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Effects of the prospective payment system on medical record coding
Journal (American Medical Record Association)
|June 9, 1987
Summary
This study in Alabama investigated changes in medical coding practices and personnel needs following the implementation of Prospective Payment Systems (PPS). Findings confirm shifts in coding functions and requirements due to PPS.
Area of Science:
- Health Services Research
- Medical Coding
- Healthcare Administration
Background:
- Prospective Payment Systems (PPS) are widely believed to influence healthcare operations.
- Previous research suggests potential impacts on medical coding and staffing.
Purpose of the Study:
- To verify perceived changes in medical coding functions post-PPS implementation in Alabama.
- To identify specific alterations in coding procedures and personnel requirements in Alabama.
Main Methods:
- A study was conducted in Alabama.
- Data collection focused on coding functions, procedures, and personnel requirements.
Main Results:
- Coding functions were confirmed to have changed due to PPS.
- Specific changes in coding procedures were identified.
- Alterations in personnel requirements were documented.
Conclusions:
- PPS implementation demonstrably impacts medical coding practices.
- Healthcare facilities must adapt coding procedures and staffing in response to PPS.
- Further research may explore the extent of these changes in other regions.