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 |