Impact of Semi-automated Proposal and Optimization of Diagnoses and Surgical Procedures for Precoding: a Randomized Controlled Trial

Thomas Steffen

Status: Completed

Conditions: Healthcare Common Procedure Coding System; Diagnosis-Related Groups

Treatments: Other: precoding; Other: Standard procedure

Study type: Observational

Funder types: Other

Identifiers

NCT04726202

Chir201902

Details and patient eligibility

About

The hypothesis of present study is that the daily monitoring and optimization of DRG coding is associated with higher reimbursement. Therefore, the primary objective is to determine if the daily monitoring and optimization of DRG coding of individual cases leads to better proceeds per day.

Enrollment: 1,200 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients undergoing surgery as inpatients (at least one night stay)
• treated at the Kantonsspital St. Gallen, St. Gallen site

Exclusion criteria

• surgery as outpatients
• surgery at the Rorschach and Flawil sites
• patients operated on by the Department of Surgery, but hospitalized at another department of the hospital

Trial design

1,200 participants in 2 patient groups

Control arm

Description:

standard procedure of coding at hospital

Treatment:

Other: Standard procedure

Precoding arm

Description:

Coding of the standard procedure will be reviewed and corrected

Treatment:

Other: precoding