Outpatient surgery

 

Basics of outpatientization

Interface between aG-DRG and EBM + Hybrid-DRGs

AOP catalog
EBM catalog
Hybrid-DRG catalog

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). Furthermore, the Hybrid DRG catalog, which will be valid from 2024, has been included in the “Catalogs” menu item.

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AOP catalog

  • Insight into the AOP catalog incl. context factors
  • Direct connection to the EBM catalog
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Hybrid-DRG catalog

  • Revenues from Hybrid-DRG
  • Nursing revenue valuation ratio
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EBM catalog

  • Billing information and reimbursement
  • Connection to related GOP Codes
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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
  • 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 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 and DKG – AOP catalog