Analysis of technical disallowances in a surgical center of a private general hospital

Detalhes bibliográficos
Autor(a) principal: Zunta, Raquel Silva Bicalho
Data de Publicação: 2018
Outros Autores: Lima, Antônio Fernandes Costa
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Rev Rene (Online)
Texto Completo: http://periodicos.ufc.br/rene/article/view/33108
Resumo: Objective: to analyze technical disallowances in a surgical center of a private general hospital. Methods: retrospective documentary study with a sample of 383 medical records with disallowed hospital accounts in which the percentages of disallowances were evaluated through Generalized Estimating Equation models. Results: 1,373 items were disallowed, 82.1% corresponded to nursing professionals and 17.9% to anesthesiologist physicians. The “materials” and “medicines” accounting groups presented the greater number of items disallowed: 67.7% and 13.2%, respectively. The highest amount of disallowed items was generated by nursing professionals, however the highest percentage corresponded to anesthetist physicians. Conclusion: the analysis of hospital accounts allowed the calculation of the number of technical disallowances, with a total of 1,373 items. Nursing professionals were responsible for most of the disallowed items, and the “materials” accounting group predominated, contributing to the search for alternatives that increase billing in the surgical center studied.
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spelling Analysis of technical disallowances in a surgical center of a private general hospitalAnálise de glosas técnicas em centro cirúrgico de hospital geral privadoSurgicenters; Health Personnel; Documentation; Billing; Costs and Cost Analysis.Centros Cirúrgicos; Pessoal de Saúde; Documentação; Faturamento; Custos e Análise de Custo.Objective: to analyze technical disallowances in a surgical center of a private general hospital. Methods: retrospective documentary study with a sample of 383 medical records with disallowed hospital accounts in which the percentages of disallowances were evaluated through Generalized Estimating Equation models. Results: 1,373 items were disallowed, 82.1% corresponded to nursing professionals and 17.9% to anesthesiologist physicians. The “materials” and “medicines” accounting groups presented the greater number of items disallowed: 67.7% and 13.2%, respectively. The highest amount of disallowed items was generated by nursing professionals, however the highest percentage corresponded to anesthetist physicians. Conclusion: the analysis of hospital accounts allowed the calculation of the number of technical disallowances, with a total of 1,373 items. Nursing professionals were responsible for most of the disallowed items, and the “materials” accounting group predominated, contributing to the search for alternatives that increase billing in the surgical center studied.Objetivo: analisar glosas técnicas geradas em centro cirúrgico de hospital geral privado. Métodos: pesquisa documental retrospectiva, cuja amostra constituiu-se de 383 prontuários com contas hospitalares glosadas, nas quais foram avaliadas as porcentagens de glosa, por intermédio de modelos de Equações de Estimação Generalizadas. Resultados: foram glosados 1.373 itens, 82,1% correspondentes aos profissionais de enfermagem e 17,9% aos médicos anestesistas. Os grupos contábeis “materiais” e “medicamentos” apresentaram os itens mais glosados, 67,7% e 13,2%, respectivamente. A maior quantidade de itens glosados foi gerada por profissionais de enfermagem, contudo a porcentagem mais elevada correspondeu aos médicos anestesistas. Conclusão: a análise das contas hospitalares subsidiou o cálculo do número de glosas técnicas, com total de 1.373 itens, sendo os profissionais de enfermagem responsáveis pela maioria dos itens glosados e com predominância do grupo contábil “materiais”, contribuindo para busca de alternativas que incrementem o faturamento no centro cirúrgico pesquisado.Universidade Federal do Ceará2018-07-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionEstudo documentalapplication/pdfapplication/pdfhttp://periodicos.ufc.br/rene/article/view/3310810.15253/2175-6783.2018193401Rev Rene; Vol 19 (2018): Rev Rene; e3401Rev Rene; v. 19 (2018): Rev Rene; e34012175-67831517-3852reponame:Rev Rene (Online)instname:Universidade Federal do Ceará (UFC)instacron:UFCengporhttp://periodicos.ufc.br/rene/article/view/33108/pdfhttp://periodicos.ufc.br/rene/article/view/33108/pdf_1Copyright (c) 2018 Rev Renehttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessZunta, Raquel Silva BicalhoLima, Antônio Fernandes Costa2020-05-28T15:35:25Zoai:periodicos.ufc:article/33108Revistahttp://periodicos.ufc.br/renePUBhttp://periodicos.ufc.br/rene/oairene@ufc.br||2175-67831517-3852opendoar:2020-05-28T15:35:25Rev Rene (Online) - Universidade Federal do Ceará (UFC)false
dc.title.none.fl_str_mv Analysis of technical disallowances in a surgical center of a private general hospital
Análise de glosas técnicas em centro cirúrgico de hospital geral privado
title Analysis of technical disallowances in a surgical center of a private general hospital
spellingShingle Analysis of technical disallowances in a surgical center of a private general hospital
Zunta, Raquel Silva Bicalho
Surgicenters; Health Personnel; Documentation; Billing; Costs and Cost Analysis.
