Context Grouper
Check the case before you admit it as an inpatient!
Check for context factors PLUS output of billable GOPs or MBEGs
Functions of the context grouper
Many hospitals are confronted with the question of whether a patient case can be admitted as an inpatient or treated as an outpatient. The context grouper answers this question in a matter of seconds!
The query is carried out in two steps. First, the planned or current main procedure is entered and a check is made as to whether there is a reference to the following catalogs:
- AOP according to § 115b SGB V
- Hybrid DRG according to § 115f SGB V
In a further step, an extended input screen opens if the service is related to the AOP or hybrid catalog. Other relevant factors such as diagnoses, accompanying procedures, degree of care, patient age etc. can be entered.
The context grouper responds with a total of four possible scenarios. This gives you the greatest possible certainty when assigning the case to the inpatient or outpatient area.
- If the case has no context factors, you will receive all billable GOP codes for your billing!
- If the case has soft context factors, you will receive the corresponding MBEGs for your billing!
Scenario 1
The main service has no reference to the AOP or Hybrid catalog
➔ Note that the case can be admitted as an inpatient!
Scenario 3
The case has soft context factors
➔ You receive the MBEGs for your billing!
Scenario 2
The case has hard context factors
➔ We show you what these are!
Scenario 4
The case has no context factors
➔ You receive all billable EBM digits!
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