[How can the coding quality in the DRG system be determined?].
The permanent adjustments ​​since 2003 to the G-DRG system have made the system even less understandable, so that many users have the feeling of feeding data into a black box which gives them a result without them being able to actively use the system itself. While chief physicians, senior physicians, and nursing managers are responsible to management for the results of the billing, they are in most cases not involved in the steps of DRG coding and billing. From this situation, a common question arises: "How well does my department code?" This uncertainty is exploited by many commercial vendors, who offer a wide variety of approaches for DRG optimization. The goal of this work is to provide advice as to how coding quality can be determined.
Klinik für Urologie, Klinikum Kassel GmbH, Mönchebergstraße 41-43, 34125, Kassel, Deutschland, andreas.kahlmeyer@klinikum-kassel.de.
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Kahlmeyer
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Volkmer
D003953:Diagnosis-Related Groups / Q000191:economics* / Q000592:standards*; D005568:Forms and Records Control / Q000191:economics / Q000592:standards; D019983:Guideline Adherence / Q000191:economics / Q000592:standards; D017048:Health Care Costs; D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000191:economics* / Q000592:standards*; D008499:Medical Records / Q000191:economics / Q000592:standards; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care / Q000379:methods* / Q000458:organization & administration / Q000592:standards