Download het supplement - KCE

More documents

Recommendations

Info

160 Maximum Billing Supplement KCE reports 80S 695962 Reservoir 0.5 695973 Connector 0.5 695984 Connector Orbita implantaat waarvan de oppervlaktestructuur weefselingroei mogelijk maakt en dat 0.5 697152 wordt geplaatst na enucleatie, na secundair implant of bij anoftalmie Orbita implantaat waarvan de oppervlaktestructuur weefselingroei mogelijk maakt en dat 0.5 697163 wordt geplaatst na enucleatie, na secundair implant of bij anoftalmie 0.5 697196 Spanring voor het lenskapsel, inclusief de eventuele injector 0.6 697200 Spanring voor het lenskapsel, inclusief de eventuele injector 0.6 697174 Klep voor behandeling van glaucoom 1 697185 Klep voor behandeling van glaucoom 1
KCE Reports 80S Maximum Billing Supplement 161 10.2 UPDATE 2004-2008 Since 2004 the number of implants and medical devices with a safety margin has increased substantially. To obtain a more accurate assessment of the budgetary cost of the integration of the safety margin in 2008, an update of the results in section 6.3.1 in the main report is necessary. Column 4 in Table AX.2 gives a list of nomenclature codes referring to implants and medical devices with a safety margin in March 2008. For the majority of these codes, a one-to-one relationship between the codes of 2004 and 2008 could be made on the basis of the wording of the nomenclature code. This made it possible to assign the safety margin applicable in 2008 to them. For other nomenclature codes it seemed impossible to link codes of 2004 and 2008 in a reliable way. The update from 2004 to 2008 was worked out in three steps. First, for implants and medical devices with a safety margin in 2004, the budgetary cost in 2004 was raised by the increase in the number of cases for these nomenclature codes between 2004 and 2008 qq (+3.58% or €8 441 788). Second, for codes in 2008 which could be linked to codes in 2004, the budgetary cost of integrating the safety margin into the MABcounters was simulated by assigning the safety margin of the codes in 2008 to each code belonging to a certain group in 2004. A group was defined as all nomenclature codes within the same wording (e.g. hydrocephalic valves). In case the codes of a group have different safety margins in 2008, a weighted safety margin was calculated in which the weight was based on the share of each code in the total number of cases. Taking also account of the increase in the number of cases between 2004 and 2008, the budgetary cost amounts to about €219 000. Third, for codes without a link between 2004 and 2008, the budgetary cost was approximated by multiplying the theoretical rr safety margin of each nomenclature code by the number of cases. The result is the supplement paid by the patient and equals the increase in the MAB-counters. Next, in line with the simulation results for implants and medical devices with a safety margin in 2004, 80% of the increase in the MAB-counters was considered as the budgetary cost for RIZIV/INAMI (€53 763). Adding up the results of the previous steps, gives a total cost of about €8 715 000 for the integration of the safety margin of implants and medical devices into the MAB-counters in 2008. ss qq Available from RIZIV/INAMI. rr Theoretical since hospitals are free to charge the safety margin. ss Steps 2 and 3 are exclusive of the self-employed and the cost is expressed in prices of 2004.
Page 1 and 2:
Effects of the Maximum Billing syst
Page 3 and 4:
Effects of the Maximum Billing syst
Page 5 and 6:
KCE Reports 80S Maximum Billing sup
Page 7 and 8:
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
KCE Reports 80S Maximum Billing Sup
Page 15 and 16:
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
Obs Code C KCE Reports 80S Maximum
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
KCE Reports vol MAF SUpplement 97 P
Page 103 and 104:
KCE Reports vol MAF SUpplement 99 P
Page 105 and 106:
KCE Reports vol MAF SUpplement 101
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114: KCE Reports 80S Maximum Billing Sup
Page 163: KCE Reports 80S Maximum Billing Sup
Page 168: Registration of copyright : D/2008/
show all

Download het supplement - KCE

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?