Billing System
The system that manages SGK and private health billing, service registration, and collection processes.
Billing System, is the system that manages the registration, pricing of services provided in a healthcare institution, and the issuance of SGK (Medula) and private insurance/individual invoices.
The system is the backbone of the revenue cycle; it encompasses the steps, controls, and denial management from service registration to collection.
Other names / abbreviation: Hospital Billing.
What is it used for?
The billing system aims to execute the revenue cycle accurately and quickly, reduce the risk of SGK denial codes, and prevent financial losses.
Key features
- Service registration and pricing: Accurate coding of services provided.
- SGK and private billing: Medula and private insurance billing.
- Control and denial management: Pre-billing control and denial tracking.
- Collection: Collection and current tracking.
Integration and standards
The Billing System does not operate in isolation; it typically exchanges data with the following systems and processes:
Frequently referenced standards and regulations:
- SGK/SUT legislation
- KVKK
Benefits provided
- Accuracy in the revenue cycle
- Reduction in denial risk
- Prevention of financial losses
Selection and evaluation criteria
Main criteria considered when evaluating a billing system:
- Medula integration
- Control/denial management tools
- ERP integration
Points to consider
- Billing rules may change according to current legislation; the final evaluation should be made according to current regulations.
Sık Sorulan Sorular
What is the hospital billing system?
It is the system that manages the revenue cycle from service registration to SGK/private billing and collection.
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