[Financing of inpatient orthopedics and trauma surgery in the G-DRG system 2010].

Der Unfallchirurg
D FranzL Mahlke

Abstract

The German DRG (diagnosis-related groups) system forms the basis for billing inpatient hospital services. It includes not only the case groups (G-DRGs), but also additional and innovation payments. This paper analyzes and evaluates the relevant developments of the G-DRG System 2010 for orthopedics and traumatology from the medical and classification perspectives. Analyses of relevant diagnoses, medical procedures and G-DRGs in the versions 2009 and 2010 based on the publications of the German DRG institute (InEK) and the German Institute of Medical Documentation and Information (DIMDI) were carried out. The DRG catalog is has grown from 8 to 1,200 G-DRGs. A number of codes for surgical measures have been newly established or modified. Here, the identification and the correct and performance-based mapping of complex and elaborate scenarios was again the focus of the restructuring of the G-DRG system. The G-DRG structure in orthopedics and traumatology has been changed, especially in the areas of spinal surgery and surgery of the upper and lower extremities. The actual impact of the changes may vary depending on the individual hospital services. For the first time since the introduction of the G-DRG system, the pure numerical cha...Continue Reading

References

Jun 29, 2004·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·E Bystrich
Jan 14, 2009·Der Unfallchirurg·D FranzN Roeder

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Citations

May 24, 2012·TheScientificWorldJournal·Maximilian HaenleRalf Skripitz

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