| Fiscal Analysis of Establishment of a Double Balloon Enteroscopy Program and Reimbursement. | |
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MedLine Citation:
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PMID: 22226892 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND & AIMS:: As double balloon enteroscopy (DBE) programs continue to be established, further research is needed to assess their financial impact. We evaluated actual financial outcomes and compared them with estimated return on investment (ROI) projections for DBE. METHODS:: We retrospectively compared the predicted and actual financial results for outpatients referred for DBE at an academic tertiary referral center. RESULTS:: The ROI analysis was based on a 5-year timeframe. The analysis projected a net present value of $64,623 and an internal rate of return (IRR) of 24.6%. The projected first year volume was 52 outpatient cases; however, the actual experience was 20 outpatient cases. The predicted percent margin for these outpatient cases was 16.6%; the actual margin was 24.4%. After 37 months, 52 outpatient cases were completed and the actual percent margin was 4.6%. Payor type had a significant influence on the financial outcomes when projected and actual activity were compared. CONCLUSIONS:: Institutions interested in establishing a DBE program should be aware of the financial implications of program establishment, which can be evaluated in a return on investment analysis. Payor mix significantly influences DBE reimbursement and collection rates. |
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Authors:
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Mark E Benson; Wendy Horton; Jill Gluth; Patrick R Pfau; Sigurdur Einarsson; Michael R Lucey; Anurag Soni; Mark Reichelderfer; Deepak V Gopal |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-1-5 |
Journal Detail:
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Title: Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association Volume: - ISSN: 1542-7714 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-1-9 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101160775 Medline TA: Clin Gastroenterol Hepatol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012 AGA Institute. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Medicine, Section of Gastroenterology & Hepatology, University of Wisconsin School of Medicine & Public Health, Madison, WI; USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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