International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

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Documentation Deficiencies and Their Impact on Return-to-Hospital (RTH) PhilHealth Claims: A Quantitative Analysis

Author(s) Dr. Melissa Medina-Montoya, Dr. Maria Guia Estrella dela Cruz-Almeda, Dr. Jan Anthony Almeda, Mr. Genesis Lanciola, Prof. Dr. Ferdinand Somido
Country Philippines
Abstract Documentation is essential for healthcare reimbursement systems to process claims and comply with reimbursement policies. In the Philippines, the PhilHealth efficiency reimbursement is greatly dependent on the documentation quality submitted by healthcare providers. However, Return-to-Hospital claims are driven by documentation deficiencies that create processing delays and administrative burden.
Keywords PhilHealth Claims, Return-to-Hospital (RTH) Claims, Denied Claims, Documentation Deficiencies, Administrative Deficiencies, Claims Processing, Healthcare Reimbursement
Field Medical / Pharmacy
Published In Volume 8, Issue 4, July-August 2026
Published On 2026-07-07
DOI https://doi.org/10.36948/ijfmr.2026.v08i04.83146
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CrossRef DOI prefix of IJFMR is 10.36948/ijfmr

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