CHAPTER V

SUMMARY, FINDINGS, CONCLUSIONS AND RECOMMENDATIONS

This chapter discusses the summary and the findings of the study. It also
provides the conclusions and recommendations, as well as the areas for further
research as a result of the study.
Summary
Statement of the Problem
The primary objective of this study is to determine the receivable
management practices of Daraga Water District. Specifically, it seek to
answer the following questions:
1. What are the receivable management practices of Daraga Water
District in terms of:
1.1 Billing
1.2 Collection?
2. What are the problems encountered by the Daraga Water District along
with the aforecited variables?
3. What are the viable recommendations maybe suggested to enhance
the problems encountered in managing receivables of Daraga Water
District ?
This study employed the descriptive survey method of research. Questionnaires from
respondents were used to gather the primary data. Readings from books, articles from
internet, journals and unpublished thesis served as secondary source of data. The study
utilized complete enumeration in gathering the data. This realized a 100% retrieval rate.

Findings
Based on the data, the findings of the study were as follows:
I.

The Billing System Adopted by Bicol Regional Training and Teaching

Hospital
a. Preparation of Billing Charges and Claims from Health Care Providers
Bicol Regional Training and Teaching Hospital is using manual billing system with

the aid of computers which helps them to process the billing charges and claims from
health care providers of the patients efficiently. The billing process starts when the billing
section

receives

notice

of

admission

from

the

admitting

and

information

department/section. Then, they prepare individual jacket/ledger for each patient. Next,
they receive charge slips coming from the different wards and require patient to submit
documents/requirements or PhilHealth claims or other health care providers. When they
receive the discharge clearance, they retrieve the patient jacket/ledger to prepare the
billing statement. And then, finally they issue the final statement of account to the
patients relative or watcher.
b. Patient Discharge
The final statement of account of the patients is given to their respective wards
for them not to update it anymore in the billing section. When the watchers submit their
requirements, billing staff can process it immediately so that the patient will no longer
wait for a long time to get and pay their hospital bills and process their discharge from
the hospital.
II.

Level of Efficiency of the Billing System of BRTTH

The findings revealed that the current billing system of Bicol Regional Training

and Teaching Hospital along processing of receipts of billing from wards, promptness of
the billing staff in informing about the hospital charges and billing process, timeliness of

the billing staff to complete their billing works and timeliness of the doctor in completing
and signing the discharge summary are efficient.
III.

Problems Encountered by the Watchers in the Billing System of BRTTH

The result of the watchers evaluation of their problems encountered in the billing

system of Bicol Regional Training and Teaching Hospital were billed for someone elses
treatment, charged twice for the same thing, and billed for services they did not receive.
The respondents identified that the following problems which are: billed more than the
patients insurance companys contracted rate, billed for something the patient doesnt
know, dispute about the facility fee, insurance company refused to pay all or part of
patients bill and getting no answers to patients questions about the billing process from
the billing staff have never been encountered as a problem in the efficiency of the billing
system of the hospital.
II.

Recommendations/Suggestions of the watchers to improve the present

billing system of Bicol Regional Training and Teaching Hospital
In response to some of the problems encountered, the watchers recommended

ways to improve the present billing system of Bicol Regional Training and Teaching
Hospital.
1.

Proper coordination among different wards, such as X-ray, Laboratory, Pharmacy

and billing section so that the bills and documents such as charge slips coming
from that departments are exact and the billing personnel will also accurately input

2.

the information needed in preparing the bill of the patients.

Proper information dissemination so that the watcher of the patients will be aware
about the flow of the billing system so that the watcher will know where to go and
what is the right thing to do to process the required documents for their bills.

3.

Consider to have additional billing staff in the billing section to divide and minimize

4.

the burden of work among the billing personnel.

Improve the present billing system for it to become more efficient since BRTTH is a
tertiary level hospital.

Conclusions
On the basis of the findings of the study, the following conclusions were drawn:
1. That Bicol Regional Training and Teaching Hospital use manual billing system
with the aid of computers. Although BRTTH use the latest technology for
processing the bills of their patients, still there are some instances that they still
use manual system in billing.
2. The billing system of Bicol Regional Training and Teaching Hospital is efficient.
BRTTH has a well-organized system in terms of processing the bill of their
patients.
3. Some of the watchers encountered several problems in the billing system of Bicol
Regional Training and Teaching Hospital but these problems only give minimal
effect on the overall efficiency of the billing system of the hospital.
4. The respondents also cited several recommendations in order to further improve
the billing system of Bicol Regional Training and Teaching Hospital.
Recommendations
Based on the findings and conclusions of this research, the following
recommendations are hereby humbly recommended:
1. Consider investing in computerized billing system to become more efficient.
2. The problems encountered by the watchers should be given attention even
though the result only gives minimal effect on the overall efficiency of the billing
system of the hospital and use it as a basis for thinking ways to improve the
present billing system.
3. The billing personnel should always observe accuracy and timeliness in
preparing the bill of the patients in order to minimize errors.

4. The recommendations offered by the respondents must be considered in order to

achieve the desired quality of billing system.
Areas for Further Study
The following topics can serve as areas for future study:
1. Similar research should be conducted with private hospitals in Albay.
2. Level of Satisfaction of Patients in the Operations of Selected Hospitals in the
province of Albay.