ArticleBMC health services research2018
Potential loss of revenue due to errors in clinical coding during the implementation of the Malaysia diagnosis related group (MY-DRG
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed.
- Factors Affecting the Accuracy of Clinical Coding in the Casemix System in a Teaching Hospital: Cross-Sectional Study.Interactive journal of medical research · 2026Article
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- Drivers and effects of DRG coding abuse based on hot cheese model: a qualitative study.Frontiers in public health · 2026Article
- Critical Success Factors Influencing the Acceptance of a Casemix-Based Hospital Information System: Cross-Sectional Study.Journal of medical Internet research · 2025Article
- TriNetX and Real-World Evidence: A Critical Review of Its Strengths, Limitations, and Bias Considerations in Clinical Research.ASIDE internal medicine · 2025Article
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- Critical Success Factors and Acceptance of the Casemix System Implementation Within the Total Hospital Information System: Exploratory Factor Analysis of a Pilot Study.JMIR formative research · 2024Article
- A retrospective analysis using comorbidity detecting algorithmic software to determine the incidence of International Classification of Diseases (ICD) code omissions and appropriateness of Diagnosis-Related Group (DRG) code modifiers.BMC medical informatics and decision making · 2024Article
- Evaluating a Natural Language Processing-Driven, AI-Assisted International Classification of Diseases, 10th Revision, Clinical Modification, Coding System for Diagnosis Related Groups in a Real Hospital Environment: Algorithm Development and Validation Study.Journal of medical Internet research · 2024Article
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- Cost of cardiovascular disease events in patients with and without type 2 diabetes and factors influencing cost: a retrospective cohort study.BMC public health · 2024Article
- Explainable text-tabular models for predicting mortality risk in companion animals.Scientific reports · 2024Article
- Factors Affecting the Medical Coding Errors of COVID-19 Hospital Records: A Cross-Sectional Study in East Iran.Tanaffos · 2024Article
- Impact of Inaccurate Clinical Coding on Financial Outcome: A Study in a local hospital in Najran, Saudi Arabia.F1000Research · 2024Observational
- Assessment of clinical miscoding errors and potential financial their implications on healthcare management - A case of local hospital in Najran, Saudi Arabia.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2024Article
- PetBERT: automated ICD-11 syndromic disease coding for outbreak detection in first opinion veterinary electronic health records.Scientific reports · 2023Article
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- Gastric cancer in the pediatric population, a multicenter cross-sectional analysis of presentation and coexisting comorbidities.Journal of cancer research and clinical oncology · 2023Article
- Causes, factors, and complications associated with hospital admissions among patients with Parkinson's disease.Frontiers in neurology · 2023Article
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4 authors.
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Abstract
backgroundThe accuracy of clinical coding is crucial in the assignment of Diagnosis Related Groups (DRGs) codes, especially if the hospital is using Casemix System as a tool for resource allocations and efficiency monitoring. The aim of this study was to estimate the potential loss of income due to an error in clinical coding during the implementation of the Malaysia Diagnosis Related Group (MY-DRG
methodsFour hundred and sixty-four (464) coded medical records were selected, re-examined and re-coded by an independent senior coder (ISC). This ISC re-examined and re-coded the error code that was originally entered by the hospital coders. The pre- and post-coding results were compared, and if there was any disagreement, the codes by the ISC were considered the accurate codes. The cases were then re-grouped using a MY-DRG
resultsCoding errors were found in 89.4% (415/424) of the selected patient medical records. Coding errors in secondary diagnoses were the highest, at 81.3% (377/464), followed by secondary procedures at 58.2% (270/464), principal procedures of 50.9% (236/464) and primary diagnoses at 49.8% (231/464), respectively. The coding errors resulted in the assignment of different MY-DRG
conclusionsThe quality of coding is a crucial aspect in implementing casemix systems. Intensive re-training and the close monitoring of coder performance in the hospital should be performed to prevent the potential loss of hospital income.
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