# 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) |