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Related Experiment Videos

A mobile trauma database with charge capture.

Steve Moulton1, Dan Myung, Aron Chary

  • 1Divisions of Surgery, Boston University School of Medicine, Boston, Massachsetts 02118, USA. smoulton@bu.edu

The Journal of Trauma
|December 31, 2005
PubMed
Summary
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Implementing a mobile database for surgical billing significantly increased total charges, capturing previously unbilled patient revenue. This technology enhances revenue capture and improves billing accuracy for trauma practices.

Area of Science:

  • Medical Informatics
  • Health Services Research

Background:

  • Effective charge capture is critical for surgical practice revenue.
  • A custom mobile database (DB) system was developed and integrated with a trauma registry (TRACS).
  • The system aimed to improve understanding of billing methods and revenue generation.

Purpose of the Study:

  • To evaluate the impact of a mobile database on charge capture and revenue in a surgical practice.
  • To identify areas for improved revenue capture through point-of-care billing.

Main Methods:

  • A mobile database application was developed on the Windows Compact Edition platform using C# and SQL.
  • The system functioned as a thick client, incorporating patient lists, billing screens, and coding sets.
  • Electronic billing data from handheld devices was collected and compared with traditional billing and TRACS data.

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Main Results:

  • Total charges increased by 135% to 228% for surgeons using the mobile DB application.
  • The majority of increased charges were for evaluation and management services.
  • Patients billed at point-of-care had higher Injury Severity Scores and longer lengths of stay.

Conclusions:

  • Mobile database technology for point-of-care billing more than doubled total charges.
  • A significant amount of uncaptured patient revenue was identified by comparing TRACS data with billing information.
  • Wider adoption and use of mobile database technology can lead to substantial increases in revenue capture.