ArticleFuture healthcare journal2018
Clinician-directed improvement in the accuracy of hospital clinical coding.
Article in Future healthcare journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 28 citations in OpenAlex.
- Factors Affecting the Accuracy of Clinical Coding in the Casemix System in a Teaching Hospital: Cross-Sectional Study.Interactive journal of medical research · 2026Article
- Pediatric Neurosurgery Procedural Coding: Current Lay of the Land.Neurosurgery practice · 2026Article
- Observational
- The financial cost of postoperative complications: a prospective cohort study with linked health systems data.British journal of anaesthesia · 2025Article
- Leveraging Kaizen with Process Mining in Healthcare Settings: A Conceptual Framework for Data-Driven Continuous Improvement.Healthcare (Basel, Switzerland) · 2025Article
- Targeted education for clinicians and clinical coding staff improves the accuracy of clinical coding: A quality improvement project.Future healthcare journal · 2024Article
- The Public Health Value of Coding Surgery in South Africa Using the International Classification of Health Interventions.International journal of environmental research and public health · 2023Article
- Surgeon involvement in clinical coding to improve data accuracy and remuneration in a shoulder and elbow unit.Shoulder & elbow · 2022Article
- Using Machine Learning Algorithms to Develop a Clinical Decision-Making Tool for COVID-19 Inpatients.International journal of environmental research and public health · 2021Article
- Improving the quality of clinical coding and payments through student doctor-coder collaboration in a tertiary haematology department.BMJ open quality · 2020Article
- Antibiotic prescribing in general medical and surgical specialties: a prospective cohort study.Antimicrobial resistance and infection control · 2019Article
- Identifying cerebral palsy from routinely-collected data in England and Wales.Clinical epidemiology · 2019Article
- Enabling systems to support high quality end-of-life care.Future healthcare journal · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
'Payment by results' (PbR) remuneration for healthcare services relies on the accurate conversion of diagnoses into Healthcare Resource Group (HRG) codes that are then reimbursed. Inconsistencies in documentation can result in inaccuracies in this process, with consequent implications for measuring activity, disease incidence and organisational performance. The aim of this study was to determine if clinician involvement increases accuracy in the coding of medical cases. Selected records of medical patients admitted to a London NHS trust between November and December 2016 were reviewed by a coding auditor and a clinician. Any changes to the codes and HRG tariff were noted. In total, 123 cases were considered. Changes in code were made on 68 instances, resulting in an overall increase in remuneration of £39,215; an average of £318 per patient. The primary HRG code was changed in 31 cases which accounted for £28,040 of the increase in tariff. In conclusion, clinician involvement can help with documentation ambiguities, thus improving the accuracy of the coding process in a medical setting. Although such collaborative working offers advantages for both the clinician and the coding team, further work is required to investigate the feasibility of this recommendation on a larger scale.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.