Reducing medical claims cost to Ghana’s National Health Insurance scheme: a cross-sectional comparative assessment of the paper- and electronic-based claims reviews

BACKGROUND: A robust medical claims review system is crucial for addressing fraud and abuse and ensuring financial viability of health insurance organisations. This paper assesses claims adjustment rate of the paper- and electronic-based claims reviews of the National Health Insurance Scheme (NHIS)...

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Pubblicato in:BMC Health Serv Res
Autori principali: Nsiah-Boateng, Eric, Asenso-Boadi, Francis, Dsane-Selby, Lydia, Andoh-Adjei, Francis-Xavier, Otoo, Nathaniel, Akweongo, Patricia, Aikins, Moses
Natura: Artigo
Lingua:Inglês
Pubblicazione: BioMed Central 2017
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Research Article
Accesso online:https://ncbi.nlm.nih.gov/pmc/articles/PMC5294897/
https://ncbi.nlm.nih.gov/pubmed/28166773
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1186/s12913-017-2054-1
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