Development of Revenue Collection System Using a Receivable Claim Management (RCM) Progam in Health Network, Mukdahan Province

Abstract

Purposes : to examine the situation development process and evaluate the revenue collection system using a receivable claim  management (RCM) progam in health network, Mukdahan Province.

Study design : We were obtained a mutual collaborative action research.

Materials and Methods : 32 of Key informants were responsible for revenue collection centers in community hospitals during the situation study phase and 32 of service system development phases, 2) Four of responsible for revenue collection centers in Mukdahan Provincial Public Health Office, and 3) 21 of practitioners a main person responsible for operating the revenue collection service system of community hospitals in the Mukdahan Provincial Health Network consists of supervisors. We were conducted from June to September 2023. Data were collected using questionnaires, question guidelines for group discussion and recording form. Data were analyzed using frequency, percentage, mean, standard deviation, and Precentage difference.

Main findings :  (1) A conditions of problems among workers in revenue collection centers were found to be causes of discrepancies, Of information comes from human side. Internet system, processes, programs, etc., and when surveying and studying overall system situation, it was found that there wasa low level of debtor management. (2) Development of the revenue collection system, consisting of (1) Revenue structure   (2) Collecting all funds (3) Personnel  appropriate (4) Complete recording (5) Corrected code  (6) Disbursement for each medical fund system and (7) Control, evaluate, and after action review.

Conclusion and recommendations : After development, it was found that Overall debtor management increased by 28.97 percent and efficiency management scores Overall, there was an increase of 5 places, a decrease of 2 places (71.43%).