Refined management of outpatient billing and refunding in stomatological hospitals
10.3969/j.issn.1671-332X.2024.05.019
- VernacularTitle:口腔医院门诊收退费问题探讨及精细化管理实践
- Author:
Kui QIN
1
;
Dan XU
Author Information
1. 上海申康医院发展中心 上海 200041;上海市口腔医院 上海 200001
- Keywords:
Stomatological hospital;
Diagnosis and treatment before payment;
Fee collection and refund;
Internal con-trol;
Refined management
- From:
Modern Hospital
2024;24(5):729-732
- CountryChina
- Language:Chinese
-
Abstract:
Objective This paper aims to assist the hospital in managing billing and refunding risks from the billing pol-icy of"diagnosis and treatment before payment"by analyzing situations of outpatient and emergency fee refunds at a stomatologi-cal hospital to provide references for outpatient billing and refunding in stomatological hospitals.Methods Through analyzing outpatient and emergency billing and refunding data from stomatological hospitals over a certain period,this paper investigated the causes and risk factors associated with outpatient billing and refunding.According to various risk factors,this paper comprehen-sively considered internal control requirements,cost efficiency,and patient satisfaction,and adopted ESIA analysis to propose corresponding refined management measures.Results Implementing of the relevant refined management measures,the number of prescriptions provided without charging and refunding decreased significantly.The issue of patients missing payments improved significantly,and the risks associated with billing and refunding were significantly reduced.Conclusion Under the"diagnosis and treatment before payment"mode,this paper suggests that stomatological hospitals should optimize the management of billing and refunding,enhance the medical services,improve internal control mechanism,and keep the information updated to effective-ly control related risks.
