2010
DOI: 10.1055/s-0030-1249865 View full text |Buy / Rent full text
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Abstract: The Aristotle score can be used to adjust hospital reimbursement by assigning a DRG and cost-weight value to each ACC level. Missing figures for level 6 can be obtained from a previous study which showed a mean score of 22.11 +/- 1.24: the ACC CMI would be 21.320. The 6 ACC DRGs indicate the correct compensation based on the complexity of the procedure. Reimbursement using the German DRG 2009 appears to favour less complex cases, while procedures with a higher complexity are penalised. Reimbursement according … Show more

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“…An alternative solution could be to attribute a revenue code with a specific cost-weight value to each Aristotle comprehensive complexity level, as proposed previously. 11 In that way, the six new corresponding ''complexity'' funding codes might replace all current reimbursement codes as suggested by Table 3.…”
Section: Discussionmentioning
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“…An alternative solution could be to attribute a revenue code with a specific cost-weight value to each Aristotle comprehensive complexity level, as proposed previously. 11 In that way, the six new corresponding ''complexity'' funding codes might replace all current reimbursement codes as suggested by Table 3.…”
Section: Discussionmentioning
“…We are proud and happy that the authors have chosen our journal to publish their results, again demonstrating their continued efforts to analyze and improve quality of care [6,7]. Our board member Christian Schreiber has written an Invited Commentary, also emphasizing the definitive need for a rigorous and mandatory quality control in Germany.…”
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“…It is to be hoped that Germany is on its way to follow suit. It can certainly supply interesting and innovative tools [5][6][7].…”
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“…In recent years, several publications from German institutions have highlighted the need for quality assessment, complexity and risk interpretation, as well as assurance of sustainable structures in congenital heart surgery. [1][2][3][4][5][6] In addition, there is a severe shortage of congenital cardiac surgeons in Germany. To provide quality assurance, the German Society for Thoracic and Cardiovascular Surgery (DGTHG, Deutsche Gesellschaft für Thorax-, Herz-und Gefäßchirurgie) offers a Certificate for Congenital Cardiac Surgery, which is awarded with proof of a minimal number of congenital procedures.…”
Section: Introductionmentioning