Improving Billing Accuracy Through Enterprise-Wide Standardized Structured Reporting With Cross-Divisional Shared Templates

Chung, Charlotte Y.; Makeeva, Valeria; Yan, Jasper; Prater, Adam; Duszak, Richard; Safdar, Nabile M.; Heilbrun, Marta E.

doi:10.1016/j.jacr.2019.08.034

Cited by 13 publications

(5 citation statements)

References 18 publications

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“…Efficient billing nurses can greatly minimize the incidences of patient distrust and disputes caused by billing problems and improve the relationship between clinicians and patients to a large extent. Moreover, a standardized indicator system can effectively improve medical billing compliance and billing nurse efficiency and reduce waste in the healthcare system [ 27 , 28 ]. Unfortunately, billing competencies are not included in the core competencies of the current nursing curricula.…”

Section: Discussionmentioning

confidence: 99%

Development of billing post competency evaluation index system for nurses in China: a Delphi study

et al. 2023

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Aim This study developed a set of competency evaluation indicators for billing nurses in China. Background In clinical practice, nurses often take up billing responsibilities that are accompanied by certain risks. However, the competency evaluation index system for billing nurses has not been established in China. Methods This study consisted of two main phases of research design: the first phase included a literature review and semi-structured interviews. Individual semi-structured interviews were conducted with 12 nurses in billing departments and 15 nurse managers in related departments. Concepts distilled from the literature review were linked to the results of the semi-structured interviews; this phase produced the first draft of indicators for assessing the professional competence of nurses in billing departments. In the second phase, two rounds of correspondence were conducted with 20 Chinese nursing experts using the Delphi method to test and evaluate the content of the index. The consensus was defined in advance as a mean score of 4.0 or above, with at least 75% agreement among participants. In this way, the final indicator framework was determined. Results Using the iceberg model as a theoretical foundation, the literature review identified four main dimensions and associated themes. The semi-structured interviews confirmed all of the themes from the literature review while generating new themes, both of which were incorporated into the first draft of the index. Then two rounds of the Delphi survey were conducted. The positive coefficients of experts in the two rounds were 100% and 95%, respectively, while the authority coefficients were 0.963 and 0.961, respectively. The coefficients of variation were 0.00–0.33 and 0.05–0.24, respectively. The competency evaluation index system for billing nurses consisted of 4 first-level indicators, 16 s-level indicators, and 53 third-level indicators. Conclusion The competency evaluation index system for billing nurses, which was developed on the basis of the iceberg model, was scientific and applicable. Implications for nursing management The competency assessment index system for billing nurses may provide an effective practical framework for nursing administration to evaluate, train, and assess the competency of billing nurses.

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Section: Discussionmentioning

confidence: 99%

Development of billing post competency evaluation index system for nurses in China: a Delphi study

et al. 2023

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“…The results of this study can improve the screening, diagnosing, and follow-up of NAFLD patients. Besides, it is expected that employing an optimized reporting template would be time- and cost-effective for both patients and health-related services (12).…”

Section: Discussionmentioning

confidence: 99%

“…Structured reports systemically organized the radiology results using headings, subheadings, and standardized language. It can overcome all the mentioned limitations and provide more informative and accurate results, which accelerate the diagnosis and treatment process (12). Previous research has shown structured reports to be more effective in answering clinical questions and guiding patient care than unstructured reports (13).…”

Section: Introductionmentioning

confidence: 99%

Improving data adequacy of ultrasonography reports for non-alcoholic fatty liver disease (NAFLD) through a national structured template

et al. 2022

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Background Non-alcoholic fatty liver disease (NAFLD) is a prevalent disorder that increases due to lifestyle, the rising rate of obesity, and population ages worldwide. Diagnostic ways, including sonography, do not have an explicit reporting structure. Purpose To create a structure template for NAFLD reporting, investigate its completeness, and assess the specialist opinions of using it in clinical practice. Material and Methods A structured reporting template (SRT) was designed and implemented in four stages. At first, important features were extracted from a comprehensive literature review and were evaluated by 10 radiologists and gastroenterologists using the Likert scale. Finally, the usefulness of the SRT in comparison with the conventional reporting template (CRT) was judged by 10 gastroenterologists completing the questionnaire. Results Demographic information and sonography of the liver, gallbladder, and spleen organs were the most critical features. The completeness scores of SRT reports were higher than CRT scores for almost all the factors studied. The difference in the scores was significant for most of the parameters. Moreover, the total completeness score increased from 42% in CRT to 92% in SRT. A comparison of the report adequacy of two reports was seen in all items. The SRT obtained more rates from specialists. Conclusion Introduction of the SRT for NAFLD significantly enhanced the completeness of reporting to reduce variability in the interpretation of the related reports by clinicians. Nevertheless, more studies are needed to generalize the results in real scales for patients with NAFLD.

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“…Comparing freestyle versus structured formatting, they have described structured reporting as more complete and more effective in communicating a comprehensive summary of findings to referring clinicians [25,26]. Others have noted that structured reports may facilitate physician documentation and coding [27], resulting in increased practice revenue, as well as radiologist time savings [28,29]. A theme throughout all these studies, however, has been their physician-centric-rather than patient-centric-focus.…”

Section: Discussionmentioning

confidence: 99%

Chest Radiograph Reporting: Public Preferences and Perceptions

Dabrowiecki

Sadigh

Duszak

2020

Journal of the American College of Radiology

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Improving Billing Accuracy Through Enterprise-Wide Standardized Structured Reporting With Cross-Divisional Shared Templates

Cited by 13 publications

References 18 publications

Development of billing post competency evaluation index system for nurses in China: a Delphi study

Development of billing post competency evaluation index system for nurses in China: a Delphi study

Improving data adequacy of ultrasonography reports for non-alcoholic fatty liver disease (NAFLD) through a national structured template

Chest Radiograph Reporting: Public Preferences and Perceptions

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