The method of transforming descriptions of medical diagnoses and procedures into universal Medical code numbers. These diagnosis and procedure codifications are used by health insurance companies for reimbursement purposes, they support statistical analysis of diseases and therapeutic actions, they are employed in knowledge-bases and medical decision support, and in a variety of other uses.
Published in Chapter:
Optimization of Medical Supervision, Management, and Reimbursement of Contemporary Home Care
B. Spyropoulos (Technological Education Institute of Athens, Greece), M. Botsivaly (Technological Education Institute of Athens, Greece), A. Tzavaras (Technological Education Institute of Athens, Greece), and K. Koutsourakis (Technological Education Institute of Athens, Greece)
Copyright: © 2008
|Pages: 9
DOI: 10.4018/978-1-59904-889-5.ch128
Abstract
Adapting medical and managerial decision-making (Spyropoulos, 2006a) in the modern home care environment is a cardinal prerequisite, in order to ensure, first, an economically sustainable development of the aging population healthcare (Scarcelli, 2001); second, the rehabilitation services required for impaired persons; and finally, the psychosomatic support necessary in the developed countries, during the next decades. Thus, a strategic question emerges that is how home care will be medically supervised and financially reimbursed. The present study attempts to describe the present situation and the contemporary technological trends in home care; more specific, it is focused on a system developed by our team that intends first, to enable the optimal documentation of the provided home care, and second, to facilitate the acquisition of all relevant financial data, leading to a fair remuneration of the services offered.