Fox L A
J AHIMA. 1992 Jan;63(1):34-8, 40.
Coding accuracy is difficult enough with inconsistent and incomplete medical records adding to the challenge. But since the HCFA implementation of DRGs in 1983 to determine Medicare payments, coding has taken on an ethical dimension. In this article Leslie Ann Fox discusses the causes underlying this dilemma and proposes some solutions.
由于医疗记录不一致且不完整,编码准确性已经够困难了,这又增加了挑战。但自1983年医疗保险和医疗补助服务中心(HCFA)实施诊断相关分组(DRGs)以确定医疗保险支付以来,编码工作又具有了伦理层面的意义。在本文中,莱斯利·安·福克斯探讨了这一困境背后的原因,并提出了一些解决方案。