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mosadegh rad A M, afshari M, nasrolahi R, daneshgar S, korani bahador R. The Impact of Education on Reducing Bill Deductions in a Hospital: A Case Study. Hakim 2017; 20 (3) :156-163
URL: http://hakim.tums.ac.ir/article-1-1785-en.html

The Impact of Education on Reducing Bill Deductions in a Hospital: A Case Study
 

Ali Mohammad Mosadeghrad (PhD)¹, Mahnaz Afshari (PhD Student)^2,3*, Rahman Nasrolahi (BSc)⁴, Sare Daneshgar (MSc)5, Rasoul Corani Bahador (MSc)⁶

¹ Associate Professor, Health Management and Economics Department, School
of Public Health, Health Information Management Research Center, Tehran
University of Medical Sciences, Tehran, Iran
² Maragheh University of Medical Sciences, Maragheh, Iran
³ Health Policy, Health Management and Economics Research Center, Iran
University of Medical Sciences, Tehran, Iran
⁴ Health Management, Tehran University of Medical Science, Tehran, Iran
⁵ Financial Management, Tehran University of Medical Science, Tehran, Iran
⁶ Epidemiology, School of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran

Abstract

Introduction: Insurance companies do not reimburse all patients’ bills if they find any breach in the agreed contract. Implementing the new hospital tariff increased hospitals’ bill deductions. Reducing bills’ deductions increases hospital income. This study aimed to examine the impact of education on reducing bill deductions in a hospital in Tehran, Iran.

Methods: This descriptive and cross-sectional study was conducted using the data collected from bills issued by the hospital for social security insured patients in the second half of 2013, 2014, and 2015. Necessary education was delivered to the staff on how to reduce deductions. Data was analyzed using the SPSS software.

Results: The average of deductions in the second half of 2013, 2014, and 2015 were respectively 2.9%, 11.1%, and 7.3%. The average of deductions in these 3 years were 315138 (9.1 US$), 1876417 (54 US$), and 1645237 (47.2 US$) Rials per inpatient and 5437 (0.2 US$), 66797 (1.9 US$), and 55803 (1.6 US$) per outpatient. In 2013 most deductions were applied to surgical and clinical laboratory services and in 2014, most deductions were related to radiotherapy and chemotherapy services. Hospital bill deductions increased by 282.8% after applying the new tariff. However, it has decreased by 34.2% after providing the education.

Conclusion: Bill deduction has increased after applying the new tariff. However, informing the hospital staff about the reasons for bill deductions’ and training them accordingly could reduce it significantly.

Keywords: Hospital; Social Security Organization; Deductions; Tariff Book; Education
 

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Mosadeghrad AM, Afshari M, Nasrolahi R , Daneshgar S, Corani Bahador R. The Impact of Education on Reducing Bill Deductions in a Hospital: A Case Study. Hakim Health Sys Res 2017; 20(3): 156- 163.

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^*CorrespondingAuthor: Moalem Street, Research Deputy, .Maragheh University of Medical Sciences, Maragheh, Azarbayejan Sharghi, Iran. Tel: +98-9128680624, E-mail: sadaf_af2007@yahoo.com