Causes of National Health insurance Fund (NHIF) claim rejection at Mwanza City, Mwanza, Tanzania (Record no. 21941)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 02322nam a22001577a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 210817b |||||||| |||| 00| 0 eng d |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Kidava, Dominicus. Francisco |
| 9 (RLIN) | 22181 |
| Dates associated with a name | CUHAS/MD/4001703/T/16 |
| 245 ## - TITLE STATEMENT | |
| Title | Causes of National Health insurance Fund (NHIF) claim rejection at Mwanza City, Mwanza, Tanzania |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania: |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences CUHAS - Bugando; |
| Date of publication, distribution, etc. | ©2020 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | xiii; 35 Pages |
| Extent | Includes References and Appendices |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: National health insurance fund is a prepayment scheme in which NHIF members have cards which enable them to receive free services at accredited health facilities and every month accredited health facility send NHIF claims to NHIF for health services provided to its members but some NHIF claims are rejected but little in known so this study was conducted to determine the causes of NHIF claim rejection at Mwanza city, Mwanza Tanzania.<br/><br/>Methodology: This was a qualitative study conducted from September 2020 to January 2021 involving 15 public NHIF accredited health facilities and total of 23 key respondents (Doctors from NHIF accredited facilities).<br/><br/>Results: From this study the major causes of NHIF claim rejection at Mwanza city were non adherence to standard treatment guideline, improper filling of NHIF forms and disease code mismatch. Improper filling of NHIF forms was attributable to shortage of health care workers, lack of awareness on proper filling of NHIF forms and inattention among health care workers when filling NHIF forms. Suggested ways for reducing NHIF claim rejection at Mwanza City were to increase to number of health care workers, education on proper filling of NHIF forms and NHIF consideration of clinical judgments.<br/><br/>Conclusion: There is strong evidence that NHIF claim rejections are still occurring at NHIF accredited health facilities and thus there is the need for health care workers in NHIF accredited health facilities to cooperate among themselves especially in ensuring that NHIF forms are filled properly and also There is the need for NHIF management services to NHIF clients so as to reduce NHIF claim rejection at their facilities. <br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Community Health |
| 9 (RLIN) | 48521 |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| 9 (RLIN) | 20021 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | UNDERGRADUATE DISSERTATIONS |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Collection | Home library | Current library | Shelving location | Date acquired | Total checkouts | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 08/17/2021 | UD1899 | 08/17/2021 | 08/17/2021 | UNDERGRADUATE DISSERTATIONS |