Background: The health system of Iran is suffering from resources shortage. The health insurance companies (payers) do not confirm all hospitals’ claims (bills) and as a result do not reimburse them completely. Decreasing the amount of these deductions helps healthcare managers to use their resources efficiently. This study aimed to examine the impact of a quality management model on reducing t...

Insurance Deductions of Hospitals in Iran: Systematic Review of Causes and Solutions to Reduce Deductions Aidin Aryankhesal1, Hadi Kalantari1, Pouran Raeissi1, Niusha Shahidi Sadeghi1, * 1Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Abstract Background: This study was conducted via a systemat...

Introduction: Most of the hospital’s special revenues are created by contracting with insurance companies and providing services to insured persons. Large amounts of revenues from hospitals and medical education centers are deducted annually. Reducing hospital deductions is not only important due to manage of hospitals, but also it is necessary. Therefore, the current study aimed to determine t...

Background: Insurance companies sometimes do not reimburse hospitals completely. Reducing the amount of deduction of bills increases hospital’s income and efficiency. This study compares the deductions imposed by social insurance organization on Imam Khomeini hospital’s bills before and after the implementation of health transformation plan.   Material and Methods: Data of this descriptive-de...

Background and Aim: The most important issues that always absorb accuracy and effort of hospital, is the mastery and control over the financial status for the hospital resources management. In all countries, the medical centers are considered as a vital community resource and must be managed in line with the interests of society. Hence, these studies aimed to investigate the causes of insurance...

Background and Aim: Annually, large amounts of fees that paid by hospitals will not be reimbursed as deductions by health insurances and takes irreparable financial losses to hospitals. The purpose of this study was to determine the amount of deductions imposed on hospital bills of Tehran University of Medical Sciences and their causes related to documentation. Materials and Methods: The prese...