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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
-- 
GPG key ID E4071346 @ gpg-keyserver.de
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