Collaborative Strategies Used to Reduce Billing Administrative Cost

144 Pages·2017·1.28 MB·English

Walden University
ScholarWorks
Walden Dissertations and Doctoral Studies
Walden Dissertations and Doctoral Studies
Collection
2017
Collaborative Strategies Used to Reduce Billing
Administrative Cost
Stella Fayomi-Olaleye
Walden University
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Walden University

College of Management and Technology

This is to certify that the doctoral study by

Stella Fayomi-Olaleye

has been found to be complete and satisfactory in all respects,
and that any and all revisions required by
the review committee have been made.

Review Committee
Dr. Edward Paluch, Committee Chairperson, Doctor of Business Administration Faculty

Dr. Lynn Szostek, Committee Member, Doctor of Business Administration Faculty

Dr. Julia East, University Reviewer, Doctor of Business Administration Faculty

Chief Academic Officer
Eric Riedel, Ph.D.

Walden University
2017
Abstract
Collaborative Strategies Used to Reduce Billing Administrative Cost
by
Stella Fayomi-Olaleye

MBA, American InterContinental University, 2007

BS, State University of New York, College at Buffalo, 2000

Doctoral Study Submitted in Partial Fulfillment
of the Requirements for the Degree of
Doctor of Business Administration

Walden University
December 2017
Abstract
Billing inefficiencies represent 80% of wasteful healthcare administrative costs that are
projected to reach $45 billion by 2018. Potentially, a reduced billing administrative cost
is estimated to yield an annual savings of $60 billion that could fund other societal needs
such as jobs, wage increases, and education. Through the conceptual framework of
iceberg change management model, this single case study explored collaborative
strategies 3 healthcare billing managers in Dallas, Texas successfully used to reduce
billing administrative costs. Data were collected through semistructured interviews and
the review of company documents. Using Yin’s procedure of examining, comparing,
categorizing, and coding data, the thematic analysis exposed 5 themes: task coordination,
communication, stakeholder involvement, relationship management, and performance
indicators. The findings indicated that collaborative strategies might serve as a guideline
for billing managers to identify and manage behaviors, attitudes, and processes that
hinders the reduction of wasteful billing administrative costs. The implication for positive
social change is the potential to reduce the number of individuals who forgo care due to
medical billing complexities and disputes. The study may also contribute to social change
by providing other billing managers and administrators with strategies for reducing
healthcare billing administrative costs. Potential cost savings derived from improved
billing administrative costs could fund healthcare for the uninsured and underinsured.
The implementation of these collaborative strategies may improve fragmented billing
processes, resulting in reduction of wasteful healthcare spending.
Collaborative Strategies Used to Reduce Billing Administrative Cost
by
Stella Fayomi-Olaleye

MBA, American InterContinental University, 2007

BS, State University of New York, College at Buffalo, 2000

Doctoral Study Submitted in Partial Fulfillment
of the Requirements for the Degree of
Doctor of Business Administration

Walden University
December 2017
Dedication
I dedicate this accomplishment to my Lord and Savior Jesus Christ, who never
forsook me even when all odds were against me. My husband believed in me and
encouraged me daily with endless love and sacrifice. My beloved children recognized the
principle of working hard and not giving up at a very young age and understood why I
had to spend uncountable hours in my study closet. My parents whose uncountable
sacrifices propelled me to accomplish my goals.
Acknowledgments
I am thankful to my second chair Dr. Lynn Szostek, URR Dr. Julia East, and
CAO Reviewer Dr. Matthew Jones for their boundless support throughout the process. I
am grateful for my committee chair Dr. Edward Paluch, whose eagerness to get me to the
finished line never ceased. I appreciate all the time you spent reviewing my work and
responding to my emails and texts. The numerous sacrifice of time you spent listening,
coaching, and directing led me to the finish line!
Table of Contents
Section 1: Foundation of the Study ......................................................................................1
Background of the Problem ...........................................................................................1
Problem Statement .........................................................................................................2
Purpose Statement ..........................................................................................................2
Nature of the Study ........................................................................................................3
Research Question .........................................................................................................4
Interview Questions .......................................................................................................4
Conceptual Framework ..................................................................................................5
Operational Definitions ..................................................................................................6
Assumptions, Limitations, and Delimitations ................................................................7
Assumptions ............................................................................................................ 7
Limitations .............................................................................................................. 7
Delimitations ........................................................................................................... 7
Significance of the Study ...............................................................................................8
Contribution to Business Practice ........................................................................... 8
Implications for Social Change ............................................................................... 8
A Review of the Professional and Academic Literature ................................................9
Organization of Literature Review ......................................................................... 9
Iceberg Change Management Model .................................................................... 10
Collaboration and Change Management ............................................................... 12
Collaborative Change Management Theories ....................................................... 14
i
Collaborative Change Management Style ............................................................ 19
Multipayer Healthcare Billing System.................................................................. 25
Billing Administrative Costs ................................................................................ 31
Transition .....................................................................................................................37
Section 2: The Project ........................................................................................................38
Purpose Statement ........................................................................................................38
Role of the Researcher .................................................................................................39
Participants ...................................................................................................................41
Research Method and Design ......................................................................................42
Research Method .................................................................................................. 42
Research Design.................................................................................................... 44
Population and Sampling .............................................................................................45
Sampling Method .................................................................................................. 46
Participant Eligibility Criteria ............................................................................... 46
Interview Process .................................................................................................. 47
Ethical Research...........................................................................................................48
Data Collection Instruments ........................................................................................51
Data Collection Technique ..........................................................................................52
Data Organization Technique ......................................................................................56
Data Analysis ...............................................................................................................57
Reliability and Validity ................................................................................................59
Reliability .............................................................................................................. 59
ii
Validity ................................................................................................................. 60
Transition and Summary ..............................................................................................63
Section 3: Application to Professional Practice and Implications for Change ..................64
Introduction ..................................................................................................................64
Presentation of the Research Findings .........................................................................64
Coordination of Interrelated Tasks ....................................................................... 65
Communication ..................................................................................................... 70
Stakeholders’ Involvement ................................................................................... 71
Relationship Management .................................................................................... 74
Performance Indicators ......................................................................................... 77
Relation of Findings to the Iceberg Change Management Model ........................ 79
Applications to Professional Practice ..........................................................................82
Implications for Social Change ....................................................................................85
Recommendations for Action ......................................................................................86
Recommendations for Further Research ......................................................................88
Reflections ...................................................................................................................88
Conclusion ...................................................................................................................90
Appendix A: Letter of Intent............................................................................................129
Appendix B: Follow up Reminder ...................................................................................130
Appendix C: Interview Protocol ......................................................................................131
Appendix D: Interview Questions ...................................................................................133

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