Related Experiment Video
Updated: Sep 15, 2025
05:04
Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
1.1K
Nurse performance in hospital financial auditing: a single case study
Silvia Helena Meneguin1, Vânia Dos Santos Nunes Nogueira2, Silvia Cristina Mangini Bocchi3
1Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil.
Revista Da Escola De Enfermagem Da U S P
|July 14, 2025
Summary
Nurses performing financial audits significantly improved hospital revenue by identifying underbilling and overcharging. This highlights the crucial need for specialized financial training for nurses in healthcare.
Area of Science:
- Healthcare Finance
- Nursing Auditing
Background:
- Hospitals rely on accurate billing for revenue from supplemental health insurance.
- The role of healthcare professionals in financial auditing is increasingly recognized.
Purpose of the Study:
- To compare the effectiveness of nurses versus non-nurses in retrospective financial audits.
- To quantify the financial impact of nurse-led audits on hospital revenue.
Main Methods:
- A quantitative, retrospective case study analyzed 238 accounting bills from 2019-2021.
- Audits were conducted by nurses on bills initially invoiced by non-nurses for outpatient hemodynamics procedures.
Main Results:
- 100% of audited bills showed underbilling, totaling over R$1 million (updated value R$1.34 million).
- Undue charges (overbilling) amounted to R$647,828.00.
Conclusions:
- Retrospective financial audits by nurses demonstrably increase hospital revenue.
- There is a critical need for economic and financial skills training for nurses.
- Financial auditor nurses represent an emerging and important role in the healthcare market.
Related Concept Videos
01:09Accountability and Responsibility of a Nurse II
793
Professional accountability in nursing is a multifaceted concept that encompasses professional ethics, legal standards, and employment expectations. This framework ensures that nurses maintain and elevate the quality of care while upholding the values of their profession. It compels them to treat patients, families, and colleagues with respect, compassion, and integrity.
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
793
00:59Hospitals-II
831
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
831
01:30Accountability and Responsibility of a Nurse I
2.3K
Accountability in nursing is a fundamental principle that underscores the obligation of nurses to take responsibility for their actions and answer for any errors or omissions in patient care. This principle is grounded in the professional, legal, and ethical frameworks that shape nursing practice. For instance, nurses must adhere to all relevant laws, regulations, and practice standards, including guidelines set forth by nursing boards and professional bodies, to ensure their actions comply...
2.3K
01:25Ethical Standards I
976
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
976
01:23Nurses' Legal Responsibilities II
820
Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and...
Communication between nurses and...
820
01:30Health Information Technology and Healthcare Information System
929
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
929