The impact of psychiatric comorbidity on Medicare reimbursement for inpatient medical care

摘要: Funding for psychiatric consultation-liaison (C-L) services has been a difficult problem. It suggested that the identification of co-morbidities in Medicare patients on medical could generate incremental hospital revenue by moving from lower to higher paying Diagnostic Related Group (DRG). This increased be used as means supporting C-L service. study documents financial impact screening and documenting general acute We clinically assessed 100 consecutive admissions found 25 20 patients. In only one case did diagnosis result DRG. However, need consultation remains evident there was significant lack recognition documentation diagnoses team. The authors discuss both clinical implications inpatients propose directions further studies this area.