The ‘tooth and mouth diseases’ need to be defined for DRG DRG 186O/C55O in NordDRG SWE
|Priority:||Error correction||Spent time:||-|
|Target version:||Expert Group 2015|
|Initiator:||Nordic Casemix Centre||Target year:||2016|
|Case type:||Error correction||Owner / responsible:|
|MDC:||MDC03||Old forum status:|
This case is a result of the NDMS checkup by listing all rules that do not have any test cases in our test database. In this case there is an obvious error.
Error in ord 200D16920 (DRG 186O/C55O ’ Läkarbesök vid tand- & munhålesjukdomar utom tandextrakt & restaurering’). It catches all potential cases to DRG 776V/C99O ‘Other medical contact for ear, nose and mouth problems, short therapy‘ and the content does not correspond to the description
The rule for DRG 186O/C55O only differs by having ‘N’ on the variable OR from to rule for DRG DRG 776V/C99O. Both are non-surgical groups because surgical groups are assigned earlier in the table. Therefore the content is identical and DRG 776V/C99O becomes impossible.
Economic analysis is not possible because there are currently no cases in DRG 776V/C99O.
The content of DRG 186O/C55O does not correspond to the title and there is obviously an error in the rule.
A correction to the rule of DRG DRG 186O/C55O. The ‘tooth and mouth diseases’ need to be defined
The content of DRG 186O/C55O will get corrected
#3 Updated by Anonymous over 4 years ago
Mats Frenström, NPK, Sweden 2015-06-16:
Martti is right. The rules for DRG 186O/C55O and DRG 776V/C99O are almost identical and both groups are MDC 03 rest groups for outpatient visits. The text to DRG 186O/C55O was fetched from the inpatient logic and is misleading.
We want to solve the problem by deletion of DRG 186O/C55O. We want this to be done in the production version for 2016.
Detailed technical changes are described in Decisions to Forum C600 (#422).xlsx.