title: Effectiveness of a clinical/billing alert system vs education alone in assisting physicians to correctly bill for asthma nebulization treatments in the pediatric office setting.
abstract: Missed billing opportunities can be a negative outcome of the implementation of non-interfaced clinical and billing information systems. We describe a decision support system that prompts physicians with suggested billing options at the point of ordering nebulized medications. A baseline rate of 70% missed billing opportunities decreased to 38% with education alone and to 7% with an alert system. Decision support can best support billing opportunities when automated and appearing at the point of care.
authors.affiliation: The department of Pediatrics and the Center for BioMedical Inormatics, The Children's Hospital of Philadelphia, Philadelphai, Pennsylvania, USA.
authors.forename: Lisa
authors.initials: L
authors.lastname: Biggs
authors.forename: Robert W
authors.initials: RW
authors.lastname: Grundmeier
authors.forename: Anthony A
authors.initials: AA
authors.lastname: Luberti
mesh_terms: D018927:Anti-Asthmatic Agents / Q000191:economics* / Q000627:therapeutic use; D001249:Asthma / Q000188:drug therapy*; D002648:Child; D006776:Hospitals, Pediatric / Q000458:organization & administration; D006801:Humans; D008331:Management Information Systems; D016347:Medical Records Systems, Computerized; D009330:Nebulizers and Vaporizers / Q000191:economics; D010350:Patient Credit and Collection; D020399:Practice Management
chemical_list: D018927:Anti-Asthmatic Agents