billable item was not billed ?
Sure, but:
- not necessarily within the EMR
(billing dept. could inform the doctor, even via inbox message or email
if need be)
- not in the first iteration
> 2) On a completely different matter (on of interest later on and might not
> pertain to LSMB at all): Here in Germany there exist a set of rules which
> billable items can be combined and which cannot.
>
> To give you and idea of what is involved to bill private insurers here is an
> example of an invoice
>
> http://www.derprivatpatient.de/fileadmin/alte_uploads/pdf/musterrechnung_01.pdf
>
> here is the layout:
>
> encounter date | billable item identifier | billable item description | how
> many of those to bill | factor | cost
>
>
> The factor column here is interesting. For each item you can not just specify
> how many of those you want to bill but also a multiplier which supposedly
> increases the value of that item (because it took you more work then usual to
> do it).
>
> Is there such a multiplied concept in LSMB ?
Well, any invoice generation solution worth its weight (I
hope I don't hit a sore spot with LSMB :-) should have the
concept of "special sales" deductions to be applied to
(perhaps certain) billed items.
So, apply a "deduction" that *increases* the item price :-)
OTOH, if someone insists on using "MS' Poor Man's
Accountant(tm)" it's possible to get create like so:
billable item price
item_1 10 Euro
(I kid you not, there's items at that price in German healthcare)
address@hidden 18 Euro
address@hidden 27 Euro
address@hidden 35 Euro
(you get the idea)
> In a first working (and highly
> usable) implementation we can assume the multiplier to be one (1). We could
> also have LSMB host multiple billiable items (which imply the factor)
Exactly.
> or LSMB could have the concept of the multiplier
Called "rebate" in ERP speak. Negative rebate if applied to
the above.
Karsten
--
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- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, (continued)
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- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Chris Travers, 2011/05/18
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Jim Busser, 2011/05/18
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Sebastian Hilbert, 2011/05/19
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Jim Busser, 2011/05/19
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/19
- Message not available
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Sebastian Hilbert, 2011/05/19
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/19
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting,
Karsten Hilbert <=
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/19
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- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Jim Busser, 2011/05/20
- Re: [Gnumed-devel] Introducing myself and questions on billing/accounting, Karsten Hilbert, 2011/05/20