Implementing a Computerized Charge Capture System to Improve Billing Work Flow and Reduce Errors in Data Entry

Abstract

Background : Traditional paper-based billing operation has experienced a high illegibility error rate and the need for an extended processing time to cope with the billing tasks related to physician reimbursement. We hypothesized that information technology can be adopted to improve the effectiveness of the billing interface, assist in record keeping, and enhance financial outcomes of clinical practice. Methods : A computerized charge capture system was designed and deployed to test our hypothesis that information technology could reduce illegibility during data entry and improve patient record keeping and billing work flow. Results : Physicians found that electronic juxtaposition of the pilot system with the electronic medical record was helpful in patient data verification from the progress note. The pilot system was successfully designed to assist physicians in improving information access, and to reduce significant illegibility errors during data entry. Conclusion : Although overall technical improvements may provide access to desired information, major barriers to data entry and flawed health plan management systems still hamper the efficient implementation and financial outcomes of the adoption of clinical information systems in this time-pressured environment.