• A&A practice · Feb 2021

    Costs of Inaccurate Anesthesia Start Time Documentation Within a Health System.

    • Alexander B Stone, Stratton Dangerfield, David A Preiss, and Richard D Urman.
    • From the Department of Anesthesiology, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; and.
    • A A Pract. 2021 Feb 11; 15 (2): e01404e01404.

    AbstractInaccurate anesthesia start time (AST) documentation can result in lost revenue. Using a retrospective analysis, we estimated lost revenue from inaccurate documentation of the AST within a single health care system, including academic and community-based facilities. We used differences in nursing documentation of "in-room" time and AST to calculate lost billable revenue. Of the 282,432 cases included, 25.6% had a documented "in-room" time before the documented AST, resulting in an estimated loss of $703,522 within 30-month study period. Through educational interventions and feedback, anesthesia clinicians have the potential to significantly increase revenue through more accurate documentation of AST.Copyright © 2021 International Anesthesia Research Society.

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