In order to earn more money. AOK to have an influence on Doctors ' diagnoses

The business magazine "Business Insider reports". The competent Federal office for Social security checks now the process. The more accurate the diagnosis, t

In order to earn more money. AOK to have an influence on Doctors ' diagnoses

The business magazine "Business Insider reports". The competent Federal office for Social security checks now the process.

The more accurate the diagnosis, the higher the chances of making more money p>

The extensive Write the KV to contain patient data and diagnostic suggestions. So it says: "The coded diagnosis (...) is not specific enough. Please check whether there is a specific documentation (...) is possible."

The more accurate the diagnosis of a physician, the higher the chances of the health insurance companies to get more money from the state health Fund. Especially in the case of certain chronic diseases (e.g. Diabetes) cash in Barmer, AOK, and co. special contributions on the so-called risk structure equalisation (RSA).

Affected doctor is outraged

From Business Insider a member of a declared open doctor: "I feel this is a blatant interference in the freedom of medical practice and to see these letters as a form of coercion and inducement to fraud.“

On request, the KV confirmed a deal with the AOK. "The background of the action a with the AOK PLUS completed management agreement, from which the KV Saxony attracts no financial benefit is, it will only be financed in the resulting administrative expenses as a result of the AOK PLUS, and there is no reward,“ said the Chairman of the Board of the KV Saxony, Dr. Klaus stern man is.

KV holds process for law-compliant

According to the stern man, the invitation should not be understood so that Doctors are supposed to retroactively change the diagnosis. "The Doctors is made possible by the provision of a file to specify for the future, the diagnosis", the KV-boss. In addition, it would have no consequences, whether or not the doctors follow the prompt or not. "The fact of the solicitation of a prospective, exact encoding, without a financial Benefit for the doctor is produced as we are both entitled to, as well as in conformity with the law."

Business Insider confronted the BAS, with the cooperation between the AOK and the KV Saxony. A authorities spokesman explained: "In the framework of the implementation of the risk structure compensation, the BAS checks the data messages of the health insurance companies on their legality. It is understood that a direct or indirect influence of health insurance on the contents of the performance data, is prohibited, unless prescribed or approved. We consider whether undue influence is given to the diagnosis in the present case. We ask for your understanding that we can make at the present time, no opinion. After Edeka and net: Lidl designers now selling masks of Van Laack PCP To Edeka and Netto Lidl now sells Designer masks by Van Laack

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Updated Date: 21 May 2020, 19:27

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