Ordered but never billed
Reconciles every lab and radiology order against the invoice. Investigations that were performed and released without a charge line get surfaced the same day.
Live in a 100-bed multispeciality hospital
The hospital system that pays for itself.
NexusHealth runs the whole hospital — OPD, IPD, pharmacy, diagnostics and billing — on one local-first platform, then finds the revenue quietly leaking out of it. Purpose-built for 50–250 bed multispeciality hospitals in India.
Runs on-premise. Cloud sync optional. Your data never has to leave the hospital.
One patient · one record · end to end
Single source of truth- 01
Registration
MRN + token
- 02
Encounter
Vitals, notes, Rx
- 03
Orders
Lab, radiology
- 04
Pharmacy
IP + OP stock
- 05
Billing
Invoice, payment
Revenue Integrity sits across every step — catching the order that was never billed, the consumable never charged, and the discount nobody approved.
The difference
Most hospital software records revenue.
Ours goes looking for the missing part.
In a busy hospital, income leaks in small, boring, invisible ways — an order performed and never billed, a drug issued and never charged. NexusHealth runs continuous checks across departments and puts the gaps in front of the people who can fix them, while the patient is still in the building.
Dispensed but never charged
Matches IP and OP dispensing against stock movement and billing, so consumables and drugs issued to the ward stop disappearing from the bill.
Bed-day and procedure gaps
Cross-checks admission length, bed category and recorded procedures against what was actually invoiced at discharge.
Unapproved discounts
Every concession carries a reason and an approver. Discounts issued outside policy are logged with the remark and the user who applied them.
Revenue Integrity is also available as a standalone module — it can run alongside the HMS you already have, before you commit to replacing it.
Request a leakage assessmentThe platform
Every department. One system.
Not a billing package with clinical bolted on, and not an EMR that ignores the money. NexusHealth covers the hospital end to end, so nothing has to be re-keyed between departments.
Patient Management
OPD and IPD registration, automatic MRN generation, duplicate detection and record merging, and full longitudinal history.
Appointments & Queue
Doctor schedules with exceptions, token-based queue management, and both list and token views for the front desk.
Clinical Documentation
Encounters, configurable vitals, prescriptions, structured clinical notes and casesheet uploads — with medical symbol shortcuts built into every field.
Orders & Investigations
Lab, radiology and procedure orders with a technician worklist, result entry, file attachment and full status tracking.
Pharmacy
Separate IP dispensing and OP counter-sale POS, each with its own stock and inventory, ward indents and a shared drug master.
Billing & Revenue
Charge master, invoices, payments, deposits and refunds, with editable investigation pricing and audited discount remarks.
Bed Management
Real-time bed board across a facility, building, floor, ward, room and bed hierarchy, with live occupancy and cleaning status.
DICOM Imaging
Cornerstone-based viewer integrated with an Orthanc DICOM server, including 3D reconstruction for cross-sectional studies.
Discharge Summaries
Structured discharge workflow producing print-ready PDFs on your hospital letterhead, including transfer and shift-out forms.
Reports & Analytics
Financial, clinical and operational reporting with CSV and PDF export, built for daily management review.
CRM & Engagement
Follow-up tracking, appointment reminders, no-show capture and multi-channel patient communication with templates.
Multi-Branch & RBAC
Branch-scoped data with controlled cross-branch access, 13 staff roles and 47+ granular permissions.
Architecture
Local-first. Cloud optional.
Indian hospitals do not get to pause admissions because a fibre line is cut. NexusHealth is built on-premise first — the cloud is there for backup and reach, never as a single point of failure.
- Works when the internet does not
- The database and application run inside the hospital. A broken link to the outside world does not stop admissions, dispensing or billing.
- Cloud sync is a choice, not a condition
- Optional encrypted delta sync gives you off-site backup and remote access for consultants. Switch it off and nothing leaves the premises.
- Your data stays yours
- On-premise PostgreSQL with scheduled, verifiable backups. No lock-in to a vendor cloud, and no per-record hostage-taking on exit.
Deployment topology
Inside the hospital
Web application
Application server
PostgreSQL database
DICOM / imaging server
Reachable only from the hospital network and approved VPN devices.
encrypted delta sync · optional
Cloud — if you want it
Off-site backup
Remote consultant access
Trust
Built for records you cannot afford to lose.
Patient data carries obligations that ordinary business software does not. Access control, audit and recoverability are part of the foundation here, not a compliance module bolted on before an inspection.
Audited access to every record
Reads and writes against patient data are written to an immutable audit log — who, what, when, and from where.
Role-based access control
13 staff roles and 47+ granular permissions. Doctors see the full clinical picture; financial detail stays with the people who need it.
Enforced password and session policy
Complexity rules, password history, scheduled expiry, account lockout after repeated failures, and centrally revocable sessions.
Network-restricted by default
Access is limited to the hospital network and explicitly approved devices, with all traffic over HTTPS.
Break-glass emergency access
Clinicians are never blocked in an emergency — but every override is recorded, attributed and reviewable afterwards.
Verified, scheduled backups
Automated backups with restore verification, so the recovery plan is something you have tested rather than something you own.
Implementation
The software is the easy part.
Most HMS projects do not fail on features — they fail in the six weeks around go-live, when staff are busy and nobody has time to learn a new system. That is the part we take seriously.
- 01
Discovery & configuration
We map your existing workflow, charge master, wards and departments, then configure the system around how your hospital already works — not the other way round.
- 02
Data migration
Existing patient records, drug masters and pricing are brought across and reconciled with you before anything goes live.
- 03
Role-based training
Front desk, nursing, doctors, pharmacy, lab and billing are each trained on their own screens — short sessions, on your floor, in your workflow.
- 04
Supervised go-live
We are physically present for the switchover and the days that follow, when the questions actually arrive.
- 05
Review & optimisation
After the system settles, we come back with the first revenue integrity findings and work through them with your management team.
Next step
See it running in a real hospital.
We would rather show you the system handling a live OPD queue than talk you through a slide deck. Tell us your bed count and the departments you run, and we will tailor the walkthrough to them.