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

Author

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  • Ryszard Orlinski
  • Norbert Prusinski

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.

Suggested Citation

  • Ryszard Orlinski & Norbert Prusinski, 2024. "Codification of Medical Services in Settlements with the National Health Fund on the Basis of International Standards," European Research Studies Journal, European Research Studies Journal, vol. 0(Special B), pages 600-611.
  • Handle: RePEc:ers:journl:v:xxvii:y:2024:i:specialb:p:600-611
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    More about this item

    Keywords

    Medical services; medical activity; public health; health care; codification; financing; community security.;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H56 - Public Economics - - National Government Expenditures and Related Policies - - - National Security and War
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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