Newsletter December 2024
After 3 years of intensive work, the CKS DRG team succeeded in integrating same-day healthcare into the SK-DRG. PHC is being piloted in the DRG, for 2025 the reporting of PHC in the SK-DRG will be voluntary. In the coming years, the aim is to collect good economic and medical data on the NICU, which will be used to calculate a reimbursement mechanism based on providers' costs for overnight care.
During this year, intensive work has also been underway to revise and expand the Definitions Manual for 2025.The changes to the DP consist of three main areas - the creation of new JHS DRGs, revisions to selected categories, and other changes resulting from feedback or technical corrections to the algorithms. There are 147 new JHS DRGs in DP 2025 based on approximately 3700 procedures. The algorithms for these groups contain individual combinations of conditions that a hospital case must meet to be included in a JHS DRG. The principle of operation of the ADR DRG algorithms is described in more detail in subsection 4.11 in the first volume of the DP. The revision specifically concerned the Pre-MDC, MDC 01, MDC 02, MDC 04 - it was mainly aimed at adjusting the low-volume and low-performance ADRG groups for which it was difficult to calculate relative weights without using approximation. This approach revised 33 ADRGs across the aforementioned categories. In collaboration with the Working Group, the diagnoses in Appendix D in Volume 5 of the DP were also updated and the principle of assigning an unavoidable error ("fatal flag") for gender-conflicting diagnoses was modified. Feedback suggestions were also addressed through the revision and other changes to the algorithms, with 24 suggestions made this year.
Relative weights for inpatient care have been agreed for 2025, along with relative weights for overnight care. There has been an update of the methodology for calculating the relative weights, which has added a new approximation and adjustment of the lower limits of treatment times for a selected number of DRG groups. The attributable items were also updated based on feedback from users of the SK-DRG system.
On 29.11.2024, the Vision for Categorization and Pricing of Hospitals from 2025 Conferencewas held . We thank all presenters and participants very much for the stimulating discussions and expert dialogue. Both the recording and the presentations are available on our website.
In December, the SK-DRG Coding News Seminarwas held , attended by over 410 participants, Thank you for your participation and for the fruitful and constructive discussion. We will continue to meet with coders next year, right from the beginning of January.
We wish you a pleasant Christmas holidays, good luck, good health and success in the New Year!❄☃