CC in DRGs is complications comorbidities canonical library definition as a criterion for labeling secondary diagnoses of patients included in this study. mcc is complications comorbidities specific approach to determining whether the secondary diagnosis of the case belongs to the disease in the first place.
The first page of the case is the data source of the health insurance payment, in which the diagnosis affects the health insurance payment, performance evaluation (financial allocations), evaluation of key clinical specialties, thus affecting the hospital's performance and economic income, this chain reaction is the diagnosis of coding economic chain, pay attention to the first page of the case of quality testing is the only way to solve the problem of health insurance payment of the data source objectively and accurately.
This paper explains the difference between disease type and disease group under the health insurance payment (DRGs payment) through the example of case home page data based on the hospital, hoping to make the hospital can better meet the new round of medical payment reform.
Disease payment and DRG group payment of the two similarities and differences, the same point of data source hospitalization case home page, the key field diagnosis, the key field surgical operation, the difference between a disease a group of diseases, comorbidities, a disease and a group of diseases.
Disease payment alone 1 group (1 disease), DRG categorized into 7 groups, FB19 - cardiac assist system implantation
FM13 - percutaneous coronary drug-eluting stent placement with general complications or concomitant conditions.
FM17-percutaneous coronary drug-eluting stent placement, death within 5 days of admission or transfer, FJ11-other procedures on the circulatory system with serious complications or concomitant conditions.
FJ13-Other surgery of the circulatory system with usual complications or concomitant conditions, FK19-Circulatory diagnosis accompanied by ventilator support, FD23-Conventional surgery for congenital heart disease with usual complications or concomitant conditions.