Preprocedural Checklist for Magnetic Resonance Imaging Patients Undergoing General Anesthesia: A Process Improvement Plan to Enhance Reimbursement.

dc.contributor.author

Hartl, Susan

dc.contributor.author

Rice, Andi N

dc.contributor.author

Gupta, Dhanesh K

dc.contributor.author

Goode, Victoria

dc.date.accessioned

2018-07-01T13:17:32Z

dc.date.available

2018-07-01T13:17:32Z

dc.date.issued

2018-06-22

dc.date.updated

2018-07-01T13:17:31Z

dc.description.abstract

Thorough documentation is essential for hospital reimbursement from payors such as the Centers for Medicare & Medicaid Services. Inconsistencies and incomplete documentation can occur if workflow is not standardized especially in cases with interdisciplinary involvement. Documentation for patients undergoing magnetic resonance imaging (MRI) with anesthesia services was examined and revealed an opportunity for improvement to avoid financial losses. A preprocedure checklist to improve documentation and standardize workflow was implemented. We compared documentation from preintervention MRI to postintervention MRI with anesthesia services. Documentation that met the reimbursement requirements increased from 5% in the preintervention group to 90% in the postintervention group after the preprocedural checklist implementation. A cost estimate showed a reduction in potential revenue loss from preimplementation to postimplementation groups. The standardization of workflow with the aid of checklists helped meet the documentation requirements for adequate reimbursements and reduced the risk of potential reimbursement losses from payors.

dc.identifier.issn

1525-5794

dc.identifier.issn

1550-512X

dc.identifier.uri

https://hdl.handle.net/10161/17193

dc.language

eng

dc.publisher

Ovid Technologies (Wolters Kluwer Health)

dc.relation.ispartof

The health care manager

dc.relation.isversionof

10.1097/hcm.0000000000000222

dc.title

Preprocedural Checklist for Magnetic Resonance Imaging Patients Undergoing General Anesthesia: A Process Improvement Plan to Enhance Reimbursement.

dc.type

Journal article

duke.contributor.orcid

Gupta, Dhanesh K|0000-0001-9505-595X

pubs.organisational-group

School of Medicine

pubs.organisational-group

Duke

pubs.organisational-group

Anesthesiology, Neuroanesthesia

pubs.organisational-group

Anesthesiology

pubs.organisational-group

Clinical Science Departments

pubs.publication-status

Published

Files