In recent years there has been strong interest in episode-of-care (EOC) payment for physicians and hospitals as a replacement for fragmented, fee-for-service reimbursement. Medicare’s DRG method for hospitals can be interpreted as the nation’s first bundled payment, though it covers neither physician services nor post-acute services administered after discharge. Medicare’s Acute Care Episode (A...

BACKGROUND The prospective reimbursement of hospitals through the grouping of patients into a finite number of categories (Diagnosis Related Groups, DRGs), is common to many European countries. However, the specific categories used vary greatly across countries, using different characteristics to define group boundaries and thus those characteristics which result in different payments for treat...

neurite outgrowth from dorsal root ganglion (drg) explants is a method of evaluating neurotrophic activity of growth factors. when complete medium containing collagen was supplemented with nerve growth factor (ngf) drg outgrowth was observed after 18 h. in the absence of ngf and in the presence of collagen, the drg outgrowth took place after 72 h. in wells not supplemented with collagen gel in ...

PT Askes (Persero) uses a combination of fee-for-service (FFS) and package tariff as a provider payment mechanism. Based Wouters, Annemarie et al (1999), FFS system has a high financial risk for payor. The objectives of this paper are to give a preliminary comparison between INACBGs (which is Indoesian DRG) and Askes’ tariff (MoH Act number: 416/Menkes/Per/II/2011), to estimate financial risks ...

Background In 2006, Croatia implemented AR-DRGs with the aim of increasing hospital output transparency, incentivizing efficient resource use, and measuring hospital performance and quality. Despite the intentions of this initiative, up until very recently, the hospital payment system continued to be based on historical budgets, although hospitals have been reporting inpatient activity using th...

For decades the U.S. health care industry has been operating on its own way ignoring emerging factors such as competition, patient safety, skyrocketing health care cost, liability, malpractice insurance cost and use of DRG for Medicare and insurance payment. However, as these factors became more prevalent and competition within the industry intensified, many U.S. hospitals have been becoming in...

BACKGROUND Diagnosis Related Group (DRG) payment is preferred by healthcare reform in various countries but its implementation in resource-limited countries has not been fully explored. OBJECTIVES This study was aimed (1) to compare the characteristics of hospitals in Thailand that were audited with those that were not and (2) to develop a simplified scale to measure hospital coding practice....

Germany will soon begin per case payment by DRG, and preparations are in progress in most hospitals and insurance companies. The Academic Teaching Hospital Munich-Schwabing in Munich decided to explore coding strategies by considering the impact of diagnoses that could be detected by pathology tests. An Australian database was analysed. We detected "discriminating" diagnoses--that is, diagnoses...

Through analysis of data from the universal health insurance system in Manitoba, Canada, surgical diagnosis-related groups (DRG's) with the greatest potential for inpatient-outpatient substitution are identified. Candidates for both "inpatient shift" and "outpatient shift" are discussed. It is also suggested that determination of the procedure chiefly responsible for hospital admission compleme...