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Morbidity coding in Brazil

Learn about morbidity coding in Brazil - its importance for medical assistance, training process, data collection, and challenges faced by coders. Discover how Brazil handles morbidity coding compared to mortality coding.

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Morbidity coding in Brazil

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  1. Morbidity coding in Brazil Cassia Maria Buchalla EC meeting May 2007

  2. 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

  3. 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.

  4. 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?)

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