Produce the Final Bill on Discharge

Discharge is the natural moment to close the money side of an admission. The instant a ward discharge is confirmed, Veona posts the final bed-day charge and settles all of the stay’s still-open charges into a single final invoice. The behaviour you most want here is safety: discharging the same admission again produces no second invoice. This page looks at that automatic settlement from the billing clerk’s standpoint and explains why it cannot duplicate.

Who / when: the billing clerk, immediately after a ward discharge. The discharge itself is performed by the ward team — see Discharge From the Ward and Free the Bed. A charge is one billable line; an invoice groups charges for settlement; a UHID is the patient’s permanent Unique Health Identifier. We’ll follow the discharge of Mr. Okafor from the billing side.

1. Ward team — confirms the discharge on Ward → Discharge with “Confirm discharge”. This single action is what triggers the final bill — there is no separate “produce final bill” button for the clerk to press.
2. The system — posts the final bed-day charge for the stay, then assembles every open charge from the admission onto one final invoice. This runs as part of the discharge, on its own.
3. Billing clerk — opens Bill → Charge Capture for Mr. Okafor and sees his Open charge count fall to zero — every charge from the stay has been pulled onto the invoice.
4. Billing clerk — opens Bill → Overview, finds the new final invoice in the Unpaid state, and confirms the invoiced balance matches what accrued during the admission.
5. Billing clerk — opens the invoice (click its row) to see each line traced back to the clinical event that raised it — the bed-days, the ward medicines, the tests — before handing it on for settlement.

Note

The settlement happens exactly once, even if the step is repeated. If a discharge is re-confirmed, or a patient is re-admitted and discharged again later, Veona does not mint a duplicate final invoice for the same settlement. Finance always sees one clean bill per stay.

Tip

Charges accrue throughout the admission, not only at the end — so if you want to catch a missing manual charge, add it on Bill → Charge Capture before the discharge is confirmed and it will be swept onto the final invoice with everything else.

What happens next

The bed is freed and the stay is closed with one invoice for finance to work. That invoice then follows the ordinary revenue cycle — pricing against the right currency and payer in Turn Charges Into a Scheme-Priced Invoice, then settlement at the cashier desk. For the billing-clerk walkthrough of reviewing this same final bill, see Settle a Final Bill at Discharge; for how the charges got there in the first place, see Auto-Aggregate Consumed Services Into Charges.

Follow the trail

• Previous: Discharge From the Ward and Free the Bed
• Next: Turn Charges Into a Scheme-Priced Invoice
• Related: Settle a Final Bill at Discharge · Auto-Aggregate Consumed Services Into Charges