Cost analysis of radiological interventional procedures and reimbursement within a clinic

Strotzer, M. and Voelk, M. and Lenhart, M. and Fruend, R. and Feuerbach, S. (2002) Cost analysis of radiological interventional procedures and reimbursement within a clinic. ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 174 (6). pp. 761-766. ISSN 1438-9029

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Abstract

Purpose: Analysis of costs for vascular radiological interventions on a per patient basis and comparison with reimbursement based on GOA (Gebuhrenordnung fur Arzte) and DKG-NT (Deutsche Krankenhausgesellschaft-Nebenkostentarif). Material and Methods: The ten procedures most frequently performed within 12 months were evaluated. Personnel costs were derived from precice costs per hour and estimated procedure time for each intervention. Costs for medical devices were included. Reimbursement based on GOA was calculated using the official conversion factor of 0.114 DM for each specific relative value unit and a multiplication factor of 1.0. The corresponding conversion factor for DKG-NT, determined by the DKG, was 0.168 DM. Results: A total of 832 interventional procedures were included. Marked differences between calculated costs and reimbursement rates were found. Regarding the ten most frequently performed procedures, there was a deficit of 1.06 million DM according GOA data (factor 1.0) and 0.787 million DM according DKG-NT. The percentage of reimbursement was only 34.2 (GOA; factor 1.0) and 51.3 (DKG-NT), respectively. Conclusion: Reimbursement of radiological interventional procedures based on GOA and DKG-NT data is of limited value for economic controlling purposes within a hospital.

Item Type: Article
Uncontrolled Keywords: ACADEMIC RADIOLOGY; WORK; economics, medical; costs, cost analysis; interventional procedures
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 26 Oct 2021 06:21
Last Modified: 26 Oct 2021 06:21
URI: https://pred.uni-regensburg.de/id/eprint/40225

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