Impact of a specialty trained billing team on an academic otolaryngology practice
To determine how the incorporation of specialty specific training for coders within a focused billing team affected revenue, efficiency, time to reimbursement, and physician satisfaction in an academic otolaryngology practice. Our academic otolaryngology department recently implemented a new billing...
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| Veröffentlicht in: | American journal of otolaryngology 2020-11, Vol.41 (6), p.102720-102720, Article 102720 |
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| container_title | American journal of otolaryngology |
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| creator | Plawecki, Andrea M. Singer, Michael C. Peterson, Edward L. Yaremchuk, Kathleen L. Deeb, Robert H. |
| description | To determine how the incorporation of specialty specific training for coders within a focused billing team affected revenue, efficiency, time to reimbursement, and physician satisfaction in an academic otolaryngology practice.
Our academic otolaryngology department recently implemented a new billing system, which incorporated additional training in otolaryngology surgical procedures for medical coders. A mixed model analysis of variance was used to compare billing outcomes for the 6 months before and 6 months after this new approach was initiated. The following metrics were analyzed: Current Procedural Terminology codes, total charges, time between services rendered and billing submission, and time to reimbursement. A survey of department physicians assessing satisfaction with the system was reviewed.
There were 4087 Current Procedural Terminology codes included in the analysis. In comparing the periods before and after implementation of the new system, statistically significant decreases were found in the mean number of days to coding completion (19.3 to 12.0, respectively, p |
| doi_str_mv | 10.1016/j.amjoto.2020.102720 |
| format | Article |
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Our academic otolaryngology department recently implemented a new billing system, which incorporated additional training in otolaryngology surgical procedures for medical coders. A mixed model analysis of variance was used to compare billing outcomes for the 6 months before and 6 months after this new approach was initiated. The following metrics were analyzed: Current Procedural Terminology codes, total charges, time between services rendered and billing submission, and time to reimbursement. A survey of department physicians assessing satisfaction with the system was reviewed.
There were 4087 Current Procedural Terminology codes included in the analysis. In comparing the periods before and after implementation of the new system, statistically significant decreases were found in the mean number of days to coding completion (19.3 to 12.0, respectively, p < 0.001), days to posting of charges (27.0 to 15.2, p < 0.001), days to final reimbursement (54.5 to 27.2, p < 0.001), and days to closure of form (179.2 to 76.6, p < 0.001). Physician satisfaction with communication and coder feedback increased from 36% to 64% after initiation of the new program.
The implementation of additional specialty training for medical coders in the otolaryngology department of a large medical system was associated with improved revenue cycle efficiency. Additionally, this model appears to improve physician satisfaction and confidence with the coding system.
•Additional otolaryngology training for coders can improve revenue cycle efficiency.•This intervention was easy to implement for coders and also incorporated providers.•Average time to coding completion and reimbursement was approximately cut in half.•Revenue for procedures increased modestly but has potential for a greater effect.•Physicians reported more satisfaction with the new coding system and communication.</description><identifier>ISSN: 0196-0709</identifier><identifier>EISSN: 1532-818X</identifier><identifier>DOI: 10.1016/j.amjoto.2020.102720</identifier><identifier>PMID: 32977062</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Accuracy ; Billing ; Clinical Coding ; Coders ; Coding ; Coding standards ; Confidence ; Delivery of Health Care - economics ; Documentation ; Efficiency ; Humans ; Income ; Medical coding ; Otolaryngology ; Otolaryngology - economics ; Otorhinolaryngologic Surgical Procedures - economics ; Personal Satisfaction ; Physicians ; Physicians - psychology ; Reimbursement ; Reimbursement Mechanisms - economics ; Revenue ; Statistical analysis ; Terminology ; Time Factors ; Training ; Variance analysis</subject><ispartof>American journal of otolaryngology, 2020-11, Vol.41 (6), p.102720-102720, Article 102720</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><rights>2020. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-4e9b4389258cd14ad25cab807588da249a90553c626710c82c75268d299dc6763</citedby><cites>FETCH-LOGICAL-c390t-4e9b4389258cd14ad25cab807588da249a90553c626710c82c75268d299dc6763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.amjoto.2020.102720$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32977062$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Plawecki, Andrea M.</creatorcontrib><creatorcontrib>Singer, Michael C.</creatorcontrib><creatorcontrib>Peterson, Edward L.</creatorcontrib><creatorcontrib>Yaremchuk, Kathleen L.</creatorcontrib><creatorcontrib>Deeb, Robert H.</creatorcontrib><title>Impact of a specialty trained billing team on an academic otolaryngology practice</title><title>American journal of otolaryngology</title><addtitle>Am J Otolaryngol</addtitle><description>To determine how the incorporation of specialty specific training for coders within a focused billing team affected revenue, efficiency, time to reimbursement, and physician satisfaction in an academic otolaryngology practice.
