{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T13:56:39Z","timestamp":1768485399035,"version":"3.49.0"},"reference-count":13,"publisher":"Emerald","issue":"4","license":[{"start":{"date-parts":[[2013,5,3]],"date-time":"2013-05-03T00:00:00Z","timestamp":1367539200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,5,3]]},"abstract":"\n Purpose<\/jats:title>\n \u2013 Payment by results (PbR) was introduced to reward hospitals for productivity. In orthopaedic clinics there is a separate tariff for two procedures: removal of sutures (ROS) and attention to dressing (AD). The Trust claims a fee each time these have been performed. The purpose of this paper is to look at how many of these procedures were performed in an outpatient setting but were not claimed for because of poor documentation. <\/jats:p>\n <\/jats:sec>\n \n Design\/methodology\/approach<\/jats:title>\n \u2013 A retrospective study was performed analysing all orthopaedics clinics occurring in one month. After each consultation the clinician completes a coding pro forma and dictates a clinic letter. The pro forma contains a list of the orthopaedic procedures attracting a tariff and used for coding. A comparison was made between what was documented on the pro forma and the clinic letter to see how many times ROS and AD were done. <\/jats:p>\n <\/jats:sec>\n \n Findings<\/jats:title>\n \u2013 A total of 72 letters were extracted which contained ROS and AD. Only one of the ROS was documented on the pro forma and subsequently captured by the coders. In one month the Trust failed to claim \u00a39,838. Annually this equates to a revenue loss totaling \u00a3118,056. <\/jats:p>\n <\/jats:sec>\n \n Practical implications<\/jats:title>\n \u2013 Current coding practice is substandard. To maintain financial security Trusts must improve their coding policies as a matter of urgency. <\/jats:p>\n <\/jats:sec>\n \n Originality\/value<\/jats:title>\n \u2013 The paper demonstrates clearly that hospital trusts are losing out financially from this suboptimal practice.<\/jats:p>\n <\/jats:sec>","DOI":"10.1108\/09526861311319609","type":"journal-article","created":{"date-parts":[[2013,4,26]],"date-time":"2013-04-26T08:25:07Z","timestamp":1366964707000},"page":"387-391","source":"Crossref","is-referenced-by-count":8,"title":["Payment by results: are we missing something?"],"prefix":"10.1108","volume":"26","author":[{"given":"Mohammad","family":"Shahid","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alistair","family":"Tindall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"140","reference":[{"key":"key2022013119571979300_b1","unstructured":"Audit Commission\n (2010), Payment by Results, available at: www.auditcommission.gov.uk\/SiteCollectionDocuments\/AuditCommissionReports\/NationalStudies\/PaymentByResults_summary.pdf (accessed July 2010)."},{"key":"key2022013119571979300_b2","doi-asserted-by":"crossref","unstructured":"Ballaro, A.\n , \n Oliver, S.\n and \n Emberton, M.\n (2000), \u201cDo we do what they say we do?? Coding errors in urology\u201d, \n British Journal of Urology\n , Vol. 85 No. 4, pp. 389-91.","DOI":"10.1046\/j.1464-410x.2000.00471.x"},{"key":"key2022013119571979300_b3","doi-asserted-by":"crossref","unstructured":"Britton, E.\n , \n Chambers, C.\n and \n Ashmore, A.\n (2009), \u201cOrthopaedic procedure coding\u201d, \n Does accuracy matter?, International Journal of Health Care and Quality Assurance\n , Vol. 22 No. 4, pp. 441-7.","DOI":"10.1108\/09526860910964870"},{"key":"key2022013119571979300_b4","doi-asserted-by":"crossref","unstructured":"Campbell, S.E.\n , \n Campbell, M.K.\n , \n Grimshaw, J.M.\n and \n Walker, A.E.\n (2001), \u201cA systematic review of discharge coding accuracy\u201d, \n Journal of Public Health Medicine\n , Vol. 23 No. 3, pp. 205-11.","DOI":"10.1093\/pubmed\/23.3.205"},{"key":"key2022013119571979300_b5","doi-asserted-by":"crossref","unstructured":"Cooper, G.S.