Changes in average length of stay and average charges generated following institution of PSRO review.
A five-year review of accounting data at a university hospital shows that immediately following institution of concurrent PSRO admission and length of stay review of Medicare-Medicaid patients, there was a significant decrease in length of stay and a fall in average charges generated per patient against the inflationary trend. Similar changes did not occur for the non-Medicare-Medicaid patients who were not reviewed. The observed changes occurred even though the review procedure rarely resulted in the denial of services to patients, suggesting an indirect effect of review.
D000066:Accounting; D000067:Accounts Payable and Receivable; D003211:Concurrent Review; D006746:Hospital Bed Capacity, 500 and over; D006785:Hospitals, University / Q000706:statistics & numerical data; D007902:Length of Stay / Q000639:trends*; D008484:Medicaid / Q000191:economics; D006278:Medicare / Q000191:economics; D010343:Patient Admission / Q000639:trends*; D011366:Professional Review Organizations / Q000191:economics*; D013022:South Carolina; D013223:Statistics as Topic; D014600:Utilization Review