The potential costs of upcoding for heart failure in the United States
The American Journal of CardiologyPublished 1 July 1999
Bruce M. Psaty, Robin Boineau, Lewis H. Kuller, Russell V. Luepker
Citations74
SJR quartileQ2
SJR score0.93
SNIP0.73
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Miscoding of hospital discharge diagnoses for heart failure in older adults is common, and the direction favors high levels of reimbursement to hospitals.
Abstract
Miscoding of hospital discharge diagnoses for heart failure in older adults is common, and the direction favors high levels of reimbursement to hospitals. The potential costs to Medicare may be as high as $993 million per year.
Keywords
MedicineEconomics, Econometrics and Finance
Annals of EpidemiologyThe cardiovascular health study: Design and rationale
3,638 Citations1991Linda P. Fried, Nemat O. Borhani +13 more
These examinations in CHS permit evaluation of CVD risk factors in older adults, particularly in groups previously under-represented in epidemiologic studies, such as women and the very old.
CirculationCongestive Heart Failure in the Community
1,091 Citations1998Michele Senni, Christophe M Tribouilloy +5 more
CHF is a disease of the "very elderly," frequently occurs in the setting of normal ejection fraction, and has a poor prognosis, regardless of the level of systolic function.
Annals of EpidemiologySurveillance and ascertainment of cardiovascular events
683 Citations1995Diane G. Ives, Annette L. Fitzpatrick +6 more
The CHS techniques are a successful model for complete ascertainment, investigation, and documentation of events in an older cohort.
Annals of Internal MedicineDiscordance of Databases Designed for Claims Payment versus Clinical Information Systems: Implications for Outcomes Research
633 Citations1993James G. Jollis, Marek Ancukiewicz +4 more
This study examined the suitability of billing data compared with clinical data (prospectively collected for cardiology research and patient care) for use in clinical outcomes research and found that billing data is limited by the unstructured way in which they are collected.
Archives of Internal MedicineCongestive Heart Failure in the Community
391 Citations1999Michele Senni, Christophe M. Tribouilloy +5 more
Journal of the American Geriatrics SocietyNational Trends in the Initial Hospitalization for Heart Failure
114 Citations1997Janet B. Croft, Wayne H. Giles +4 more
Comparing rates, sociodemographic characteristics, and discharge outcomes of the initial hospitalization for heart failure in the Medicare populations of 1986 and 1993 suggests that heart failure is a major health care burden among older adults.