[Cost analysis of radiological interventional procedures and reimbursement within a clinic].
OBJECTIVE
Analysis of costs for vascular radiological interventions on a per patient basis and comparison with reimbursement based on GOA (Gebührenordnung für Arzte) and DKG-NT (Deutsche Krankenhausgesellschaft-Nebenkostentarif).


METHODS
The ten procedures most frequently performed within 12 months were evaluated. Personnel costs were derived from precice costs per hour and estimated procedure time for each intervention. Costs for medical devices were included. Reimbursement based on GOA was calculated using the official conversion factor of 0.114 DM for each specific relative value unit and a multiplication factor of 1.0. The corresponding conversion factor for DKG-NT, determined by the DKG, was 0.168 DM.


RESULTS
A total of 832 interventional procedures were included. Marked differences between calculated costs and reimbursement rates were found. Regarding the ten most frequently performed procedures, there was a deficit of 1.06 million DM according GOA data (factor 1.0) and 0.787 million DM according DKG-NT. The percentage of reimbursement was only 34.2 (GOA; factor 1.0) and 51.3 (DKG-NT), respectively.


CONCLUSIONS
Reimbursement of radiological interventional procedures based on GOA and DKG-NT data is of limited value for economic controlling purposes within a hospital.
Strotzer
M
M
Institut für Radiologische Diagnostik, Klinikum der Universität Regensburg, Germany.
Völk
M
M
Lenhart
M
M
Fründ
R
R
Feuerbach
S
S
D000800:Angioplasty, Balloon / Q000191:economics; D001166:Arteriovenous Shunt, Surgical / Q000191:economics; D003365:Costs and Cost Analysis; D018588:Fee-for-Service Plans / Q000191:economics*; D005858:Germany; D017721:Hospital Costs / Q000706:statistics & numerical data; D006801:Humans; D009313:National Health Programs / Q000191:economics*; D010348:Patient Care Team / Q000191:economics; D015642:Radiology, Interventional / Q000191:economics*; D006435:Renal Dialysis / Q000191:economics; D015607:Stents / Q000191:economics
Innerbetriebliche Leistungsverrechnung am Beispiel radiologischer Interventionen.