View June's Board Pack - Royal Bournemouth Hospital

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Example 12ID Speclty 330 SubchapterEpisode Start 24/05/2010 End 24/05/2010TrustCodingAuditCodingError KeyPDiag L570 Actinic keratosis L570 Actinic keratosisProc1 S081 Curettage andcauterisation of lesion ofskin of head or neckE092Destruction of lesion ofexternal nose NECProc2 Z221 External nose S081 Curettage andcauterisation of lesion ofskin of head or neckHRG JC15Z Skin Therapies level 3 CZ12Y Minor Nose Procedures19 years and overwithout CCSpellHRGJC15Z Skin Therapies level 3 CZ12Y Minor Nose Procedures19 years and overwithout CCCodingManual orCodingClinicreferencePPO OPCS 4.5instructionmanualPage S-5Base£635 £644tariffShort£0 £0stayadj.Speciali£0 £0st TopUpExcess£0 £0beddaysTotal£635 £644PriceCoding SourceClinical RecordThere is an exclusion note at the beginning of Chapter S in OPCS-4 that codes from this chapter should not beused for certain sites including the site for external nose. A code from chapter E should be used and an ‘S’ codebe added to give additional information if requiredAudit Commission Payment by results data assurance framework 63
Example 13ID Speclty 330 SubchapterEpisode Start 23/04/2010 End 23/04/2010TrustAuditError KeyCodingPDiag L989 Other disorders of skinand subcutaneous tissue,NEC - Disorder of skinand subcutaneous tissue,unspecifiedProc1 S149 Shave biopsy of skin -UnspecifiedCodingL989E091Other disorders of skinand subcutaneous tissue,NEC - Disorder of skinand subcutaneous tissue,unspecifiedExcision of lesion ofexternal noseProc2 Z221 External nose S141 Shave biopsy of lesion ofskin of head or neckHRG JC15Z Skin Therapies level 3 CZ12Y Minor Nose Procedures19 years and overwithout CCSpell JC15Z Skin Therapies level 3 CZ12Y Minor Nose ProceduresHRG19 years and overwithout CCBase£635 £644tariffShort£0 £0stayadj.Speciali£0 £0st TopUpExcess£0 £0beddaysTotal£635 £644PriceCodingManual orCodingClinicreferencePPO OPCS 4.5instructionmanualPage S-5SP4Coding SourceClinical RecordThere is an exclusion note at the beginning of Chapter S in OPCS-4 that codes from this chapter should not beused for certain sites including the site for external nose. A code from chapter E should be used and an ‘S’ codebe added to give additional information if required.Audit Commission Payment by results data assurance framework 64
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THE ROYAL BOURNEMOUTH AND CHRISTCHU
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50/11 DECISION3% by the 4 th quarte
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52/11 INFORMATIONClinical advice -
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Board of Directors10 June 20111 Pur
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Board of Directors10 June 2011Part
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Board of Directors10 June 2011Emerg
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Board of Directors10 June 2011C.Dif
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Board of Directors10 June 20118 15
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Board of Directors10 June 2011The t
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The Royal Bournemouth & Christchurc
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Board of Directors Part 110 June 20
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Board of Directors Part 110 June 20
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Board of Directors10 June 2011THE R
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Where next for the NHS reforms in E
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Board of Directors - Part I10 th Ju
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Payment byresults dataassurancefram
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ContentsSummary....................
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Figure 1: HRG, procedure and diagno
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Key areas for improvements15 The ke
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Detailed reportIntroduction22 The P
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31 The remaining 100 FCEs were sele
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40 The HRG error rate at the Trust
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