Lutz J, Grundmann Y, Böger A, Nilges P, Benecke A, Sabatowski R
Zentrum für Interdisziplinäre Schmerztherapie, Zentralklinik Bad Berka GmbH, Robert-Koch-Allee 9, 99437, Bad Berka, Deutschland.
Seufert Rechtsanwälte Leipzig, Leipzig, Deutschland.
Schmerz. 2022 Apr;36(2):121-127. doi: 10.1007/s00482-021-00593-y. Epub 2021 Sep 30.
In the context of their offer of interdisciplinary multimodal pain therapy (day-patient and inpatient), hospitals repeatedly have to contend with strict detailed checks of the procedure codes (OPS 8-918.xx; 8-91c) by health insurers and the medical service. The necessity of day-patient or inpatient treatment in the respective sector, documented therapy components, and the qualifications of the therapists are regularly reviewed. On 27 October 2020, the Federal Social Court ruled on the specific qualification of psychological psychotherapists (BSG, 27 October 2020, Ref.: B 1 KR 25/19 R). The ruling and its potential impact are explained and discussed in this overview.
在提供跨学科多模式疼痛治疗(日间住院和住院治疗)的背景下,医院经常要应对健康保险公司和医疗服务机构对程序代码(OPS 8 - 918.xx;8 - 91c)进行的严格详细检查。各部门日间住院或住院治疗的必要性、记录在案的治疗组成部分以及治疗师的资质会定期接受审查。2020年10月27日,联邦社会法院对心理治疗师的具体资质作出裁决(联邦社会法院,2020年10月27日,案号:B 1 KR 25/19 R)。本概述对该裁决及其潜在影响进行了解释和讨论。