Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Unbundling could be costing you a bundle.

M R Traska

    Business and Health
    |February 8, 1990
    PubMed
    Summary
    This summary is machine-generated.

    Code manipulation is a complex issue impacting healthcare costs. This practice is alleged by consultants and payers to be a primary driver of escalating physician charges.

    Related Experiment Videos

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Using global budgets in the United States.

    Managed care quarterly·1994
    Same author

    Is there a satellite in your future?

    Medical claims management·1993
    Same author

    Perspectives. Push for new directions in quality assurance.

    Faulkner & Gray's medicine & health·1990
    Same author

    Corporate execs can make a difference.

    Business and health·1990
    Same author

    HMO review: will it test whether employers care about quality?

    Business and health·1990
    Same author

    Getting the most out of case management.

    Business and health·1989
    Same journal

    Scaling the walls.

    Business and health·2003
    Same journal

    Absence management to the max.

    Business and health·2003
    Same journal

    Vendors, vendors everywhere.

    Business and health·2003
    Same journal

    An absence management road map.

    Business and health·2003
    Same journal

    Data collection is the cornerstone.

    Business and health·2003
    Same journal

    Why your competitors are turning to absence management.

    Business and health·2003
    See all related articles

    Area of Science:

    • Healthcare Economics
    • Medical Billing and Coding

    Background:

    • Physician charges are rising significantly.
    • Code manipulation is frequently cited as a contributing factor by consultants and payers.

    Purpose of the Study:

    • To investigate the phenomenon of code manipulation.
    • To understand its alleged role in increasing physician charges.

    Main Methods:

    • Analysis of billing and coding practices.
    • Review of claims data and payer-provider interactions.

    Main Results:

    • Evidence suggests code manipulation is a complex issue.
    • The extent to which it drives physician charge increases requires further investigation.

    Conclusions:

    • Code manipulation is a significant concern in healthcare billing.
    • Further research is needed to quantify its impact on physician charges.