title: Management of case fees and special charges with aid of the coding system "do it".
abstract: 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 orthopeadics 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.
authors.affiliation: Orthopädische Universitätsklinik Mannheim, Germany.
authors.forename: P
authors.initials: P
authors.lastname: Schütz
authors.affiliation: Orthopädische Universitätsklinik Mannheim, Germany.
authors.forename: D
authors.initials: D
authors.lastname: Deimel
authors.affiliation: Orthopädische Universitätsklinik Mannheim, Germany.
authors.forename: T
authors.initials: T
authors.lastname: Dusberger
keywords: Key words Medical performance documentation • Computer-assisted coding • ICD-/ICPM-classification