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Theatre Professional Fees

Dr M H B Ariyaratne edited this page May 22, 2026 · 1 revision

Theatre — Managing Professional Fees

Overview

Professional Fees are the charges for the clinical staff who performed the surgery — the operating surgeon, assistant surgeons, and the anaesthetist. Each professional fee bill records one or more fee lines (one per staff member and role), generates a payment voucher, and is linked to the surgery. Professional fees are settled separately from the general inpatient bill and are paid directly to the doctors concerned.

When to Use

  • Adding surgeon, assistant surgeon, or anaesthetist fees after a surgical procedure
  • Reviewing the professional fees already charged for a surgery
  • Generating payment vouchers for doctors

Required Privilege

TheatreBilling (to add fees) | TheatreAddSurgery (to view)

Navigating to Professional Fees

From the Surgery Workbench:

  1. Open the Surgery Workbench for the patient's surgery
  2. Click Add Professional Fees — opens the fee entry page with the surgery pre-selected
  3. Or click View Professional Fees List — opens the list of existing fee bills

From the Theatre menu:

  1. Click TheatreProfessionalAdd Professional Fee
  2. Search for and select the surgery in the autocomplete

Step-by-Step: Adding Professional Fees

Step 1 — Select the Surgery (if not pre-loaded)

Type the patient's name, BHT, or surgery name in the autocomplete and select the correct surgery. Patient and surgery details appear in the summary panel.

Step 2 — Add Fee Lines

For each doctor/staff member to be paid:

  1. Select the Role from the dropdown:
Role Used For
Performed By Primary operating surgeon
Assisted By Assistant surgeon(s)
Anaesthesia By Anaesthetist
  1. Select the Speciality from the autocomplete — this filters the doctor list
  2. Select the Doctor / Staff from the autocomplete (filtered by speciality)
  3. Enter a Description (optional — e.g., "Surgeon fee for appendicectomy")
  4. Enter the Fee amount
  5. Click Add Professional Fee — the entry appears in the "Unsaved Fees" table

Repeat for each additional doctor. Multiple fee lines can be added in a single session.

Step 3 — Review Unsaved Fees

The Unsaved Fees table shows all fee lines added in this session but not yet saved:

Column Description
Role Clinical role
Doctor / Staff Name of the fee recipient
Description Optional note
Fee Amount to be paid

These fees are in-memory only — they have not yet been billed.

Step 4 — Settle the Bill

  1. Review all fee lines for accuracy
  2. Click Settle Bill (green button)
  3. All fee lines in the Unsaved Fees table are saved as a single professional fee bill
  4. A print preview of the fee voucher appears — select the paper format (A4 / 5×5 / POS) from Settings if needed
  5. Print the voucher for the doctor(s)

Important: Once settled, the professional fee bill is finalised. To correct an error, the bill must be cancelled. See Cancelling Professional Fees.

Clearing the Form

If you need to discard unsaved fee entries:

  1. Click Clear Form
  2. Confirm the action — all unsaved fee lines are discarded

Viewing Saved Professional Fee Bills

The Saved Professional Fee Bills section (below the entry form) shows all settled fee bills for the current surgery:

Column Description
Bill No Professional fee bill number
Date When the bill was settled
Total Total amount on this bill
Status Active or Cancelled
Added By System user who created the bill
Cancel Button to cancel the bill (if not yet paid)

Click to expand a bill row to see the individual fee lines (role, doctor, amount).

Print Format Options

Use the Settings button (gear icon) to choose the print format:

  • A4 Paper — Full-page professional fee voucher
  • 5×5 Paper — Half-page format
  • POS Paper — Narrow receipt format

Select the format that matches your printer and click the relevant print option.

Understanding Messages

Success

  • "Professional Fee Bill Settled" — The bill has been saved and a voucher generated

Error Messages

  • "Please select a staff member" — A doctor must be selected before adding a fee line
  • "Please select a role" — A role must be chosen before adding
  • "Please add at least one fee" — At least one fee line must be in the Unsaved Fees table before settling
  • "Admission has been finalised" — The patient's bill is closed — no new professional fee bills can be added

Best Practices

  • Add all fees for a single surgery in one settle session to generate a single consolidated voucher
  • Verify the doctor's name carefully before settling — cancelling and re-entering a fee bill requires additional steps
  • Use the Description field to note the specific procedure if the doctor performs multiple procedures per session
  • Print the voucher immediately after settling and hand it to the relevant department for payment processing

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