Our academic otolaryngology department recently implemented a new billing system, which incorporated additional training in otolaryngology surgical procedures for medical coders. A mixed model analysis of variance was used to compare billing outcomes for the 6 months before and 6 months after this new approach was initiated. The following metrics were analyzed: Current Procedural Terminology codes, total charges, time between services rendered and billing submission, and time to reimbursement. A survey of department physicians assessing satisfaction with the system was reviewed.
There were 4087 Current Procedural Terminology codes included in the analysis. In comparing the periods before and after implementation of the new system, statistically significant decreases were found in the mean number of days to coding completion (19.3 to 12.0, respectively, p < 0.001), days to posting of charges (27.0 to 15.2, p < 0.001), days to final reimbursement (54.5 to 27.2, p < 0.001), and days to closure of form (179.2 to 76.6, p < 0.001). Physician satisfaction with communication and coder feedback increased from 36% to 64% after initiation of the new program.
The implementation of additional specialty training for medical coders in the otolaryngology department of a large medical system was associated with improved revenue cycle efficiency. Additionally, this model appears to improve physician satisfaction and confidence with the coding system.
•Additional otolaryngology training for coders can improve revenue cycle efficiency.•This intervention was easy to implement for coders and also incorporated providers.•Average time to coding completion and reimbursement was approximately cut in half.•Revenue for procedures increased modestly but has potential for a greater effect.•Physicians reported more satisfaction with the new coding system and communication.</description><subject>Accuracy</subject><subject>Billing</subject><subject>Clinical Coding</subject><subject>Coders</subject><subject>Coding</subject><subject>Coding standards</subject><subject>Confidence</subject><subject>Delivery of Health Care - economics</subject><subject>Documentation</subject><subject>Efficiency</subject><subject>Humans</subject><subject>Income</subject><subject>Medical coding</subject><subject>Otolaryngology</subject><subject>Otolaryngology - economics</subject><subject>Otorhinolaryngologic Surgical Procedures - economics</subject><subject>Personal Satisfaction</subject><subject>Physicians</subject><subject>Physicians - psychology</subject><subject>Reimbursement</subject><subject>Reimbursement Mechanisms - economics</subject><subject>Revenue</subject><subject>Statistical analysis</subject><subject>Terminology</subject><subject>Time Factors</subject><subject>Training</subject><subject>Variance analysis</subject><issn>0196-0709</issn><issn>1532-818X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE2LFDEQhoMo7uzqPxAJeNlLj5Xv5CLI4roLCyLsgreQSTJDmu5Om_QI8-_N0KsHD0JBoHjqrcqD0DsCWwJEfuy3buzzkrcU6LlFFYUXaEMEo50m-sdLtAFiZAcKzAW6rLUHAMaZeI0uGDVKgaQb9P1-nJ1fcN5jh-scfXLDcsJLcWmKAe_SMKTpgJfoRpwn7Fp5F-KYPG67B1dO0yEP-XDCc2k5ycc36NXeDTW-fX6v0NPtl8ebu-7h29f7m88PnWcGlo5Hs-NMGyq0D4S7QIV3Ow1KaB0c5cYZEIJ5SaUi4DX1SlCpAzUmeKkku0LXa-5c8s9jrIsdU_VxGNwU87FayrmUihMQDf3wD9rnY5nadY0SWrKmCBrFV8qXXGuJezuXNLYfWgL2rNz2dlVuz8rtqryNvX8OP-7GGP4O_XHcgE8rEJuNXykWW32Kk48hlegXG3L6_4bfz7qSGw</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Plawecki, Andrea M.</creator><creator>Singer, Michael C.</creator><creator>Peterson, Edward L.</creator><creator>Yaremchuk, Kathleen L.</creator><creator>Deeb, Robert H.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QR</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>202011</creationdate><title>Impact of a specialty trained billing team on an academic otolaryngology practice</title><author>Plawecki, Andrea M. ; Singer, Michael C. ; Peterson, Edward L. ; Yaremchuk, Kathleen L. ; Deeb, Robert H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-4e9b4389258cd14ad25cab807588da249a90553c626710c82c75268d299dc6763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Accuracy</topic><topic>Billing</topic><topic>Clinical Coding</topic><topic>Coders</topic><topic>Coding</topic><topic>Coding standards</topic><topic>Confidence</topic><topic>Delivery of Health Care - economics</topic><topic>Documentation</topic><topic>Efficiency</topic><topic>Humans</topic><topic>Income</topic><topic>Medical coding</topic><topic>Otolaryngology</topic><topic>Otolaryngology - economics</topic><topic>Otorhinolaryngologic Surgical Procedures - economics</topic><topic>Personal Satisfaction</topic><topic>Physicians</topic><topic>Physicians - psychology</topic><topic>Reimbursement</topic><topic>Reimbursement Mechanisms - economics</topic><topic>Revenue</topic><topic>Statistical analysis</topic><topic>Terminology</topic><topic>Time Factors</topic><topic>Training</topic><topic>Variance analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Plawecki, Andrea M.