Medical billing system projects main idea is to implement a software application for medical shops and hospitals for maintaining easy billing system. Data is maintained in database, oracle is used as database in this project. In existing system medical transactions and patients information is maintained in the form of manual records. In this process data is not accurate there are chances of losing data and retrieving old records is not possible.

Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. The same process is used for most insurance companies, whether they are private companies or government sponsored programs: Medical coding reports what the diagnosis and treatment were, and prices are applied accordingly. Medical billers are encouraged, but not required by law, to become certified by taking an exam such as the CMRS Exam, RHIA Exam and others. Certification schools are intended to provide a theoretical grounding for students entering the medical billing field.

Certified automated payment processing software. It is used by hospitals to input, process and display their patient information. This system is used to manage and maintain electronic medical records, patient information, prescriptions, lab reports etc. It is an effective tool in the hand of the hospital management. Shonahan Hospital, Nsukka, Enugu which is the case study, has patients whose fees are to be collected after treatment.

Shonahan Hospital, Nsukka, Enugu is one of the biggest and well equipped hospitals in Nigeria. It has nine (9) training schools/programmers in the hospital. From the studies carried out by the researcher, the hospital’s initial means of recording was manual from automated system to computerized system which lacked some features such as patients and nurses records.

The Hospital is a very important part of our society and it is imperative for healthcare providers to do their jobs in an efficient and effective manner. Each day hundreds of thousands of patients enter healthcare facilities challenging the administration to run the show smoothly. The employees have to manage and integrate clinical, financial and operational information that grows with the practice. Information technology has made a significant impact on the healthcare sector. The past decade has witnessed the foray of numerous information systems and their resultant products into the hospital scenario. 

The number of investments in computers and types of hospital systems has increased. This is because paper medical records are cumbersome, bulky to use and difficult to manage. On the other hand digital records are much easier to handle and improve the workflow efficiency by integrating various tasks. The ultimate objective therefore, is to build a network of interdependent centers such as the clinical laboratory, radiology department, pharmacy, and so on in order to effectively meet the needs arising within the hospital. Despite the fact that these individual centers are autonomous, they are interdependent in terms of delivering services and to ensure effectiveness of providing care. All this can be achieved through hospital information systems that have formed the cornerstone of today’s modern hospital.

A patient is any person who receives medical attention, care or treatment. The person is most often ill or injured and in need of treatment by a physician or any other medical professional whereas an outpatient is a patient who is not hospitalized for 24 hours or more but who visits a hospital, clinic, or associated facility for diagnosis or treatment. Treatment provided in this fashion is called ambulatory care.

Medical billing has been plague by several factors based on the current manual process:

1.  Bills are generated by recording price for each service provided to patient on a separate sheet and at last they all are summed up.

2.  Error prone manual calculation: - Manual calculations are error prone and takes a lot of time, this may result in incorrect information. For example,

3.  Calculation of patient’s bill based on various treatments.

The objective of this project is to develop a computer-based medical billing system that will prepare bills for patients;

The project however aims at the following:

-      A faster means of billing a patient

-      Reducing redundancies of files

-      Generation of monthly billing transaction information

-        Increasing billing efficiency

-      A faster means of calculating revenue

The scope of this study, which is equally the domain or the problem area is particularly the case study of this research work “penults hospital Enugu” and it is to provide a program that will effectively handle the operations of a hospital billing system.

A program that will be interactive one, which means there will be at time/opportunities for operator to supply data to the computer

Form the on set, everything seemed, to be good.  But there is nothing with merit without demerits. Some of the constraints, which would have made me not to finish this work.

1.    Financial help which I needed most to carry out this project work

2.    Constant fluctuation of light, which almost made me to have hypertension.

3.    Economic uncertainty in the country