From: Development of billing post competency evaluation index system for nurses in China: a Delphi study
Subjects | Mean ± SD | CV | Proportion scored ≥ 4(%) | weight |
---|---|---|---|---|
1 Theoretical knowledge | 4.80 ±0.62 | 0.13 | 90.00 | 0.2697 |
 1.1 Basic accounting knowledge | 4.60 ±0.82 | 0.18 | 80.00 | 0.0672 |
  1.1.1 Department charging criteria for common diseases/operations | 5.00 ±0.00 | 0.00 | 100.00 | 0.0248 |
  1.1.2 Common billing codes | 4.35 ±0.88 | 0.20 | 75.00 | 0.0216 |
  1.1.3 Common expense connotation | 4.60 ±0.68 | 0.15 | 90.00 | 0.0229 |
  1.1.4 Medical insurance knowledge | 4.55 ±0.76 | 0.17 | 85.00 | 0.0226 |
  1.1.5 Reimbursement requirements and procedures | 4.90 ±0.45 | 0.09 | 95.00 | 0.0243 |
 1.2 Characteristics of department medical orders | 4.25 ±0.85 | 0.20 | 75.00 | 0.0621 |
  1.2.1 Common department medical orders | 4.80 ±0.62 | 0.13 | 90.00 | 0.0238 |
  1.2.2 Specific billing items corresponding to each medical order | 4.60 ±0.82 | 0.18 | 80.00 | 0.0229 |
 1.3 Consumable-related information | 4.15 ±0.49 | 0.12 | 95.00 | 0.0606 |
  1.3.1 Common consumable types | 4.70 ±0.73 | 0.16 | 85.00 | 0.0233 |
  1.3.2 Common consumable models | 4.75 ±0.64 | 0.13 | 90.00 | 0.0236 |
  1.3.3 Common consumable prices | 4.95 ±0.22 | 0.05 | 100.00 | 0.0246 |
  1.3.4 Disposable consumables included in the main charging items or not | 4.65 ±0.75 | 0.16 | 85.00 | 0.0231 |
2 Operation skills | 4.65 ±0.75 | 0.16 | 85.00 | 0.2612 |
 2.1 Billing skills | 5.00 ±0.00 | 0.00 | 100.00 | 0.0730 |
  2.1.1 Correct billing by codes | 5.00 ±0.00 | 0.00 | 100.00 | 0.0248 |
  2.1.2 Setting billing templates | 5.00 ±0.00 | 0.00 | 100.00 | 0.0248 |
  2.1.3 Appropriate refund | 4.60 ±0.82 | 0.18 | 80.00 | 0.0229 |
 2.2 Expense query and audit ability | 4.95 ±0.22 | 0.05 | 100.00 | 0.0723 |
  2.2.1 Inpatient expense query | 4.45 ±0.89 | 0.20 | 75.00 | 0.0221 |
  2.2.2 Use of cost query APP for patients | 4.80 ±0.62 | 0.13 | 90.00 | 0.0238 |
  2.2.3 Daily and discharge audit of inpatient expenses | 4.50 ±0.89 | 0.20 | 75.00 | 0.0224 |
  2.2.4 Expense auditing as per medical orders | 3.80 ±1.24 | 0.33 | 60.00 | 0.0189 |
  2.2.5 Double check expenses with the patient and family members | 4.70 ±0.73 | 0.16 | 85.00 | 0.0233 |
 2.3 Ability to remind payment settlement | 4.40 ±0.75 | 0.17 | 85.00 | 0.0643 |
  2.3.1 Appropriate ways of payment settlement | 5.00 ±0.00 | 0.00 | 100.00 | 0.0248 |
  2.3.2 Response to unsettled payment | 5.00 ±0.00 | 0.00 | 100.00 | 0.0248 |