</creatorcontrib><creatorcontrib>Singer, Michael C.</creatorcontrib><creatorcontrib>Peterson, Edward L.</creatorcontrib><creatorcontrib>Yaremchuk, Kathleen L.</creatorcontrib><creatorcontrib>Deeb, Robert H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of otolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Plawecki, Andrea M.</au><au>Singer, Michael C.</au><au>Peterson, Edward L.</au><au>Yaremchuk, Kathleen L.</au><au>Deeb, Robert H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of a specialty trained billing team on an academic otolaryngology practice</atitle><jtitle>American journal of otolaryngology</jtitle><addtitle>Am J Otolaryngol</addtitle><date>2020-11</date><risdate>2020</risdate><volume>41</volume><issue>6</issue><spage>102720</spage><epage>102720</epage><pages>102720-102720</pages><artnum>102720</artnum><issn>0196-0709</issn><eissn>1532-818X</eissn><abstract>To determine how the incorporation of specialty specific training for coders within a focused billing team affected revenue, efficiency, time to reimbursement, and physician satisfaction in an academic otolaryngology practice.
Our academic otolaryngology department recently implemented a new billing system, which incorporated additional training in otolaryngology surgical procedures for medical coders. A mixed model analysis of variance was used to compare billing outcomes for the 6 months before and 6 months after this new approach was initiated. The following metrics were analyzed: Current Procedural Terminology codes, total charges, time between services rendered and billing submission, and time to reimbursement. A survey of department physicians assessing satisfaction with the system was reviewed.
There were 4087 Current Procedural Terminology codes included in the analysis. In comparing the periods before and after implementation of the new system, statistically significant decreases were found in the mean number of days to coding completion (19.3 to 12.0, respectively, p < 0.001), days to posting of charges (27.0 to 15.2, p < 0.001), days to final reimbursement (54.5 to 27.2, p < 0.001), and days to closure of form (179.2 to 76.6, p < 0.001). Physician satisfaction with communication and coder feedback increased from 36% to 64% after initiation of the new program.
The implementation of additional specialty training for medical coders in the otolaryngology department of a large medical system was associated with improved revenue cycle efficiency. Additionally, this model appears to improve physician satisfaction and confidence with the coding system.
•Additional otolaryngology training for coders can improve revenue cycle efficiency.•This intervention was easy to implement for coders and also incorporated providers.•Average time to coding completion and reimbursement was approximately cut in half.•Revenue for procedures increased modestly but has potential for a greater effect.•Physicians reported more satisfaction with the new coding system and communication.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32977062</pmid><doi>10.1016/j.amjoto.2020.102720</doi><tpages>1</tpages></addata></record> |
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| ispartof | American journal of otolaryngology, 2020-11, Vol.41 (6), p.102720-102720, Article 102720 |
| issn | 0196-0709 1532-818X |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Accuracy Billing Clinical Coding Coders Coding Coding standards Confidence Delivery of Health Care - economics Documentation Efficiency Humans Income Medical coding Otolaryngology Otolaryngology - economics Otorhinolaryngologic Surgical Procedures - economics Personal Satisfaction Physicians Physicians - psychology Reimbursement Reimbursement Mechanisms - economics Revenue Statistical analysis Terminology Time Factors Training Variance analysis |
| title | Impact of a specialty trained billing team on an academic otolaryngology practice |
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