Case #468

Conference about patient is not a team visit

Added by Anonymous almost 4 years ago. Updated almost 2 years ago.

Status:AcceptedStart date:2017-02-08
Priority:NormalSpent time:-
Assignee:Veronika Stemme
Category:-
Target version:Expert Group 2016
Initiator:Sweden Target year:2017
Case type:Minor Owner / responsible:National organisations
MDC: Old forum status:
Target Grouper:SWE

Description

Problem
The Swedish procedure code XS008 Konferens om patient (Conference about patient) has procedure property 99V22 (Team of care providors) which leads to DRG groups for Team visit (in respective MDC). Since the patient is not present in a conference about patient (in contrast to XS007 Konferens med patient, Conference with patient) it is not right that XS008 leads to DRG-groups for team visit.

Analysis
This is a matter of medical description, no economical analysis is needed.

Suggestion
The National Board of Health and Welfare, Sweden – 2016-01-08
We suggest that procprop 99V22 is removed from XS008 Konferens om patient (conference about patient) and that XS008 instead gets the procprop 40V39 (Administration of care) which leads to DRG Z63O Vårdadministrativa åtgärder utan patientkontakt (Health care administrative procedures without patient contact).

Decided changes
The National Board of Health and Welfare, Sweden – 2016-02-24

DRG change
The Swedish procedure code XS008 Konferens om patient (Conference about patient) has procedure property 99V22 (Team of care providors) which leads to DRG groups for Team visit (in respective MDC). It should get the procprop 40V39 which would lead to DRG Z63O Vårdadministrativa åtgärder utan patientkontakt (Health care administrative procedures without patient contact).

Technical change
Procpro 99V22 is removed from the procedure code XS008.
Procpro 40V39 is added to the procedure code XS008.

Decision C621.xlsx (16.7 KB) Mats Fernström, 2016-03-17 12:18

Technical changes case #468.xls (46 KB) Martti Virtanen, 2016-03-28 08:45


Subtasks

Case #531: XS008 (Conference about patient) to DRG for Team-visitAcceptedVeronika Stemme

History

#1 Updated by Martti Virtanen almost 4 years ago

2016-03-09 Nordcase - Martti Virtanen

This is a matter of linkage in NCSP+. Because 'conference' in XS008 indicates several participants I have linked it to ZZZA00 'Team of care providers'. For the resource use, the presence of the patient is quite unimportant I guess.
However, if a change is needed, the code could be mapped to WSZA99 'Other administration' - linkage to it will give the result that was wished.

#2 Updated by Mats Fernström over 3 years ago

Mats Fernström, NPK, Sweden, 2016-03-17
This case was discussed at the Expert Network meeting 2016-03-14 – 15 and we accepted the mapping proposed by Martti. The file Decisions.xlsx has a name that is too anonymous. It will be replaced by the attached file Decision C621.xlsx.

#3 Updated by Mats Fernström over 3 years ago

  • File deleted (Decisions.xlsx)

#4 Updated by Martti Virtanen over 3 years ago

  • File Technical changes case #468.xls added

2016-03-15 Expert group (MV)
The proposal was accepted but the change is based on mapping change as described in technical changes.

#6 Updated by Martti Virtanen over 3 years ago

  • File deleted (Technical changes case #468.xls)

#7 Updated by Anonymous over 3 years ago

  • Status changed from Active to Accepted

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