Have you ever wondered how it is that your hospital gets paid for the work you do? Perhaps you think that this isn’t relevant to you? Well, in this podcast we discuss how hospitals in England are remunerated for the patients they see in there EDs and why we, as clinicians, should do everything we can to ensure the clinical coding recording the details of the patient’s visit is correct.
Hospitals in England are paid on a “payment by results” basis. In essence, the more you do for a patient the more they are paid (up to a maximum of £237). This is done via “HRG4” codes that add together investigations and treatment, to give a code that equates to how much that episode is worth, with eleven different codes available.
It’s important to remember that the hospital is paid this fee for any patient who attends the ED whether they are admitted or discharged (there is a further set of complicated codes to work out cost for inpatient hospital stays).
This data isn’t just used for costing purposes, but also regularly quoted when looking at patients who attend for whom “nothing is done” in the group VB11Z, so accuracy is vital and we hope this podcast will help encourage you to take just a little extra time to ensure your data entry and discharge information is as complete as possible.
Addendum: The post has received a lot of interest, most notably from Cliff Mann himself who reminds us that the college has put tariffs and payment systems as a very high priority.
— Taj Hassan (@RCEMpresident) October 30, 2014