Implementación de un plan de acción estratégico como mejora al proceso de facturación de la ESE Hospital Olaya Herrera de Gamarra (Cesar)

Abstract

This study was carried out, which included the development of a strategic action plan to improve the billing process at the Olaya Herrera Hospital in Gamarra, Cesar, in order to provide concrete solutions to reduce or eliminate these evident problems that are currently occurring. . The methodology used was quantitative in real time, of a descriptive and observational type in real time, it was applied to the billing area of the organization to the 7 employees of the Hospital, with the results of the survey, they allowed to indicate that the collaborators of the ESE do not know the regulations regarding the billing process, and the existing contraction modalities between the EPS, Territorial Entities and other Entities Responsible for ERP Payment, without leaving behind the fact that they do not have an auditor to whom they can express their doubts at the time of execution their work in order to safely carry out their respective process; Another mechanism used in the investigation was the performance of an audit of medical records and billing. It is vitally important to have an auditor who is in charge of providing traceability corresponding to each procedure, and providing permanent communication between the auditor and the person in charge of carrying out the billing process, so that the ESE does not have problems when it comes to invoice, avoiding as far as possible the generation of returns and glosses, generating an optimal portfolio return in the institution.