全球智库信息集成服务系统(G2TT): Developing Codes to Capture Post-Operative Care

G2TT

来源类型	Research Reports
规范类型	报告
DOI	https://doi.org/10.7249/RR1526
ISBN	9780833095411
来源ID	RR-1526-CMS
	Developing Codes to Capture Post-Operative Care
	Ateev Mehrotra; Courtney A. Gidengil; Lee H. Hilborne; Ashley Kranz; Stephanie Dellva; John N. Mafi; Barbara O. Wynn
发表日期	2016
出版年	2016
页码	53
语种	英语
结论	The recommended codes attempt to balance the need for a simple system but one that adequately captures the heterogeneity of post-operative care. The majority of post-operative visits are straightforward; therefore, the key is identifying the smaller number of complex visits. Devising a simple system to facilitate reporting is important to minimize the reporting burden for individuals performing surgical procedures. This report considers the advantages and disadvantages of four approaches for capturing post-operative care through claims: site of care; evaluation and management (E&M) visits; scope of care; and time. E&M is familiar to proceduralists, but the codes are a poor fit for the unique circumstances of post-operative visits and could lead to considerable documentation burden. No single framework (site of care, time, or scope of care) is ideal for capturing post-operative visits. The expert panel was most enthusiastic about a set of codes that used elements of all these frameworks. Nonpayment codes are a poor mechanism to capture practice expenses, which should be captured by other means.
摘要	We recommend a set of eight codes (six for proceduralists and two for clinical staff) that CMS can use to collect data on post-operative care. The structure of these codes is based on a hybrid approach of using time, scope of care, and setting. In the inpatient setting, visits are divided into typical, complex, and critical care encounters. In the office-based setting, visits are divided into typical versus complex encounters. There are separate codes available for Internet- or phone-based care delivery. The codes are based on ten-minute allotments of time. Incorporating time into the coding framework adds a potentially simple and accurate way to capture much of what makes a visit complex. It will be useful to test these codes with proceduralists to ensure that they are feasible, reliable, and capture the full range of post-operative care.
主题	Health Care Payment Approaches ; Health Legislation ; Measuring Health Care Costs ; Medicaid ; Medicare
URL	https://www.rand.org/pubs/research_reports/RR1526.html
来源智库	RAND Corporation (United States)
引用统计
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/108254
推荐引用方式 GB/T 7714	Ateev Mehrotra,Courtney A. Gidengil,Lee H. Hilborne,et al. Developing Codes to Capture Post-Operative Care. 2016.

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