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Clinical Coding Audit: No coding - No Income - No Hospital. [PDF]

open access: yesCureus, 2020
Audit assessing the accuracy of clinical coding by trust guidance on revenue generation.Clinical coding form containing common clinical codes placed at the front of patient notes between July 2014 and August 2014 on a respiratory ward. Medical staff, preferably registrars or consultants, recorded the primary diagnoses and comorbidities on the form ...
White J, Jawad M.
europepmc   +4 more sources

Towards automated clinical coding [PDF]

open access: yesInternational Journal of Medical Informatics, 2018
Patients' encounters with healthcare services must undergo clinical coding. These codes are typically derived from free-text notes. Manual clinical coding is expensive, time-consuming and prone to error. Automated clinical coding systems have great potential to save resources, and realtime availability of codes would improve oversight of patient care ...
Catling, F, Spithourakis, GP, Riedel, S
openaire   +3 more sources

Improving clinical coding accuracy [PDF]

open access: yesThe Annals of The Royal College of Surgeons of England, 2010
This audit highlights three main areas of concern under the new Payment by Results system – the inaccurate coding, the overly complex coding system and the inappropriate HRG rating for some procedures. We were, however, disappointed that the authors did not have any intervention to suggest to improve things.
Esmond, Carr, Asha, Pillai
openaire   +2 more sources

Factors Affecting Clinical Coding Errors

open access: yesShiraz E-Medical Journal, 2022
Background: Coding errors lead to incorrect classification of diseases and thus severely affect health care planning and epidemiological research. Objectives: This study aimed to investigate the factors affecting clinical coding errors. Methods: This descriptive study was conducted in 2020 in 2 stages.
Farkhondeh Asadi   +3 more
openaire   +1 more source

The clinical code-breakers [PDF]

open access: yesNature, 2018
DNA sequencing is helping clinicians to unravel the underpinnings of disease in individual patients. DNA sequencing is helping clinicians to unravel the underpinnings of disease in individual patients.
openaire   +1 more source

Medical coding in clinical trials

open access: yesPerspectives in Clinical Research, 2010
Data generated in all clinical trial are recorded on the data collection instrument Case report Form / Electronic Case Report Form by investigators located at various sites in various countries. In multicentric clinical trials since different investigator or medically qualified experts are from different sites / centers recording the medical term(s ...
openaire   +3 more sources

Analyzing Code Embeddings for Coding Clinical Narratives [PDF]

open access: yesFindings of the Association for Computational Linguistics: ACL-IJCNLP 2021, 2021
Wei Shi   +6 more
openaire   +1 more source

Autoencoder-Based Prediction of ICU Clinical Codes

open access: yes, 2023
Availability of diagnostic codes in Electronic Health Records (EHRs) is crucial for patient care as well as reimbursement purposes. However, entering them in the EHR is tedious, and some clinical codes may be overlooked. Given an in-complete list of clinical codes, we investigate the performance of ML methods on predicting the complete ones, and assess
Tsvetan R. Yordanov   +3 more
openaire   +2 more sources

4.2 Clinical records and global diagnostic codes

open access: yesEuropean Journal of Dental Education, 2002
A clinical record should include the personal demographic details of the patient, health status, diagnostic information and management/treatment options. However, clinical records are of little use without effective filing and retrieving systems. Coding is therefore necessary to deal with large amounts of differing data and a global coding system could
Phantumvanit, P.   +7 more
openaire   +3 more sources

Automated clinical coding: what, why, and where we are? [PDF]

open access: yesNPJ Digit Med, 2022
Dong H   +7 more
europepmc   +1 more source

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