The billing process at a teaching hospital specialized in cardiology and pulmonology
DOI:
https://doi.org/10.5216/ree.v16i3.23487Keywords:
Documentation, Clinical Audit, Billing, Cardiac Care FacilitiesAbstract
The objective of this exploratory study was to describe and map out the billing process in a public tertiary-level university hospital specialized in cardiology and pulmonology. In the period between May and June of 2012, we identified and documented the steps in the process validated by the professionals involved in the hospital bill audit service. We found that during billing pre-analysis, auditors make corrections to justify the billing of procedures and to avoid unwarranted billing and loss of revenue. Mapping out the process allowed us to propose strategies to minimize the time for presenting bills to payment sources. By bringing visibility to this process, which is fundamental for the economic-financial balance of the studied hospital, we bring such knowledge to the public domain. Thus, it is accessible to other health organizations that wish to increment their revenue and reduce divergences between patient charts and the patient’s hospital bill.
doi: 10.5216/ree.v16i3.23487.
