Results of Revisory Activities of the General Health Insurance Company in 2000

Overview

The paper contains a modified view on the revisory activities of the largest health insurance company in 2000. It shows lhal its revisory activities in the Czech Republic are stabilized and its parameters are consistent with the standard average. Disproportionate benevolence is indicated by the percentage of not approved and not granted applications for non-standard care (pending approval of the Revision medical officers of the health insurance company. For the first time the expert part of the revisory activities is analyzed. The authors describe also staff aspects of implementation of revisory activities by different types of workers engaged in the problem and their relationship to the organization. It provides also some new information on the frequency of revisory activities per District Health Insurance Offices and their Revision medical officers (employees).

Key words:
percentage of revised documents - effectiveness of revisory activities - control, regulatory and experts section of revisory activities