CAUSES OF DEDUCTIONS MADE BY THE SOCIAL SECURITY INSURANCE IN HOSPITAL AFFILIATED TO KASHAN UNIVERSITY OF MEDICAL SCIENCES, IRAN

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SAFDARI REZA; KARAMI MAHTAB; MOINI MARYAM

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Journal: Journal of Health Information Management Year:2013 | Volume:10 | Issue:4 Page(s): 140-144

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Title

CAUSES OF DEDUCTIONS MADE BY THE SOCIAL SECURITY INSURANCE IN HOSPITAL AFFILIATED TO KASHAN UNIVERSITY OF MEDICAL SCIENCES, IRAN

Author(s)

SAFDARI REZA | KARAMI MAHTAB | MOINI MARYAM | Issue Writer Certificate

Keywords

INSURANCE

SOCIAL SECURITY

HOSPITALS

Abstract

Introduction: Deductions are a part of hospital revenues. However, they mostly remain unpaid due to incorrect documentation. This study focused on the rate and causes of deductions made by HOSPITALS affiliated to Kashan University of medical Sciences, Kashan, Iran, according to available documents.Methods: This was a descriptive cross-sectional study conducted in the first half of 2009 in HOSPITALS of Kashan University of Medical Sciences. The research population included 7907 medical records covered by the SOCIAL SECURITY INSURANCE. The data was collected by a standard checklist. It was then analyzed through descriptive statistics.Results: Based on available documents, the most important causes of deductions were lack of a physician’s order in drug forms (427), lack of laboratory report in laboratory forms (2195), lack of radiology report in radiology forms (226), incorrect operation report in surgery forms (429), lack of an anesthesiologist’s signature in anesthesia forms (322), and lack of consultation order in consultation forms (226). The study also showed that in general, among all evaluated forms, drug forms had the maximum of deductibles.Conclusion: The most frequent cause of deductions is incorrect documentation. On the other hand, INSURANCE organizations only pay costs according to registered data. Therefore, it is really essential and helpful to pay enough attention to documentation principles. In addition, it is important to use diagnosis related group (DRG) and healthcare information systems.

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APA: Copy

SAFDARI, REZA, KARAMI, MAHTAB, & MOINI, MARYAM. (2013). CAUSES OF DEDUCTIONS MADE BY THE SOCIAL SECURITY INSURANCE IN HOSPITAL AFFILIATED TO KASHAN UNIVERSITY OF MEDICAL SCIENCES, IRAN. HEALTH INFORMATION MANAGEMENT, 10(4), 140-144. SID. https://sid.ir/paper/631154/en

Vancouver: Copy

SAFDARI REZA, KARAMI MAHTAB, MOINI MARYAM. CAUSES OF DEDUCTIONS MADE BY THE SOCIAL SECURITY INSURANCE IN HOSPITAL AFFILIATED TO KASHAN UNIVERSITY OF MEDICAL SCIENCES, IRAN. HEALTH INFORMATION MANAGEMENT[Internet]. 2013;10(4):140-144. Available from: https://sid.ir/paper/631154/en

IEEE: Copy

REZA SAFDARI, MAHTAB KARAMI, and MARYAM MOINI, “CAUSES OF DEDUCTIONS MADE BY THE SOCIAL SECURITY INSURANCE IN HOSPITAL AFFILIATED TO KASHAN UNIVERSITY OF MEDICAL SCIENCES, IRAN,” HEALTH INFORMATION MANAGEMENT, vol. 10, no. 4, pp. 140–144, 2013, [Online]. Available: https://sid.ir/paper/631154/en

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