AOP analysis

 

Outpatientization – evaluating opportunities and risks

Check for context factors and specification of GOP digits to be billed (EBM)

1. Register / Log in
2. Upload data
3. Analyze free of charge

Functions of the AOP Analysis

The AOP analysis checks for the presence of procedures according to the AOP catalogue as well as hard and soft context factors on the basis of the § 21 data records. Justification texts are output for cases that were admitted as inpatients for medical or social reasons to ensure the success of the treatment. If AOP measures are available, GOP numbers incl. surcharges and supplements are shown, which can be billed in the case of outpatient service provision. This information is supplemented by the presentation of costs and revenues incurred by outpatient service provision in the inpatient setting.

These tool is usable free of charge for hospitals – incl. export!

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Case review

  • Occurrence of AOP services
  • Output per department
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Evaluation of the GOP (EBM)

  • Automatic query between AOP and GOP
  • Evaluation of associated surcharges and add-ons
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Double context check

  • Hard context factors from ICD-10 and OPS
  • Soft context factors from other medical and social reasons
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Calculation of costs and revenues

  • What is the DRG revenue vs. the AOP revenue?
  • How much does an AOP case cost that is performed in the hospital?

General platform functions

  • Historical display of data since 2010 (trend graphs)
  • Numerous filter parameters tailored to specific areas
  • Display of results in various graphs
  • Link to all platform areas
  • incl. export function in all areas
  • Available in German and English
  • Integrated video learning platform for all areas
  • Support from experts at the Reimbursement Institute

Source

The information presented here is based on information from the official regulations of the Federal Institute for Drugs and Medical Devices (BfArM) and the German Hospital Federation (DKG).​

Specifically, these sources were used:

  • BfArM – Official Classification of Diagnoses (ICD-10)
  • BfArM – Official Classification for Operations and Procedures (OPS)
  • DKG – Context factors