Case study on reimbursement process and settlement of bills of patients treated under package charges in super speciality public hospital

Authors

  • Ruchi Garg Department of Health and Hospital Management, IIHMR University, Jaipur, Rajasthan, India
  • Neeraj Garg Command Project Officer, Head Quarter South West Command, Ministry of Defence, Government of India, India
  • Abhinav Wankar Department of Hospital Administration, All India Institute of Medical Sciences, New Delhi, India
  • I. B. Singh Additional Medical Superintendent, Cardio Thoracic Neurosciences Centre, Department of Hospital Administration, All India Institute of Medical Sciences, New Delhi, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20181767

Keywords:

Account section, Billing, Delay, Process mapping, Patient satisfaction, Reimbursement

Abstract

Background: In the Government hospitals, because of constraints of resources, patients are often asked to buy certain items required for their treatment procedure. There is an inadvertent delay in bill reimbursement process due to the cumbersome procedure, which causes dissatisfaction among patients. Thus, it was highly imperative to reduce the reimbursement time and improve the level of patient satisfaction by improving quality of services. The present study depicts modifications initiated to reduce causes of delay and improve patient satisfaction.

Methods: Process mapping was done for different procedures which are carried out under package system at Cardio Neuroscience Centre. All the available documents were analysed from Operation theatre, Wards, ICU, Billing section, Account office, OPD area etc. and Interviews were taken from consultants, nursing staff, staff working at Billing section, Account office etc. to identify causes of delay.

Results: The study helped in improvement in efficiency by 60% percent and reduces the number of resources by 10 percent.

Conclusions: The study helped to increase productivity gains and improve accuracy.

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References

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Published

2018-04-25

How to Cite

Garg, R., Garg, N., Wankar, A., & Singh, I. B. (2018). Case study on reimbursement process and settlement of bills of patients treated under package charges in super speciality public hospital. International Journal of Research in Medical Sciences, 6(5), 1726–1729. https://doi.org/10.18203/2320-6012.ijrms20181767

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Original Research Articles