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Re: [Gnumed-devel] Billing/LedgerSMB gap analysis

From: Karsten Hilbert
Subject: Re: [Gnumed-devel] Billing/LedgerSMB gap analysis
Date: Mon, 13 Jun 2011 12:33:21 +0200
User-agent: Mutt/1.5.21 (2010-09-15)

On Thu, Jun 09, 2011 at 11:52:29PM -0700, Chris Travers wrote:

> There are a few specific challenges regarding medical billing which
> break down into some larger more general problems which LedgerSMB is
> not prepared to gracefully handle.  There are ways to accomplish this
> provided that specific functionality.  The major issue here is third
> party billing.


> What you need to be able to do is to be able to track what insurance
> paid vs co-pay, or if it is pushed back, what the total owed is.

Yes, that is the major problem of US/near-US billing AFAICT.

> The second issue involves local regulatory and billing needs.    I am
> not sure at this point we have any idea what this requires on more
> than one or two locations.    In terms of additional price factors,
> that would require an add-on as well.  However I think the best
> approach here would be to look at this as a locale by locale basis
> rather than insisting that this be everything to everybody.

Certainly not.

Supporting "just" simply being able to write a normal bill
as if there were no complications would already be a great
step forward for many locations.

It would likely not generate US business opportunities, I agree.

> Does it sound like I am missing anything fundamental in terms of the
> accounting system (narrowly-defined)?

It sounds like you captured what is desirably (not minimally
required, though) for US billing.

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