{"id":"https://openalex.org/W7214939613","doi":"https://doi.org/10.36347/sasjm.2026.v12i09.031","title":"Performance Indicators for Optimising Hospital Revenue Collection: A Case Study of an Admission and Billing Office in a University Hospital in Morocco","display_name":"Performance Indicators for Optimising Hospital Revenue Collection: A Case Study of an Admission and Billing Office in a University Hospital in Morocco","publication_year":2026,"publication_date":"2026-09-30","ids":{"openalex":"https://openalex.org/W7214939613","doi":"https://doi.org/10.36347/sasjm.2026.v12i09.031"},"language":"en","primary_location":{"id":"doi:10.36347/sasjm.2026.v12i09.031","doi":"https://doi.org/10.36347/sasjm.2026.v12i09.031","is_oa":true,"landing_page_url":"https://doi.org/10.36347/sasjm.2026.v12i09.031","pdf_url":"https://saspublishers.com/article/24907/download/","source":{"id":"https://openalex.org/S4210236715","display_name":"SAS Journal of Medicine","issn_l":"2454-5112","issn":["2454-5112"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"SAS Journal of Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://saspublishers.com/article/24907/download/","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5091966300","display_name":"Tarik CHMITAH","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126477371","display_name":"Mohammed V University","ror":"https://ror.org/00r8w8f84","country_code":"MA","type":"education","lineage":["https://openalex.org/I126477371"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Tarik Chmitah","raw_affiliation_strings":["Educational and Research Unit of Social and Preventive Medicine , Legal Medicine and Occupational Medicine -Faculty of Medicine and Pharmacy of Rabat , Mohammed V , Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Educational and Research Unit of Social and Preventive Medicine , Legal Medicine and Occupational Medicine -Faculty of Medicine and Pharmacy of Rabat , Mohammed V , Morocco","institution_ids":["https://openalex.org/I126477371"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113303342","display_name":"Mohamed El Arbi Tahiri Alaoui","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mohamed El Arbi Tahiri Alaoui","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091966302","display_name":"Mohamed Amine SEHHAR","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126477371","display_name":"Mohammed V University","ror":"https://ror.org/00r8w8f84","country_code":"MA","type":"education","lineage":["https://openalex.org/I126477371"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Mohamed Amine Sehhar","raw_affiliation_strings":["Educational and Research Unit of Social and Preventive Medicine , Legal Medicine and Occupational Medicine -Faculty of Medicine and Pharmacy of Rabat , Mohammed V , Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Educational and Research Unit of Social and Preventive Medicine , Legal Medicine and Occupational Medicine -Faculty of Medicine and Pharmacy of Rabat , Mohammed V , Morocco","institution_ids":["https://openalex.org/I126477371"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153584130","display_name":"Salaheddine Soltani","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126477371","display_name":"Mohammed V University","ror":"https://ror.org/00r8w8f84","country_code":"MA","type":"education","lineage":["https://openalex.org/I126477371"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Salaheddine Soltani","raw_affiliation_strings":["Educational and Research Unit of Social and Preventive Medicine , Legal Medicine and Occupational Medicine -Faculty of Medicine and Pharmacy of Rabat , Mohammed V , Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Educational and Research Unit of Social and Preventive Medicine , Legal Medicine and Occupational Medicine -Faculty of Medicine and Pharmacy of Rabat , Mohammed V , Morocco","institution_ids":["https://openalex.org/I126477371"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106347874","display_name":"Amine EL MATHARI","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126477371","display_name":"Mohammed V University","ror":"https://ror.org/00r8w8f84","country_code":"MA","type":"education","lineage":["https://openalex.org/I126477371"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Amine El Mathari","raw_affiliation_strings":["Educational and Research Unit of Social and Preventive Medicine , Legal Medicine and Occupational Medicine -Faculty of Medicine and Pharmacy of Rabat , Mohammed V , Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Educational and Research Unit of Social and Preventive Medicine , Legal Medicine and Occupational Medicine -Faculty of Medicine and Pharmacy of Rabat , Mohammed V , Morocco","institution_ids":["https://openalex.org/I126477371"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087695901","display_name":"Karim Sba\u0131 Idr\u0131ss\u0131","orcid":"https://orcid.org/0000-0002-9554-1306","observed_orcids":["https://orcid.org/0000-0002-9554-1306"]},"institutions":[{"id":"https://openalex.org/I126477371","display_name":"Mohammed V University","ror":"https://ror.org/00r8w8f84","country_code":"MA","type":"education","lineage":["https://openalex.org/I126477371"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Karim Sbai Idrissi","raw_affiliation_strings":["Educational and Research Unit of Social and Preventive Medicine , Legal Medicine and Occupational