Concession / Waiver

A concession or waiver is an approved reduction in a patient's charges — or a full waiver of part of the bill — granted for reasons such as management discretion, a staff benefit, a charity case, or genuine financial hardship a family can demonstrate.

Why it matters in a hospital

Because a concession directly lowers revenue, an ungoverned one is an easy place for billing discipline to quietly erode over time — a discount granted without any record, or approved by the very person who benefits from it. A concession that is properly authorised, recorded against a specific reason, and attributable to a named approver is what keeps genuine generosity from turning into an uncontrolled leak in the billing process. Over a year, even a small, unmonitored drift in how often and how generously concessions get granted can add up to a meaningful share of lost revenue — exactly the kind of slow leak that's hard to notice day to day but shows up clearly once someone finally totals it.

How Trisvio handles it

Trisvio routes a discount beyond a staff member's own authorised limit through a discount request that a different, more senior person must approve — no self-approval is possible — and every concession granted is logged in the audit trail against who requested it and who approved it, and when. That gives an administrator a genuine, queryable answer to “how much did we waive last month, and who approved it” rather than an estimate pieced together from memory.