Written for Indian clinics and hospitals
Indian payers, Indian scheme rates, Indian clinical vocabulary. International engineering, sold here only — for now.
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Six guides,
one per problem.
Each consolidates what used to be spread across a dozen thin pages. Written for Indian payers, Indian scheme rates and Indian clinical vocabulary.
Every way an Indian payer reduces a hospital claim
Nine mechanisms, and which three you can still act on after discharge.
Government schemesPM-JAY, CGHS, ECHS and ESIC: what changes when the payer is the state
Package rates, verification failures, and the viability question.
ABDM, NHCX & complianceABDM, NHCX and DPDP: what a hospital actually has to do
What software can do, and what only your institution can complete.
Coding & documentationCoding and documentation that survives a payer query
Indian shorthand, unspecified codes, defensible discharge summaries.
By specialtyWhere the leak sits, department by department
Implants, day-care sub-limits, recurring authorisation, package variance.
Groups & multi-branchRunning six branches as one business, not six businesses
One contract set, per-branch comparison, cross-branch records.
New
Compliance, schemes
and the clocks.
In depth
Single mechanisms, worked through.
The ₹8,000 room upgrade that costs ₹43,000
Payer mechanicsHow proportionate deduction is actually calculated
The ratio, what it applies to, and the charges most policies exempt from it.
GuideThe pre-auth clock nobody is watching
Payer mechanicsCashless versus reimbursement, and what makes a claim fall between them
A cashless admission that misses its notification window does not get rejected. It quietly becomes the family's proble
Payer mechanicsThe eight reasons Indian pre-authorisations come back
Most rejections are documentation failures, not clinical disagreements — which means most are preventable before sendi
GuideYour settlement advice has two kinds of shortfall. Only one is worth chasing
GuideWhere a five-doctor OPD clinic loses money
Payer mechanicsRoom rent sub-limits, and the four ways they are written
Percentage of sum insured, flat rupee cap, room category, or no limit at all — each behaves differently at the billing