ABSTRACT
The objective of the German DRG (diagnosis-related groups) system is to adequately reimburse hospital costs using flat rate payments. The goal is to thereby achieve the most adequate representation of hospital costs in flat rate payments. The DRG for 2014 is based on the actual number of cases treated and the costs determined from 2012. For 2014, the current changes of the DRG system for the specialty urology concerning the coding and recording of secondary diagnoses are presented and discussed.
Subject(s)
Diagnosis-Related Groups/organization & administration , Diagnostic Techniques, Urological/economics , Health Care Costs/statistics & numerical data , Insurance, Health, Reimbursement/economics , Urologic Diseases/diagnosis , Urologic Diseases/economics , Urology/economics , Comorbidity , Germany/epidemiology , Humans , Urologic Diseases/epidemiologyABSTRACT
The remuneration system of German diagnosis-related groups (G-DRG) is updated every year in a clearly defined process. This article presents all changes relevant for urologists in 2012.
Subject(s)
Diagnosis-Related Groups/standards , Diagnosis-Related Groups/trends , Urologic Diseases/classification , Urologic Diseases/diagnosis , Urology/standards , Urology/trends , Germany , Humans , Urologic Diseases/economicsABSTRACT
Cystectomy and urinary diversion is an excellent example for the growing complexity of the G-DRG (German diagnosis-related groups) system. Based on different diagnoses (malignant tumor of the urinary tract, benign disease of the urinary tract, malignant tumor of the female genital tract, or malignant tumor of the male genital tract), identical cases may lead to very different codes, resulting in even more differences in reimbursement.