Federal Arbitration Office
Federal arbitration courts are in Germany under the care of insured persons in the statutory health insurance with medical and dental services dental services from physicians 'Confederation (KBV) or the cash-dental Federal union (KZBV) and the Central Federal Association of Health Insurance and German by the Association Dental Technicians' Guilds and formed by the National Association of Health Insurance Funds. There are therefore three federal arbitration offices:
- The Federal Arbitration Office for statutory medical care
- The Federal Arbitration Office for contract dental care
- The Federal Arbitration Office for dental care
Purpose of arbitration
The arbitration system serves the purpose of bindingly stipulate the content of the contract if no agreement has been reached ( Section 89 SGB V). The contracts relate to the way in which medical, dental and dental technology insurance benefits are provided by contract doctors , contract dentists and dental technicians and the amount of the fees paid for this. The contracts are concluded between the associations of health insurance companies and the associations of statutory health insurance physicians or the Association of German Dental Technicians Guilds. This type of compulsory arbitration is intended to ensure continuity of care for the insured.
Jurisdiction
The Federal Arbitration Office is responsible when it comes to contracts at the federal level. State arbitration offices have been set up for contracts at state level. The Federal Arbitration Office is not a higher authority than the regional arbitration system.
composition
The Federal Arbitration Office is composed equally of representatives of the central associations of the statutory health insurance funds and the KBV, KZBV or the dental technician guilds as well as an impartial chairman and two other impartial members. The parties involved should agree on the chairman and the two other impartial members and their deputies. In practice, it has become common practice that each side suggests an impartial member that the other side accepts. The term of office is four years. The current term of office lasts until 2016. If there is no agreement on the impartial members or the chairman, the lot decides. In this case, the term of office is one year. The members of the arbitration office carry out their office as an honorary office. You are not bound by instructions.
The chairmen of the Federal Arbitration Office are Werner Nicolay in the medical field, Klaus Engelmann in the dental field and Heinz-Dietrich Steinmeyer in the dental technology field . (As of 01/2020)
The Federal Arbitration Office gives itself rules of procedure, according to which each party can call in experts.
Legal supervision
The Federal Ministry of Health is responsible for the legal supervision of the federal arbitration offices . The decisions of the arbitration boards on the remuneration of services must be submitted to the supervisory authority. The supervisory authority can object to the decisions in the event of a legal violation within two months of submission.
Individual evidence
- ^ W. Schmiedl, The law of contractual (dental) medical arbitration: historical development, legal nature , Duncker & Humblot, (2002) ISBN 3-428-50578-6
- ↑ Imprint - Arbitration Boards. In: schiedsstelle.de. January 1, 2020, accessed February 9, 2020 .
