Reducing laboratory billing defects using six sigma principles

Cyndy B. Levtzow, Monte Willis

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: In an effort to decrease healthcare costs, we investigated our laboratory billing practices at a tertiary academic medical center to determine where we could apply Sigma Sigma tools to improve these processes. Methods and Results: During the period of June 2009 to February 2010, we identified an estimated $1.9 million in charges for laboratory tests performed, but not billed for. Using SIPOC analytics, we determined that a large percentage of these unbilled tests were ordered by outreach services ($529,000). Applying interventions that included creation of CPT-driven lab test requisitions for Medicareapproved test panels, and training physicians and office managers to better match CPT codes with lab requests, we improved the rate of unbilled tests from 25% to 2.6%. Conclusion: The application of Six Sigma quality improvement tools to the clinical laboratory setting helped identify specific billing processes to improve (laboratory tests performed but not billed for), apply specific interventions to improve our billing processes, and create solutions to improve and maintain improved performance of our billing practices.

Original languageEnglish (US)
Pages (from-to)358-371
Number of pages14
JournalLaboratory Medicine
Volume44
Issue number4
DOIs
StatePublished - Sep 1 2013
Externally publishedYes

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Total Quality Management
Defects
Clinical laboratories
Current Procedural Terminology
Physicians' Offices
Managers
Quality Improvement
Health Care Costs
Six sigma
Costs

Keywords

  • Clinical chemistry
  • Clinical pathology
  • Management/administration

ASJC Scopus subject areas

  • Clinical Biochemistry
  • Biochemistry, medical

Cite this

Reducing laboratory billing defects using six sigma principles. / Levtzow, Cyndy B.; Willis, Monte.

In: Laboratory Medicine, Vol. 44, No. 4, 01.09.2013, p. 358-371.

Research output: Contribution to journalArticle

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