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Related Experiment Videos

Variable billing for services: new fiscal direction for nursing.

N J Higgerson, A Van Slyck

    The Journal of Nursing Administration
    |June 1, 1982
    PubMed
    Summary

    Variable billing for nursing care offers advantages like improved financial control and patient equity. However, it presents challenges in inter-hospital comparisons and requires increased nursing administrator accountability.

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    Area of Science:

    • Healthcare Administration
    • Nursing Management
    • Health Economics

    Background:

    • Traditional nursing care billing lacks detailed cost identification.
    • Existing billing practices present challenges for patients, payers, and hospitals.
    • Variable billing offers a potential solution for more equitable and transparent financial management in healthcare.

    Purpose of the Study:

    • To discuss the practical application of variable billing in acute care settings.
    • To evaluate the advantages and disadvantages of variable billing for nursing services.
    • To encourage nursing administrators to consider variable billing as a fiscal practice.

    Main Methods:

    • Analysis of variable billing's impact on revenue and expenses.
    • Examination of data generation for administrative planning.

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  • Assessment of equity for patients, payers, and hospitals.

    • Main Results:

    • Variable billing identifies nursing cost centers and enhances budget control.
    • It generates valuable data for administrative decision-making.
    • It offers a more equitable billing system, improving public relations.

    Conclusions:

    • Variable billing presents challenges such as inter-hospital charge comparison difficulties and potential revenue fluctuations.
    • Increased accountability and workload for nursing administrators are noted disadvantages.
    • Nursing administrators should assess the feasibility of implementing variable billing for nursing services.