Bailouts

Bailouts

The functionality of “Bailouts” within menu “Registration” is intended to manage paymasters which fund medical services / actions within which medical services are funded. After choosing this functionality there appears list of defined paymasters / actions and by each of them there are buttons:

  • Statement (PDF) – allows to generate (as PDF file) and to print settlement of patients to which bailouts have been accepted including amounts of these bailouts (fields visible above this button allows to enter dates to narrow down the statement to the specified period of accounting of bailouts)
  • Statement (XLS) – allows to generate (as XLS file) settlement of patients to which bailouts have been accepted including amounts of these bailouts (fields visible above allows to enter dates to narrow down the statement to the specified period of accounting of bailouts)
  • Settlement (PDF) – allows to generate (as PDF file) and to print a settlement document for the financing payer with a list of patients to which bailouts have been accepted including amounts of these bailouts (fields visible above this button allows to enter dates to narrow down the statement to the specified period of granting of bailouts)
  • Settlement (XLS) – allows to generate (as XLS file) a settlement document for the financing payer with a list of patients to which bailouts have been accepted including amounts of these bailouts (fields visible above this button allows to enter dates to narrow down the statement to the specified period of granting of bailouts)
  • Edit – allows to modify paymaster / action data (this button is availableonly in case of paymasters / actions which funds have not yet been used to accept any bailout)
  • Delete – allows to delete paymaster / action (this button is availableonly in case of paymasters / actions which funds have not yet been used to accept any bailout)
  • Details – allows do preview paymaster / action data

Within the list of paymasters / actions means that ends up are emphasized with red color. Under the list of paymasters / action there is a button „Add” that allows to add new paymaster / action.

To add paymaster / action one has to click the button „Add”. Then there appears form for paymaster / action data. If the field of „Bailout” within the form is left empty, then system interprets this as bailout of full amount of service. Paymaster / action field of influence can be limited to specified period and to clinics with specified speciality codes. When entering speciality codes (within the field one can enter parts of speciality codes or names) system displays suggestions – correct speciality code should be chosen by clicking the correct option within suggestions list. By default single field to enter single speciality code is visible, to enter more codes one has to click the button „More specialities” - every consecutive click of this button leads to display new field to enter the consecutive speciality code. Fields left empty are ignored when saving data. After entering data one has to save them by clicking the button „Add” under the form.

To modify paymaster / action data one has to click button “Edit” by the given paymaster / action. Then there appears form of paymaster / action data the same as form for paymaster / action addition except that it is filled with paymaster / action data. After entering changes one has to save them by clicking the button “Save”.

To delete paymaster / action one has to click button “Delete” by the given paymaster / action. Then there appears form of paymaster / action data the same as form for paymaster / action edition except that it is ni readonly mode. Intention to delete paymaster / action one has to confirm by clicking the button “Delete”.

To view paymaster / action data one has to click button “Details” by the given paymaster / action. Then there appears form of paymaster / action data the same as form for paymaster / action edition except that it is in readonly mode.

If logged user does not have privilege for bailouts management but he has privilege named „REJESTRACJA - ostrzeganie o kończących się dofinansowaniach” then instead of table with list of bailouts and buttons to manage them there appears informative table with the list of bailouts in case of which means are ending.

Bailouts awarded are automatically withdrawn (funds are returned to the pool) in the following situations and contexts:

  • when closing a visit without performing the planned commercial service (service context)
  • when deleting an examination from an order at an internal collection facility (examination context and if there is only one examination, also order context)
  • when removing a vaccination from the order at the vaccination facility (vaccine context in the order)
  • when modifying, during the visit, an examination order to be performed by an internal collection facility (context of the order and all examinationa in the order)
  • when modifying the vaccination order during the visit (context of the order and all vaccines in the order)
  • when modifying services assigned to a visit (context of the visit and all services from this visit)
  • when adding services to a visit while transforming it into an occupational medicine visit (context of the visit and all services from this visit)
  • when canceling a visit / rehabilitation cycle (context of the visit and all services from this visit / cycle)
  • when marking a visit as unrealized (context of the visit and all services from that visit)
  • when marking treatments in a therapy room as unrealized (context of the visit and all services from this visit)
  • when removing the vaccination order in the surgery room (context of the order and all vaccines in the order)
  • when deleting a vaccination order at a vaccination facility (context of the order and all vaccines in the order)
  • when canceling a vaccination order (context of the order and all vaccines in the order)
  • when canceling overdue diagnostic examination orders (context of the order and all examinations in the order)

Bailouts awarded are automatically reduced (part of the funds is returned to the pool) in the following situations and contexts:

  • when closing a visit with fewer commercial services than planned (service context)