\n , \n Chak, A.\n , \n Lloyd, L.E.\n , \n Yurchick, P.J.\n , \n Harper, D.L.\n and \n Rosenthal, G.E.\n (2000), \u201cThe accuracy of diagnosis and procedural codes for patients with upper GI hemorrhage\u201d, \n Gastrointestinal Endoscopy\n , Vol. 51 No. 4, pp. 423-6.","DOI":"10.1016\/S0016-5107(00)70442-1"},{"key":"key2022013119571979300_b6","unstructured":"DoH\n (2002), What Is Payment by Results? Available at: www.dh.gov.uk (accessed June 2011)."},{"key":"key2022013119571979300_b7","unstructured":"DoH\n (2010), available at: www.dh.gov.uk\/en\/Publicationsandstatistics\/Publications\/PublicationsPolicyAndGuidance\/DH_4070195 (accessed July 2010)."},{"key":"key2022013119571979300_b8","doi-asserted-by":"crossref","unstructured":"Dixon, J.\n , \n Sanderson, C.\n , \n Elliott, P.\n , \n Walls, P.\n , \n Jones, J.\n and \n Petticrew, M.\n (1998), \u201cAssessment of the. reproducibility of clinical coding in routinely collected hospital activity data: a study in two hospitals\u201d, \n Journal of Public Health Medicine\n , Vol. 20 No. 1, pp. 63-9.","DOI":"10.1093\/oxfordjournals.pubmed.a024721"},{"key":"key2022013119571979300_b9","unstructured":"Gibson, N.\n and \n Bridgman, S.A.\n (1998), \u201cA novel method for the assessment of the accuracy of diagnostic codes in general surgery\u201d, \n Annals of the Royal College of Surgeons in England\n , Vol. 80 No. 4, pp. 293-6."},{"key":"key2022013119571979300_b10","doi-asserted-by":"crossref","unstructured":"Haliasos, N.\n , \n Rezajooi, K.\n , \n O\n\t\t\t\t\t'\n\t\t\t\tNeill, K.S.\n , \n Van Dellen, J.\n , \n Hudovsky, A.\n and \n Nouraei, S.\n (2010), \u201cFinancial and clinical governance implications of clinical coding accuracy in neurosurgery: a multidisciplinary audit\u201d, \n British Journal of Neurosurgery\n , Vol. 24 No. 2, pp. 191-5.","DOI":"10.3109\/02688690903536595"},{"key":"key2022013119571979300_b11","doi-asserted-by":"crossref","unstructured":"Khwaja, H.A.\n , \n Syed, H.\n and \n Cranston, D.W.\n (2002), \u201cCoding errors: a comparative analysis of hospital and prospectively collected departmental data\u201d, \n British Journal of Urology International\n , Vol. 89 No. 3, pp. 178-80.","DOI":"10.1046\/j.1464-4096.2001.01428.x"},{"key":"key2022013119571979300_b12","unstructured":"Ricketts, D.\n , \n Hartley, J.\n , \n Harries, W.\n and \n Hitchin, D.\n (1993), \u201cWho should code orthopaedic inpatients? A comparison of junior hospital doctors and coding clerks\u201d, \n Annals of the Royal College of Surgeons in England\n , Vol. 75 No. 6, pp. 203-6."},{"key":"key2022013119571979300_b13","doi-asserted-by":"crossref","unstructured":"Smoldt, R.K.\n and \n Cortese, D.A.\n (2007), \u201cPay-for-performance or pay for value?\u201d, \n Mayo Clinic Proceedings\n , Vol. 82 No. 2, pp. 210-3.","DOI":"10.4065\/82.2.210"}],"container-title":["International Journal of Health Care Quality Assurance"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.emeraldinsight.com\/doi\/full-xml\/10.1108\/09526861311319609","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/09526861311319609\/full\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/09526861311319609\/full\/html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:30:00Z","timestamp":1753403400000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.emerald.com\/ijhcqa\/article\/26\/4\/387-391\/122273"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5,3]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013,5,3]]}},"alternative-id":["10.1108\/09526861311319609"],"URL":"https:\/\/doi.org\/10.1108\/09526861311319609","relation":{},"ISSN":["0952-6862"],"issn-type":[{"value":"0952-6862","type":"print"}],"subject":[],"published":{"date-parts":[[2013,5,3]]}}}