TY - JOUR T1 - THe misconception of trauma reimbursement AU - Shapiro MJ, Keegan M, Copeland J Y1 - 1989/10/01 N1 - 10.1001/archsurg.1989.01410100143025 JO - Archives of Surgery SP - 1237 EP - 1240 VL - 124 IS - 10 N2 - • As health care costs increase, hospital reimbursement from trauma victims is decreasing. Thus, the number of institutions dedicated to trauma care continues to decrease in this country. Two hundred eight consecutive patients admitted to a level 1 trauma center were evaluated during a 10-month period. The total bill for 207 patients was $4 044 156, averaging $19 537 per patient. Total reimbursement 6 months after billing was $2 054 090, 51% of the total bill. Methods to improve reimbursement include increasing the ratio of blunt to penetrating trauma victims and by assembling a team knowledgeable in reimbursement options. However, because a major portion of trauma reimbursement comes under federal government regulation, topics such as diagnostic related groups and other classification criteria of critically injured patients need to be reevaluated, or underpayment for trauma patients will continue to be a national plague.(Arch Surg. 1989;124:1237-1240) SN - 0004-0010 M3 - doi: 10.1001/archsurg.1989.01410100143025 UR - http://dx.doi.org/10.1001/archsurg.1989.01410100143025 ER -