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Title
Procedure codes: potential modifiers of diagnosis-related groups.
First Author
Hughes, John S
Date of Pub
1990 Fall
Pages
39-46
Volume
12
Issue
1
Other Authors
Fetter, Robert B; Lichtenstein, Jeffrey
Abstract
Proposals to make complexity-of-illness adjustments to the diagnosis-related group system have relied on secondary diagnosis codes and additional clinical information obtained from the hospital record. Another potential mechanism for modifying diagnosis-related groups involves the use of non-operating room procedure codes. The use of these codes has the advantage of reliably identifying costly subgroups of patients and thus the potential to provide for fairer compensation to hospitals caring for the sickest patients. There are a number of disadvantages, however, and therefore the criteria with which to evaluate procedures as potential modifiers are suggested.
Abstract Continued
N/A
MeSH
Comorbidity : Severity of Illness Index : Abstracting and Indexing/methods : Cardiovascular Diseases/economics : Diagnosis-Related Groups/classification : Fees and Charges/statistics & numerical data : Hospitalization/economics : Human : Length of Stay/statistics & numerical data : Prospective Payment System : Research : Respiration Disorders/economics : Support, U.S. Gov't, Non-P.H.S. : United States
NTIS Number
PB91-176255