[Management of case fees and special charges by using the coding system "do it"].
BACKGROUND
With the German health care restructuring legislation ("Gesundheitsstrukturgesetz") the coding of diagnoses and operations according to ICD-9 and ICPM (OPS-301) was introduced for budget assignment ("Fallpauschalen/Sonderentgelte").


METHODS
Application of the structured coding system "do it" in orthopedics and traumatology in combination with a surgical documentation system. Results of 8,664 documented operative cases within three years.


RESULTS
In total, 11,854 ICD-9 or ICD-10 and 20,178 ICPM (OPS-301) were coded. 2,914 "Fallpauschalen" and/or 3,456 "Sonderentgelte" were found. The System achieved high acceptance due to its userfriendliness and simple functionality.


CONCLUSIONS
In comparison with text- or thesaurus-based coding systems the "do it" coding system does not require any knowledge of the ICD or ICPM (OPS-301). It can be adapted to individual clinical requirements by implementing frequent diagnoses and individual therapy concepts. In combination with a medical information system the coding system can be integrated seamlessly into routine documentation.
D004282:Documentation; D018588:Fee-for-Service Plans; D005249:Fees and Charges / Q000331:legislation & jurisprudence / Q000592:standards*; D005251:Fees, Medical / Q000331:legislation & jurisprudence / Q000592:standards*; D005858:Germany; D006801:Humans; D007883:Legislation, Medical; D009985:Orthopedics / Q000191:economics*