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- Title
Konsequenzen eines strafrechtlichen vorläufigen Berufsverbots für den vertragsärztlichen Vergütungsanspruch.
- Authors
Dehn, Sina
- Abstract
The article "Consequences of a criminal temporary professional ban for the remuneration claim of contract physicians" deals with the effects of a temporary professional ban on the remuneration of contract medical services. The court determines that a temporary professional ban imposed by criminal courts is also binding for social courts. The remuneration of contract medical services requires that they have been provided lawfully. It is also discussed whether the provisions of the X-ray Ordinance are applicable to MRI examinations and whether a justifying indication from the performing physician is required for MRI examinations. It is emphasized that the performing physician must review the indication of the referring physician and conduct their own examinations on the patient. The tolerance of billing by the statutory health insurance can only lead to the exclusion of billing corrections if there is worthy protection of trust in the billing capability. The court decides that a temporary professional ban is also binding for the billing of contract medical services for social courts.
- Publication
GesR: Gesundheitsrecht, 2023, Vol 22, Issue 2, p97
- ISSN
1610-1197
- Publication type
Article
- DOI
10.9785/gesr-2023-220208