Question by introducing "Fallpauschalen" and "Sonderentgelte" in German healthsystem the coding of diagnoses and therapies gains a new momentum. Therefore, a new computer based coding-system for IC...
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Question by introducing "Fallpauschalen" and "Sonderentgelte" in German healthsystem the coding of diagnoses and therapies gains a new momentum. Therefore, a new computer based coding-system for ICD-and ICPM-digits is presented. The physician gets enabled for simple and valid classification within his documentation routine. Methods: Development of a hierarchic menue system, whose first part represents the anatomic region. The second part is reserved for the most common diagnosis rsp. therapies within its special anatomic region. By further sub-menues all other ICD numbers in the orthopedic and traumatologic field may be coded (selection related by frequency). This coding-system has been in clinical use since jan. Ist. 1995. Results: Control of the efficiency of this coding-systems by 1316 patients with 1551 operations within one year. By using ICD-10, the representation of orthopedic-traumatologic diagnosis inhanced by factor 1,8 versus ICD-9. According to ICPM, 3560 therapies were coded, making it 2-3 actions per operation. "Fallpauschalen" were found in 21,9%, in 27,7% there were "Sonderentgelte" Within one year the coding error rate was reduced from 25% to 5%. Conclusions: Because of its easy handling the coding system "do it" represents a good alternative to conventional coding rsp. clear text analysis.
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