Codification of Medical Services in Settlements with the National Health Fund on the Basis of International Standards

Ryszard Orlinski and Norbert Prusinski

European Research Studies Journal, 2024, vol. XXVII, issue Special B, 600-611

Abstract: Purpose: The purpose of codification is also to take into account the diversity of services, both in terms of doctors' specialization and the type of diagnostic and therapeutic procedures. Design/Methodology/Approach: The article presents the principles and method of creating codes and the principles of settlement of medical procedures performed according to adopted codes using international standards. Findings: This codification procedure is intended to accurately reflect the diversity of medical activities. The process of codification of medical services should take into account the temporal aspect, relating to the period of service provision, and the spatial aspect, relating to the location of the medical facility. The time aspect of codification should enable effective monitoring of dynamic changes in the area of health care, and the spatial aspect should allow for taking into account the specificity of services provided depending on the region. The codification is based on the ICD10 classification of diseases and the ICD9 classification of medical procedures. Practical implications: The use of International Classification of Diseases and Related Health Problems (ICD-10) and International Classification of Medical Procedures (ICD-9) in medical services and procedures coding, ensures transparency of provided health services. Originality/value: Analysis of trends, morbidity and death rates in populations helps the World Health Organization to fight with diseases, as well as assurance of health security.

Keywords: Medical services; medical activity; public health; health care; codification; financing; community security. (search for similar items in EconPapers)
JEL-codes: H51 H56 H75 I18 (search for similar items in EconPapers)
Date: 2024
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Persistent link: https://EconPapers.repec.org/RePEc:ers:journl:v:xxvii:y:2024:i:specialb:p:600-611

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