Propuesta de mejoramiento para reducir el índice de objeciones en instituciones prestadoras de servicios de salud primer trimestre 2022

Abstract

The present intervention proposal has as its fundamental purpose, to positively impact the financial processes of the institutions that provide health services, which have as their main corporate purpose, the sale of the same, to the different health promoting companies, being the billing process, the most sensitive and directly responsible for processing the information that must be submitted periodically to each Responsible Payment Entity (ERP). The proposal seeks to reduce the rates of objections or glosses, in the accounts that are presented to the health promoting companies, through an adequate internal process that must be strengthened according to each particular need, in the institutions that provide health services, which which implies deep reforms that include adoption of regulations by health institutions and care and administrative personnel, with clear and defined institutional policies that lead to the improvement of the return of resources. The main motivation for the preparation of this improvement proposal is to be able to intervene early in all those aspects that are grounds for objections, which implies that not only the administrative area must be involved in this process, but also the It must involve the care area, so that everything that corresponds to the improvement of pertinent and timely care, can be seen more strengthened and thus involve them in the solution of the problem.