A Study to Determine the Reliability of Abstracted and Coded Medical Records Data Which Determines DRG Assignment and Its Potential Effect on Resource Allocation at Reynolds Army Community Hospital (RACH)
Final rept. Jul 88-Jul 89,
ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATION
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A descriptive study based on FY 87 data was conducted to determine the reliability of RACHs Medical records abstracted and coded data which determines DRG assignment and its effect on resource allocation. The research methodology included a comprehensive literature review the reabstracting and recoding of 372 medical records by an independent Accredited Records Technician, an analysis of the reasons for discrepancies between the RACH original data set and the data set generated by the independent ART, a determination of coding discrepency and DRG reassignment rates, determination of the impact of DRG reassignment on supply resource allocation and CHAMPUS reimbursement. Recommendations based on the study results, the literature review, and DoD medical records specific needs are made. The recommendations are in keeping with acceptable medical records adaptations which were necessary during the civilian implementation of DRGs.
- Information Science
- Medicine and Medical Research