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- Title
Establishing a pediatric interventional radiology inpatient consult service.
- Authors
Heft, Mallory E.; Wong, Kevin; James, Charles A.; Lewis, P. Spencer; Hicks, Evan D.; Jensen, Hanna K.; Liu, Daniel S.; Kaukis, Nicholas A.; Shashi, Kumar K.; Ashton, Daniel J.
- Abstract
Objective: To delineate pediatric interventional radiology (IR) inpatient consult growth and resulting collections after implementation of a pediatric IR consult service. Methods: An inpatient IR consult process was created at a single academic children's hospital in October 2019. IR consult note templates were created in Epic (Epic Systems Corporation, Verona, Wisconsin) and utilized by 4 IR physicians. Automatic charge generation was linked to differing levels of evaluation and management (E&M) service relating to current procedural terminology (CPT) inpatient consult codes 99251–99255. The children's hospital informatics division identified IR consult notes entered from the implementation of the consult service: October 2019 to January 2022. The university radiology department billing office provided IR service E&M charge, payment, and relative value units (RVU) information during this study period. A chart review was performed to determine the IR procedure conversion rate. Mann-Whitney and a two-sample t-test statistical analyses compared use of the 25-modifier, monthly consult growth and monthly payment growth. P-value < 0.05 was considered statistically significant. Results: Within this 27-month period, a total of 2153 inpatient IR consults were performed during 1757 Epic hospital encounters; monthly consult peak was reached 5 months into the study period. Consult level breakdown by CPT codes: 99251–8.7%, 99252–81.7%, and 99253–8.8%. 69.7% of IR consults had consult-specific billing with payments in 96.4% resulting in $143,976 new revenue. From 2020 to 2021, IR consult volume trended upward by 13.4% (P =0.069), and consult-specific payments increased by 84.1% (P<0.001). IR consult procedure conversion rate was 96.5%. Conclusion: An inpatient pediatric IR consult service was quickly established and maintained by four physicians over a 27-month study period. Annual IR consult volume trended upward and consult-specific payments increased, resulting in previously uncaptured IR service revenue.
- Subjects
PEDIATRIC radiology; CONSULTING firms; INTERVENTIONAL radiology; TELERADIOLOGY; CHILDREN'S hospitals; MEDICAL offices; OFFICES
- Publication
Pediatric Radiology, 2023, Vol 53, Issue 9, p1951
- ISSN
0301-0449
- Publication type
Article
- DOI
10.1007/s00247-023-05664-z