Finance Inpatient Outside Charges

Inpatient Outside Charges

Introduction

Outside charges are expenses incurred by the patient at external facilities or brought in from outside the hospital — for example, a CT scan performed at an external imaging centre, external laboratory tests, or specialist consultations done offsite. These costs must be added to the patient's BHT account so they appear on the interim or final bill.

Navigation

Main Menu → Inward → Billing → Outside Charges OR BHT Search → select admission → Add Outside Charge

Adding an Outside Charge

1. Navigate to inward/inward_bill_outside_charge.xhtml.
2. Search for the patient's BHT.
3. Enter the charge details:
   • Description — what the external service was
   • Amount — cost to be charged to the patient
   • External Provider — name of the facility or provider (optional)
   • Charge Type — select the appropriate InwardChargeType category
   • Date — date the service was performed
4. Click Save.

Outside Charge Fields

Field	Description
BHT	Patient admission identifier
Description	Free-text description of the external service
Amount	Cost to charge the patient
External Provider	Name of the outside facility (for documentation)
Charge Type	Category: Investigation, Surgery, Other, etc.
Date	Date of the external service
Requested By	Referring doctor (optional)

When to Use Outside Charges

• External radiology (CT, MRI, Ultrasound at another facility)
• External laboratory tests not available in-house
• Specialist consultation fees from visiting or external consultants
• Equipment rentals or external procedures billed to the patient

Outside charges are billed to the patient at the entered amount — they are not linked to internal service price lists. Ensure the amount is verified before saving.

Viewing Outside Charges

Outside charges appear on the BHT summary alongside regular service charges. When generating an interim or final bill, they appear as separate line items under their respective charge type categories.

Cancelling an Outside Charge

1. Navigate to the BHT bill list.
2. Locate the outside charge bill.
3. Click Cancel and provide a reason.
4. The amount is removed from the BHT balance.

Technical Reference

Item	Detail
Page	inward/inward_bill_outside_charge.xhtml
Controller	InwardPaymentController
BillType	InwardBill
Charge model	InwardChargeType enum