PMID- 10226394
OWN - NLM
STAT- MEDLINE
DCOM- 19990730
LR  - 20061115
IS  - 0941-3790 (Print)
IS  - 0941-3790 (Linking)
VI  - 61
IP  - 2
DP  - 1999 Feb
TI  - [Expenditure and reliability of ICD/ICPM-coding in routine surgery].
PG  - 78-81
AB  - Because of the changing legal basis for hospital reimbursement German hospitals 
      have to classify their cases by ICD-9- and an adapted ICPM code (OPS-301) and 
      have to give an advance calculation of the Diagnosis Related Groups (DRG) 
      starting from January 1996. From January 1st 1996 to the 31st of December 1996 
      all diagnoses and therapies in a general surgery hospital were classified 
      according to ICD-9- and ICPM (OPS-301). This coding was not computer-assisted but 
      was controlled in a multiple step process. As a consequence 4.6% incorrect codes 
      were found which were irrelevant for reimbursement. 7.2% misclassifications 
      relevant for funding were detected with an obvious learning curve within the 
      first 6 months. The calculation of the distribution of diagnoses and therapies 
      reveals that 80 to 85% of the total spectrum in a general surgery hospital 
      (including vascular and thoracic surgery) were covered by 200 diagnostic and 
      therapeutic codes, respectively. This investigation confirms the need for a 
      physician-based control system of diagnostic and therapeutic coding to minimise 
      economic risks.
FAU - Stinner, B
AU  - Stinner B
AD  - Klinik fur Allgemeinchirurgie, Philipps-Universitat Marburg. 
      stinner@mailer.uni-marburg.de
FAU - Nies, C
AU  - Nies C
FAU - Celik, I
AU  - Celik I
FAU - Berghofer, P
AU  - Berghofer P
FAU - Rothmund, M
AU  - Rothmund M
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Aufwand und Sicherheit der ICD/IKPM-OPS-301-Verschlusselung im chirurgischen 
      Alltag.
PL  - Germany
TA  - Gesundheitswesen
JT  - Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes 
      (Germany))
JID - 9204210
SB  - IM
MH  - Diagnosis-Related Groups/*standards
MH  - Germany
MH  - Hospitals
MH  - Humans
MH  - Reimbursement Mechanisms
MH  - Surgical Procedures, Operative/*classification/*economics
EDAT- 1999/05/05 00:00
MHDA- 1999/05/05 00:01
CRDT- 1999/05/05 00:00
PHST- 1999/05/05 00:00 [pubmed]
PHST- 1999/05/05 00:01 [medline]
PHST- 1999/05/05 00:00 [entrez]
PST - ppublish
SO  - Gesundheitswesen. 1999 Feb;61(2):78-81.