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2016•Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT)Open access

The billing process of a surgical service: A case study in the sector of private healthcare services

Maria Cardoso

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Abstract

Resorting to process management approaches, particular the PEMM, the study focuses on the billing process of the surgery service of the six private hospitals from José de Mello Saúde. For that matter the process is described and evaluated in aspects such as process design, performers, owners, infrastructures and metrics. The analysis is complemented with the presentation of process performance in 2015. From the analysis six main recommendations emerge. In general terms, the recommendations presented aim to transform the studied process in a reliable, predictable and stable process.

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What this paper is about

Resorting to process management approaches, particular the PEMM, the study focuses on the billing process of the surgery service of the six private hospitals from José de Mello Saúde. For that matter the process is described and evaluated in aspects such as process design, performers, owners, infrastructures and metrics. The analysis is complemented with the presentation of process performance in 2015. From the analysis six main recommendations emerge. In general terms, the recommendations presented aim to transform the studied process in a reliable, predictable and stable process.

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Available abstract

Resorting to process management approaches, particular the PEMM, the study focuses on the billing process of the surgery service of the six private hospitals from José de Mello Saúde. For that matter the process is described and evaluated in aspects such as process design, performers, owners, infrastructures and metrics. The analysis is complemented with the presentation of process performance in 2015. From the analysis six main recommendations emerge. In general terms, the recommendations presented aim to transform the studied process in a reliable, predictable and stable process.

Key concepts: Private sector, Business, Health care, Healthcare service, Process (computing), Health services, Private practice, Service (business)

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