Cardiology in the German Diagnosis-Related Groups (DRG) system 2009

被引：0

作者：

Siebers, L. ^{[1
]}

Reinecke, H. ^{[1
,2
]}

Hundt, H. ^{[1
]}

Holder, M. ^{[1
]}

Radeleff, J. ^{[3
]}

Bunzemeier, H. ^{[1
]}

Roeder, N. ^{[1
,4
]}

机构：

[1] Univ Klinikum Munster, Geschaftsbereich Med Management, DRG Res Grp, Domagkstrage 20, D-48149 Munster, Germany

[2] Univ Klinikum Munster, Med Klin & Poliklin C Kardiol & Angiol, Munster, Germany

[3] Univ Kilnikum Heidelberg, Abt Innere Med Kardiol Angiol & Pneumol 3, Heidelberg, Germany

[4] Univ Klinikum Munster, Munster, Germany

来源：

KARDIOLOGE | 2009年 / 3卷 / 02期

关键词：

Cardiology; Reimbursement; Diagnosis-related groups (DRG); Co-payment; Hospital financing;

D O I：

10.1007/s12181-009-0172-7

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The annual update of the German Diagnosis-Related Groups (G-DRG) system has recently been published and is summarized in this overview. Although the transition period ("convergence phase") has been prolonged to 2010, the G-DRG catalogue is already the exclusive basis for all hospital reimbursements in Germany. Important changes in the G-DRG algorithms in the year 2009 are thus described in this article, with a focus on cardiology. In addition to structural changes in the G-DRG algorithms, the article describes technical changes to the system and changes in the reimbursement of the DRGs. In summary, the G-DRG system has now developed a degree of stability concerning the classification of DRGs and related key diagnoses and procedures. The changes in the G-DRG algorithms therefore mostly concern details. In particular, payments for implantable cardioverter defibrillators (ICD) have been considerably reduced. However, a number of limitations still needed to be corrected by the end of the transition period to ensure correct reimbursement.

引用

页码：146 / 153

页数：8