Inliers, outliers, and comorbidity have a potential effect on hospital billing. First, during the inlier determination process, the person responsible for reimbursement may severely adjust an oft-cited requirement when comparing the medical delivery system (Kümpel & Schneider, 2020). Medicare hospital outlier payments may lead to increased scrutiny that may make healthcare institutions be held accountable on the monetary issues, mostly reimbursement. Comorbidities, on the other hand, may lead to prolonged recovery time, which means hospitals will be at risk of high costs while treating patients.

Among the three terms, outliers have the most impact than inliers and comorbidities. The reason is that during the process of outlier calculation, healthcare institutions produce many documents and records that reveal all the financial dealings. Thus, hospital personnel that may have unclear financial dealings will be exposed (Kümpel & Schneider, 2020). Upon disclosure of a violation of financial rules in hospitals, the healthcare institutions will be saved from losing money to greedy individuals. Hence it prevents possible occasions of financial crisis.

References

Jentzsch, T., Seifert, B., Neuhaus, V., & Moos, R. M. (2018). Predictors for shorter and longer length of hospital stay outliers: a retrospective case-control study of 8247 patients at a university hospital trauma department. Swiss medical weekly, 148, 16-19.