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Management of case fees and special charges with aid of the coding system "do it"
P Schütz1, D Deimel1, T Dusberger1
1Orthopädische Universitätsklinik Mannheim, Germany.
Introduction:
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.
Discussion:
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.
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