Question 1

How does Cliniqwise handle multi‑specialty billing when the same patient sees several departments in one day?

Accepted Answer

Cliniqwise supports encounter‑wise billing, so a single UHID can have multiple visits for medicine, surgery, orthopaedics, etc., with separate charge heads mapped to doctor, department, and package. The billing engine consolidates OPD, IPD, lab, radiology, and pharmacy into one itemised bill while preserving department‑wise revenue reports for finance and specialty leads.

Question 2

Can we configure different billing rules for cash patients, corporate panels, and Ayushman Bharat / PMJAY schemes?

Accepted Answer

Yes—tariff masters allow you to maintain multiple rate lists per payer, including PMJAY packages, corporate TPAs, and cash tariffs. You can map separate inclusions, exclusions, and pre‑auth requirements for each scheme, so billing teams don’t manually override rates at counters, reducing leakage and claim rejections.

Question 3

How are doctor commissions and revenue shares calculated automatically in Cliniqwise?

Accepted Answer

Cliniqwise can apply doctor‑wise or department‑wise commission rules based on service category, payer type, or realisation, drawing from common Indian HMS patterns. For example, surgeons may get different percentages for package vs. non‑package cases, while radiologists might receive fixed per‑report rates, with statements generated monthly for finance reconciliation.

Question 4

What controls exist to prevent front‑desk and billing staff from editing or cancelling bills without approval?

Accepted Answer

HMS deployments aligned with NABH and DPDP norms usually enforce strict role‑based privileges, supervisor approvals, and audit logs on bill edits. In Cliniqwise, cancellation, discount, and write‑off actions can be restricted to specific roles, with reason codes and user/time stamps recorded, so internal audits can trace every financial change.

Question 5

How does the central admin dashboard support hospital leadership decisions day‑to‑day?

Accepted Answer

The admin view consolidates real‑time metrics such as occupied beds, OPD footfall, outstanding bills, payer mix, TAT for reports, and NHCX claim counts across units. CMOs, CEOs, and medical directors can drill down by specialty or facility, enabling faster course corrections on staffing, resource utilisation, and digital‑claim adoption.

Question 6

Can Cliniqwise be used across a hospital chain with centralised control and location‑wise autonomy?

Accepted Answer

Yes—multi‑facility HMS setups allow corporate groups to share masters (services, codes, packages) while keeping location‑specific tariffs and stock. Cliniqwise can support central dashboards for group leadership as well as facility‑wise operations, which is common among modern hospital chains in cities like Indore, Bhopal, and Lucknow.

Capabilities	Cliniqwise Elite	Legacy Systems
Revenue Leakage Recovery	AI-Tracked	Manual/Prone to Error
ABDM/NHCX Readiness	Built-In 2.0	External Plugins Only
Uptime & Reliability	99.99% Cloud	On-Premise (Risky)
Staff Training Speed	24-Hour Go-Live	Weeks of Downtime

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