A qualitative study of DRG coding practice in hospitals under the Thai Universal Coverage Scheme |
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| Authors: | Email author" target="_blank">Krit?PongpirulEmail author Damian?G?Walker Peter?J?Winch Courtland?Robinson |
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| Institution: | (1) Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA;(2) Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand |
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| Abstract: | Background In the Thai Universal Coverage health insurance scheme, hospital providers are paid for their inpatient care using Diagnosis
Related Group-based retrospective payment, for which quality of the diagnosis and procedure codes is crucial. However, there
has been limited understandings on which health care professions are involved and how the diagnosis and procedure coding is
actually done within hospital settings. The objective of this study is to detail hospital coding structure and process, and
to describe the roles of key hospital staff, and other related internal dynamics in Thai hospitals that affect quality of
data submitted for inpatient care reimbursement. |
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