DIMDI - Application of classifications for reimbursement purposes

Reimbursement System for German Hospitals

The self-governing bodies of the German health care system are responsible for the coming system of Diagnosis Related Groups. This system is based on the medical classifications published by DIMDI (ICD-10-GM (former SGB-V) and OPS (former OPS-301). Thus DIMDI acts as an advisor to these bodies for all problems related to classifications that come up during the development and maintenance of the new DRG system.

On this webpage we have compiled information on the application of medical classifications to reimbursement purposes. General links on classifications unrelated to their application to reimbursement purposes are available here.

Official German Classifications

DIMDI is responsible for the official medical classifications.

• OPS (former OPS-301)
• ICD-10-GM (former ICD-10-SGB-V)
• Mail to Helpdesk at DIMDI for questions concerning the official classifications

Coding Standards

The self-governing bodies are responsible for the Coding Standards.

• Coding Standards on the webserver of the Institute for the Hospital Remuneration System gGmbH (InEK, so-called German DRG Institute)
• Mail to Helpdesk of the German Hospital Federation for questions concerning the Coding Standards
• Mail to Helpdesk of InEK (so-called German DRG Institute) for questions concerning the Coding Standards

Fee Catalogues

The self-governing bodies are responsible for the Fee Catalogues.

• Catalogues for the German DRG system
• Mail to Helpdesk of InEK (so-called German DRG Institute) for questions concerning the German DRG catalogues

Institutions in Germany, involved in the design of the DRG system

• Federal Ministry of Health
• DIMDI
• German Hospital Reimbursement Institute  (InEK, so-called DRG institute)
• Self-Governing Bodies
• • German Hospital Federation
  • Statutory Health Insurance Companies
  • Private Health Insurance Companies
• Association of German Medical Societies

Hospital Financing Act (Krankenhausfinanzierungsgesetz, KHG)

• §17b Krankenhausfinanzierungsgesetz

Contracts of the Self-Governing Bodies concerning the Australian AR-DRGs

• Press releases of the Federal Ministry for Health

DRG Systems, General Information

• Center for Informatics and Economic Medicine (Zentrum für Informatik und wirtschaftliche Medizin , ZIM), Mr Wolfram Fischer, Wolfertswil, Switzerland
• Meeting Point Medical Informatics, Links and search engine

Australian DRG System (AR-DRGs)

• Australian Casemix, Contents
• Australian Casemix, AR-DRG, Classification
• DRG-Research, University of Münster, contact person Dr. Roeder
• Center for Informatics and Economic Medicine (Zentrum für Informatik und wirtschaftliche Medizin , ZIM), AR-DRG (in German language)
• ICD-10-AM, Diagnoses and Procedure Classification
• Australian Casemix, Clinical Committee
• Australian National Center for Classification in Health

Bibliography

• Meeting Point Medical Informatics, (in German language)
• casemix quarterly , Journal
• Australian Casemix, Publications
• The Medical Journal of Australia (eMJA)

Glossary

• Australian Casemix, Glossary

Comments and additions are appreciated at Helpdesk Classifications