Medicine -Faculty of Medicine and Pharmacy of Rabat , Mohammed V , Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Educational and Research Unit of Social and Preventive Medicine , Legal Medicine and Occupational Medicine -Faculty of Medicine and Pharmacy of Rabat , Mohammed V , Morocco","institution_ids":["https://openalex.org/I126477371"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106347876","display_name":"Larbi EL BOUAITI","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126477371","display_name":"Mohammed V University","ror":"https://ror.org/00r8w8f84","country_code":"MA","type":"education","lineage":["https://openalex.org/I126477371"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Larbi El Bouaiti","raw_affiliation_strings":["Educational and Research Unit of Social and Preventive Medicine , Legal Medicine and Occupational Medicine -Faculty of Medicine and Pharmacy of Rabat , Mohammed V , Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Educational and Research Unit of Social and Preventive Medicine , Legal Medicine and Occupational Medicine -Faculty of Medicine and Pharmacy of Rabat , Mohammed V , Morocco","institution_ids":["https://openalex.org/I126477371"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5026242288","display_name":"Jalal Kasouati","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126477371","display_name":"Mohammed V University","ror":"https://ror.org/00r8w8f84","country_code":"MA","type":"education","lineage":["https://openalex.org/I126477371"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Jalal Kasouati","raw_affiliation_strings":["Educational and Research Unit of Social and Preventive Medicine , Legal Medicine and Occupational Medicine -Faculty of Medicine and Pharmacy of Rabat , Mohammed V , Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Educational and Research Unit of Social and Preventive Medicine , Legal Medicine and Occupational Medicine -Faculty of Medicine and Pharmacy of Rabat , Mohammed V , Morocco","institution_ids":["https://openalex.org/I126477371"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"12","issue":"09","first_page":"994","last_page":"1000"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.8270999789237976,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.8270999789237976,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.12880000472068787,"subfield":{"id":"https://openalex.org/subfields/1803","display_name":"Management Science and Operations Research"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.01140000019222498,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/performance-indicators","display_name":"performance indicators","score":0.7670000195503235},{"id":"https://openalex.org/keywords/statutory-health-insurance","display_name":"statutory health insurance","score":0.8370000123977661},{"id":"https://openalex.org/keywords/fmeca","display_name":"FMECA","score":0.8679999709129333},{"id":"https://openalex.org/keywords/cash-collection","display_name":"cash collection","score":0.5059999823570251},{"id":"https://openalex.org/keywords/university-hospital","display_name":"university hospital","score":0.5120000243186951},{"id":"https://openalex.org/keywords/morocco","display_name":"Morocco","score":0.7509999871253967}],"concepts":[{"id":"https://openalex.org/C195487862","wikidata":"https://www.wikidata.org/wiki/Q850210","display_name":"Revenue","level":2,"score":0.7508000135421753},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.6424000263214111},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.6008999943733215},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5217000246047974},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4853000044822693},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.4025999903678894},{"id":"https://openalex.org/C118127601","wikidata":"https://www.wikidata.org/wiki/Q3797610","display_name":"Pareto analysis","level":3,"score":0.3978999853134155},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.3327000141143799},{"id":"https://openalex.org/C2779999868","wikidata":"https://www.wikidata.org/wiki/Q191891","display_name":"Fiscal year","level":2,"score":0.32429999113082886},{"id":"https://openalex.org/C135510737","wikidata":"https://www.wikidata.org/wiki/Q860554","display_name":"Performance indicator","level":2,"score":0.3160000145435333},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3122999966144562},{"id":"https://openalex.org/C137635306","wikidata":"https://www.wikidata.org/wiki/Q182667","display_name":"Pareto principle","level":2,"score":0.3050999939441681},{"id":"https://openalex.org/C98045186","wikidata":"https://www.wikidata.org/wiki/Q205663","display_name":"Process (computing)","level":2,"score":0.3021000027656555},{"id":"https://openalex.org/C42475967","wikidata":"https://www.wikidata.org/wiki/Q194292","display_name":"Operations research","level":1,"score":0.29030001163482666},{"id":"https://openalex.org/C3019871722","wikidata":"https://www.wikidata.org/wiki/Q718944","display_name":"Hospital admission","level":2,"score":0.28349998593330383},{"id":"https://openalex.org/C33499554","wikidata":"https://www.wikidata.org/wiki/Q1417134","display_name":"Dashboard","level":2,"score":0.2768000066280365},{"id":"https://openalex.org/C121955636","wikidata":"https://www.wikidata.org/wiki/Q4116214","display_name":"Accounting","level":1,"score":0.2696000039577484},{"id":"https://openalex.org/C506796395","wikidata":"https://www.wikidata.org/wiki/Q4738155","display_name":"Financial