Analysis Of Patient Receivables Management With Insurance Providers To Achive Receivables Settlement Targets At Persada Hospital Malang
DOI:
https://doi.org/10.30994/jhms.v6i2.102Keywords:
Keywords: Management, Receivables, InsuranceAbstract
Background: Hospital receivables represent a significant issue impacting public healthcare services directly. They can diminish the quality of healthcare provision, hinder investments in facility development and human resources, and increase the risks of payment failures and financial losses for hospitals. Therefore, effective and efficient receivables management is crucial for Persada Hospital to achieve its insurance receivables settlement targets. Method: The research employs a qualitative descriptive method with source triangulation and methods including direct observations and in-depth interviews. Result: Various factors influencing patient receivables with insurance providers include complex insurance policies, slow hospital administrative processes, and delayed payments from insurance companies. Regarding payment measurement, factors such as the number of days from claim submission to payment, percentage of claims paid on time, and number of claims delayed or denied are crucial for evaluating billing process performance. Strategies such as implementing information technology systems, staff training, and enhancing communication with insurance companies can help improve billing performance at hospitals. Conclusion: To continually develop more efficient and transparent billing systems and procedures, standardizing insurance claim procedures, utilizing information technology systems, and enhancing communication and coordination with insurance companies are strategic steps that can enhance the effectiveness and efficiency of patient receivables management.
References
Amelia, A. R., SKM, M. K., Rusydi, A. R., & SKM, M. K. (2021). Sistem Informasi Kesehatan (Kajian Covid-19 Melalui Sistem Informasi Kesehatan). Deepublish.
Banding, M. P., & Padliansyah, R. (2022). Sistem Informasi Manajemen: Dalam Perspektif Revolusi Industri 4.0. Syiah Kuala University Press.
Binanggal, C. V. 2016. “Analisis Sistem Pengendalian Internal Piutang Pada PT. Tunas Dwipa Matra Cabang Manado.”
Dekrita, Y. A., & Samosir, M. (2022). Manajemen keuangan rumah sakit: Konsep dan analisis. Penerbit NEM.
Diba, Silfi Zuhaira. 2020. “Analisis Pengelolaan Piutang Pasien Rawat Inap Jaminan Asuransi Dan Perusahaan Rumah Sakit Gatoel Kota Mojokerto Tahun 2017.”
Erawantini, F., Km, S., Suryana, A. L., Khoirunnisa’Afandi, S., & Kom, M. (2021). Rekam Kesehatan Elektronik Dengan Clinical Decision Support System (CDSS). UPT Penerbitan & Percetakan Universitas Jember.
Ermawijaya, Masri. 2020. “Dampak Penerapan Metode Penghapusan Piutang Tak Tertagih Terhadap Pendapatan Rumah Sakit Umum Daerah (RSUD) Sekayu Kabupaten Musi Banyuasin.” Jurnal Ilmiah Akuntansi Rahmaniyah 3(1):50. doi: 10.51877/jiar.v3i1.93.
Ganie, A. J., & SE, S. (2023). Hukum Asuransi Indonesia. Sinar Grafika.
Gunawan, Hendrik. 2019. “Analisis Sistem Manajemen Piutang Pasien Rawat Inap Di Rumah Sakit Umum Daerah Al Ihsan Provinsi Jawa Barat.”
Iroth, Natasia, Jullie J. Sondakh, dan Stanley Kho Walandouw. 2020. “Analisis Pengakuan Pendapatan Dan Beban Pada Pt. Asuransi Adira Dinamika Cabang Manado.” GOING CONCERN : JURNAL RISET AKUNTANSI 15(2):159. doi: 10.32400/gc.15.2.28027.2020.
Jannah, Mukhlishotul. 2018. “Aspek Akuntansi Dalam Asuransi Syariah.”
KRESNADIANSYAH, Y. (2022). PENGARUH PENGELOLAAN PIUTANG JAMINAN KESEHATAN NASIONAL (JKN) TERHADAP ARUS KAS (Studi Kasus Pada PMN RS Mata Cicendo Bandung Periode 2016–2020) (Doctoral dissertation, Universitas sangga buana YPKP).
Kusumawati, Alicia, Yogi Yusuf Wibisono, dan Kinley Aritonang. 2014. “Perbaikan Proses Bisnis untuk Mengurangi Piutang di PT. Asuransi Astra Buana Cabang Bandung.” 3.
Luksiana, Englin Widyah. 2016. “Prosedur Penagihan Piutang Rawat Inap Dan Rawat Jalan Dengan Menggunakan Asuransi Di Rs Pgi Cikini.”
Mahrus, Moh Luthfi, dan Muhadi Prabowo. 2020. “ANALISIS PENCATATAN PIUTANG SUBROGASI PADA PERUSAHAAN PENJAMINAN.”
Rara, A. (2021). Evaluasi Pencapaian Universal Health Coverage (Uhc) Dalam Pelayanan Kesehatan Ibu Dan Anak Di Rskdia Siti Fatimah Makassar: Study Explanatory (Doctoral dissertation, UNIVERSITAS HASANUDDIN).
Septian, E. (2021). Penerapan Sistem Pelayanan Aplikasi Pendaftaran Online di Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta. Matra Pembaruan: Jurnal Inovasi Kebijakan, 5(1), 53-64.
Siregar, Marissa Nur Afifah, dan Della Maretha. 2021. “Pengaruh Premi Bruto dan Piutang Premi Terhadap Laba Usaha Pada PT. Asuransi Ramayana, Tbk Periode 2008-2015.” 15(1).
Sunaryo, Deni. 2019. “Pengaruh Perputaran Piutang Jaminan Kesehatan Daerah (Jamkesda) Terhadap Rasio Kas Studi Kasus Pada RSUP Dr. Hasan Sadikin Bandung.” 2(2).
Supriyadi, Stevanus Gatot. 2019. “Analisis Manajemen Piutang Pasien Rawat Inap Jaminan Asuransi Di Rumah Sakit Kabupaten Kediri Tahun 2017.”
Susanti, Yeni. 2020. “Analisis Sistem Dan Prosedur Penagihan Klaim Asuransi Kesehatan.” 1(1).
Windarti, S., & Nadya, A. (2023). Implementasi Sistem Informasi Manajemen Rumah Sakit (SIMRS). Penerbit NEM
