Morbidity coding in Brazil.ppt

Morbidity coding in Brazil Cassia Maria Buchalla EC meeting May 2007 Morbidity Coding in Brazil Performed for all medical assistance (inpatients and ambulatory) routinely for Health Public System In hospitals they are double coded - in the financial sector and in the statistics one Data are collected mainly for reimbursement (sometime there are two completely different audience in the training courses) Monthly CD ROM are distributed on data for inpatient and outpatient assistance (and high complexity procedure) There are about 11- 13 million discharges a year Most Coders are trained at work Some big hospital – School Hospitals from the States of the South and Southeast regions have trained coders Those know the rules. Others use the information on the discharge form. Brazil has a classification for procedures –always aimed to reimbursement. There are a new one supported by the Medical Council but not completely implemented yet. Morbidity Coding in Brazil The discharge sheet is not the same for all hospitals Morbidity Division in the Ministry of Health is separate from the mortality We train coders but we do not have a close relation with the Morbidity division We have only face to face training ..yet There is no career for coders in Brazil so the morbidity coders change a lot (=rotativity?) * *