DRG Grouper for hospitals
The DRG system is a new mechanism used to calculate the financial demands of patient treatment. The DRG classification system makes it possible to include patient treatment according to demographic, diagnostic and therapeutic characteristics. In this system, the amount of reimbursement is simplified depending on the patient's diagnosis.
The Strix basic module classifies hospital cases into 1,200 cost-grade and medical-like groups, the patients categorizing not only from a medical point of view but also according to the financial demands of their treatment. Thanks to this classification, the cost of hospital care is more fairly paid and hospitals are able to work more efficiently.
The Surnia superstructure analytical module replaces analytical departments in hospitals. It analyzes the reported basic care. Helps create reports and improves cost management in hospitals. All outputs are processed in graphs and spreadsheets.
Supplemental coding module These serve to control and enhance the quality of coding cases by physicians without high administrative burden on staff. Improves the quality of data reporting in real time. Ensures that misstatements are not reported in the reporting, they do not forget about some performances or side-by-side diagnoses. Eliminates incorrectly reporting data for the hospital when new reporting is reported, which may mean future income losses. It communicates with the hospital information system, which sends all the important data about the hospitalized patient and suggests the data and codes in the statement for the health insurance company.
The superstructure economic module Nesasio helps to track the cost of individual patients. The amount of data available to the module determines the cost of the patient in real time. This is a special two-step methodology for calculating patient costs. In the first step, according to historical data, unit prices are calculated for different types of costs. In the second step, the calculated unit costs from the first step are used to evaluate current cases. In case of a retrospective assessment, the case shall be calculated on the basis of the actual costs for that period.