The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
권호 표지
DOI QR코드

DOI QR Code

Medical Fees Payback Periods and Characteristics of Medical Account Receivables According to the Type of Accident Insurance

재해보험 유형에 따른 진료비 회수기간과 의료미수금의 특성

  • Park, Eun-Ha (Hospital Management Consulting Institutes) ;
  • Hwang, Byung-Deog (Department of Health Care Management, Catholic University of Pusan)
  • 박은하 (병원경영컨설팅연구소) ;
  • 황병덕 (부산가톨릭대학교 병원경영학과)
  • Received : 2015.02.13
  • Accepted : 2015.03.17
  • Published : 2015.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study was performed to provide efficient fund managing plans for hospitals by looking into the management of medical fees for accident insurance. Car insurance, industrial accident insurance and seamen's insurance at a general hospital which is located in Busan during 29 months from January 1, 2009 to May 31, 2011 were assessed. The research data is the total number of 6,293 cases, including 2,251 car insurance cases, 2,350 industrial accident insurance cases, and 1,692 seamen's insurance cases. There were some significant differences found, as car insurance and seamen's insurance, including accident insurance, are types of insurance for which employers or traffic accidents offenders shall be the final premium payer. In addition, medical examination fees or premium payers are applied under their respective related laws. The findings suggest that it is necessary for managers of hospitals to prepare differentiated management schemes based on the characteristics of each insurer and schemes to ensure proper recovery strategies of uncollected medical account receivables.

Keywords

References

  1. J.H. Shin(2005), A Case Study of Effective Management at Outstanding Medical Fees by 6-Sigma Technique, Yonsei University, pp.4-5.
  2. E.H. Park, B.D. Hwang(2014), Accrual Medical Expenses and Actual Situation of Medical Receivable, Korea Journal of Hospital Management, Vol.19(3);1-10.
  3. Y.C. Ahn(2007), Hospital Financial Management, Bomungak, pp.285-290.
  4. Y.T. Kim(2007), A Study on the Accounting Practices of Hospitals in Incheon Metrpolitan Area, Gachon University of Medicine Science, pp.7-8.
  5. H.S. Yoon(1994), The Study on the Realities of Insurance Companies' Medical Charge Payment in the Hospital Management, Kyung Hee University, pp.1-2.
  6. C.I. Kwon, J.H. Kim, J.H. Kim, S.H. Lee(2007), Social-Economic Effects of Integrating Insurance Review Systems: National Health Insurance, Automobile Insurance and Work Accident Insurance, Korean Association of Health and Medical Sociology, Vol.20(1);105-125.
  7. M.H. Woo(2011), The Study on the Medical Treatment Utilization in Workmen's Accident Compensation Insurance of Land Workers and Maritime Workers, Catholic University of Pusan, p.30.
  8. H.S. Kim(2009), The Study about Insurance Guarantee System for Oil Pollution from P&I Club, Sungkyunkwan University, pp.18-19.
  9. Korea Health Industry Statistics System(2014), Korea Health Industry Development Institute, http://125.60.29.108/stat_html/statHtml.do
  10. Y.W. Jeon(2001), Limitations of the Present Seafarers Accident Compensation System and Recent International Trends for Improving the System - Focusing on the Improvement of Compulsory Liability Insurance System - Maritime Law Review, Vol.13(1);89-119.
  11. J.S. Kim(2005), Study for the Accident Compensation Insurance System for Seamen, Korea Maritime University, pp.82-83.
  12. E.J. Jeong, B.D. Hwang(2011), The Influence on Selecting the Medical Institute for Treatment by Patients Who Had Abnormal Findings through the Private Health Screening, The Korean Journal of Health Service Management, Vol.5(4);1-13. https://doi.org/10.12811/kshsm.2011.5.4.001
  13. Ministry of Oceans and Fisheries.Korea Seafarer's Welfare & Employment Center(2013), Korea Seafarer's Statistical Year Book 2013, p.297.
  14. T.S. Park(2005), An Analysis of Automobile Insurance and Health Insurance Patients', Uses of the Medical Services : Focused on Those Users of a University Hospital, Kyung Hee University, p.8.