India faces a severe End Stage Renal Disease (ESRD) burden — estimated 220,000+ new ESRD patients annually against a massive shortage of dialysis capacity. Government programmes are rapidly expanding access, and dialysis centres that manage government-funded patients need robust software to handle the documentation and reporting requirements.
The Pradhan Mantri National Dialysis Programme (PMNDP) provides free hemodialysis for Below Poverty Line patients through government-funded dialysis units, including PPP centres in district hospitals. MedicoPlus supports the complete PMNDP workflow — BPL beneficiary verification, session documentation, government format reporting, and the monthly session count submission to the District Health Society.
Ayushman Bharat PM-JAY covers hemodialysis sessions for enrolled beneficiaries at empanelled centres. Each session requires documentation of the patient, session parameters, and consumables used — all of which MedicoPlus captures and packages into the PM-JAY session claim format for submission to the State Health Agency.
Most Indian dialysis centres simultaneously serve PMNDP-funded patients, PM-JAY beneficiaries, CGHS/ECHS pensioners, ESI-covered workers, and self-paying patients — all on the same machines on the same day. MedicoPlus tracks payer type per patient and applies the correct billing workflow, rates, and documentation for each session automatically.
Hemodialysis requires precise scheduling — patients typically dialyse 3 times per week, each session occupying a machine for 3.5–4 hours. With limited machines and shift constraints, scheduling errors directly impact patient health. MedicoPlus automates this complexity.
Government-funded dialysis billing is highly documentation-intensive — each session must be linked to the beneficiary record, the correct scheme, and the specific session parameters. MedicoPlus generates all required documentation automatically from the clinical session record.
For PMNDP PPP centres, MedicoPlus generates the monthly session-wise report in the government-required format — patient ID, sessions completed, missed sessions, dialyzer type, and consumables used. This report is submitted to the District Health Society for monthly reimbursement claim processing.
Each PM-JAY dialysis session claim includes the beneficiary PMJAY ID, session date, machine parameters, dialyzer brand and use (single use or reuse with number of reuses), medication given during session, and the clinical note. MedicoPlus bundles these into the claim package format for SHA portal submission.
CGHS rates for hemodialysis sessions — single use, first reuse, and subsequent reuse — are pre-configured. CGHS beneficiary identification and session documentation are handled within the same workflow as private patients. ESI coverage for dialysis is similarly managed with the required ESIC claim documentation generated from MedicoPlus.
Regular laboratory monitoring is mandatory for dialysis patients — monthly blood counts and electrolytes, quarterly adequacy assessments, and periodic iron, PTH, and bone biochemistry panels. MedicoPlus tracks all investigation schedules and results against KDOQI/KDIGO targets.
Peritoneal dialysis (PD) patients — whether on CAPD or CCPD — require a different documentation framework from HD patients. MedicoPlus provides a dedicated PD module within the same platform used for HD, enabling truly integrated renal unit management.
CAPD prescription — dextrose concentration, exchange volume, dwell time, number of exchanges — is documented and can be adjusted per clinic visit. Patients' daily exchange diaries — drain volume, colour, weight gain — are entered at each clinic visit or uploaded via patient-facing app.
PD-related peritonitis events — cloudy drain, organism identified, antibiotic used intraperitoneally, episode duration, outcome — are documented in a structured incident record. Exit site assessment — appearance, infection grading, dressing type — is recorded at every clinic visit.
Peritoneal Equilibration Test (PET) results — D/P creatinine, D/D0 glucose — are entered and the membrane transport type (High, High Average, Low Average, Low) is determined automatically. PD adequacy — weekly Kt/V and CCr — is calculated from 24-hour urine and drain collections. Trends are graphed over the patient's PD duration.
Dialysis billing in India involves the intersection of GST-exempt medical services and taxable consumable supplies. MedicoPlus handles the tax treatment automatically for each component of the dialysis bill.
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