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146 Maximum Billing Supplement <strong>KCE</strong> reports 80S Appendix to chapter 6: Improving the system? The effects of the policy measures since 2004
<strong>KCE</strong> Reports 80S Maximum Billing Supplement 147 9 CONVERSION OF CO-PAYMENTS WITHOUT PREFERENTIAL STATUS TO CO-PAYMENTS WITH PREFERENTIAL STATUS AND VICE- VERSA 9.1 RIZIV/INAMI REIMBURSEMENT AND FEE DATA RIZIV/INAMI put a database at our disposal, containing for each nomenclature code all possible reimbursement and fee amounts, as well as the starting date of the validity of these amounts. Also, a variable with a reimbursement or fee code identifying the type of reimbursement or fee was included (an extract is shown in table AX.1). Nomenclature code Start date Table AX.1 Extract from the RIZIV/INAMI nomenclature database Amount Code Code description Reimbursement or fee Preferential status 101010 1/02/2002 €10,48 0 Fee Fee No 101010 1/01/2004 €10,83 0 Fee fee No 247203 1/01/2003 €694,66 1300 Reimbursement with preferential status 292423 1/01/2008 €137,33 1600 Reimbursement without preferential status Feimbursement Yes Feimbursement No … … … … … … … Based on this database, two data sets were constructed (see algorithm depicted in Figure AX.1): • reimb2004: all reimbursement codes, their corresponding amounts, and their corresponding fee codes valid in 2004. • fee2004: all fee codes and their corresponding amounts valid in 2004.
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