摘要
2015年清远地区试行新的医疗保险分值系统付费,该分值系统主要根据主要诊断和主要诊治方式来进行匹配分值付费。该系统脑梗塞患者,诊治方式均为保守治疗,亚目不同,分值相差约67%。可见脑梗塞I63正确的亚目编码,对医保分值付费是否合理、正确起着重要的作用。脑梗塞亚目编码涉及解剖部位、血管供应区域、栓塞性质、以及复杂的症状体征,建议对临床医生进行I63脑梗塞的培训,编码员深入学习与理解相应学科的医学知识,并做好科内的知识传播、培训工作。
In 2015,a pilot new medical insurance score payment system was conducted in Qingyuan. The score system was used for payment by matching score,mainly based on the principle diagnosis and treatment methods. For patients with cerebral infarction in this system who all had conservative treatment with different suborder,the scores had a difference of about 67%. The correct sub-code for cerebral infarction I63 was seen to play an important role in the rationality and correctness of payment by medical insurance score. The sub-code for cerebral infarction involves in anatomic site,artery＇s supply area,the nature of embolism and complex symptoms and signs. Therefore,we advise that clinicians should take training for sub-coding cerebral infarction I63,coders should study medical knowledge about corresponding subjects profoundly,and the hospital should do well in knowledge transmission and training work in the department.
出处
《现代医院》
2017年第11期1638-1639,1642,共3页
Modern Hospitals
关键词
脑梗塞
亚目编码
医保付费
Cerebral Infarction
Sub-code
Medical Insurance Payments
