View June's Board Pack - Royal Bournemouth Hospital

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HRGs and price changes as a result of the audit (Cardiology)Example 1ID Speclty 320 SpecialtyEpisode Start 20/05/2010 End 20/05/2010TrustCodingAuditCodingError KeyPDiag I251 Atherosclerotic heartdiseaseDiag1 I209 Angina pectoris - Anginapectoris, unspecifiedProc1 K752 Percutaneoustransluminal balloonangioplasty and insertionof 3 or more drug-elutingstents into coronaryarteryProc2 K632 Angiocardiography ofright side of heart NECProc3 Y539 Approach to organ underimage control -UnspecifiedProc4 Y703 First stage of stagedoperations NOCHRG EA34Z Percutaneous CoronaryInterventions with 3 ormore Stents andCatheterisationSpellHRGEA34ZPercutaneous CoronaryInterventions with 3 ormore Stents andCatheterisationI251I209K752Y539Y703EA33ZEA33ZAtherosclerotic heartdiseaseAngina pectoris - Anginapectoris, unspecifiedPercutaneoustransluminal balloonangioplasty and insertionof 3 or more drug-elutingstents into coronaryarteryApproach to organ underimage control -UnspecifiedFirst stage of stagedoperations NOCPercutaneous CoronaryInterventions with 3 ormore StentsPercutaneous CoronaryInterventions with 3 ormore StentsSPNRCodingManual orCodingClinicreferenceOPCSinstructionManualPage E-6Base£4,565 £3,756tariffShort£0 £0stayadj.Speciali£0 £0st TopUpExcess£0 £0beddaysTotal£4,565 £3,756PriceCoding SourceClinical RecordIt is a Trust Consultant policy always to record the angiogram carried out at the same time. There is a coding rulenot to record a diagnostic procedure as well as a therapeutic procedure.Audit Commission Payment by results data assurance framework 37
Example 2ID Speclty 320 SpecialtyEpisode Start 26/05/2010 End 26/05/2010TrustCodingAuditCodingError KeyPDiag I258 Chronic ischaemic heartdisease - Other forms ofchronic ischaemic heartdiseaseDiag1 I209 Angina pectoris - Anginapectoris, unspecifiedDiag2 Z955 Presence of coronaryangioplasty implant andgraftI258I209Z955Chronic ischaemic heartdisease - Other forms ofchronic ischaemic heartdiseaseAngina pectoris - Anginapectoris, unspecifiedPresence of coronaryangioplasty implant andgraftDiag3 Z720 Tobacco use Z720 Tobacco useProc1 K751 Percutaneoustransluminal balloonangioplasty and insertionof 1-2 drug-eluting stentsinto coronary arteryK751Proc2 K631 Angiocardiography ofcombination of right andleft side of heartProc3 Y539 Approach to organ underimage control -UnspecifiedHRG EA32Z Percutaneous CoronaryIntervention (0-2 stents)SpellHRGEA32Zand CatheterisationPercutaneous CoronaryIntervention (0-2 stents)and CatheterisationY539EA31ZEA31ZPercutaneoustransluminal balloonangioplasty and insertionof 1-2 drug-eluting stentsinto coronary arteryApproach to organ underimage control -UnspecifiedPercutaneous CoronaryIntervention (0-2 Stents)Percutaneous CoronaryIntervention (0-2 Stents)SPNRCodingManual orCodingClinicreferenceOPCSinstructionManualPage E-6Base£3,756 £3,306tariffShort£0 £0stayadj.Speciali£0 £0st TopUpExcess£0 £0beddaysTotal£3,756 £3,306PriceCoding SourceClinical RecordThere is a Trust policy always to record the angiogram when carried out at the same time.There is no need torecord the angiocardiography under the therapeutic versus diagnostic procedure rule.Audit Commission Payment by results data assurance framework 38
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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 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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Page 66 and 67: Detailed reportIntroduction22 The P
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