Creating an Efficient Point-of-Care Ultrasound Workflow

Saati, Ammar; Au, Alexander; Chu, Titus; Davis, Rebecca L.; Singla, Rohin; Smith, Jason; White, J. Chris; Lewiss, Resa E.

doi:10.24908/pocus.v5i2.14429

Cited by 3 publications

(4 citation statements)

References 6 publications

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“…21 Such a comprehensive approach can be adopted by Neonatal POCUS programs to optimize their billing and coding compliance. 22…”

Section: Billing and Coding Workflowmentioning

confidence: 99%

Essentials of Point-of-Care Ultrasound Coding and Billing at the Neonatal Intensive Care Unit Setting in the United States

Chan,

Mnyavanu,

Bhombal

et al. 2024

Am J Perinatol

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Point-of-care ultrasound (POCUS) has increasingly been used by neonatal providers in neonatal intensive care units in the United States. However, there is a lack of literature addressing the complexities of POCUS coding and billing practices in the United States. This article describes the coding terminology and billing process especially those relevant to neonatal POCUS. We elucidate considerations for neonatal POCUS billing framework and workflow integration. Directions on image storage and supporting documentation to facilitate efficient reimbursement, compliance with billing regulations, and appeal to insurance claim denial are discussed. Key Points

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“…21 Such a comprehensive approach can be adopted by Neonatal POCUS programs to optimize their billing and coding compliance. 22…”

Section: Billing and Coding Workflowmentioning

confidence: 99%

Essentials of Point-of-Care Ultrasound Coding and Billing at the Neonatal Intensive Care Unit Setting in the United States

Chan,

Mnyavanu,

Bhombal

et al. 2024

Am J Perinatol

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“…Though Point-of-Care Ultrasound (POCUS) program leaders are generally well versed in POCUS education, they may lack the tools to support the broader implementation of POCUS in the clinical environment. While there is an expanding body of literature on POCUS pedagogy [1][2][3], administrative and logistical elements that are necessary for the widespread adoption of POCUS have received little attention [4,5]. Considering the value proposition of POCUS to enhance patient care [6], we set out to increase the uptake of POCUS by general internists at the Ottawa Hospital, a tertiary care academic center.…”

Section: Main Textmentioning

confidence: 99%

Start spreading the news: a deliberate approach to POCUS program development and implementation

et al. 2023

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While there is an expanding body of literature on Point-of-Care Ultrasound (POCUS) pedagogy, administrative elements that are necessary for the widespread adoption of POCUS in the clinical environment have received little attention. In this short communication, we seek to address this gap by sharing our institutional experience with POCUS program development and implementation. The five pillars of our program, selected to tackle local barriers to POCUS uptake, are education, workflow, patient safety, research, and sustainability. Our program logic model outlines the inputs, activities, and outputs of our program. Finally, key indicators for the monitoring of program implementation efforts are presented. Though designed for our local context, this approach may readily be adapted toward other clinical environments. We encourage others leading the integration of POCUS at their centers to adopt this approach not only to achieve sustainable change but also to ensure that quality safeguards are in place.

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“…FOCUS workflow is composed of all processes related to acquiring, archiving, and interpretation of images. It also includes documenting the study in the electronic medical record, QI, and finally coding and billing 66. Workflow varies between institutions and can be extremely efficient with a single order populating the patient’s information in the ultrasound machine, flagging the record for QI, and automatic image uploading following acquisition 67,68.…”

Section: Perioperative Focus Implementation and Workflowmentioning

confidence: 99%

“…It also includes documenting the study in the electronic medical record, QI, and finally coding and billing. 66 Workflow varies between institutions and can be extremely efficient with a single order populating the patient's information in the ultrasound machine, flagging the record for QI, and automatic image uploading following acquisition. 67,68 Image storage as well as reporting are critical to ensure subsequent clinical decision making and that QI processes can occur.…”

Section: Perioperative Focus Implementation and Workflowmentioning

confidence: 99%

Perioperative applications of focused cardiac ultrasound

Hollon

Bradley

McCullough

et al. 2022

International Anesthesiology Clinics

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This paper can be cited using the date of access and the unique DOI number which can be found in the footnotes. Comprehensive exam. All findings, primary interest and incidental, are reported on Requires limited number of views, utilizes basic imaging modalities Requires standardized training and understanding of all cardiac views, ultrasound imaging modalities, and cardiac disease Able to be performed with any ultrasound with phased array probe Advanced equipment required Image storage and reporting not standardized Images stored to PACS, formal report required Always goal directed in utilization Can be goal directed (limited) or comprehensive Performed and interpreted in real time Performed and interpreted separately Requires weeks to months of training Requires years of training PACS indicates picture archiving and communication system.

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Creating an Efficient Point-of-Care Ultrasound Workflow

Cited by 3 publications

References 6 publications

Essentials of Point-of-Care Ultrasound Coding and Billing at the Neonatal Intensive Care Unit Setting in the United States

Essentials of Point-of-Care Ultrasound Coding and Billing at the Neonatal Intensive Care Unit Setting in the United States

Start spreading the news: a deliberate approach to POCUS program development and implementation

Perioperative applications of focused cardiac ultrasound

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