Economical basis for neurologic services and the system for health insurance: Diagnosis procedure combinations and insurance scores of neurophysiological tests

Abstract

The Social Insurance Union of Societies Related to Internal Medicine and the Social Insurance Union of Societies Related to Surgical Medicine have pushed for revisions of the medical service fee against the Medical Economics Division of Insurance Department, Ministry of Health, Labor and Welfare. About neurological diseases, Japanese Society of Neurology, Japanese Society of Neurological Therapeutics, Japanese Society of Clinical Neurophysiology, and Japanese Society of Child Neurology are involved in this movement. The examination fee of the electrical encephalography and the nerve conduction study was accepted. I review the process of the comprehensive medicine, and the revision of DPC (Diagnosis Procedure Combination) and medical service fee.