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KMID : 1002520150090010057
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Korean Journal of Health Service Management
2015 Volume.9 No. 1 p.57 ~ p.66
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Medical Fees Payback Periods and Characteristics of Medical Account Receivables According to the Type of Accident Insurance
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Park Eun-Ha
Hwang Byung-Deog
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Abstract
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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.
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KEYWORD
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Medical Fees, Accident Insurance, Seamen’s Insurance, Medical Account Receivables
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