Measuring the Impact of Electronic Health Record Adoption on Charge Capture
Measuring the Impact of Electronic Health Record Adoption on Charge Capture
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DOI：
10.1177/1077558716659408
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发表时间：
2017-10-01
影响因子：
2.5
通讯作者：
Janakiraman, Ramkumar
中科院分区：
文献类型：
--
作者：
Edwardson, Nicholas;Kash, Bita A.;Janakiraman, Ramkumar
我们研究了电子健康记录（EHR）的采用对收费捕获的影响，即提供者正确确保计费服务被准确记录和报告的能力。从2008年到2013年，收集了一个大型综合儿科初级保健网络（以前是一个基于纸张的组织）的计费和实践管理数据，每月就诊、收费和收集数据。两个水平的固定效应模型，建立了测试的影响，EHR采用收费捕获。将EHR引入儿科初级保健网络与每位患者平均费用增加11.09美元，每位患者平均收集费用增加11.49美元以及医生收费与收集比率的改善独立相关。尽管与采用EHR相关的初始支出和运营成本很高，但这些结果表明，从长远来看，组织可能会收回其中的许多成本。
We examine the impact of electronic health record (EHR) adoption on charge capturethe ability of providers to properly ensure that billable services are accurately recorded and reported for payment. Drawing on billing and practice management data from a large, integrated pediatric primary care network that was previously a paper-based organization, monthly encounter, charge, and collection data were collected from 2008 through 2013. Two-level fixed effects models were built to test the impact of EHR adoption on charge capture. The introduction of the EHR to the pediatric primary care network was independently associated with an $11.09 increase in average per patient charges, an $11.49 increase in average per patient collections, and an improvement in physicians' charge-to-collection ratios. Despite high initial outlays and operating costs related to EHR adoption, these results suggest organizations may recoup many of these costs over the long term.