[Upcoding--a risk for the use of diagnosis-related groups].

BACKGROUND Upcoding id defined by a systematic and deliberate shift in the case mix of a hospital in order to improve reimbursement. Upcoding is frequently mentioned as a reason for ineffective reimbursement under a DRG payment system. METHOD A systematic literature search identified relevant studies concerning the extent of the Upcoding. Results are used… CONTINUE READING