Operational workflows
Morning OPD at a multi-specialty hospital starts at the registration counter, not in a generic dashboard. Reception creates or retrieves the UHID, selects cash versus credit versus TPA payer type, prints an OPD token, and routes the patient to the correct department queue. Consultant OPD runs on token discipline — the patient queue display shows sequence so ward boys and attendants are not arguing at every door. When the doctor orders blood work or radiology, the order must appear at the lab billing counter and the main billing desk without retyping the patient name. Hayati ties those events to one patient context so the billing clerk posts investigation charges once and the lab technician can match sample collection to the same record. IPD workflows run parallel: admission desk opens a bed package, records advance receipt, and flags whether pharmacy items are included or billed separately. Ward nurses may request consumables from the floor store; store keeper issues against patient or ward indent. At discharge, billing consolidates room rent, procedure charges, pharmacy lines, lab lines, and professional fees into one final GST invoice before the patient reaches the TPA desk. Offline billing matters when hospital Wi-Fi drops during peak OPD — counters keep recording sales and sync when connectivity returns so the day is not lost to router failure.
Staff responsibilities
Reception owns first contact: UHID, mobile number, attendant name, payer category, and token issuance. They escalate insurance card validation to the TPA desk when the patient is cashless — reception should not guess approval limits. Billing clerks at the main cash counter post OPD consultation fees, procedure charges, package components, and investigation bills. They issue GST tax invoices, record UPI and cash splits, and print duplicate copies for patient files. Hospital pharmacy pharmacists verify prescriptions, select FEFO batches, and bill with HSN lines finance can defend. Store keepers manage ward indents, OT consumables, and returns — every issue should trace to a patient or cost centre. Lab supervisors confirm sample ID against billing before accepting specimens; radiology front desk confirms appointment slot and posts film or digital report delivery charges. TPA desk staff attach pre-auth references, split package versus non-package lines for payer rules, and prepare submission packs — Hayati keeps hospital-side bills aligned before portal upload. Night supervisors need read-only dashboards for pending discharges and open pharmacy credit accounts. Each role gets scoped login so a dispensary user cannot alter TPA settlement registers.
Patient journey
A cashless patient arrives with a referral letter and insurance card. Reception registers UHID, sends them to TPA desk for pre-auth verification, then prints OPD token for cardiology. They wait per queue display, consult, and receive lab orders on paper or printout. At lab collection, staff scan or enter sample ID tied to the billed test panel — the patient should not pay twice if already in a package. Reports route to consultant review; billing clerk adds any add-on tests the doctor ordered mid-visit. Patient visits hospital pharmacy with prescription; pharmacist bills and dispenses with batch traceability. If admission is required, admission desk converts OPD record to IPD, collects advance, assigns bed category, and hands a patient file copy to nursing. During stay, pharmacy delivers ward medicines; lab posts repeat investigations against the same UHID. At discharge, billing clerk presents itemized bill; patient pays copay or top-up if TPA partial approval. TPA desk gives claim documents and GST invoice copy. Optional AI Receptionist can book follow-up OPD slots by phone so reception handles fewer repeat timing calls — walk-ins still flow through the physical counter.
Billing flow
OPD billing starts with consultation fee posting at the main counter — GST rate depends on service category configured during onboarding. Package OPD plans bundle consultation plus defined investigations; billing clerk selects package code so add-ons bill separately and audit clearly. Investigation billing links test codes to lab or radiology tariffs; credit accounts for corporate clients post to ledger with payment terms instead of immediate cash. IPD packages split room rent, nursing, surgeon fee, anesthesia, OT consumables, and pharmacy — billing must show which components are TPA-covered versus patient-pay. Advance receipts reduce final balance; interim bills during long stays help families plan payment before discharge chaos. Hospital pharmacy bills are separate GST documents with medicine HSN lines — ward returns after billing create credit notes finance must see before TPA submission. TPA cashless flow tags payer ID, pre-auth number, and approved amount on the bill header; billing clerk cannot finalize discharge without TPA desk sign-off when policy requires it. UPI, cash, card, and NEFT settlements post to daily collection register. Offline mode records bills locally at pharmacy and main counter; sync reconciles sequence numbers when the link returns. E-invoice connectivity depends on your GST registration scope — confirm with your CA during walkthrough, not from a marketing promise.
Inventory implications
Hospital pharmacy inventory is the highest-volume stock point: OPD walk-in prescriptions, IPD ward issues, and emergency OT trays all deduct from the same item master. FEFO batch selection at billing prevents silent expiry write-offs auditors find later. Ward store and main pharmacy may be separate stock locations — transfers between them need documented movement so physical stock matches system stock during monthly stock take. OT consumables often bill as procedure components; store keeper issues against OT schedule or patient procedure code so costing reflects actual usage. Lab reagents and radiology contrast may sit on store ledgers tied to cost centres rather than patient billing — define during setup which SKUs bill to patients versus internal consumption. Returns from ward after patient discharge must reverse patient-linked issues or post to wastage with reason codes. Multi-branch hospital groups run central purchase with branch-scoped dispensaries; HQ sees consolidated near-expiry reports while each branch counter stays locally responsive. Schedule H and controlled drug registers apply where hospital pharmacy dispenses regulated medicines — pharmacist approval and searchable register export for drug inspector visits. Negative stock flags at billing time surface training gaps before year-end inventory shock.
Reporting requirements
Daily collection register by counter user shows cash, UPI, card, credit, and TPA totals — finance uses this for bank reconciliation before close. Department-wise revenue reports split OPD consultation, lab, radiology, pharmacy, IPD room rent, and procedure income so medical administrators see which units carry load. TPA aging and pending pre-auth reports help the TPA desk chase approvals before discharge backlog. Pharmacy sales with GST breakup, HSN summary, and return register feed your CA's GSTR preparation — export format validated on walkthrough. IPD occupancy and package utilization reports tie bed category to billed days versus physical occupancy disputes. Doctor settlement or professional fee reports depend on your consultant contract model — Hayati supports configured sharing rules scoped per hospital policy. Near-expiry and slow-moving stock reports reduce wastage at dispensary. Audit logs by user show who overridden discount, who reprinted bill, and who altered payer category — essential when internal audit or payer query arrives months later. Branch-scoped reporting keeps multi-facility groups from merging Mumbai and Hyderabad into one meaningless total.