Date of Award
Summer 8-20-2023
Degree Type
Dissertation
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Abstract
Failure to follow the seven requirements of the Tax Equality and Fiscal Responsibility Act (TEFRA) when working in a medical direction model can place a CRNA at increased liability related to Medicare fraud. CRNAs and SRNAs often lack basic knowledge about the TEFRA 7 requirements which puts them at risk of committing inadvertent medical billing fraud. The purpose of this study was to determine if the investigator-developed educational flyer improved CRNA and SRNA knowledge regarding the TEFRA 7 requirements. A convenience sample of CRNAs and SRNAs (n=61) completed an online knowledge pre-test about TEFRA, reviewed the investigator-developed educational flyer about TEFRA, and completed an online knowledge post-test. A Wilcoxon signed-rank sum test and McNemar test were conducted on the collected data and showed a statistically significant increase (p < 0.0001) between pre-test scores (66%) and post-test scores (87%). This increase in knowledge is evidence that the newly developed TEFRA educational flyer will improve CRNA and SRNA knowledge regarding TEFRA 7 requirements and should be distributed amongst CRNAs and SRNAs to improve knowledge and reduce liability in medical billing fraud.
Recommended Citation
Tienhaara, Erin, "TEFRA 7 Requirements: Assessment of education on CRNA knowledge" (2023). College of Science and Health Theses and Dissertations. 610.
https://via.library.depaul.edu/csh_etd/610
SLP Collection
yes