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- Title
Intensivmedizinische Komplexbehandlung als Bestandteil des Versorgungsauftrags „neurologische Frührehabilitation der Phase B".
- Authors
Thomae, Heike
- Abstract
The Social Court Berlin has ruled that a hospital is entitled to encrypt the OPS code 8-980, even if it is not explicitly listed in its care mandate for neurological early rehabilitation in phase B. The decision follows BSG case law and states that a hospital is only reimbursed for services covered by its care mandate. The article also addresses the determination of the care mandate as an essential part of the care contract and explains that the assignment of medical disciplines to a hospital is based on medical specialties. Furthermore, it is explained that the specialist qualification "Radiology" can be replaced by a colloquium in the case of a specialist in internal medicine and angiology, and it discusses the factual and computational correction in case of a change of health insurance.
- Publication
GesR: Gesundheitsrecht, 2023, Vol 22, Issue 10, p649
- ISSN
1610-1197
- Publication type
Article
- DOI
10.9785/gesr-2023-221012