Disease Coding Errors by Health Care Organizations: Effects of a Government Quality Intervention

Citation

Shin, Euichul; Dow, William H.; Kaluzny, Arnold D.; Park, Yong-Moon; & Park, Kidong (2003). Disease Coding Errors by Health Care Organizations: Effects of a Government Quality Intervention. International Journal of Health Planning and Management, 18(2), 151-159.

Abstract

Disease coding errors in claims data can cause serious problems for financing, reimbursement systems, public health surveillance and health research. This study analysed a government intervention to improve coding accuracy of health care organizations in South Korea. The intervention was implemented in 1997 by 226 organizations that had submitted erroneous claims in 1996 for five selected diseases. In 1998, 94% of these organizations eliminated coding errors for these diseases. Those organizations least responsive to the intervention were tertiary hospitals, those publicly owned, and those with other complex organizational characteristics. Overall, this simple intervention appeared extremely effective, and wider adoption of such techniques should be explored.

URL

http://dx.doi.org/10.1002/hpm.702

Reference Type

Journal Article

Year Published

2003

Journal Title

International Journal of Health Planning and Management

Author(s)

Shin, Euichul
Dow, William H.
Kaluzny, Arnold D.
Park, Yong-Moon
Park, Kidong