Outpatient surgery

 

Outpatientization – opportunities and risks

Interface between aG-DRG and EBM

Functions of the “Outpatient surgery” area

The “Outpatient Surgery” area is based on the officially published AOP catalogs and establishes the link to the outpatient remuneration system via the uniform valuation standard (EBM).

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AOP catalog

  • Insight into the AOP catalog incl. context factors
  • Historical representation of changes
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Cumulation of data sources

  • Cumulation of all available AOP and EBM data
  • Link from AOP catalog to remuneration via EBM and vice versa
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EBM catalog

  • Insight into the EBM catalog
  • Representation of the outpatient reimbursement
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Link to § 21 data sets

  • Analysis of hospital-specific outpatientization
  • Risks and opportunities for hospital planning

General platform functions

  • Historical display of data since 2006 (trend graphs)
  • Numerous filter parameters tailored to specific areas
  • Display of results in various graphs
  • Link to all platform areas
  • Export function of result lists
  • Analyzes of millions of data records in seconds
  • Video tutorials
  • Support by experts from the Reimbursement Institute

Source

The information presented here is based on information from the official regulations of the National Association of Statutory Health Insurance Physicians (KBV) and the National Association of Statutory Health Insurance Funds (GKV-Spitzenverband) in cooperation with the German Hospital Federation e.V. (DKG).

In detail, these sources were used:

  • KBV – EBM catalog
  • GKV snd DKG – AOP catalog