Compliance Performance: Effects of a Provider Incentive Program and Coding Compliance Plan

Abstract

The purpose of this project is to study provider and coder related performance, i.e., provider compliance rate and coder productivity/accuracy rates and average dollar difference between coder and auditor, at Brooke Army Medical Center (BAMC) as a function of data dated performance (i.e., baseline vs. post-program implementation) and select attributes and experience/training variables. For BAMC's provider incentive program, analysis reveals statistical significance for record compliance rates with data dated measures, F(underscored)(1,103)= 4.74, p(underscored) = .03. For the coding compliance program, analysis reveals statistical significance for coding accuracy rates with data dated measures, F(underscored)(1,16) = 9.67, p(underscored) < .01. Statistical significance was not found for coding productivity rate, F(underscored)(1,16) = 2.08, p(underscored) = .17, and coding average dollar difference, F(underscored)(1,16) = 3.29, p(underscored) = .09, with data dated measures. Health leaders can use these findings to establish programs and effective policies to improve upon provider and coder performance to improve coding and billing compliance.

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Document Details

Document Type
Technical Report
Publication Date
Jun 29, 2004
Accession Number
ADA432106

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  • Joseph A. Tudela

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