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KCE reports 57 Musculoskeletal & Neurological Rehabilitation 229
10.3.2 Revenues and RIZIV expenses for the rehabilitation protocols under
current reimbursement rules
The results of the calculations of the centre revenues and RIZIV/INAMI expenses
corresponding to each rehabilitation protocol are presented in Figure 10.8: . The table
shows the revenues per treatment protocol and the RIZIV/INAMI expenditures
according to the current reimbursement mechanisms. As most rehabilitation
programmes can be financed through different mechanisms three scenarios are
presented,
In addition, the theoretical future revenues for THR under the not yet implemented
K30/K45/K60 system were calculated (results not in table but described in text). The
royal decree for the implementation of the K45-nomenclature is waiting for publication.
A K45 is worth €46.62 and represents a session of 90 minutes. (Note that, according to
the described protocols, only 15% of all THR deserve multidisciplinary rehabilitation
(THR combined with polypathology or in fragile patients)).
For comparative purposes, the total costs borne by the rehabilitation centres for each
rehabilitation protocol, assuming an overhead cost of €15/hour, are presented in Figure
10.8: . This comparison shows that for all rehabilitation paths in all reimbursement
systems, except for ambulatory rehabilitation for MS, the theoretical costs are higher
than the revenues. For the ambulatory rehabilitation protocol for MS, revenues under
convention 7.71 are higher than theoretical costs.
Under the future K30/K45/K60 system, the revenues for the treatment of THR
polypathology becomes €839.16 and for the treatment of THR fragile €233.10.