The report is available in English with a French summary - KCE

KCE reports 57 Musculoskeletal & Neurological Rehabilitation 91
5.1.7.3 Requirements (only valid for multi-disciplinary treatment K30/60)
Team
Management -
Team Physician in PM&R (Supervision)
Physical Therapist (Permanent)
Occupational Therapist (Permanent)
Available experts Speech therapist
Clinical psychologist
Infrastructure
Opening hours -
Volume -
5.1.7.4 Detailed overview expenditures evolution K nomenclature
The K-nomenclature changed in august 2004. As a result different new codes were
introduced. Because the old K-15 code was used for the new K-20 treatment, a
comparative analysis on codes is impossible (different kind of treatments using the same
nomenclature number). Therefore Figure 5.24 shows data for the period January – May
2004 (before introduction of the new K nomenclature) and January – May 2005 & 2006
(after introduction of the new K nomenclature) and it is expected that these data
reflect the evolution of expenditures for the corresponding years. The data used are
not the data based on the bills (invoices) for a certain month, but on the actually
delivered treatment session during each of the corresponding months.
The old K-15 now is listed at the bottom of the table. Only K30 and K60 sessions are
still under the same code. Colour code: orange is migrated to new nomenclature code /
blue is new type of treatment / green is no change.
Figure 5.24: Effect on the expenditures evolution since the new Knomenclature
(2004-2006)
2004/01-05
2005/01-05
2006/01-05
Amb. Hosp. K Expenditures Cases K Expenditures Cases K Expenditures Cases
558795 558806 15 11.578.610 953.369 20 13.659.870 865.637 20 14.109.236 905.661
558390 15 717.496 61.767 15 703.343 60.482
558423 15 729.449 59.331 15 799.231 65.397
558456 558460 30 416.951 14.971 30 457.250 16.467
558810 558821 30 5.923.618 194.882 30 2.740.072 97.872 30 3.467.961 123.887
558832 558843 60 22.660.162 373.921 60 29.103.125 519.468 60 32.398.290 578.547
558994 60 3.291.218 59.600 60 5.398.214 97.765
558434 558445 15 352.829 29.998 15 690.858 57.579
Source: RIZIV/INAMI 2006
Based on this sample of limited K codes, expressing the change in the K nomenclature
in Augustus 2004, there is a 27% total growth in expenditures versus a 12% total
growth in number of cases from 2004 to 2005. In 2006, as compared with 2005, we
notice a 14% total growth in expenditures versus a 12% total growth in cases. This
disparity suggests that the changes in the K nomenclature did not introduce any savings,
on the contrary, expenses increased.
Within K30/60, we notice that the number of K30 (61.997 cases) decreased with over
50 %, while K60 (52.429 cases) increased with approximately 28 %, indicating a shift of
K30 to K60, explaining an increase in total expenditures larger then the increase in
cases.