Centros Cirúrgicos; Pessoal de Saúde; Documentação; Faturamento; Custos e Análise de Custo.
title_short Analysis of technical disallowances in a surgical center of a private general hospital
title_full Analysis of technical disallowances in a surgical center of a private general hospital
title_fullStr Analysis of technical disallowances in a surgical center of a private general hospital
title_full_unstemmed Analysis of technical disallowances in a surgical center of a private general hospital
title_sort Analysis of technical disallowances in a surgical center of a private general hospital
author Zunta, Raquel Silva Bicalho
author_facet Zunta, Raquel Silva Bicalho
Lima, Antônio Fernandes Costa
author_role author
author2 Lima, Antônio Fernandes Costa
author2_role author
dc.contributor.author.fl_str_mv Zunta, Raquel Silva Bicalho
Lima, Antônio Fernandes Costa
dc.subject.por.fl_str_mv Surgicenters; Health Personnel; Documentation; Billing; Costs and Cost Analysis.
Centros Cirúrgicos; Pessoal de Saúde; Documentação; Faturamento; Custos e Análise de Custo.
topic Surgicenters; Health Personnel; Documentation; Billing; Costs and Cost Analysis.
Centros Cirúrgicos; Pessoal de Saúde; Documentação; Faturamento; Custos e Análise de Custo.
description Objective: to analyze technical disallowances in a surgical center of a private general hospital. Methods: retrospective documentary study with a sample of 383 medical records with disallowed hospital accounts in which the percentages of disallowances were evaluated through Generalized Estimating Equation models. Results: 1,373 items were disallowed, 82.1% corresponded to nursing professionals and 17.9% to anesthesiologist physicians. The “materials” and “medicines” accounting groups presented the greater number of items disallowed: 67.7% and 13.2%, respectively. The highest amount of disallowed items was generated by nursing professionals, however the highest percentage corresponded to anesthetist physicians. Conclusion: the analysis of hospital accounts allowed the calculation of the number of technical disallowances, with a total of 1,373 items. Nursing professionals were responsible for most of the disallowed items, and the “materials” accounting group predominated, contributing to the search for alternatives that increase billing in the surgical center studied.
publishDate 2018
dc.date.none.fl_str_mv 2018-07-24
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Estudo documental
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://periodicos.ufc.br/rene/article/view/33108
10.15253/2175-6783.2018193401
url http://periodicos.ufc.br/rene/article/view/33108
identifier_str_mv 10.15253/2175-6783.2018193401
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv http://periodicos.ufc.br/rene/article/view/33108/pdf
http://periodicos.ufc.br/rene/article/view/33108/pdf_1
dc.rights.driver.fl_str_mv Copyright (c) 2018 Rev Rene
https://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2018 Rev Rene
https://creativecommons.org/licenses/by-nc/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal do Ceará
publisher.none.fl_str_mv Universidade Federal do Ceará
dc.source.none.fl_str_mv Rev Rene; Vol 19 (2018): Rev Rene; e3401
Rev Rene; v. 19 (2018): Rev Rene; e3401
2175-6783
1517-3852
reponame:Rev Rene (Online)
instname:Universidade Federal do Ceará (UFC)
instacron:UFC
instname_str Universidade Federal do Ceará (UFC)
instacron_str UFC
institution UFC
reponame_str Rev Rene (Online)
collection Rev Rene (Online)
repository.name.fl_str_mv Rev Rene (Online) - Universidade Federal do Ceará (UFC)
repository.mail.fl_str_mv rene@ufc.br||
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