Ambulatory, stationary, material
Explanation
Generic functionalities explanation for imported ambulatory and stationary care and material management. Most common Software for importing these services is CareCoach. Common terminology used for the delivered ambulatory services in Switzerland is "Spitex".
Spitex/CareCoach
The stationary care delivered directly to beneficiary (i.e. in the room) is mainly entered in an external system (i.e. CareCoach). At the end of the month, theses entries are imported to E-Care in order to be invoiced. The entities paying these services are splitted between:
- beneficiary
- insurances
- public authorities
On one side E-Care receives Care services, with date, time and duration, and on the other side material consumption, with date and quantities are imported. From here, some computation (Canton dependant) can be started and settlement can be generated.
LiME (MiGel/LiMed) material
New from september 2021, LiME material must be invoiced to insurances. To achieve this, the material must be created like a Service. The imported material must have an entry in the Ambulatory Service mapping table. There it can be defined to which context it will be invoiced.
The rule must have the same Service Group related to this service.
Learn more about importing LiME under Manage LiMed Services.
If the rules has no linked rules, the service will be entirely invoice to only one context (insurance or beneficiary). If the material cost must be splitted between the beneficiary and the insurance, a linked rule for the context "insurance" "must be created. This is the same concept as in the stay invoicing. The linked rule will create a negative line to the context beneficiary and a positive for the insurance. The price definition is designed in the service price.
Learn more about linked rules by reading Manage Invoicing Rules.
