- Date2016-04-08
Many members of the Joint Learning Network (JLN) have expressed concerns about the monitoring of the quality of care provided in their countries as this is critical in reaching Universal Health Coverage (UHC).
One of the highest priorities among these countries is to establish and strengthen their medical audit systems. This Collaborative exchanges knowledge and experiences about effective systems and will create a medical audit toolkit to be shared globally. This toolkit will enable countries to develop effective and efficient medical audit systems.
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o First collaborative meeting in Wonju, South Korea (Mar. 29, 2016-Apr. 1, 2016)
- Introduction to Korea National Health Insurance System and HIRA
- Claims Review
- On-site Investigation
- Quality Assessment
- Drug Utilization Review (DUR)
- Medical Fee Claims and Submission Procedure
- Electronic Medical Record (EMR)
