A Single-Center Experience in Capturing Inpatient Evaluation and Management for an IR Practice

White, Sarah B.; Dybul, Stephanie L.; Patel, Parag J.; Hohenwalter, Eric J.; Hieb, Robert A.; Shah, S.; Rilling, William S.; Tutton, Sean

doi:10.1016/j.jvir.2015.03.013

Cited by 17 publications

(5 citation statements)

References 9 publications

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“…Furthermore, when a practice emphasizes the importance of evaluation and management services, a tangible increase in the number of these services reported and subsequently reimbursed can be observed. White et al (22) showed that, over a 3-year period, by creating structured templates for inpatient and outpatient evaluation and management documentation and by emphasizing clinical service, largely with the help of NPPs, collections for evaluation and management services increased by 811%, work relative value units increased by 669%, and the number of encounters increased by 433%.…”

Section: Integration Of Npps Into Interventional Radiology Practices Inpatient Clinical Workmentioning

confidence: 99%

Rules and Regulations Relating to Roles of Nonphysician Providers in Radiology Practices

Hawkins

2018

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Nonphysician providers (NPPs) in radiology practices include nurse practitioners, physician assistants, and radiologist assistants. The number of NPPs has been increasing both within and outside of radiology departments. In order for leaders in radiology departments to incorporate NPPs effectively into their practice, they require nuanced knowledge of appropriate coding and billing for services these professionals render. Furthermore, the existing body of literature suggests that with a defined and appropriate scope of practice and proper supervision, NPPs can provide care that is at least equivalent to that provided by attending physicians for narrowly defined tasks. A broader understanding of the rapidly evolving NPP workforce both within radiology practices and throughout other health care specialties will inform practice leaders who are adapting to a health care system that is moving rapidly toward value-based incentive payment models. ©

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Section: Integration Of Npps Into Interventional Radiology Practices Inpatient Clinical Workmentioning

confidence: 99%

Rules and Regulations Relating to Roles of Nonphysician Providers in Radiology Practices

Hawkins

2018

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“…The decrease in invoice value observed in the current study was greater than the 6% that has been described in human studies that have investigated the benefit of billing at the point of care. 1,2 While challenges to timely billing may be different in the human hospital setting, it appears that the problem of missed revenue may be quite similar. Performing a point-ofcare billing prospective study could be helpful in the equine industry, as the current study did not evaluate the location of billing but merely the timing.…”

Section: Discussionmentioning

confidence: 99%

“…Studies of human hospitals suggest that billing charges at the point of service could improve revenues by 6% to 11% or more. [1][2][3] Other studies have evaluated the use of billing algorithms or other recommendations for charge capture. [4][5][6][7][8] The equine veterinary industry needs an evaluation of some of these same factors, as the cost of delayed invoicing has never been quantified.…”

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confidence: 99%

A delay in entering invoice charges is associated with a decrease in total invoice amount in equine practice

Fielding

2024

javma

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OBJECTIVE To evaluate the relationship in equine practice between the time delay for charge entry (time between when work was performed and when the invoice charges were entered) and the total amount of the invoice. SAMPLE A total of 67,597 invoices from 3 hospitals were included for analysis. METHODS Analysis of 67,597 invoices from 49 doctors working out of 3 hospitals was performed. Variables collected included invoice total, date of work, date of invoice entry, month of work, invoice category (A = ambulatory daytime, E = after-hours, I = hospital), and veterinarian. Time delay to invoice entry was the difference between the day of work and the day of charge entry. A generalized additive model was used to describe the relationship between the time delay for invoice entry and the invoice type, month of work, and invoice category. The best model was selected using the Akaike information criterion. RESULTS In the selected model, total invoice amount was associated with time delay for charge entry and invoice category. Invoices entered on the same day of work were 299 ± $345, as compared to those entered the next day (255 ± $271) and those entered > 1 day after the work was performed (193 ± $196; P < .0001). CLINICAL RELEVANCE If the observed relationship between time delay (time between work performed and invoice entry) and total invoice amount is causal, equine practitioners may have significant opportunity to improve revenues by simply entering charges on the same day the work is performed.

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“…Physicians are integrating inpatient and outpatient care with both procedural and longitudinal care. The resulting increase of billing for evaluation and management (E&M) are showing increases of 722% and 669%, respectively ( 4 , 5 ). IR continues to be one of the most innovative fields of interdisciplinary medicine that is positioned for significant growth, investment, and prominence in the healthcare industry.…”

Section: Introductionmentioning

confidence: 99%

Value of interventional radiology and their contributions to modern medical systems

Campbell,

Chick,

Shin

et al. 2024

Front. Radiol.

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Interventional radiology (IR) is a unique specialty that incorporates a diverse set of skills ranging from imaging, procedures, consultation, and patient management. Understanding how IR generates value to the healthcare system is important to review from various perspectives. IR specialists need to understand how to meet demands from various stakeholders to expand their practice improving patient care. Thus, this review discusses the domains of value contributed to medical systems and outlines the parameters of success. IR benefits five distinct parties: patients, practitioners, payers, employers, and innovators. Value to patients and providers is delivered through a wide set of diagnostic and therapeutic interventions. Payers and hospital systems financially benefit from the reduced cost in medical management secondary to fast patient recovery, outpatient procedures, fewer complications, and the prestige of offering diverse expertise for complex patients. Lastly, IR is a field of rapid innovation implementing new procedural technology and techniques. Overall, IR must actively advocate for further growth and influence in the medical field as their value continues to expand in multiple domains. Despite being a nascent specialty, IR has become indispensable to modern medical practice.

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A Single-Center Experience in Capturing Inpatient Evaluation and Management for an IR Practice

Cited by 17 publications

References 9 publications

Rules and Regulations Relating to Roles of Nonphysician Providers in Radiology Practices

Rules and Regulations Relating to Roles of Nonphysician Providers in Radiology Practices

A delay in entering invoice charges is associated with a decrease in total invoice amount in equine practice

Value of interventional radiology and their contributions to modern medical systems

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