Forensic Analysis of Spin-off and Downstream Revenue in an Academic Vascular Surgery Practice at a Tertiary Care Medical Center

نویسندگان

چکیده

Because of a high level patient and operative complexity, vascular surgery represents major driver for elevating the case mix index within healthcare institutions. Although number specialty services are recruited in care these patients, it has been difficult to measure financial impact patients across enterprise. This study aimed quantify all revenue attributable introduction tertiary system. Billing data from 2017 2020 new entering system were captured segregated by encounter type both inpatients outpatients. Within categories, streams analyzed according procedural such as aortic surgery, peripheral disease, cerebrovascular, others. Spin-off downstream nonvascular also inpatient outpatient encounters that tied initial surgical encounter. Revenues followed with respect other hospital service lines subsequently used. A total 4044 introduced first time surgery. These overall, generated >$26 million (M) gross >$10M profit margin. Aortic greatest return, >$7.4M $2.7M health Patients treated disease contributed $6.1M $2.4M margin, respectively. revenue, encounters, was $4.75M $2M Cerebrovascular procedures produced spin-off margin per at $4139.00, artery (n = 161) largest ($661,360.00). Vascular billing associated margins summarized Fig. 3082 spinoff Specialty (margin/encounters) follows: subspecialties, $5.3M/1130; cardiovascular $1.3M/230; oncology, $1.8M/778; trauma/acute ($1.7M/46). is vital component ecosystem introducing complex who require many different specialties. program produce significant substantial entire When considering fiscal enterprise, should be included when assessing overall value program.

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ژورنال

عنوان ژورنال: Journal of Vascular Surgery

سال: 2021

ISSN: ['1085-875X', '0741-5214', '1097-6809']

DOI: https://doi.org/10.1016/j.jvs.2021.06.453