The USA was the first country internationally to fund hospital inpatient services under an ABF model.

The US model has been refined over many years and, given this longer experience, it is worth briefly summarising some of its key features.The US payment system for Medicare patients is called the inpatient prospective payment system (IPPS). It is managed by the Centers for Medicare and Medicaid Services, US Department of Health and Human [...]

What is activity-based funding?

Activity-Based Funding (ABF) is a central feature of the Rudd hospital reform plan (‘A National Health and Hospitals Network for Australia’s Future’). ABF is not a new idea, either to the health sector or to other industries. Indeed, the Council of Australian Governments (COAG) agreed in November 2008 to introduce a nationally consistent ABF approach [...]

Coding Obstetric cases using ICD-10-AM

New committees are currently being established to guide the development of the AR-DRG Classification System.  In the interim, a special one-off meeting of key stakeholders was held on Thursday 15 July to discuss the AR-DRG assignment in v4.2 and v5.1 of certain obstetric cases when the 7th Edition ACS and ICD-10-AM codes are used. This [...]

AR-DRG Classification System

AR-DRG and ICD-10-AM/ACHI/ACS development will be undertaken by the Centre for Health Service Development from July 2010.
The Centre for Health Service Development (CHSD) has been contracted by the DoHA to produce the next editions of these classifications – collectively known as the AR-DRG Classification System -  between July 2010 and June 2013.
This work is currently [...]

Coding Matters

The current edition of Coding Matters is available from the NCCH website.
To view Volume 17 Number 1 – June 2010  CLICK HERE.
(Photo courtesy of www.nis-web.fhs.usyd.edu.au)

Clinical Documentation Improvement: Achieving Excellence

Clinical documentation is the foundation of every patient health record. In this book, expert author Ruthann Russo clearly defines the term, explains its importance, and presents an objective and uniform set of principles that can be applied reliably in any healthcare organization’s clinical documentation improvement (CDI) program. The author identifies the key users of clinical [...]

Coding Matters

The current edition of Coding Matters is available from the NCCH website.
To view Volume 16 Number 4 – March 2010  CLICK HERE.
(Photo courtesy of www.nis-web.fhs.usyd.edu.au)

Coding Matters

To read the current edition of Coding Matters
Volume 16, Number 3, December 2009 CLICK HERE

(Photo courtesy of www.nis-web.fhs.usyd.edu.au)

Casemix

PricewaterhouseCoopers (PwC) was commissioned by the Commonwealth Department of Health and Ageing (Department) to conduct an end-to-end review of all processes associated with the development cycle of the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM) and Australian Refined Diagnosis Related Groups (ARDRG). The review was conducted over a [...]

My Mid-Life Crisis – or How I became a Clinical Coder

Joanne Anderson, Clinical Coder, Warringal Private Hospital
In January 2007, and in my dangerously late 40’s, I had casually investigated the Coding training available via HIMAA on a couple of previous occasions.  It seemed a good fit with my background as a medical secretary and I was looking for a change after many years as Exec [...]

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