Finance Inpatient Price Adjustments

Inpatient Price Adjustments

Introduction

An inpatient price adjustment modifies the total amount charged on an inward bill — typically a discount granted to a patient for financial hardship, insurance/credit company arrangements, staff concessions, or management decisions. Adjustments are controlled transactions requiring authorisation and are logged with a reason.

Navigation

Main Menu → Inward → Billing → Price Adjustment OR Final Bill screen → Apply Adjustment button

Types of Adjustments

Type	Description
Discount	Reduces the patient's billable amount
Waiver	Waives specific charge categories entirely
Staff Concession	Discount applied for hospital staff patients
Credit Company Adjustment	Approved reduction for insured patients
Management Discount	Discretionary reduction approved by management

Applying a Price Adjustment

1. Navigate to inward/inward_price_adjustment_add.xhtml.
2. Search for the patient's BHT.
3. Select the adjustment type.
4. Enter the adjustment amount (fixed amount or percentage).
5. Select the charge categories affected (All, or specific categories like Pharmacy, Investigation).
6. Enter a mandatory reason for the adjustment.
7. Click Save. The adjustment is recorded against the BHT.

Adjustment at Final Billing

Adjustments can also be applied directly on the final bill generation screen:

1. On inward/inward_bill_final.xhtml, review the total.
2. Click Price Adjustment (visible to authorised users).
3. Enter the discount amount or percentage.
4. Confirm. The adjustment line appears in the final bill.

Viewing Applied Adjustments

All adjustments for a BHT are visible in the BHT transaction history, labelled by type and reason. Adjustment amounts appear as deductions in the final bill summary.

Cancelling an Adjustment

If an adjustment was applied in error:

1. Navigate to inward/inward_price_adjustment_cancel.xhtml.
2. Locate the adjustment by BHT or date.
3. Click Cancel. Confirm with a reason.
4. The original charge is restored.

Authorisation Requirements

Price adjustments typically require the InwardPriceAdjustment privilege or an equivalent supervisor role. Users without this privilege cannot apply or cancel adjustments. Contact your system administrator to configure thresholds or approval workflows.

Technical Reference

Item	Detail
Add page	inward/inward_price_adjustment_add.xhtml
Cancel page	inward/inward_price_adjustment_cancel.xhtml
Controller	InwardPaymentController
Privilege	InwardPriceAdjustment (or equivalent)