management","level":2,"score":0.26350000500679016},{"id":"https://openalex.org/C3017595490","wikidata":"https://www.wikidata.org/wiki/Q17006263","display_name":"University hospital","level":2,"score":0.26109999418258667},{"id":"https://openalex.org/C141571065","wikidata":"https://www.wikidata.org/wiki/Q1771949","display_name":"Performance measurement","level":2,"score":0.25699999928474426},{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.2529999911785126}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.36347/sasjm.2026.v12i09.031","doi":"https://doi.org/10.36347/sasjm.2026.v12i09.031","is_oa":true,"landing_page_url":"https://doi.org/10.36347/sasjm.2026.v12i09.031","pdf_url":"https://saspublishers.com/article/24907/download/","source":{"id":"https://openalex.org/S4210236715","display_name":"SAS Journal of Medicine","issn_l":"2454-5112","issn":["2454-5112"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"SAS Journal of Medicine","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.36347/sasjm.2026.v12i09.031","doi":"https://doi.org/10.36347/sasjm.2026.v12i09.031","is_oa":true,"landing_page_url":"https://doi.org/10.36347/sasjm.2026.v12i09.031","pdf_url":"https://saspublishers.com/article/24907/download/","source":{"id":"https://openalex.org/S4210236715","display_name":"SAS Journal of Medicine","issn_l":"2454-5112","issn":["2454-5112"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"SAS Journal of Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.46810001134872437,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320333994","display_name":"Facult\u00e9 de M\u00e9decine et de Pharmacie de Rabat, Universit\u00e9 Mohammed V de Rabat","ror":null}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7214939613.pdf","grobid_xml":"https://content.openalex.org/works/W7214939613.grobid-xml"},"referenced_works_count":5,"referenced_works":["https://openalex.org/W2069759118","https://openalex.org/W2612432807","https://openalex.org/W3024310168","https://openalex.org/W4399674638","https://openalex.org/W4412523777"],"related_works":["https://openalex.org/W3140433157","https://openalex.org/W1835781240","https://openalex.org/W2406610696","https://openalex.org/W2415891525","https://openalex.org/W2775476582","https://openalex.org/W7217401333","https://openalex.org/W3210741685","https://openalex.org/W7151913610","https://openalex.org/W299641079","https://openalex.org/W7215216006"],"abstract_inverted_index":{"The":[0,179],"financial":[1],"stability":[2],"of":[3,10,17,31,59,62,68,89,95,98,115,199,202,233],"hospitals":[4],"depends":[5],"largely":[6],"on":[7],"the":[8,15,23,29,32,55,60,63,90,99,146,149,158,200,207,212],"efficiency":[9],"revenue":[11,56],"collection.":[12],"In":[13],"Morocco,":[14],"generalisation":[16],"compulsory":[18],"health":[19],"insurance":[20],"has":[21],"placed":[22],"admission":[24,64],"and":[25,46,65,74,104,113,134,137,169,192,204,206,223],"billing":[26,66],"office":[27,67],"at":[28],"centre":[30],"hospital":[33,71],"value":[34],"chain,":[35],"yet":[36],"high":[37],"claim":[38,44,160],"rejection":[39,180],"rates,":[40],"delays":[41],"in":[42,72],"dispatching":[43],"files":[45],"limited":[47],"digitalisation":[48],"persist.":[49],"This":[50],"study":[51,83],"aimed":[52],"to":[53,75,120,156,166,177,185],"diagnose":[54],"collection":[57,105,151,228],"process":[58],"back-office":[61],"a":[69,125],"university":[70],"Morocco":[73],"analyse":[76],"its":[77],"performance":[78],"indicators.":[79],"A":[80],"mixed-methods":[81],"case":[82],"was":[84],"conducted,":[85],"combining":[86],"documentary":[87],"analysis":[88,114],"regulatory":[91],"framework,":[92],"two":[93],"weeks":[94],"participant":[96],"observation":[97],"complete":[100],"admission,":[101],"billing,":[102],"dispatch":[103,161],"circuit,":[106],"semi-structured":[107],"interviews":[108],"with":[109,235],"14":[110],"staff":[111],"members,":[112],"monthly":[116],"indicators":[117],"from":[118,154,164,175,183],"January":[119],"June":[121],"2025.":[122],"Process":[123],"mapping,":[124],"responsibility":[126],"assignment":[127],"matrix,":[128],"Pareto":[129],"analysis,":[130,136],"failure":[131],"modes,":[132],"effects":[133],"criticality":[135],"an":[138],"interactive":[139],"Power":[140],"BI":[141],"dashboard":[142],"were":[143],"used.":[144],"Over":[145],"six":[147],"months,":[148],"net":[150],"rate":[152,181],"rose":[153],"75%":[155],"84%,":[157],"mean":[159],"delay":[162,203],"fell":[163],"12":[165],"7":[167],"days,":[168],"patient":[170],"identity":[171],"verification":[172],"errors":[173,191],"decreased":[174,182],"4.5%":[176],"3.1%.":[178],"18%":[184],"12%":[186],"but":[187],"remained":[188],"high.":[189],"Billing":[190],"missing":[193],"supporting":[194],"documents":[195],"accounted":[196],"for":[197],"40%":[198],"causes":[201],"rejection,":[205],"manual":[208],"cash-collection":[209],"system":[210],"carried":[211],"highest":[213],"risk":[214],"criticality.":[215],"These":[216],"findings":[217],"suggest":[218],"that":[219],"digital":[220],"monitoring":[221],"tools":[222],"continuous-improvement":[224],"methods":[225],"can":[226],"strengthen":[227],"performance,":[229],"although":[230],"structural":[231],"harmonisation":[232],"procedures":[234],"paying":[236],"organisations":[237],"remains":[238],"necessary.":[239]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-01T00:00:00"}
