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
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