Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

917
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
917
Integrated Healthcare System01:20

Integrated Healthcare System

1.8K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.8K
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

5.8K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.8K
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
Tertiary Healthcare System01:21

Tertiary Healthcare System

1.9K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.9K
Hospitals-II00:59

Hospitals-II

831
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
831

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Regional and specialty-specific Medicare reimbursement trends in open and endovascular dialysis access interventions.

Journal of vascular surgery·2026
Same author

Frailty and the Efficacy and Safety of Surgical vs Endovascular Revascularisation: A Post Hoc Analysis of the BEST-CLI Trial.

The British journal of surgery·2026
Same author

Vascular Injuries Secondary to Penetrating Neck Trauma.

Vascular and endovascular surgery·2026
Same author

Major Adverse Limb Events and Death After Successful Endovascular Revascularization: BEST-CLI Trial.

Journal of the Society for Cardiovascular Angiography & Interventions·2026
Same author

The Majority of Patients Who Survive a Ruptured Abdominal Aortic Aneurysm Repair are Able to Return to Home.

Annals of vascular surgery·2026
Same author

Discordant recommended postoperative discharge rehabilitation among patients who undergo a major lower extremity amputation.

Journal of vascular surgery·2026
Same journal

Procedural outcomes and follow-up of endovascular treatment for extracranial carotid artery aneurysms; a systematic review.

Journal of vascular surgery·2026
Same journal

Impact of Insurance Status on Urgency of Presentation and Perioperative Outcomes Following Endovascular Repair of Abdominal Aortic Aneurysms: A Vascular Quality Initiative Analysis.

Journal of vascular surgery·2026
Same journal

Large language models routinely overcode peripheral endovascular procedures relative to professional coders.

Journal of vascular surgery·2026
Same journal

Comparison of Deep and Non-Deep Hypothermia in Thoracic and Thoracoabdominal Aortic Surgery: A Systematic Review and Meta-Analysis.

Journal of vascular surgery·2026
Same journal

Horner Syndrome Secondary to Giant Shamblin Type III Carotid Body Tumor.

Journal of vascular surgery·2026
Same journal

Three-Year Outcomes of Supera Interwoven Nitinol Stents Versus Eluvia Drug-Eluting Stents in Severely Calcified Femoropopliteal Lesions.

Journal of vascular surgery·2026
See all related articles

Related Experiment Video

Updated: Sep 11, 2025

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
06:55

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index

Published on: January 8, 2020

14.6K

Optimizing hospital billing by using data from the Vascular Quality Initiative.

Kirthi S Bellamkonda1, Philip P Goodney1, Richard J Powell1

  • 1Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH.

Journal of Vascular Surgery
|August 15, 2025
PubMed
Summary
This summary is machine-generated.

Utilizing Vascular Quality Initiative (VQI) registry data can improve Medicare severity diagnostic related group (MS-DRG) coding accuracy for peripheral vascular interventions (PVI). This approach helps identify complications or comorbidities (CC/MCC) to prevent under-coding and ensure appropriate hospital reimbursement.

Keywords:
BillingCodingPeripheral vascular interventionReimbursement

More Related Videos

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
03:47

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

Published on: July 12, 2024

872
Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
07:51

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis

Published on: September 26, 2018

7.7K

Related Experiment Videos

Last Updated: Sep 11, 2025

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
06:55

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index

Published on: January 8, 2020

14.6K
Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
03:47

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

Published on: July 12, 2024

872
Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
07:51

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis

Published on: September 26, 2018

7.7K

Area of Science:

  • Healthcare Analytics
  • Medical Coding Optimization
  • Vascular Surgery Outcomes

Background:

  • Hospitals rely on Medicare severity diagnostic related groups (MS-DRGs) for reimbursement.
  • MS-DRGs with complications or comorbidities (CC/MCC) reflect higher patient complexity and increase reimbursement.
  • Under-coding of DRG complexity leads to significant financial losses for hospitals.

Purpose of the Study:

  • To evaluate if granular data from the Society for Vascular Surgery Vascular Quality Initiative (SVS VQI) Peripheral Vascular Intervention (PVI) registry can enhance MS-DRG coding accuracy.
  • To identify missed CC/MCCs in the standard coding process using objective registry data.
  • To determine if VQI data can help prevent under-coding and associated revenue loss.

Main Methods:

  • A cohort of 40,822 PVI admissions from 2010-2019 across 230 centers was analyzed using the Medicare-linked VQI PVI registry.
  • Patients were categorized into groups with or without CC/MCC.
  • Logistic stepwise regression identified predictors of CC/MCC billing, and a model was developed to compare expected vs. observed CC/MCC billing rates per center.

Main Results:

  • 76% of PVI admissions were billed with CC/MCC, with significant variation (48-100%) across hospitals.
  • Factors like congestive heart failure, diabetes, dialysis, prior amputation, functional status, and post-treatment complications were associated with CC/MCC billing.
  • The predictive model achieved a c-statistic of 0.82, indicating high accuracy. Under-billing was suggested at 39% of centers.

Conclusions:

  • VQI PVI registry data effectively identifies admissions eligible for MS-DRG coding with CC/MCC.
  • A developed multivariable model can assist hospitals in identifying cases for closer coder review, improving accuracy.
  • This strategy offers additional validation and benchmarking to prevent under-coding, recover revenue, and add value to VQI participation at no extra cost.