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View June's Board Pack - Royal Bournemouth Hospital

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HRGs and price changes as a result of the audit (General Medicine)Example 1ID Speclty 300 ThemeEpisode Start 16/04/2010 End 19/04/2010TrustCodingAuditCodingError KeyPDiag K20X Oesophagitis K921 Melaena PDODiag1 B378 Candidiasis - Candidiasis K20X Oesophagitisof other sitesDiag2 K259 Gastric ulcer - Gastriculcer, unspecified asacute or chronic, withouthaemorrhage orperforationB378 Candidiasis - Candidiasisof other sitesDiag3 I259 Chronic ischaemic heartdisease - Chronicischaemic heart disease,unspecifiedDiag4 I10X Essential (primary)hypertensionDiag5 J449 Other chronic obstructivepulmonary disease -Chronic obstructivepulmonary disease,unspecifiedI259I10XJ449Chronic ischaemic heartdisease - Chronicischaemic heart disease,unspecifiedEssential (primary)hypertensionOther chronic obstructivepulmonary disease -Chronic obstructivepulmonary disease,unspecifiedDiag6 K259 Gastric ulcer - Gastriculcer, unspecified asacute or chronic, withouthaemorrhage orperforationHRG FZ31A Disorders of theOesophagus with MajorCCSpellHRGFZ31ABasetariffShortstayadj.Specialist TopUpExcessbeddaysTotalPriceCoding SourceDisorders of theOesophagus with MajorCCFZ38AFZ16Z£3,235 £2,295£0 £0£0 £0£0 £0£3,235 £2,295Clinical RecordGastrointestinal Bleedwith Major CCVery Major Proceduresfor Gastrointestinal BleedCodingManual orCodingClinicreferenceThe coder had omitted the primary diagnosis. Episode 1 of 2Audit Commission Payment by results data assurance framework 24

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