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Disallowance analysis through the audit of accounts performed by nurses: an integrative review

Revista Brasileira de Enfermagem, 2020, Vol.73 (suppl 5), p.1-7 [Peer Reviewed Journal]

2020. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;This work is licensed under a Creative Commons Attribution 4.0 International License. ;ISSN: 0034-7167 ;ISSN: 1984-0446 ;EISSN: 1984-0446 ;DOI: 10.1590/0034-7167-2019-0826

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  • Title:
    Disallowance analysis through the audit of accounts performed by nurses: an integrative review
  • Author: Vigna, Cinthia Prates ; Ruiz, Paula Buck de Oliveira ; Lima, Antônio Fernandes Costa
  • Subjects: Accounting ; Auditing ; Audits ; Conformity ; Hospital administration ; Hospital Costs ; Nurses ; NURSING ; Nursing administration ; Nursing Audit ; Research methodology ; Revenues ; Supplementary Health
  • Is Part Of: Revista Brasileira de Enfermagem, 2020, Vol.73 (suppl 5), p.1-7
  • Description: ABSTRACT Objective: Evidence the scientific production on the analysis of disallowances through the audit of accounts made by nurses. Method: Integrative literature review whose sample of ten articles was selected on the basis of The Cumulative Index to Nursing and Allied Health Literature, Latin American and Caribbean Literature in Health Sciences, EMBASE, Scielo, Web of science, Virtual Health Library and on the portal PubMed. Results: The ten articles obtained were published in Brazil, 80% covering hospital contexts; with a quantitative (50%), exploratory (40%) and descriptive (60%) approach. Studies investigating the occurrence of disallowance prevailed to identify the most impacting items on billing and possibilities for improvements in the process of auditing accounts by nurses. Conclusion: The verticalized knowledge of the disallowance analysis process is essential to identify non-conformities and propose improvements, aiming at assistance quality, adequate billing and consequent financial sustainability to health organizations. RESUMO Objetivo: Evidenciar a produção científica sobre a análise de glosas por meio da auditoria de contas realizadas por enfermeiros. Método: Revisão integrativa da literatura cuja amostra de dez artigos foi selecionada nas bases The Cumulative Index to Nursing and Allied Health Literature, Literatura Latino-Americana e do Caribe em Ciências da Saúde, EMBASE, Scielo, Web of science, Biblioteca Virtual em Saúde e no portal PubMed. Resultados: Os dez artigos obtidos foram publicados no Brasil, 80% abrangendo contextos hospitalares; com abordagem quantitativa (50%), do tipo exploratório (40%) e descritivo (60%). Prevaleceram estudos investigando a ocorrência de glosas para identificar os itens mais impactantes no faturamento e possibilidades de melhorias no processo de auditoria de contas por enfermeiros. Conclusão: O conhecimento verticalizado do processo de análise de glosas é essencial para identificar não conformidades e propor melhorias, objetivando a qualidade assistencial, adequado faturamento e consequente sustentabilidade financeira às organizações de saúde. RESUMEN Objetivo: Evidenciar la producción científica sobre el análisis de glosas por medio de la auditoría de cuentas realizadas por enfermeros. Método: Revisión integrativa de la literatura cuya muestra de diez artículos ha sido seleccionada en las bases The Cumulative Index to Nursing and Allied Health Literature, Literatura Latinoamericana y de Caribe en Ciencias de la Salud, EMBASE, Scielo, Web of science, Biblioteca Virtual en Salud y en el portal PubMed. Resultados: Los diez artículos obtenidos han sido publicados en Brasil, 80% abarcando contextos hospitalarios; con abordaje cuantitativo (50%), del tipo exploratorio (40%) y descriptivo (60%). Prevalecieron estudios investigando la ocurrencia de glosas para identificar los ítems más impactantes en la facturación y posibilidades de mejorías en el proceso de auditoría de cuentas por enfermeros. Conclusión: El conocimiento verticalizado del proceso de análisis de glosas es esencial para identificar no conformidades y proponer mejorías, objetivando la calidad asistencial, adecuada facturación y consecuente sustentabilidad financiera a las organizaciones de salud.
  • Publisher: Brasília: Associação Brasileira de Enfermagem
  • Language: English;Portuguese
  • Identifier: ISSN: 0034-7167
    ISSN: 1984-0446
    EISSN: 1984-0446
    DOI: 10.1590/0034-7167-2019-0826
  • Source: SciELO
    ProQuest Central
    DOAJ Directory of Open Access Journals
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