GST e-invoicing for hospitals: Everything you need to know
NIC e-invoice (IRN) generation is mandatory for hospitals above Rs 5 crore turnover. Here's how MedOS automates CGST, SGST, IGST, and HSN/SAC mapping.
If your hospital or clinic's aggregate turnover exceeds ₹5 crore, NIC e-invoicing is mandatory. That means every B2B invoice (and increasingly B2C above threshold) needs an Invoice Reference Number (IRN) generated through the NIC e-invoice portal. For healthcare facilities, this creates a unique challenge because medical billing has a complex GST structure.
The GST complexity in healthcare
Not all healthcare services attract GST equally. Room charges below ₹5,000/day are exempt. Diagnostic services attract 18% GST. Pharmacy sales have varying rates by product category. The CGST/SGST split applies for patients from the same state, while IGST applies for inter-state patients.
Getting this wrong — even once — can trigger a GST notice. And manual calculation across hundreds of invoices per month makes errors almost inevitable.
How MedOS automates GST billing
MedOS handles GST complexity at the system level:
Auto tax calculation: Every service and product in MedOS has a pre-mapped HSN/SAC code with the correct GST rate. When you create a bill, the system automatically calculates CGST+SGST or IGST based on the patient's registered state.
Real-time IRN generation: For hospitals above the ₹5 crore threshold, MedOS generates the NIC e-invoice (IRN) at the point of billing — no separate step, no end-of-day batch processing.
UPI reconciliation: Payments collected via UPI (through Razorpay integration) are automatically matched against invoices, eliminating manual payment reconciliation.
GST-compliant billing is included in every MedOS plan, starting at ₹1,999/month on the Starter plan. Try it free for 14 days at medos.in.