The DRG classification system represents a mechanism for determining the financial complexity of a patient's treatment based on demographic, diagnostic, and therapeutic characteristics. The payment amount is dependent on the patient's diagnosis.
DRG is a full-scale solution for managing hospitalization cases, offering detailed analytical tools that provide insights into both the revenue and cost sides of the hospital. It helps hospital departments effectively plan healthcare, considering reimbursements from health insurers, and contributes to the optimization of resource allocation.
Basic Strix Module (DRG Grouper)
The module is used for the classification of DRG cases. It is designed for health insurers and hospitals and enables extremely fast processing and evaluation of large volumes of data as along with the possibility of full integration with other systems with minimal requirements as concerns operational environment configuration.
Key functionalities
Ensures classification of hospital cases into DRG groups based on input data
Allows for extremely fast processing and evaluation
Calculates both total costs and costs of each hospital case individually
Main benefit
Payment amounts for individual patients reflect the complexity of their treatment.
Surnia Module
The module creates analytical reports, effectively manages costs, and retrospectively analyses revenues in the DRG system. It provides well-arranged reports on production, reporting, and the impacts of DRG implementation.
Key functionalities
Contains basic overviews of hospitalization cases from in terms of both revenues and medicine
Allows for the control of hospitalization batches for health insurers before they are submitted
Analyses the quality of reporting and tracks its development across departments
In combination with the Nesasio module, enables cost assignments to individual cases
Main benefits
Comparison of results with benchmarks for all hospitals or similar hospitals over time
Contains business logic for defining hospitalization cases and assigning costs to cases
Retrospective analysis of reported basic care, including cost comparisons
Nesasio Module
The Nesasio economic module helps track costs by patient. On the basis of the vast amount of data available to the module, it determines the costs by patient in real time. This involves a special two-step methodology for calculating patient costs.
Key functionalities
Calculates costs for hospitalization cases based on accounting data and medical indicators
Allocates turnovers by indirect centre
Provides detailed insights into the cost structure of individual cases within the context of medical centres
Creates a pricing list for allocation keys of hospital centres, such as cost per bed day, per operating minute, or cost per point
Main benefits
Identifies the most profitable and least profitable DRG groups
Tracks patient costs over time and within a given structure
Otus Module
The module monitors the economic performance of the hospital's cost centres to assess their efficiency. It allows for the allocation of indirect costs based on a custom allocation configuration or according to the methodology of the Ministry of Health of the Slovak Republic.
Key functionalities
Allows for the allocation of revenues based on the costs of direct cost centres involved in the provided healthcare.
Generates accounting turnover for recording of internal organizational costs and revenues.
Monitors the economic performance of cost centres after allocating internal organizational costs and revenues.
Tyto Module
An expert module designed for integration with the hospital information system models and controls the coding of hospitalization cases. It evaluates the accuracy of reported data in real time and alerts users to discrepancies or errors when necessary.
Key functionalities
It is integrated with hospital information systems, from which it collects relevant information about patients.
It helps hospitals prevent future revenue losses.
Main benefits
Improves the quality of reported data, thereby preventing future revenue losses
A well-arranged supplementary screen that recommends code selections to the physician based on the diagnosis
User-friendly interface
Tyto+ Module
It is an add-on to the Tyto module, which focuses on reducing the error rate in reporting hospitalization cases during their review by the health insurance company.
Key functionalities
Introduces 110 new controls
Gradually adds additional controls based on analyses of error protocols from health insurance companies
Optimizes DRG add-on items in the Tyto module in its original version
The DRG classification system is a mechanism used to calculate the financial cost of treating a patient. It allows you to classify patient treatment based on demographic, diagnostic and therapeutic characteristics. Simply put, in this system, the amount of reimbursement depends on the patient's diagnosis.
Our solution is comprehensive and provides managers with an analytical view of hospital inpatient cases, helping to monitor hospital revenues and costs. Individual departments can then better plan health care in relation to reimbursement from health insurance companies.
Strix basic module
Used to classify DRG cases. Designed for health insurance companies and hospitals, it enables extremely fast processing and evaluation of large volumes of data as well as full integration with other systems with minimal requirements for the configuration of the operating environment.
Basic functionality
Provides classification of hospital cases into DRGs based on input data
Enables extremely fast processing and evaluation
Also calculates the total financial burden for each hospital case separately
Main benefits
Amount of reimbursement for individual patients takes into account the complexity of their treatment
Surnia module
Creates analytical reports, effectively manages costs and retrospectively analyses revenue in the DRG system. Provides clear reports on the production, reporting and impact of DRG implementation.
Basic functionality
Includes basic reports on hospitalised cases in terms of income and medical aspects
Allows you to check hospitalisation benefits with health insurance companies before sending them
Analyses the quality of reporting and monitors its evolution by department
In combination with the Nesasio module, allows you to assign costs to individual cases
Main benefits
Comparison of results with reference results of all hospitals or similar hospitals over time
Includes business logic for defining hospital cases and assigning costs to cases
Retrospective analysis of reported primary care, cost comparison
Nesasio module
Nesasio's economic module helps to monitor the cost per patient. Thanks to the amount of data available to the module, it determines the cost per patient in real time. This is a special methodology for calculating the cost per patient in two steps. In the first step, unit prices for different types of costs are calculated on the basis of historical data; in the second, the calculated unit prices from the first step are used to value the actual cases. In a retrospective valuation, the case is recalculated according to the actual costs for the given period.
Basic functionality
Calculates the cost per hospital case based on billing data and medical indicators
Calculates the turnover of indirect centres
Provides a detailed view of the cost structure of individual cases in the context of health centres
Creates pricing for hospital allocation keys such as cost price per bed, cost price per operating minute and cost price per point
Main benefits
Identifies the most profitable and most loss-making DRGs
Tracks costs per patient over time and within a given structure
Otus module
Monitors the economic performance of the hospital's cost centres and evaluates their efficiency. Allows budgeting of indirect cost centres according to its own budget configuration or based on the methodology of the Ministry of Health.
Basic functionality
Allows revenue to be budgeted by cost for direct cost centres involved in the provided health care
Generates accounting turnover for the booking of inter-organisational costs and revenues
Monitors the economic performance of cost centres after budgeting of intra-organisational costs and revenues
Tyto module
Expert module designed to integrate with the hospital information system that models and manages the coding of inpatient cases. Evaluates the accuracy of the reported data in real time and, if necessary, highlights any discrepancies or errors.
Basic functionality
Integrated with hospital information systems, from which it collects relevant patient information
Helps prevent future revenue losses for the hospital
Main benefits
Improving the quality of reported data and thus avoiding future revenue losses
A clear additional screen that recommends to the physician a selection of codes for the given diagnosis
User-friendly environment
Tyto + module
Superstructure of the Tyto module that focuses on reducing the error rate in reporting hospital admissions when they are checked by the health insurance company.
Basic functionality
Provides 110 new controls
Gradually adds additional controls based on analysis of health insurance companies' error logs
Optimises DRG attribute items in the original version of the Tyto module