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. 2019 Aug;31(4):699–706. doi: 10.21147/j.issn.1000-9604.2019.04.13

3.

Reasons for underreporting cancer patients using NCMS claims

Hospital Reason n (%)
NCMS, New Rural Cooperative Medical Scheme; *, Miscoding as unspecified diagnosis refers to abnormal findings on diagnostic imaging, and a localized mass and lump.
Anyang Cancer Hospital
Miscoded as unspecified diagnosis* 19 (32.8)
Miscoded as other malignant tumors 12 (20.7)
Coded according to symptoms 11 (19.0)
Miscoded as uncertain/unknown behavior 8 (13.8)
Miscoded as other diseases (same site) 3 (5.2)
Miscoded as benign tumors 2 (3.5)
Miscoded as other diseases (other sites) 2 (3.5)
Unreimbursed 1 (1.7)
Total 58 (100.0)
Hua County People’s Hospital
Coded according to symptoms 8 (33.3)
Miscoded as unspecified diagnosis* 6 (25.0)
Miscoded as other diseases (other sites) 3 (12.5)
Miscoded as uncertain/unknown behavior 2 (8.3)
Miscoded as other diseases (same site) 2 (8.3)
Others 3 (12.5)
Total 24 (100.0)