Application of a single sampling plan for auditing medical-claim payments made by Taiwan National Health Insurance

淡江大學機構典藏 > 商管學院 > 財務金融學系暨研究所 > 期刊論文 > Item 987654321/23696

請使用永久網址來引用或連結此文件: https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/23696

題名:	Application of a single sampling plan for auditing medical-claim payments made by Taiwan National Health Insurance
作者:	Fu, Hwai-hui;Tsai, Hsien-tang;Lin, Ching-wei;Wei, Duan
貢獻者:	淡江大學財務金融學系
關鍵詞:	Sampling audit process;Medical-claim payments;Single sampling plan
日期:	2004-11
上傳時間:	2009-11-30 17:49:51 (UTC+8)
出版者:	Elsevier
摘要:	National Health Insurance (NHI) has been implemented in Taiwan for nearly a decade. Owing to growing demand for medical-care, effective sampling auditing is a key factor in obtaining reasonably priced medical-care services. This investigation proposes a conceptual framework “medical-claim payment auditing (MCPA) procedure” based on the “Military Standard 105E (MIL-STD-105E) single sampling plan” for establishing an objective criterion for making medical-claim payments fairly. The MCPA procedure contributes to the following: (1) meeting international standards of sampling technology; (2) reducing the sampling ratio and consequently auditing costs; and (3) encouraging healthcare providers to honestly apply their medical-claim payments thus avoid wasting medical resources.
關聯:	Health policy 70(2), pp.185-195
DOI:	10.1016/j.healthpol.2004.02.006
顯示於類別:	[財務金融學系暨研究所] 期刊論文

文件中的檔案:

檔案	大小	格式	瀏覽次數
index.html	0Kb	HTML	106	檢視/開啟

在機構典藏中所有的資料項目都受到原著作權保護.

TAIR相關文章