Policy Issues in Medical Computing. Health Care Economics and Medical Computing: How a Data Base Management System Integrates Patient Care and Financial Data to Manage Diagnosis Related Groups

摘要

Nationally, Medicare reimbursement has been changed effective Oct. 1, 1983. Hospitals now will receive a fixed amount for each Diagnosis Related Group (DRG). New Jersey has piloted this approach for several years. A computerized information system, operating inhouse in 6 New Jersey hospitals, is discussed. Functionally, it integrates inpatient demographic and medical data to assign the DRG and uses financial data to produce the reimbursement amount.