A Descriptive Revenue Analysis of a Wound-Center IR Collaboration to Treat Lower Extremity Venous Ulcers.

Autor:	Ruohoniemi DM; Department of Radiology, Division of Interventional Radiology, New York University School of Medicine, New York, New York., Ross FL; Department of Surgery, Helen L. and Martin S. Kimmel Hyperbaric and Advanced Wound Healing Center, New York University School of Medicine, New York, New York., Chiu ES; Hansjörg Wyss Department of Plastic Surgery, Helen L. and Martin S. Kimmel Hyperbaric and Advanced Wound Healing Center, New York University School of Medicine, New York, New York., Taslakian B; Department of Radiology, Division of Interventional Radiology, New York University School of Medicine, New York, New York., Horn JC; Department of Radiology, Division of Interventional Radiology, New York University School of Medicine, New York, New York., Aaltonen EA; Department of Radiology, Division of Interventional Radiology, New York University School of Medicine, New York, New York., Kulkarni K; Department of Radiology, Division of Interventional Radiology, New York University School of Medicine, New York, New York., Browning A; Department of Radiology, Division of Interventional Radiology, New York University School of Medicine, New York, New York., Patel A; Department of Radiology, Division of Interventional Radiology, New York University School of Medicine, New York, New York., Sista AK; Department of Radiology, Division of Interventional Radiology, New York University School of Medicine, New York, New York. Electronic address: Akhilesh.Sista@nyulangone.org.
Jazyk:	angličtina
Zdroj:	Journal of vascular and interventional radiology : JVIR [J Vasc Interv Radiol] 2019 Dec; Vol. 30 (12), pp. 1988-1993.e1. Date of Electronic Publication: 2019 Oct 14.
DOI:	10.1016/j.jvir.2019.06.017
Abstrakt:	Purpose: To describe the revenue from a collaboration between a dedicated wound care center and an interventional radiology (IR) practice for venous leg ulcer (VLU) management at a tertiary care center. Materials and Methods: This retrospective study included 36 patients with VLU referred from a wound care center to an IR division during the 10-month active study period (April 2017 to January 2018) with a 6-month surveillance period (January 2018 to June 2018). A total of 15 patients underwent endovascular therapy (intervention group), whereas 21 patients did not (nonintervention group). Work relative value units (wRVUs) and dollar revenue were calculated using the Centers for Medicare and Medicaid Services Physician Fee Schedule. Results: Three sources of revenue were identified: evaluation and management (E&M), diagnostic imaging, and procedures. The pathway generated 518.15 wRVUs, translating to $37,522. Procedures contributed the most revenue (342.27 wRVUs, $18,042), followed by E&M (124.23 wRVUs, $8,881), and diagnostic imaging (51.65 wRVUs, $10,599). Intervention patients accounted for 86.7% of wRVUs (449.48) and 80.0% of the revenue ($30,010). An average of 33 minutes (38.3 hours total) and 2.06 hours (36.8 hours total) were spent on E&M visits and procedures, respectively. Conclusions: In this collaboration between the wound center and IR undertaken to treat VLU, IR and E&M visits generated revenue and enabled procedural and downstream imaging revenue. (Copyright © 2019 SIR. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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