The impact of clinical vs administrative claims coding on hospital risk-adjusted outcomes.

ABSTRACT:

Background

Comorbid condition and hospital risk-adjusted outcomes prevalence were compared based on clinical registry vs administrative claims data.

Hypothesis

Risk-adjusted outcomes will vary depending on the source of comorbidity data used.

Methods

Clinical data from hospitalized Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes with Early Implementation of the American College of Cardiology/American Heart Association (ACC/AHA) Guidelines (CRUSADE) non-ST-segment elevation myocardial infarction (NSTEMI) patients ≥65 years was linked to Medicare claims. Eight common comorbid conditions were coded and compared between registry data (derived from medical record review) and claims data; hospital-level observed vs expected ratios and out

SUBMITTER: O'Brien EC 

PROVIDER: S-EPMC6490103 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature