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Abstract

Impact of Laboratory Testing on DRG Coding and Reimbursement - Results of a Data Base Research by Georg E. Hoffmann, Michael Schenker, Michael H. Wilke

We fïled an Australian data base with about 7 million well-documented clinical cases for comorbidities, which can be proven, supported or excluded by laboratory testing and which have an impact on DRG reimbursement. The result was a list of 123 DRGs being shifted to a higher severity level by documenting one out of 157 complications. For better visualization of the more than 4,000 combinations, we developed a computer program, which allows the laboratory to develop its own diagnostic pathways for these complications in a simple ExcelTM format. (Clin. Lab. 2002;48:327-333)

DOI: Clin. Lab. 2002;48:321-333