Inpatient Final Bill

Introduction

The final bill closes the patient's inpatient episode. It consolidates all outstanding charges since the last interim bill (or since admission if no interim bills were issued), applies any deposits already paid, and calculates the balance due. Generating the final bill is the trigger for discharge from a billing perspective.

Navigation

Main Menu → Inward → Billing → Final Bill OR BHT Search → select admission → Generate Final Bill

Generating the Final Bill

1. Confirm all ward charges have been entered (nursing notes, final pharmacy issues, OT charges).
2. Navigate to inward/inward_bill_final.xhtml.
3. The system loads:
   • All unbilled charges for the stay
   • Previously collected deposits (shown as credit)
   • Any interim payments already collected
4. Review each charge category line.
5. Apply any approved discounts or adjustments if authorised.
6. Click Generate Final Bill.
7. Collect the balance payment via the payment screen.
8. Print the final bill.

Final Bill Components

Section	Description
Charge Summary	Room, Nursing, Investigation, Pharmacy, Surgery totals
Professional Fees	Consultant/surgeon fees (if settled before discharge)
Deposits Applied	BHT deposits credited against the total
Interim Payments	Payments already collected during admission
Balance Due	Total charges − deposits − interim payments

Payment at Discharge

1. After reviewing the final bill, click Collect Payment or navigate to inward/inward_bill_payment.xhtml.
2. Enter the balance payment.
3. If the patient is paying more than the balance, a refund may be issued.
4. Once payment is complete, the admission is flagged as financially discharged.

Finalising Professional Fees

Professional fees for consultants and surgeons may be settled as part of the final billing or separately. See Inpatient Professional Fees for details.

Discount and Price Adjustment at Final Bill

Approved discounts can be applied before generating the final bill:

1. Click Price Adjustment (if authorised).
2. Enter the discount amount or percentage.
3. Provide a reason.
4. Save. The adjustment is reflected in the final bill total.

Reprinting the Final Bill

Navigate to the BHT bill search, locate the final bill entry, and click Reprint.

Technical Reference

Item	Detail
Page	inward/inward_bill_final.xhtml
Controller	InwardPaymentController
BillType	InwardFinalBill
Payment page	inward/inward_bill_payment.xhtml
Professional fees	InwardProfessionalBillController