Who teaches medical billing? A national cross-sectional survey of Australian medical education stakeholders

Journal article


Faux, Margaret, Wardle, Jonathan, Thompson-Butel, Angelica G. and Adams, Jon. (2018). Who teaches medical billing? A national cross-sectional survey of Australian medical education stakeholders. BMJ Open. 8(7), p. e020712. https://doi.org/10.1136/bmjopen-2017-020712
AuthorsFaux, Margaret, Wardle, Jonathan, Thompson-Butel, Angelica G. and Adams, Jon
Abstract

Importance: Billing errors and healthcare fraud have been described by the WHO as ‘the last great unreduced health-care cost’. Estimates suggest that 7% of global health expenditure (US$487 billion) is wasted from this phenomenon. Irrespective of different payment models, challenges exist at the interface of medical billing and medical practice across the globe. Medical billing education has been cited as an effective preventative strategy, with targeted education saving $A250 million in Australia in 1 year from an estimated $A1–3 billion of waste.

Objective: This study attempts to systematically map all avenues of medical practitioner education on medical billing in Australia and explores the perceptions of medical education stakeholders on this topic.

Design: National cross-sectional survey between April 2014 and June 2015. No patient or public involvement. Data analysis—descriptive statistics via frequency distributions.

Participants: All stakeholders who educate medical practitioners regarding clinical practice (n=66). 86% responded.

Results: There is little medical billing education occurring in Australia. The majority of stakeholders (70%, n=40) did not offer/have never offered a medical billing course. 89% thought medical billing should be taught, including 30% (n=17) who were already teaching it. There was no consensus on when medical billing education should occur.

Conclusions: To our knowledge, this is the first attempt of any country to map the ways doctors learn the complex legal and administrative infrastructure in which they work. Consistent with US findings, Australian doctors may not have expected legal and administrative literacy. Rather than reliance on ad hoc training, development of an Australian medical billing curriculum should be encouraged to improve compliance, expedite judicial processes and reduce waste. In the absence of adequate education, disciplinary bodies in all countries must consider pleas of ignorance by doctors under investigation, where appropriate, for incorrect medical billing.

Year2018
JournalBMJ Open
Journal citation8 (7), p. e020712
PublisherBMJ Publishing Group Limited
ISSN2044-6055
Digital Object Identifier (DOI)https://doi.org/10.1136/bmjopen-2017-020712
Scopus EID2-s2.0-85050311377
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-8
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online16 Jul 2018
Publication process dates
Accepted05 Jun 2018
Deposited19 May 2021
Permalink -

https://acuresearchbank.acu.edu.au/item/8w16q/who-teaches-medical-billing-a-national-cross-sectional-survey-of-australian-medical-education-stakeholders

Download files


Publisher's version
OA_Faux_2018_Who_teaches_medical_billing_A_national.pdf
License: CC BY-NC 4.0
File access level: Open

  • 88
    total views
  • 46
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Effect of exercise on brain-derived neurotrophic factor in stroke survivors : A systematic review and meta-analysis
Ashcroft, Sarah K., Ironside, Daniel D., Johnson, Liam, Kuys, Suzanne S. and Thompson-Butel, Angelica G.. (2022). Effect of exercise on brain-derived neurotrophic factor in stroke survivors : A systematic review and meta-analysis. Stroke. 53(12), pp. 3706-3716. https://doi.org/10.1161/STROKEAHA.122.039919
Revisiting poststroke upper limb stratification : Resilience in a larger cohort
Varley, Benjamin J., Shiner, Christine T., Johnson, Liam, McNulty, Penelope A. and Thompson Butel, A.. (2021). Revisiting poststroke upper limb stratification : Resilience in a larger cohort. Neurorehabilitation and Neural Repair. 35(3), pp. 280-289. https://doi.org/10.1177/1545968321992048
Improved kinematics and motor control in a longitudinal study of a complex therapy movement in chronic stroke
Hesam-Shariati, Negin, Trinh, Terry, Thompson-Butel, Angelica G., Shiner, Christine T., Redmond, Stephen J. and McNulty, Penelope A.. (2019). Improved kinematics and motor control in a longitudinal study of a complex therapy movement in chronic stroke. IEEE Transactions on Neural Systems and Rehabilitation Engineering. 27(4), pp. 682-691. https://doi.org/10.1109/TNSRE.2019.2895018
Partnerships in collaborative care : Role of the exercise physiologist
Smith, Sheree M. S., Isenring, Liz, Rice, Vanessa J., Baker, Michael K., Thompson-Butel, Angelica G., Mitchell, Geoffrey, Bissett, Michelle, Zakrzewski, Leearne, Lenson, Shane, Gallego, Gisselle, Wright, Anthony, Hughes, Mark, Gallagher, Hillary and Kenny, Belinda. (2018). Partnerships in collaborative care : Role of the exercise physiologist. In In Chang, Ester and Johnson, Amanda (Ed.). Living with chronic illness and disability : Principles for nursing practice pp. 20-25 Elsevier Australia.
The Role of Personalized Virtual Reality in Education for Patients Post Stroke: A Qualitative Case Series
Angelica Thompson-Butel, Christine T Shiner, John McGhee, Benjamin John Bailey, Pascal Bou-Haidar, Michael McCorriston and Steven Faux. (2018). The Role of Personalized Virtual Reality in Education for Patients Post Stroke: A Qualitative Case Series. Journal of Stroke and Cerebrovascular Diseases. 28(2), pp. 450-457. https://doi.org/10.1016/j.jstrokecerebrovasdis.2018.10.018
Rehabilitation and education are underutilized for mild stroke and TIA sufferers
Faux, Steven G., Arora, Pooja, Shiner, Christine T., Thompson-Butel, Angelica and Klein, Linda A.. (2018). Rehabilitation and education are underutilized for mild stroke and TIA sufferers. Disability and Rehabilitation. 40(12), pp. 1480 - 1484. https://doi.org/10.1080/09638288.2017.1295473
A Longitudinal Electromyography Study of Complex Movements in Poststroke Therapy. 1: Heterogeneous Changes Despite Consistent Improvements in Clinical Assessments
Negin Hesam-Shariati, Terry Trinh, Angelica Thompson Butel, Christine T Shiner and Penelope A McNulty. (2017). A Longitudinal Electromyography Study of Complex Movements in Poststroke Therapy. 1: Heterogeneous Changes Despite Consistent Improvements in Clinical Assessments. Frontiers in Neurology. 8, pp. 1-12.
Improving motor activation patterns after stroke with wii-based movement therapy
Thompson Butel, Angelica, Scheuer, Sarah and McNulty, Penelope. (2013). Improving motor activation patterns after stroke with wii-based movement therapy. In In P M Pilowsky, M M J Farnham and A Y Fong (Ed.). Stimulation and Inhibition of Neurons pp. 301 - 314 Humana Press. https://doi.org/10.1007/978-1-62703-233-9