• Der Unfallchirurg · May 2014

    [The DRG responsible physician in trauma and orthopedic surgery : Surgeon, encoder, and link to medical controlling].

    • T Ruffing, P Huchzermeier, M Muhm, and H Winkler.
    • Klinik für Unfallchirurgie und Orthopädie 1, Westpfalz-Klinikum GmbH, Hellmut-Hartert-Straße 1, 67655, Kaiserslautern, Deutschland, thomas@ruffing.eu.
    • Unfallchirurg. 2014 May 1; 117 (5): 464-9.

    BackgroundPrecise coding is an essential requirement in order to generate a valid DRG. The aim of our study was to evaluate the quality of the initial coding of surgical procedures, as well as to introduce our "hybrid model" of a surgical specialist supervising medical coding and a nonphysician for case auditing.Materials And MethodsThe department's DRG responsible physician as a surgical specialist has profound knowledge both in surgery and in DRG coding. At a Level 1 hospital, 1000 coded cases of surgical procedures were checked.ResultsIn our department, the DRG responsible physician who is both a surgeon and encoder has proven itself for many years. The initial surgical DRG coding had to be corrected by the DRG responsible physician in 42.2% of cases. On average, one hour per working day was necessary.ConclusionThe implementation of a DRG responsible physician is a simple, effective way to connect medical and business expertise without interface problems. Permanent feedback promotes both medical and economic sensitivity for the improvement of coding quality.

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