Chirurgische Leistungsdokumentation – Hilft viel wirklich viel? Vergleich der Auswirkung von maximaler und geringer Dokumentationstiefe klinischer Patientendaten auf das theoretische Ertragsvolumen einer chirurgischen Klinik nach Einführung des DRG-basierten Entgeltsystems

Mieth, Markus; Wolkener, F.; Schmidt, Joachim; Glück, E.; Klar, E.; Kraus, T.

doi:10.1007/s00104-001-0393-1

Cited by 10 publications

(2 citation statements)

References 8 publications

(10 reference statements)

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“…Setting correct coding details without putting too much burden on providers is of crucial importance. The impact of reporting quality on the amount of reimbursements was studied by Mieth et al and it was discovered that higher revenues could be achieved in the Australian DRG system in up to 34% of cases through secondary diagnosis coding, but maximum profit was not correlated with the maximum number of diagnoses [20]. The accuracy of coding is also connected with the hospital staff's professional approach as well as with the appropriate role of payers within the reimbursement system who, as mentioned by Jackson et al, should not be interested only in financial audits [11].…”

Section: 'Technical' Problems Of Drgsmentioning

confidence: 99%

The Use of Diagnosis-Related Group-Based Reimbursement in the Czech Hospital Care System

Kotherová

Caithamlová

Nemec

et al. 2021

IJERPH

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(1) Background: Diagnosis-Related Groups (DRG), one possibility of a hospital payment system, are currently used in most European countries. Introduced to the Czech system in the 1990s, the DRGs are currently used mainly for care reporting and partly for reimbursement. According to most experts, the use of DRG remain controversial. The goal of this paper was to study the effects of the current Czech DRG system on hospitals financing and, on this basis, to propose possible changes to the reimbursement mechanism in the Czech Republic. (2) Methods: Qualitative research methods were used for evaluating DRG mechanisms of application in three selected healthcare establishments in the CR in the period of 2012–2018. (3) Results: Our study shows that the current implementation of the DRG system is set up in a way that is very similar to traditional flat rates and is unlikely to yield major positive effects of the DRG mechanism, such as predictability of payments for hospitalisation cases, care quality and efficiency and transparent financing. (4) Conclusions: Based on our results, deep systemic change of the reimbursement mechanism in the Czech Republic is necessary. We propose five partial measures leading to the cultivation of the Czech DRG.

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Section: 'Technical' Problems Of Drgsmentioning

confidence: 99%

The Use of Diagnosis-Related Group-Based Reimbursement in the Czech Hospital Care System

Kotherová

Caithamlová

Nemec

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Die rechnerbasierte, klinische Codierung ist heute alleinige Basis für die Vergütung und hat nicht mehr tatsächlich erbrachte Leistungen, sondern ausschließlich Diagnosen-und Prozeduren-bezogene Informationen zur Grundlage [3,4]. Als Konsequenz dieser Entwicklung, erscheint eine maximale Dokumentations-und Codierqualität zur Erfassung möglichst aller potenziell relevanten Diagnosen und Prozeduren auf den ersten Blick als optimaler Lösungsweg zur Erzielung maximaler Erträge [1,5,6]. Der Sicherung der Codierqualität kommt eine Schlüsselfunktion zu.…”

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