I am managing 10 hospitals in Their 2 and tier-3 cities of India. In india, 80% of services are provided by private players and Govt. contribution is limited to 20%. One of the biggest challenges, I am facing is of billing. There are 100 odd private insurance companies & TPA and around 25 to 30 organisations insuring working public under social security schemes. Every panel has its own billing structure and there are lot of different bundled payment packages for the same procedure in the country. It becomes really tough to bill the patients according to the organisation in which patient is covered. Although, there are a lot of software available for Billing but again there are changes in billing according to category of hospitals too . Many a times, Payers deny for the payments to providers even after bill correction.