Skip to main content

Table 4 Results of the second 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

4.37 ±0.60

0.14

94.74

0.2434

 1.1 Basic accounting knowledge

4.89 ±0.46

0.09

94.74

0.06823

  1.1.1 Department charging criteria for common diseases/operations

4.84 ±0.37

0.08

100.00

0.0195

  1.1.2 Common billing codes

4.79 ±0.42

0.09

100.00

0.0193

  1.1.3 Common expense connotation

4.42 ±0.69

0.16

89.47

0.0178

  1.1.4 Reimbursement requirements and procedures

4.74 ±0.56

0.12

94.74

0.0191

 1.2 Characteristics of department medical orders

4.74 ±0.56

0.12

94.74

0.06603

  1.2.1 Common department medical orders

4.53 ±0.77

0.17

84.21

0.0183

  1.2.2 Specific billing items corresponding to each medical order

4.74 ±0.56

0.12

94.74

0.0191

 1.3 Medical insurance knowledge

4.47 ±0.51

0.11

100.00

0.0624

  1.3.1 Common medical insurance types

4.84 ±0.50

0.10

94.74

0.0195

  1.3.2 Common medical insurance charge criteria

4.74 ±0.65

0.14

89.47

0.0191

  1.3.3 Medical insurance reimbursement policy

4.79 ±0.54

0.11

94.74

0.0193

  1.3.4 Medical insurance payment ways

4.89 ±0.32

0.06

100.00

0.0198

  1.3.5 Medical insurance cost control policy

4.89 ±0.32

0.06

100.00

0.0198

 1.4 Consumable-related information

4.05 ±0.97

0.24

78.95

0.0565

  1.4.1 Common consumable types

4.63 ±0.76

0.16

84.21

0.0187

  1.4.2 Common consumable models

4.79 ±0.54

0.11

94.74

0.0193

  1.4.3 Common consumable prices

4.68 ±0.67

0.14

89.47

0.0189

  1.4.4 Application of department consumables

4.47 ±0.77

0.17

84.21

0.0181

  1.4.5 Contents of department consumables for common operations

4.74 ±0.56

0.12

94.74

0.0191

  1.4.6 Common high-value consumables in relevant departments

4.84 ±0.37

0.08

100.00

0.0195

  1.4.7 Disposable consumables included in the main charging items or not

3.84 ±0.50

0.13

78.95

0.0155

2 Operation skills

4.32 ±0.75

0.17

84.21

0.2405

 2.1 Billing skills

4.95 ±0.23

0.05

100.00

0.0690

  2.1.1 Correct billing by codes

4.42 ±0.69

0.16

89.47

0.0178

  2.1.2 Setting billing templates

4.84 ±0.37

0.08

100.00

0.0195

  2.1.3 Appropriate refund

4.84 ±0.37

0.08

100.00

0.0195

 2.2 Expense query and auditing ability

4.84 ±0.50

0.10

94.74

0.0645

  2.2.1 Inpatient expense query

4.84 ±0.37

0.08

100.00

0.0195

  2.2.2 Use of cost query APP for patients

4.79 ±0.42

0.09

100.00

0.0193

  2.2.3 Daily and discharge audit of inpatient expenses

4.42 ±0.51

0.11

100.00

0.0178

  2.2.4 Double check expenses with the patient and family members

4.11 ±0.32

0.08

100.00

0.0166

  2.2.5 Main expense checking of relevant departments

4.74 ±0.65

0.14

89.47

0.0191

 2.3 Ability to remind payment settlement

4.53 ±0.77

0.17

94.74

0.0631

  2.3.1 Appropriate ways of payment settlement

4.68 ±0.58

0.12

94.74

0.0189

  2.3.2 Response to unsettled payment

4.74 ±0.56

0.12

94.74

0.0191

 2.4 Device operation capability

4.74 ±0.65

0.14

89.47

0.0660

  2.4.1 Billing system operation capability

4.89 ±0.32

0.06

100.00

0.0198

  2.4.2 Printer operation capability

4.63 ±0.68

0.15

89.47

0.0187

3 Comprehensive ability

4.32 ±0.67

0.16

89.47

0.2405

 3.1 Critical thinking

4.26 ±0.81

0.19

78.95

0.0594

  3.1.1 Consistency auditing of billing and medical orders

4.74 ±0.65

0.14

89.47

0.0191

  3.1.2 Identification of incorrect medical orders

4.74 ±0.65

0.14

89.47

0.0191

  3.1.3 Distinguish medical insurance fraud

4.11 ±0.74

0.18

78.95

0.0166

 3.2 Communication ability

4.58 ±0.77

0.17

84.21

0.0638

  3.2.1 Advance communication of expenses on medical care

4.68 ±0.75

0.16

84.21

0.0189

  3.2.2 Payment collection cooperating with clinicians

4.63 ±0.76

0.16

84.21

0.0187

  3.2.3 Ability to communicate related costs with patients

4.89 ±0.32

0.06

100.00

0.0198

  3.2.4 Ability to interpret doubt costs with patients

4.89 ±0.32

0.06

100.00

0.0198

 3.3 Overall planning ability

4.58 ±0.90

0.20

84.21

0.0638

  3.3.1 Preferred billing for discharge patients

4.68 ±0.58

0.12

94.74

0.0189

  3.3.2 Preferred billing for special cases

4.42 ±0.77

0.17

94.74

0.0178

 3.4 Emergency handling ability

4.37 ±0.96

0.22

78.95

0.0609

  3.4.1 Emergency handling ability to under billing

4.79 ±0.42

0.09

100.00

0.0193

  3.4.2 Emergency handling ability to erroneous billing

4.79 ±0.54

0.11

94.74

0.0193

  3.4.3 Emergency handling ability to over billing

4.58 ±0.69

0.15

89.47

0.0185

  3.4.4 Emergency handling ability to conflicts

4.79 ±0.54

0.11

94.74

0.0193

4 Personal traits

4.95 ±0.23

0.05

100.00

0.2757

 4.1 Value of concept

4.79 ±0.71

0.15

94.74

0.0668

  4.1.1 Honesty and integrity

4.89 ±0.32

0.06

100.00

0.0198

  4.1.2 Clean and self-discipline

4.53 ±0.84

0.19

78.95

0.0183

  4.1.3 Meticulousness

4.74 ±0.65

0.14

89.47

0.0191

 4.2 Affinity

4.11 ±0.46

0.11

94.74

0.0572

  4.2.1 Pronunciation, speed and intonation during communication

4.74 ±0.65

0.14

89.47

0.0191

  4.2.2 Gentle and friendly manner

4.68 ±0.75

0.16

84.21

0.0189

  4.2.3 Team spirit

4.58 ±0.77

0.17

84.21

0.0185

 4.3 Careful and prudent

3.74 ±0.87

0.23

78.95

0.0521

  4.3.1 Patient and meticulous

4.68 ±0.67

0.14

89.47

0.0189

  4.3.2 Calmness

4.63 ±0.76

0.16

84.21

0.0187

 4.4 Self-confidence

4.11 ±0.88

0.21

89.47

0.0572

  4.4.1 Positive to self-evaluation and work

4.74 ±0.56

0.12

94.74

0.0191

  4.4.2 Confident in current post

4.63 ±0.76

0.16

84.21

0.0187