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Journal of Kerman University of Medical Sciences، جلد ۲۷، شماره ۲، صفحات ۱۶۹-۱۷۶
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
The Impact of the Clinical Miscoding on Inpatient Reimbursement |
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| چکیده انگلیسی مقاله |
Background: The purpose of this study was to investigate the rate of coding errors and its effect on the amount of correct reimbursement to patients. Methods: This descriptive and cross-sectional study was performed in 2018. Research resources were records in compensation units in medical documents center of social security organization. A total of 546 records were reviewed of which, 118 records met the research criteria and were selected through census method. Instrument for data collection was a checklist composed of six parts. Data were collected by compensation unit coders. Results: In total, 118 records met the inclusion criteria. The highest rate of documentation error was related to unconfirmed errors with 106 items and a coefficient of 3845.44. The cost issued to patients based on tariff codes with a coefficient of 9696.4 was estimated as 3684632000 Rials, which only 2416154000 Rials was reimbursed to the patients with the coefficient of 6358.3. Conclusion: Since coding of diagnostic measures had a high percentage of errors, and the recording of services was not accepted, some proper policies must be adopted to reduce procedure miscoding. |
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| کلیدواژه‌های انگلیسی مقاله |
Coding, Miscoding, Tariffs, Patient reimbursement |
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| نویسندگان مقاله |
Roghayeh Ershad Sarabi |
Assistant Professor, Department of Health Information Sciences, Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran
Soodeh Shahsavari |
Assistant Professor, Department of Health Information Technology, Faculty of Paramedical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran
Ali Mohammadi |
Assistant Professor, Department of Health Information Technology, Paramedical School, Kermanshah University of Medical Sciences, Kermanshah, Iran
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| نشانی اینترنتی |
http://jkmu.kmu.ac.ir/article_90620_48b0aae5627220dbdbcf73f917afd5a0.pdf |
| فایل مقاله |
اشکال در دسترسی به فایل - ./files/site1/rds_journals/93/article-93-2416926.pdf |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
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