Complete Hospital Billing & Payment Audit Management for Total Financial Transparency

Oasis Hospital Solutions

In today’s fast-growing healthcare ecosystem, hospitals face increasing pressure to maintain financial accuracy, prevent revenue leakage, and ensure timely claim settlements. With multiple payer categories—including Cashless Insurance, Corporate/PSU, CGHS, PMJAY, Government Schemes, and Cash Patients—managing billing and audits has become more complex than ever.

Oasis Hospital Solutions provides hospitals with a Hassle-Free • Accurate • Transparent • Expert-Driven billing and audit management system designed to simplify operations, increase revenue, and bring complete clarity to your financial processes. With over 27+ years of industry experience, Oasis delivers end-to-end support to ensure every rupee is accounted for and your payments are fully reconciled.

This article provides an in-depth understanding of how Oasis Hospital Solutions transforms hospital revenue systems, eliminates leakages, and empowers healthcare institutions with complete billing and audit transparency.

Understanding Hospital Billing & Payment Audit Challenges

Hospitals handle thousands of patient interactions every month. Each patient category comes with its own set of billing guidelines, documentation requirements, approval processes, and compliance standards. Common challenges hospitals face include:

  • Revenue leakage due to incorrect billing

  • Delays in claim approval or rejection

  • Inaccurate documentation

  • Underpayments by TPAs or insurance companies

  • Pending settlements from government schemes

  • Unreconciled payments

  • Untracked co-pay, credit, or cash transactions

  • Lack of proper reporting to management

These challenges not only impact hospital finances but also affect patient experience and operational performance.

Oasis Hospital Solutions addresses all these pain points through a structured, expert-driven, and technology-enabled system that ensures accuracy at every stage.

Why Hospitals Choose Oasis Hospital Solutions

Oasis Hospital Solutions stands out as a trusted partner for hospitals across India because it offers a fully managed Billing & Audit ecosystem. From pre-authorization to final settlement, from documentation to reconciliation, the Oasis team handles everything with precision.

Key Reasons Hospitals Prefer Oasis

27+ Years of Experience

Decades of experience in hospital billing, claims, and audits enable Oasis to deliver unmatched expertise in every process.

Complete Compliance

The team follows all government, insurance, CGHS, PMJAY, and TPA guidelines strictly—minimizing rejections and payment delays.

Zero Revenue Leakage

With multi-level checking and systematic auditing, Oasis ensures that no claim amount or payment goes unnoticed.

Timely and Accurate Billing

Fast discharge processing and correct documentation reduce both patient waiting times and TAT for hospitals.

Transparent Reporting

Management receives clear and detailed audit reports for easy decision-making and accountability.

End-to-End Operational Support

From admission to discharge to payment settlement—Oasis handles 100% of the process.

Our Core Services

Oasis Hospital Solutions offers two major service categories that cover the complete financial lifecycle of a hospital’s billing system.

1. End-to-End Hospital Billing Management

Hospital billing is a sensitive and complex function. Any error in codes, documentation, or process can lead to delays or financial loss. Oasis ensures error-free, transparent, and systematic billing across all categories.

 

Cashless Billing (All Insurance Companies & TPAs)

Oasis manages the entire cashless process:

  • Pre-Auth submission

  • Query reply & documentation

  • Enhancement requests

  • Final billing

  • Discharge coordination

  • Settlement follow-up

CGHS Billing

CGHS requires strict compliance. Oasis ensures:

  • Proper package selection

  • Correct coding

  • Timely billing

  • Adherence to CGHS guidelines

PMJAY / Government Schemes Billing

Government schemes are highly beneficial but challenging due to complex rules. Oasis ensures:

  • Complete documentation

  • Zero-deviation billing

  • Faster approval

  • Timely settlement

Corporate & PSU Billing

Different corporates have different policy rules. Oasis ensures consistent documentation and settlement.

 

Cash Billing Oversight

Monitoring all cash payments ensures:

  • No missing entries

  • No malpractice

  • Accurate receipts

Error-Free Documentation

Every file goes through multiple verification stages to minimize errors and rejections.

 

Faster Approvals & Discharge Processing

With expert communication and proper documentation, approvals are received faster—reducing patient waiting time.

2. Complete Payment Audit & Reconciliation

After billing comes the most crucial process—payment audit, which ensures the hospital has received every rupee due.

Oasis conducts a deep audit of all payments received and identifies:

  • Pending amounts

  • Underpayments

  • TDS mismatches

  • Missing settlements

  • Rejected amounts

  • Shortfalls

  • Untracked cash or credit payments

Audit Coverage Includes:

Cashless Insurance Claims

Each claim is matched with TPA settled amounts to check for discrepancies.

CGHS Claims

CGHS settlements are verified against approved packages and deductions.

PMJAY / Ayushman Claims

Government scheme bills are checked for correct settlement and pending issues.

Cash Payments

All cash entries are audited against receipts and billing data.

Corporate & PSU Claims

Corporate approvals, deductions, and co-pay collections are verified.

Credit / Co-Pay Collections

Ensures all co-pay is tracked and deposited properly.

TDS / Deduction Verification

Every TDS cut is matched with government norms.

Shortfall & Clarification Tracking

Shortfalls are followed up until fully resolved.

TDS / Deduction Verification

Every TDS cut is matched with government norms.