Abstract:
Objectives:To determine the impact of systemwide charge display on laboratory utilization. Methods:This was a randomized controlled trial with a baseline period and an intervention period. Tests were randomized to a control arm or an active arm. The maximum allowable Medicare reimbursement rate was displayed for tests in the active arm during the intervention period. Total volume of tests in the active arm was compared with those in the control arm. Residents were surveyed before and after the intervention to assess charge awareness. Results:Charge display had no effect on order behavior. This result held for patient type (inpatient vs outpatient) and for insurance category (commercial, government, self-pay). Residents overestimated the charges of tests both before and after the intervention. Many residents failed to notice the charge display in the computerized order entry system. Conclusions:The impact of charge display depends on context. Charge display is not always effective.
journal_name
Am J Clin Patholjournal_title
American journal of clinical pathologyauthors
Schmidt RL,Colbert-Getz JM,Milne CK,Vargo DJ,Hussong JW,Hoidal JR,Markewitz BA,Walker BS,Kawamoto Kdoi
10.1093/ajcp/aqx110subject
Has Abstractpub_date
2017-11-20 00:00:00pages
513-522issue
6eissn
0002-9173issn
1943-7722pii
4643151journal_volume
148pub_type
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