Hospital Glossary

Claims with submitted Rand values.

These are custom tariff codes that MediKredit will convert an acceptable ARM
claims to.

An ordinary billing procedure capturing all items and/or services
provided to the patient as part of their Admission

A Filter is a Function that adds or removes data from a screen based on specific criteria selected by the user. Adding a Filter to a Report is a useful way to see only the data that the user wants to display. Filters are used to display specific records in a report, and to export and print only certain records from a Report. Filters can also be used for grouping and calculations.

For more information regarding the Case Report Writer, please refer to the glossary: Case Report Writer.

Web App:

The Finalised Date Age Analysis is a report which indicates all the amounts that are still outstanding or have not been paid yet, after the Hospital Case has been finalised. The data that appears on the report will be determined by the Settings and Parameters that the user has set up and selected when the Report was set up. For example, data available on the report includes: Total and Current outstanding amounts for Patient and Medical Aid over different time periods such as 30, 60, and 90 days etc. 

Web App:

Fixed Fees Profiles are predetermined price packages for specific procedures and treatments. Fixed Fee profiles are used in scenarios where Patients undergo certain procedures or treatments which involve multiple services, such as surgeries, diagnostic tests, and post-operative care. Instead of charging separately for each item and procedure, Hospitals have a fixed fee profile that includes all necessary services related to the specific medical condition or procedure.

Web App:

Fixed Fees refer to pre-determined pricing packages for specific medical procedures and treatments. By setting up Fixed Fees, users are able to create billing codes that cover the entire procedure, simplifying the billing process by using a single code associated with a fixed price. The fixed price is determined by the Hospital for Private Patients or by the Medical Scheme for Patients covered by Medical Aid. 

Web App:

The Fixed/Fee Per Diem tab allows you to indicate and set up how the case will be billed. 

Cases can be billed in 3 ways:

• Fee for Service: Each item that is used will be billed separately.
• Fixed Fee: A pre-determined fee is set up, which covers all aspects of the Procedure and Hospital stay.
• Per Diem: A standard day fee is charged which includes all Medications, Materials used and any other fees incurred on that specific day.

Please Note: Before Cases can be set up for Fixed Feed/Per Diem the setup and linking of the sides first need to be done in the Desktop App for the options to be available within the Web App. For more information regarding how to set up the Fixed Fee/Per Diem Profiles, please refer to the user manual: Fixed Fee Setup.

Web App:

Desktop App: