Must clinic displays the actual charges for consultation, vaccination /immunization, health screening and medical reports?
Yes, if the charges are standard/fixed. Display of charges in the form of a fee range is acceptable, e.g.
Long consultation $A - $BShort consultation $D - $EVaccination/immunization $G - $HHealth screening $J - $KMedical reports $M - $N
What do you mean by additional charges?
These are for services that the patient may not expect to need initially, but deemed necessary during or after consultation, e.g. lab/x-ray investigation, injection, surgical procedures like toilet and suture.
When and how should clinic provides information on the additional charges?
Such information should be provided before the additional services are rendered (except for emergency cases), either verbally during or at the end of the consultation when the treatment plan is decided.
What do you mean by bill itemization?
With effect from 1 April 2008, every patient has to be presented with a bill. The bill must list every service and the amount that the patient is being charged for.
Example of a bill for treatment of fever, cough and cold:
Full blood count
Must the itemized billing be computerized?
Not necessary. It can be handwritten or a computer printout.
Can clinic bundles the medication charges as one lump sum?
No, you are required to show each and every medication dispensed and the amount charged.
Are clinics required to issue itemized bill to the patients if the bills are paid fully by the company?
The requirement of bill itemization is to provide greater transparency to the public. It is based on a direct payer principle, i.e. itemized bill should be issued to whoever pays for the healthcare service.
In the instance where a third party/agent pays in full for the healthcare service, the patient need not be issued with an itemized bill. However, as long as the patient co-pays, regardless of the amount, he would have to be issued with an itemized bill.