[ effect of employee training on insurance deduction rate at firoozgar teaching hospital: 2008-2009]

ABSTRACT

Due to the low tariff of diagnostic and treatment services in hospitals as well as the high costs of delivering the health care services, the necessity of receiving all revenues from the insurance organizations can be justified. The purpose of this study was to investigate the effect of employee training on insurance deduction rate at Firoozgar Teaching Hospital. The present study was longitudinal, analytical, cross-sectional, and applied in nature. The population consisted of the insurance documents of all hospitalized patients insured by the two insurance organizations of 'Social Security' and 'Medical Services' [1685 and 1330 files, respectively] in Firoozgar Teaching Hospital during spring 2007 and spring 2008. Data were processed by SPSS software and were analyzed using paired t-tests. The average percentage of management errors in insurance documents was 1.38 and 3.25 before and after the training, respectively. Furthermore, the amount of deductions decreased from 9.13 to 9.6 before and after the training, respectively. The effect of training on errors was confirmed considering both insurance organization types [P Employee training significantly decreased the number of errors in insurance documents and the insurance deduction rate at Firoozgar Teaching Hospital. Obviously, the administration of continuous and systematic educational programs can enhance the employees' efficiency and partnership in decreasing the insurance deductions resulting in developing positive interactions with the representatives of the insurance organizations