Reimbursement Profile of a Private Toxicology Practice

Leikin, Jerrold B.; Vogel, Stephen N; Samo, Daniel G.; Stevens, P; Walter, Frank G.

doi:10.1080/15563650600584402

Cited by 7 publications

(10 citation statements)

References 3 publications

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“…While other studies have found that the sickest patients received the lowest total reimbursement rate [10], we found [14]. First year faculty in this survey had mean salaries of $204,833.…”

Section: Discussioncontrasting

confidence: 82%

“…Medical toxicology evaluations have been reported to be extremely time-consuming with a mean time of 2.6 h for inpatient encounters and outpatient consults requiring up to 3.5 h [10]. Our average consult times, however, do not show the same time consumption with the average consult time of an inpatient consult requiring approximately 1.05 h per encounter.…”

Section: Discussioncontrasting

confidence: 52%

“…Average outpatient consult times for our service were slightly higher 1.18 h per encounter. Previous published data on toxicology reimbursement has also suggested very low levels for professional charges and reimbursement in toxicology consultations with an overall average charge and collection rate of $66.00 and $26.19 per hour, respectively, reported by Leikin using a mean evaluation time of 3 h per consultation [10].…”

Section: Discussionmentioning

confidence: 98%

“…These issues have contributed to the development of ACGME accredited, specialized medical toxicology training and fellowship programs [3]. Despite the enhanced training and notable necessity, very little research or reporting has been conducted in the literature that describes the financial positioning of a toxicology service within health-care organizations [10]. Those that have provided some insight into this have predominantly focused on clinical care rather than actual financial feasibility [11].…”

Section: Introductionmentioning

confidence: 99%

“…Given the benefit to patient care of toxicology and medical toxicology services, coupled with the paucity of published literature describing the economics of consultant toxicology [10], we seek to describe our economic experience with a medical toxicology consultant service in a large urban academic tertiary care center.…”

Section: Introductionmentioning

confidence: 99%

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Billing and Reimbursement for a Bedside Toxicology Service at a Tertiary Care Academic Center During Its First Fiscal Year

et al. 2014

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A bedside toxicology consult service may improve clinical care, facilitate patient clearance and disposition, and result in potential cost savings for poisoning exposures. Despite this, there is scant data regarding economic feasibility for such a service. Previously published information suggests low hourly reimbursement at approximately $26.00/h at the bedside for toxicology consultations. A bedside toxicology consultant service was initiated in 2011. Coverage was available 24 h a day for 50 out of 52 weeks. Bedside rounding on toxicology consult patients was available 6/7 days per week. The practice is associated with >800 bed teaching institution in a large upstate NY region with elements of urban and suburban practice. Demographic and billing data was collected for all patients consulted upon from July 1, 2011 to June 31, 2012. In charges of $514,941 were generated during the period of data collection. Monthly average was $42,912. Net reimbursement of charges was 29 % of overall charges at $147,792. In terms of total encounters, net collection rate in which something was reimbursed or "paid" against charges for that encounter was 82.6 % of all encounters at 999/1,210. Average encounter time for inpatients, including critical care, was 1.05 h, and the average time spent for outpatients was 1.18 h. Reimbursement rates appear higher than previously reported. Revenue generated from reimbursement from toxicology consultation can result in recouping a substantial portion of a toxicologist's salary or potentially fund fellowship positions and salaries or toxicology division infrastructure.

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“…While other studies have found that the sickest patients received the lowest total reimbursement rate [10], we found [14]. First year faculty in this survey had mean salaries of $204,833.…”

Section: Discussioncontrasting

confidence: 82%

Section: Discussioncontrasting

confidence: 52%

Section: Discussionmentioning

confidence: 98%