ISSN: 2349-5162

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Published in:

Volume 6 Issue 2
February-2019
eISSN: 2349-5162

Unique Identifier

JETIRY006004

Page Number

17-30

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Title

LEAN MANAGEMENT IN HOSPITAL BILLING

ISSN

2349-5162

Cite This Article

"LEAN MANAGEMENT IN HOSPITAL BILLING", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.6, Issue 2, page no.17-30, February-2019, Available :http://www.jetir.org/papers/JETIRY006004.pdf

Abstract

Billing process is the final step in hospital, which is directly proportional to patient satisfaction. Billing plays a vital role in the discharge process and billing documents are even legally important. The hospital billing process is mainly to ensure remuneration for the services and materials provided by hospital to patients. The objective of the study is to evaluate the functioning of billing department in a tertiary care hospital as it plays an important role, as liaison office between the management and the patients. An observational and descriptive study was conducted by using flow chart, bar charts and root-cause analysis for analysing and understanding the billing process in detail and to identify the factors influencing delay in process of billing for insurance patients’ and cash patients. Lean principles were applied to the process and various elements of possible waste were identified.The study is based on random samples of 140 bills. The results show that there is a delay in the preparation of bills and the reasons for delay in submission are due to reporting of investigations, files kept in ward without dispatching, incomplete file, and absence of process monitoring, lack of training, resubmission of documents or bills, shortage of manpower and so on. Some of the ways for optimizing the billing process have been suggested like, increasing the manpower, responsibility and authority matrix, control chart, training and key performance measures for analysing the overall department. The study concludes that it is important for billing personnel to understand and continuously review billing process in detail to have an effective billing process in healthcare organization.

Key Words

Lean Management, Process, Turnaround Time (TAT), Third Party Administrator (TPA), Value Stream Mapping (VSM)

Cite This Article

"LEAN MANAGEMENT IN HOSPITAL BILLING", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.6, Issue 2, page no. pp17-30, February-2019, Available at : http://www.jetir.org/papers/JETIRY006004.pdf

Publication Details

Published Paper ID: JETIRY006004
Registration ID: 196270
Published In: Volume 6 | Issue 2 | Year February-2019
DOI (Digital Object Identifier):
Page No: 17-30
ISSN Number: 2349-5162

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Cite This Article

"LEAN MANAGEMENT IN HOSPITAL BILLING", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.6, Issue 2, page no. pp17-30, February-2019, Available at : http://www.jetir.org/papers/JETIRY006004.pdf




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