Finance &
RCM Governance
The Finance module is the hospital's fiscal authority. It governs the life-cycle of every bill, from clinical trigger to bank settlement.
Revenue Lifecycle (RCM)
Maintaining 100% fiscal accuracy through automated consumption auditing and revenue sync.
Bill Generation
Automated aggregation of clinical service consumption.
Discount Logic
Application of institutional or insurance subsidies.
Payment Lock
Secure transaction processing and ledger sync.
Fiscal Audit
Manager verification of financial integrity.
Fiscal
Architecture
The RCM engine operates on a multi-layered billing grid. Services are derived from Clinical, Lab, and Pharmacy consumption, merging into a single patient ledger for absolute transparency.
Technical Architecture
| Field | Type | Institutional Role |
|---|---|---|
| invoice_ref | Varchar(32) | Unique fiscal reference identifier. |
| total_consumption | Decimal(16,2) | Raw service value before subsidies. |
| billing_status | Enum | Draft, Finalized, Partially_Paid, Settled. |
| mrn_mapping | UUID | Direct parent patient ID. |
Note: Data is subject to Enclave AES-256 field-level encryption where applicable.
Governance & Power
bill:creatediscount:approvefinance:publishInstitutional Logic
Consumption Trigger
Every clinical clinical action (e.g., Surgery, Lab Test) instantly creates a pending bill line-item, ensuring zero revenue leakage.
Discount Guard
Discounts > 15% require a secondary digital authorization from the Finance head, logged in the governance enclave.
Payer Sync
Integrated insurance verification automatically maps policy coverage to billable items, routing remaining values to the patient ledger.
Audit Persistence: 100% of fiscal transactions are cryptographically signed.