Newsletter March 2023

A summary of the latest information on the activities of the CKS DRG.

Expert Working Group on Contentious Situations in the SK-DRG

The CKS DRG, also taking into account the requirements of the users of the system, establishes an Expert Working Group for controversial situations in the SK-DRG. The Expert Working Group deals with disputed situations, which are defined as differences of opinion in the interpretation of documents issued by the CKS DRG between a health insurer and a health care provider, where each party has explained in writing its view of the interpretation to the other party, but there has been no agreement between the disputing parties. The expert working group makes an expert assessment of the facts submitted to it by the parties.

For more information on the Expert Working Group on Disputes in the SK-DRG, please refer to the Statutes of the Expert Working Group on Disputes in the SK-DRG on the CKS DRG website available HERE.

Validation protocols - Communication with the PÚZS

Having good quality data is a priority for the DRG system, which is why CKS is working with the PHCS and IT system providers to get the best quality data through the annual benefits. This quality data will help to improve data processing and analysis for a more targeted setting of the DRG system parameters.

We are currently in the process of validating the 2021 annual benefit, in order to correct the most commonly occurring errors related to the annual benefit - both with the administration of the benefit and its validation. The aim of working with the 2021 validation protocols is to analyse the errors in question (whether made on the part of the PHCS, the IT systems provider or the CKS) and minimise critical errors for the upcoming 2022 benefit.

More information is available on our Information | Portal | CKS DRG or on the DRG Workshop on validation protocols.

Planned schedule and next dates