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

KCE reports 57 Musculoskeletal & Neurological Rehabilitation 65
was renewed in a different form July 1st 2005 (and is applied since
August 1st 2006) .
• “Convention 7.89.2: Type convention - Reference centres for
patients with neuromuscular disorders”. This type of convention is
different from the 9.50 and 7.71 in the sense that the fee covers the
coordination and follow-up of the services provided to these patients
during one year
• Additionally, for wheelchair bound patients there exists a “transportconvention“
in order to pay for the travelling expenses for
ambulatory rehabilitation.
To be complete the following conventions have to be mentioned:
• “Convention 7.89.4: Reference centres for chronic fatigue
syndrome.”
• ”Convention 7.89.5: Reference centres for cerebral palsy and spina
bifida (CP-SB)”.
• “Convention 7.89.6: Reference centres for chronic pain.”
As these conventions have been applied only since very recently we did not perform any
analyses on the data. In concept they are very similar to the convention 7.89.2.
Based on the scope of this study, a detailed analysis is performed on the 9.50 convention
(paragraph 5.1.4), the 7.71 convention (paragraph 5.1.5) and to a lesser extent the
convention 7.89.2 (paragraph 5.1.7).
5.1.3.2 Nomenclature
Within the nomenclature system, three nationally established fee schedules are relevant
for musculoskeletal and neurological rehabilitation:
• K-nomenclature: nomenclature for Physical Medicine and
Rehabilitation (PM&R): applied in the departments for PM&R, present
in most of the Belgian hospitals, where a team of multi-disciplinary
practitioners provide general and acute rehabilitation, under the
supervision and coordination of a specialist in PM&R
• M-nomenclature: nomenclature for mono-disciplinary physical
therapy
• R-nomenclature: nomenclature for mono-disciplinary speech therapy
(to be distinguished from R30/R60 applied for convention 9.50. There
is no relation between the two R-codes.).
For other disciplines such as occupational therapy and psychotherapy there currently is no
nomenclature when performed mono-disciplinary.
Based on the scope of this study, a detailed analysis is performed on the K nomenclature
(paragraph 5.1.6).
5.1.3.3 Hospital day price
Regarding the fee for hospitalisation the assumption is that most of the inpatients reside in
Sp-beds: S2 beds (allocated for musculoskeletal disorders) and S3 beds (allocated for
neurological disorders).
As rehabilitation activities for inpatients also take place in other settings (geriatric beds,
Sp-beds for chronic disorders, acute beds, psychiatric beds…) the expenses for S2 an S3
beds are probably an underestimation of the “fee for hospitalisation for musculoskeletal
and neurological rehabilitation”.