 2.4 Device operation capability | 4.90 ±0.31 | 0.06 | 100.00 | 0.0716 |
  2.4.1 Billing system operation capability | 4.80 ±0.62 | 0.13 | 90.00 | 0.0238 |
  2.4.2 Printer operation capability | 4.85 ±0.49 | 0.10 | 95.00 | 0.0241 |
3 Comprehensive ability | 4.05 ±0.60 | 0.15 | 85.00 | 0.2275 |
 3.1 Critical thinking | 4.80 ±0.52 | 0.11 | 95.00 | 0.0701 |
  3.1.1 Consistency auditing of billing and medical orders | 4.35 ±0.88 | 0.20 | 85.00 | 0.0216 |
  3.1.2 Identification of incorrect medical orders | 4.60 ±0.75 | 0.16 | 85.00 | 0.0229 |
  3.1.3 Distinguish medical insurance fraud | 4.70 ±0.73 | 0.16 | 85.00 | 0.0233 |
 3.2 Communication ability | 4.45 ±0.83 | 0.19 | 80.00 | 0.0650 |
  3.2.1 Ability to communicate related costs with patients | 4.90 ±0.45 | 0.09 | 95.00 | 0.0243 |
  3.2.2 Ability to interpret doubt costs with patients | 5.00 ±0.000 | 0.00 | 100.00 | 0.0248 |
 3.3 Overall planning ability | 4.90 ±0.31 | 0.06 | 100.00 | 0.0716 |
  3.3.1 Preferred billing for discharge patients | 4.70 ±0.66 | 0.14 | 90.00 | 0.0233 |
  3.3.2 Preferred billing for special cases | 4.70 ±0.73 | 0.16 | 85.00 | 0.0233 |
 3.4 Emergency response ability | 4.65 ±0.67 | 0.14 | 90.00 | 0.0679 |
  3.4.1 Emergency handling ability to under billing | 4.55 ±0.76 | 0.17 | 85.00 | 0.0226 |
  3.4.2 Emergency handling ability to erroneous billing | 4.60 ±0.82 | 0.18 | 80.00 | 0.0229 |
  3.4.3 Emergency handling ability to over billing | 5.00 ±0.00 | 0.00 | 100.00 | 0.0248 |
4 Personal traits | 4.30 ±0.57 | 0.13 | 95.00 | 0.2416 |
 4.1 Value of concept | 4.50 ±0.83 | 0.18 | 80.00 | 0.0657 |
  4.1.1 Honesty and integrity | 4.00 ±0.00 | 0.00 | 100.00 | 0.0199 |
  4.1.2 Clean and self-discipline | 4.50 ±0.69 | 0.15 | 90.00 | 0.0224 |
  4.1.3 Meticulousness | 5.00 ±0.00 | 0.00 | 100.00 | 0.0248 |
 4.2 Affinity | 4.05 ±0.51 | 0.13 | 90.00 | 0.0592 |
  4.2.1 Pronunciation, speed, and intonation during communication | 5.00 ±0.00 | 0.00 | 100.00 | 0.0248 |
  4.2.2 Gentle and friendliness | 4.80 ±0.62 | 0.13 | 90.00 | 0.0238 |
  4.2.3 Team spirit | 4.70 ±0.73 | 0.16 | 85.00 | 0.0233 |
 4.3 Careful and prudent | 4.65 ±0.75 | 0.16 | 85.00 | 0.0679 |
  4.3.1 Patient and meticulous | 4.30 ±0.66 | 0.15 | 90.00 | 0.0214 |
  4.3.2 Calmness | 4.05 ±0.51 | 0.13 | 90.00 | 0.0201 |
 4.4 Self-confidence | 4.20 ±0.62 | 0.15 | 90.00 | 0.0614 |
  4.4.1 Positive to self-evaluation and work | 4.70 ±0.73 | 0.16 | 85.00 | 0.0233 |
  4.4.2 Confident in current post | 4.80 ±0.62 | 0.13 | 90.00 | 0.0238 |