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Related Experiment Videos

Improving charge capture to increase net revenue.

D I Thompson, M J Barrett

    Healthcare Financial Management : Journal of the Healthcare Financial Management Association
    |December 9, 1992
    PubMed
    Summary

    Hospitals can boost net revenue by refining charge structures and capture processes. Implementing a systematic clinical pricing approach improves cost accounting and increases gross revenue by 1-3%.

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    Area of Science:

    • Healthcare finance
    • Hospital revenue cycle management
    • Health services research

    Background:

    • Hospital revenue is increasingly shifting away from total charges.
    • Inadequate charge capture significantly impacts net revenue.
    • Existing charge structures and service delivery methods may be suboptimal.

    Purpose of the Study:

    • To present a systematic methodology for improving hospital charge capture.
    • To identify opportunities for increasing net revenue through enhanced charge structures and procedures.
    • To evaluate the impact of a clinical pricing approach on revenue and cost accounting.

    Main Methods:

    • Reviewing reasons for inadequate charge capture.
    • Developing a systematic methodology (clinical pricing approach) for revenue-producing departments.
    • Analyzing current charge structures, capture procedures, and service delivery.

    Main Results:

    • The clinical pricing approach identifies opportunities to address charge capture problems.
    • Implementation can lead to improved accuracy in internal cost accounting.
    • A positive net revenue impact of 1-3% of gross revenue is achievable.

    Conclusions:

    • A systematic review and improvement of charge structures and capture processes can significantly increase hospital net revenue.
    • The clinical pricing approach offers a viable methodology for optimizing revenue capture.
    • Enhanced charge capture and cost accounting accuracy contribute to financial health.

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