The Impact of Diagnosis-Related Group Payment on the Accuracy of Medical Insurance Case Coding
Objective To analyze the impact of Diagnosis-Related Group(DRG)payment on the accuracy of medical insurance case coding.Methods A total of 600 hospitalized medical insurance patients admitted to Anyang District Hospital of Puyang from January 2020 to December 2021 were randomly divided into a control group and a study group,with 300 cases in each group.The control group used conventional medical insurance case coding management,while the study group used DRG payment management.The accuracy rate of medical insurance case coding,medical insurance management quality scores,and medical insurance cost savings were recorded and compared.Results The accuracy rate of medical insurance case coding in the study group(98.00%)was significantly higher than that in the control group(86.00%),with statistically significant differences(P＜0.05).The medical insurance management quality scores and medical insurance cost savings in the study group were significantly higher than those in the control group,with statistically significant differences(P＜0.05).Conclusion The application of the DRG payment model can improve the accuracy and completeness of medical insurance case coding,enhance the quality of medical record writing and the efficiency of medical insurance management,and reduce medical insurance fund expenditures.
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