Billing and reimbursement for a bedside toxicology service at a tertiary care academic center during its first fiscal year
| Autor: | Tracey Loveland, Ronald Montante, Rose Wratni, Timothy J. Wiegand, Peter W. Crane, Michael Kamali, Marilynn Reif |
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| Rok vydání: | 2014 |
| Předmět: |
Critical Care
Health Toxicology and Mutagenesis New York Toxicology Tertiary care Fiscal year Tertiary Care Centers Hospitals Urban Cost of Illness Medical Staff Hospital Medicine Revenue Humans Teaching Rounds Salary Referral and Consultation Reimbursement Service (business) Academic Medical Centers Data collection business.industry Poisoning Health Plan Implementation Health Care Costs Insurance Health Reimbursement Costs and Cost Analysis Workforce Original Article business Emergency Service Hospital |
| Zdroj: | Journal of medical toxicology : official journal of the American College of Medical Toxicology. 11(1) |
| ISSN: | 1937-6995 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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