Newsletter June 2025
A summary of the latest information on the activities of the CKS DRG.
In the context of same-day healthcare, the CKS DRG published in the last quarter an update of the MoH Expert Guideline on the provision of same-day healthcare. At the same time, CKS DRG transparently communicates in advance a list of suggestions for the adjustment of the NICU in the next year, which will be taken into account in particular in the Definitional Manual, while CKS DRG thus also recommends to take into account the above already now in the NICU system in the DRG - the above is published in the Overview of recommendations for coding of NICU procedures in the classification system SK-DRG 2025. The above will also serve as a source of adjustments for the JHS for next year, so if you register other suggestions from practice that need to be incorporated into the JHS in DRG, please let us know via the JHS section of the feedback questionnaire.
On June 24, 2025, the Steering Committee approved an updated version of the document, which also bears a new title: the Rules defining the calculation of the case lump sum and the rules for the aggregation of classification cases that include health care provided by providers using the classification system, effective January 1, 2026.
A number of changes have been made to the document, in particular the generalisation of terms, the redefinition of the hospitalisation case and the resulting changes. The content resulting from the CCP has been added (Method of Calculation column and Annexes 5 and 6). The definition of cases of less than 24 hours has also been added to 2.1.13 Treatment time. An overview of all the changes made is available in the change document.
An update of the Calculation Manual for 2026 - version 5.1 was prepared at the meetings of the Economic and Data Working Group. Compared to version 5.0, there are minor changes of a technical nature:
All changes were approved at the April 29, 2025 Steering Committee meeting. The updated version 5.1 of the Calculation Manual with all incorporated changes is available on the CKS website.
During the months of April, May and June, the collection and validation of the annual DRG benefits for 2024 took place. 87 PHCS submitted the benefits. A total of 292 benefits were received and processed, with providers taking advantage of the option of submitting multiple corrective benefits. As of June 20, the submission of annual benefits was complete and a total of 54 benefits were accepted. The number of valid HPs totaled 726,894, representing 88.2% of all HPs. Compared to last year, validation checks have been extended and tightened, while the quality of reporting by the PHCS has improved.