PMID- 11753735
OWN - NLM
STAT- MEDLINE
DCOM- 20020208
LR  - 20110111
IS  - 0012-0472 (Print)
IS  - 0012-0472 (Linking)
VI  - 126
IP  - 51-52
DP  - 2001 Dec 21
TI  - [Extent and causes of coding problems for total compensation on the basis of 
      Diagnosis-Related Groups].
PG  - 1449-53
AB  - BACKGROUND AND QUESTION: In contrast to the per-day-reimbursement specific data 
      like diagnoses, procedures and demographic data of the patient is needed for a 
      per case reimbursement with Diagnosis Related Groups (DRG). Coding errors can 
      have great impact on the height of the reimbursement. A review of the extent and 
      the causes of coding problems does not exist at present. METHODOLOGY: A 
      systematic search in Medline using the search words >>coding<< and >>error<< and 
      >>hospital<< was performed. Only articles with quantitative evaluation, written 
      in English or German, were included. Literature cited in the articles was 
      included as well. RESULTS: A total of 33 studies (53 113 cases) were identified. 
      An average of 23 % of cases was showing coding problems. Eighteen percent of the 
      cases were assigned to a wrong DRG. Regarding the date of publication no effect 
      in the extent of the coding accuracy could be detected. CONCLUSION: An 
      appreciable rate of cases with coding problems should be anticipated when 
      introducing DRG. Training to improve coding accuracy is recommended. Whether 
      coding should be a task of the ward or the management of the hospital could not 
      be decided here, but it should be noted that this assignment of the coding task 
      has major impact on the allocation of competence in the long run.
FAU - Lungen, M
AU  - Lungen M
AD  - Institut fur Gesundheitsokonomie und Klinische Epidemiologie, Universitat zu 
      Koln. Markus.Luengen@medizin.uni-koeln.de
FAU - Lauterbach, K W
AU  - Lauterbach KW
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Ausmass und Ursachen von Kodierproblemen bei pauschalierender Vergutung auf der 
      Basis von Diagnosis-Related Groups.
PL  - Germany
TA  - Dtsch Med Wochenschr
JT  - Deutsche medizinische Wochenschrift (1946)
JID - 0006723
SB  - IM
MH  - Diagnosis-Related Groups/classification/*economics
MH  - Financial Management, Hospital/methods/*standards
MH  - Forms and Records Control/classification/standards
MH  - Germany
MH  - Hospital Information Systems
MH  - Humans
MH  - Insurance Claim Reporting/classification/*standards
MH  - MEDLINE
MH  - Management Audit
MH  - Medical Records/*classification/economics/standards
MH  - Quality Control
EDAT- 2001/12/26 10:00
MHDA- 2002/02/09 10:01
CRDT- 2001/12/26 10:00
PHST- 2001/12/26 10:00 [pubmed]
PHST- 2002/02/09 10:01 [medline]
PHST- 2001/12/26 10:00 [entrez]
AID - 10.1055/s-2001-19213 [doi]
PST - ppublish
SO  - Dtsch Med Wochenschr. 2001 Dec 21;126(51-52):1449-53. doi: 10.1055/s-2001-19213.