JOHN M. BOYCE, M.D.; LINDA DZIOBEK, R.N.; GAIL POTTER-BYNOE, B.S.
To the editor: Under the prospective payment system, hospitals are reimbursed a fixed amount for each admission, based on the kind of surgical procedures done or the patient's diagnosis at admission (diagnosis-related group [DRG]). Approximately 50% of DRGs do not provide additional reimbursement if a complication such as nosocomial infection occurs. Estimated average costs per nosocomial infection range from $600 to $1800 (1-3). The impact of nosocomial infections on reimbursement patterns under the prospective payment plan is unclear because few data are available on the proportion of cases of nosocomial infections that fall into DRGs that provide additional payments for
BOYCE JM, DZIOBEK L, POTTER-BYNOE G. Reimbursement for Nosocomial Infections. Ann Intern Med. ;108:776. doi: 10.7326/0003-4819-108-5-776_1
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Published: Ann Intern Med. 1988;108(5):776.
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