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Table 3 Results of the first round of the Delphi survey

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