Abstract: DRG (Diagnosis Related Group, DRG) payment is a key way of medical insurance payment reform currently promoted by the state, which is to settle medical insurance expenses according to the weight of disease diagnosis grouping. The wide variety of dermatology diseases and the low weight of the overall disease group lead to low payment standards. How to better operate and develop and provide high-quality diagnosis and treatment services under the background of DRG payment reform is a challenge for dermatological hospitals and dermatology departments. Based on the data of our hospital , this paper analyzed the DRG management system of our hospital, including disease operation management, disease cost control, adjustment of income structure, standardization of path management, strengthening of department operation management, while improving the quality of the first page of medical records and the accuracy of coding, carrying out day ward and day surgery, strengthening communication with medical insurance agencies, optimizing information system construction, etc., to provide reference for the operation mode of DRG payment in dermatology.

Key words: diagnosis related group, medical insurance payment reform, dermatosis