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NCT00529854 · ClinicalTrials.gov registry record
SIC-IR Billing and Documentation
A clinical trial, sponsored by MetroHealth Medical Center.
- Completed
- Registry status
- 814
- Enrollment target
NCT00529854 is a clinical trial that has completed, run by MetroHealth Medical Center. The registered enrollment target is 814 participants.
The verdict
NCT00529854 has completed, sponsored by MetroHealth Medical Center.
- COMPLETED
- Registry status
- 814 participants
- Enrollment target
Study Summary
Accurate documentation in the patient medical record is critical to ensure proper diagnosis coding and subsequent hospital reimbursement. Multiple studies have demonstrated that clinicians often omit diagnoses which may result in insurance company denials and significant delays in payment. In addition, omitting diagnoses decreases the severity of patient illness which is often used as a risk adjustment tool to compare institution and physician outcomes. Medical informatics has been used to help improve accurate diagnosis documentation as well as improve billing efficiency. We plan to utilize a medical informatics program called SIC-IR (Surgical Intensive Care - Infection Registry) to improve documentation and attending billing efficiency within the surgical and trauma intensive care unit (STICU). We propose a six month study: a three month observational evaluation of current billing procedures followed by a three month prospective evaluation using a newly created SIC-IR billing module. The outcome measures will include the number of ICD-9 and CPT codes at discharge per patient, severity of patient illness based on documentation, STICU charges, number of insurance company denials, DRG relative weights, as well as a qualitative assessment of attending physician use of the electronic billing module. The observational and prospective patient populations will be compared for total patient-days in the STICU, ventilator-days, antibiotic-days, infectious complications per patient, and injury severity score (trauma patients only) to ensure the populations are similar and only the documentation and billing changes can account for our measured outcomes. We hypothesize that the SIC-IR billing module will increase the number of patient ICD-9 and CPT codes at discharge, increase severity of STICU patient illness via accurate documentation, increase total STICU charges, decrease insurance company denials, and be an efficient and well accepted electronic medical application.
Interventions
- OTHER SIC-IR Billing Module
Trial Details
| Field | Value |
|---|---|
| Enrollment Target | 814 participants |
| Start Date | 2007-10 |
| Est. Completion | 2007-12 |
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Full Details on ClinicalTrials.gov ↗What the Registry Record Tells You About NCT00529854
The ClinicalTrials.gov registry entry for NCT00529854 describes a study currently listed as completed, categorized as an unspecified phase. The registered enrollment target is 814 participants, a figure that helps gauge the scale of data the investigators plan to collect. The listed sponsor is MetroHealth Medical Center, which has 76 total studies on file at ClinicalTrials.gov.
The record links to 0 conditions, and to 1 intervention - of which SIC-IR Billing Module is the first listed.
NCT00529854 reports 0 study locations.
Frequently Asked Questions
What is clinical trial NCT00529854 about?
NCT00529854 is a clinical study titled "SIC-IR Billing and Documentation". Accurate documentation in the patient medical record is critical to ensure proper diagnosis coding and subsequent hospital reimbursement. Multiple studies have demonstrated that clinicians often omit diagnoses which may result in insurance company denials and significant delays in payment. In additi...
What is the current status of trial NCT00529854?
This trial is currently completed. The enrollment target is 814 participants. The study started on 2007-10. Estimated completion is 2007-12.
What interventions are being tested in trial NCT00529854?
The interventions under investigation include: SIC-IR Billing Module (OTHER).
Who is sponsoring clinical trial NCT00529854?
This trial is sponsored by MetroHealth Medical Center, which has 76 total clinical trials registered on ClinicalTrials.gov.
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