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The Indian economy has been operating with 60% less currency since the November announcement by the prime minister, Narendra Modi, that the country's two most used cash bills would cease to be valid within hours.
We found that the main difference between the cash billing service and smartcard billing service was the waiting time involved in cash billing and the giving of change.
The sensitivity analysis shows that we could suppose that hospital administrators install further cash billing windows to reduce the waiting time of cash billing users.
Regarding this hospital, the reengineering of the cash billing service does not increase labor costs.
Under a cash billing system clerks are required to work in the cashier windows.
Traditional cash billing services are time consuming and require patients to carry large sums of money.
Thus, we measured the time patients spent in the cash billing process during 60 periods.
We used OPD volume, percentage of smartcard billing, and unit cost cash billing to predict OPD billing cost.
The average activity time for the cash billing service was 0.93 min, with an average waiting time of 8.05 min.
Incremental costs could break-even because of the decrease in direct labor required for cash billing services in the hospital.
The activity time required in using the cash billing service was determined via a time and motion study.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com