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Variable Billing for Services: New Fiscal Direction for Nursing

The authors propose and explain a new fiscal concept for nursing in which patients are billed specifically for nursing services rather than for “routine” services included in the room rate. How is variable billing for various types of nursing service put into effect? What are the purposes, practical benefits, and implications of variable billing? Here the authors answer these questions and describe variable billing systems in effect in two hospitals. The examples will enable nursing administrators to consider adapting variable billing for nursing services in their own institutions.