Methods to reduce outstanding medical fees at public hospital in Malaysia: An action research project.

The aim of the study to solve problems related to revenue collection at Public Hospitals in Malaysia. Using the action research approach, two phases were adapted to review the state of metastasizing outstanding medical fees at one of the public hospitals located at west coast of Sabah and its contri...

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Main Authors: Lu Shin Yeen, Christine, Basiruddin, Rohaida, Mohd. Ali, Zainudin, Iskandar Shah, Darween Rozehan Shah
Format: Article
Published: Routledge 2023
Subjects:
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author Lu Shin Yeen, Christine
Basiruddin, Rohaida
Mohd. Ali, Zainudin
Iskandar Shah, Darween Rozehan Shah
author_facet Lu Shin Yeen, Christine
Basiruddin, Rohaida
Mohd. Ali, Zainudin
Iskandar Shah, Darween Rozehan Shah
author_sort Lu Shin Yeen, Christine
collection ePrints
description The aim of the study to solve problems related to revenue collection at Public Hospitals in Malaysia. Using the action research approach, two phases were adapted to review the state of metastasizing outstanding medical fees at one of the public hospitals located at west coast of Sabah and its contributing factors. The secondary data from monthly or annual financial reports, focus group discussions (N = 20), and review of government documented regulations and manuals were gathered in this study. It was revealed that the significant proportion of outstanding medical fees in the public hospital is attributed to non-citizens. The main problems faced include noncompliance with policies and procedures in the revenue collection process; lack of IT-based revenue cycle management; and poor engagement of hospital staff in revenue cycle management. Implementation of an IT-based billing system has improved communication between frontline and backend staff and hence improved revenue collection efficiency. Further collaboration with higher authorities in the implementation of a comprehensive online payment system and to increase insurance coverage for non-citizens via medical and social services are explored.
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spelling utm.eprints-1071242024-08-27T07:55:02Z http://eprints.utm.my/107124/ Methods to reduce outstanding medical fees at public hospital in Malaysia: An action research project. Lu Shin Yeen, Christine Basiruddin, Rohaida Mohd. Ali, Zainudin Iskandar Shah, Darween Rozehan Shah HV Social pathology. Social and public welfare The aim of the study to solve problems related to revenue collection at Public Hospitals in Malaysia. Using the action research approach, two phases were adapted to review the state of metastasizing outstanding medical fees at one of the public hospitals located at west coast of Sabah and its contributing factors. The secondary data from monthly or annual financial reports, focus group discussions (N = 20), and review of government documented regulations and manuals were gathered in this study. It was revealed that the significant proportion of outstanding medical fees in the public hospital is attributed to non-citizens. The main problems faced include noncompliance with policies and procedures in the revenue collection process; lack of IT-based revenue cycle management; and poor engagement of hospital staff in revenue cycle management. Implementation of an IT-based billing system has improved communication between frontline and backend staff and hence improved revenue collection efficiency. Further collaboration with higher authorities in the implementation of a comprehensive online payment system and to increase insurance coverage for non-citizens via medical and social services are explored. Routledge 2023 Article PeerReviewed Lu Shin Yeen, Christine and Basiruddin, Rohaida and Mohd. Ali, Zainudin and Iskandar Shah, Darween Rozehan Shah (2023) Methods to reduce outstanding medical fees at public hospital in Malaysia: An action research project. Journal of Social Service Research, 49 (6). pp. 731-753. ISSN 0148-8376 http://dx.doi.org/10.1080/01488376.2023.2269214 DOI:10.1080/01488376.2023.2269214
spellingShingle HV Social pathology. Social and public welfare
Lu Shin Yeen, Christine
Basiruddin, Rohaida
Mohd. Ali, Zainudin
Iskandar Shah, Darween Rozehan Shah
Methods to reduce outstanding medical fees at public hospital in Malaysia: An action research project.
title Methods to reduce outstanding medical fees at public hospital in Malaysia: An action research project.
title_full Methods to reduce outstanding medical fees at public hospital in Malaysia: An action research project.
title_fullStr Methods to reduce outstanding medical fees at public hospital in Malaysia: An action research project.
title_full_unstemmed Methods to reduce outstanding medical fees at public hospital in Malaysia: An action research project.
title_short Methods to reduce outstanding medical fees at public hospital in Malaysia: An action research project.
title_sort methods to reduce outstanding medical fees at public hospital in malaysia an action research project
topic HV Social pathology. Social and public welfare
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