Billing settings (MR/MRS)

The MR/MRS settings tab gathers the parameters that drive the billing of your nursing home: invoice generation, accounting journals, facility accreditation and absence management. You configure them once, then they only change at the margins.

You will find them under Settings > MR/MRS. The tab is only visible to MR/MRS managers.

eHealth secrets are configured elsewhere

The eHealth certificate (.p12), the CIN license and the health-insurer connection credentials are not found in this tab, but in the eHealth configuration. This tab contains no secret data; you enter neither password nor key here.

Automatic billing

This block decides how and when invoices are produced, and whether open periods keep themselves up to date on their own.

Setting

What it does

Recommended value (MR/MRS)

Automatic billing

Automatically generates the monthly stay invoices, without going through the manual cycle. Disabled by default.

Depending on your organization; often left disabled in favor of the manual cycle (generate → invoice), which gives more control.

Billing day

Day of the month on which automatic invoices are generated (only visible if automatic billing is enabled).

1 (start of the month) by default; adjust according to your organization.

Automatic billing refresh

Keeps every open period up to date as soon as any data changes: supplement, absence, end of stay, change of room or health insurance fund, mid-month admission.

Enabled — recommended.

Automatic refresh and the “Refresh” button

With refresh enabled, adding a supplement or an absence is reflected on the period on its own: you generally have nothing to do. The period’s “Refresh” button remains available for a full on-demand recalculation. See Bill a month.

Billing journals

Resthome issues two streams of invoices: the insurer share (dependency lump sum, sent to the insuring body via eFact) and the resident share (accommodation and supplements). Each stream goes into its own sales journal.

Setting

What it does

Recommended value (MR/MRS)

INAMI Journal

Sales journal that receives the invoices for the insurer share (dependency lump sum sent via eFact).

A sales journal of your facility.

Resident Journal

Sales journal that receives the invoices for the resident share (accommodation and supplements).

A sales journal separate from the previous one (recommended).

Facility-specific value

These two journals depend on your chart of accounts. Choose existing sales journals. Separating them (INAMI on one side, resident on the other) makes reconciliation and per-payer tracking easier.

Facility accreditation

Some federal lump sums require a specific accreditation of the facility. This is the case for the coma (Ccoma) lump sum.

Setting

What it does

Recommended value (MR/MRS)

Cc accreditation (coma lump sum)

Tick if the facility holds the accreditation allowing it to bill the Ccoma coma lump sum. Without it, a resident classified as Ccoma is not billable via eFact (neither regional nor federal); accommodation is still billed.

Tick only if your facility is accredited.

Not to be confused with the lump-sum amount

The ordinary dependency lump sum is the same amount for all Katz categories; the category is used to declare the profile to the health insurance fund, not to set the amount (see The INAMI lump sum). The Cc accreditation, for its part, concerns only the special case of the coma lump sum.

Optional features

An additional module is installed directly from the settings, by ticking a checkbox.

Setting

What it does

Recommended value (MR/MRS)

Split billing (maintenance debtors)

Splits the resident share of the monthly invoice among several debtors, each paying a percentage. Ticking this box installs the module.

Enable it if maintenance debtors share the resident share.

What the checkbox does

Ticking installs the module and unticking uninstalls it (Odoo convention). Once enabled, the split is configured per resident. See Maintenance debtors.

Absence management

The presence day rules (noon rule, hospitalization, leave) are built into Resthome and are not configured here. Only the assignee of a follow-up activity is configurable.

Setting

What it does

Recommended value (MR/MRS)

Katz activity assignee

User to whom the “New Katz required” activity is assigned when a hospital readmission exceeds 30 days. If empty: current user (if clinical), otherwise the first head nurse, nurse or doctor found.

The head nurse (or the care manager).

Why 30 days?

A readmission after more than 30 days of hospitalization requires a new Katz assessment. The assigned activity acts as a reminder. See Absences and hospitalizations.

Going further