A Multi-Institutional Evaluation of Billing for Tobacco-Cessation Services: Opportunities to Improve Quality and Enhance Revenue Capture
A recent paper identified significant gaps in billing for tobacco-cessation services for a multihospital health system. Underbilling can reflect poor billing practices, low rates of tobacco-cessation counseling, or a combination of both. The study design was applied to 2 academic medical centers. De...
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| Language: | English |
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Elsevier
2025-10-01
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| Series: | AJPM Focus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773065425000677 |
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| author | Edward Anselm, MD Derek J. Baughman, MD Marcus Rauhut, MS Taylor Martin, DO, MPH Ishan Mahajan Allison B. McCoy, PhD |
| author_facet | Edward Anselm, MD Derek J. Baughman, MD Marcus Rauhut, MS Taylor Martin, DO, MPH Ishan Mahajan Allison B. McCoy, PhD |
| author_sort | Edward Anselm, MD |
| collection | DOAJ |
| description | A recent paper identified significant gaps in billing for tobacco-cessation services for a multihospital health system. Underbilling can reflect poor billing practices, low rates of tobacco-cessation counseling, or a combination of both. The study design was applied to 2 academic medical centers. Deidentified data from the electronic medical records systems were used to identify adult tobacco users and their insurance coverage for patients who had visits to primary care clinics. The proportion of office visits where cessation services were billed was calculated. An economic evaluation of the missed counseling opportunities was based on insurance type and a fee-for-service-payment model. Billing of cessation services is consistently below 2% across the medical centers studied, suggesting substantial opportunities to improve quality and increase revenue. The prevalence of tobacco use in the patient populations studied was significantly lower than reported for that state by the Centers for Disease Control and Prevention. |
| format | Article |
| id | doaj-art-7ebfc238fa1a4118b59b9192b2ef3118 |
| institution | Kabale University |
| issn | 2773-0654 |
| language | English |
| publishDate | 2025-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | AJPM Focus |
| spelling | doaj-art-7ebfc238fa1a4118b59b9192b2ef31182025-08-20T03:51:19ZengElsevierAJPM Focus2773-06542025-10-014510037910.1016/j.focus.2025.100379A Multi-Institutional Evaluation of Billing for Tobacco-Cessation Services: Opportunities to Improve Quality and Enhance Revenue CaptureEdward Anselm, MD0Derek J. Baughman, MD1Marcus Rauhut, MS2Taylor Martin, DO, MPH3Ishan Mahajan4Allison B. McCoy, PhD5Icahn School of Medicine at Mount Sinai, New York, New York; Address correspondence to: Edward Anselm, MD, Fort Myers, FL, 33919.Department of Biomedical Informatics, Vanderbilt University Medical Center, Vanderbilt University School of Medicine, Nashville, TennesseeWellSpan Health, Research & Development, York, PennsylvaniaClinical Informatics, UCLA Health, Los Angeles, CaliforniaDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Vanderbilt University School of Medicine, Nashville, TennesseeDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Vanderbilt University School of Medicine, Nashville, TennesseeA recent paper identified significant gaps in billing for tobacco-cessation services for a multihospital health system. Underbilling can reflect poor billing practices, low rates of tobacco-cessation counseling, or a combination of both. The study design was applied to 2 academic medical centers. Deidentified data from the electronic medical records systems were used to identify adult tobacco users and their insurance coverage for patients who had visits to primary care clinics. The proportion of office visits where cessation services were billed was calculated. An economic evaluation of the missed counseling opportunities was based on insurance type and a fee-for-service-payment model. Billing of cessation services is consistently below 2% across the medical centers studied, suggesting substantial opportunities to improve quality and increase revenue. The prevalence of tobacco use in the patient populations studied was significantly lower than reported for that state by the Centers for Disease Control and Prevention.http://www.sciencedirect.com/science/article/pii/S2773065425000677Tobacco cessationcounselingeconomic evaluation |
| spellingShingle | Edward Anselm, MD Derek J. Baughman, MD Marcus Rauhut, MS Taylor Martin, DO, MPH Ishan Mahajan Allison B. McCoy, PhD A Multi-Institutional Evaluation of Billing for Tobacco-Cessation Services: Opportunities to Improve Quality and Enhance Revenue Capture AJPM Focus Tobacco cessation counseling economic evaluation |
| title | A Multi-Institutional Evaluation of Billing for Tobacco-Cessation Services: Opportunities to Improve Quality and Enhance Revenue Capture |
| title_full | A Multi-Institutional Evaluation of Billing for Tobacco-Cessation Services: Opportunities to Improve Quality and Enhance Revenue Capture |
| title_fullStr | A Multi-Institutional Evaluation of Billing for Tobacco-Cessation Services: Opportunities to Improve Quality and Enhance Revenue Capture |
| title_full_unstemmed | A Multi-Institutional Evaluation of Billing for Tobacco-Cessation Services: Opportunities to Improve Quality and Enhance Revenue Capture |
| title_short | A Multi-Institutional Evaluation of Billing for Tobacco-Cessation Services: Opportunities to Improve Quality and Enhance Revenue Capture |
| title_sort | multi institutional evaluation of billing for tobacco cessation services opportunities to improve quality and enhance revenue capture |
| topic | Tobacco cessation counseling economic evaluation |
| url | http://www.sciencedirect.com/science/article/pii/S2773065425000677 |
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