Inpatient Reimbursement
Rules and regulations of the aG-DRG system
All catalogs in one place and interactively linked to each other
Functions of the catalogs
The catalogs for inpatient care are based on the official regulations of the aG-DRG system. These include diagnoses (ICD-10), procedures (OPS), flat rates per case (DRG), additional fees (ZE), and service groups (SG).
Furthermore, the allocation relevance according to the aG-DRG definition manual and information from the flat-rate catalog are displayed. This comprehensive presentation of all relevant information allows for a valid analysis in a matter of seconds.
All sets of rules are linked to each other. A connection to the other areas of the platform, such as market and geo analysis, provides direct insight into the German hospital landscape.
Rules and regulations of the aG-DRG system
- ICD-10 classifikation
- OPS classifikation
- Fee per case catalog and additional fees
- Service Groups
Transfers / Migrations
- ICD-10, OPS and ZE transfers
- DRG migrations
Interactive links
- To the analyses and calculators
- To the coding aids and NUB exchange
- To the “My hospital” section
- Catalog relationships between each other
Proposal procedure
- Detailed view of ICD-10 and OPS proposals
- Listing of DRG proposals
General platform functions
- Historical display of data since 2010 (trend graphs)
- Numerous filter parameters tailored to specific areas
- Display of results in various graphs
- Link to all platform areas
- incl. export function in all areas
- Available in German and English
- Integrated video learning platform for all areas
- Support from experts at the Reimbursement Institute
Source
The information presented here is based on information from the official regulations of the Federal Institute for Drugs and Medical Devices (BfArM) and the Institute for Hospital Remuneration Systems (InEK).
Specifically, these sources were used:
- BfArM – Official Classification of Diagnoses (ICD-10)
- BfArM – Official Classification for Operations and Procedures (OPS)
- InEK – Fee per case catalog
- InEK – aG-DRG definition manual