Medical College of Wisconsin
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A single-center experience in capturing inpatient evaluation and management for an IR practice. J Vasc Interv Radiol 2015 Jul;26(7):958-62

Date

05/06/2015

Pubmed ID

25937297

DOI

10.1016/j.jvir.2015.03.013

Scopus ID

2-s2.0-84931063588   9 Citations

Abstract

PURPOSE: To demonstrate that interventional radiologists can capture work relative value units (wRVUs) for the work that is already being performed providing evaluation and management (E&M) clinical services.

MATERIALS AND METHODS: A team approach was implemented to optimize revenue capture for inpatient E&M. Structured templates were created for inpatient documentation to ensure that maximum wRVUs were captured. Inpatient billing was audited from fiscal year 2011 (1 year before meeting and structured template creation) through fiscal year 2014. Specifically, data were collected on total charges, collections, wRVUs and total number of inpatient E&M encounters, and the level of the billed encounter.

RESULTS: Retrospective annual audits revealed that overall inpatient E&M billing charges increased by 722%, whereas collections increased by 831% from 2011 to 2014. The wRVUs increased in 2011 from 181.74 to 1,396.9 (669% increase) in 2014, and the number of inpatient E&M encounters billed increased from 130 to 693 (433% increase) over that same time period. Lower level billing (level I) declined from 30% to 19%, and complex billing levels (level II or higher) increased from 70% to 81%.

CONCLUSIONS: By implementing a systems approach to revenue management, which includes physician and billing staff meetings and the use of structured templates, billing capture from inpatient E&M services can be improved.

Author List

White SB, Dybul SL, Patel PJ, Hohenwalter EJ, Hieb RA, Shah SP, Rilling WS, Tutton SM

Authors

Robert A. Hieb MD Professor in the Radiology department at Medical College of Wisconsin
Eric J. Hohenwalter MD Chief, Professor in the Radiology department at Medical College of Wisconsin
Parag J. Patel MD, MS, FSIR Professor in the Radiology department at Medical College of Wisconsin
William S. Rilling MD Vice Chair, Professor in the Radiology department at Medical College of Wisconsin
Sean Tutton MD Vice Chair, Professor in the Radiology department at Medical College of Wisconsin
Sarah B. White MD, MS, FSIR Vice Chair, Associate Professor in the Radiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Current Procedural Terminology
Efficiency, Organizational
Fees and Charges
Hospital Charges
Hospital Costs
Humans
Inpatients
Models, Organizational
Practice Management, Medical
Radiography, Interventional
Referral and Consultation
Relative Value Scales
Retrospective Studies
Time Factors
Wisconsin
jenkins-FCD Prod-480 9a4deaf152b0b06dd18151814fff2e18f6c05280