Association of Statutory Health Insurance Dentists Saxony-Anhalt
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The Association of Statutory Health Insurance Dentists Saxony-Anhalt (KZV LSA) was founded on June 28, 1991 as a corporation under public law (Germany) (Kdö.R.) in Magdeburg . It is the legal association of dentists participating in contract dental care in the state of Saxony-Anhalt . Your tasks result from the legal mandates in the fourth chapter of the fifth book of the Social Security Code (SGB V). It is responsible for ensuring the comprehensive dental care of the publicly insured population in Saxony-Anhalt in accordance with Section 75 SGB V and for representing the rights of contract dentists vis-à-vis the health insurance companies . The KZV Sachsen-Anhalt is one of 17 state KZVs that are members of the National Association of Statutory Health Insurance Dentists (KZBV).
Members
Members of the KZV Sachsen-Anhalt are licensed contract dentists with full or partial license as well as employed dentists in dental practices (according to § 32b Zahnärzte-ZV) and in facilities approved for contract dental care. The members are entitled and obliged to take part in contract dental care.
| Members of the Saxony-Anhalt KZV (as of December 31, 2019) | |
|---|---|
| Licensed contract dentists | 1,440 (1,384 dentists, 56 orthodontists) |
| Employed dentists | 194
( 8 of them working in the MVZ ) |
| Empowered dentists in hospitals | 3 |
| total | 1,637 |
Carrier of public self-administration
The guiding principle of self- government under public law is the performance of state tasks in legally regulated structures by organized and written professions. As a rule, these are tasks that are traditionally not inherent in state action due to their special nature, but are subject to state supervision because of their importance for the common good. The KZV Sachsen-Anhalt is bound by the requirements of the fifth social code (SGB V). It is subject to the legal supervision of the Ministry of Labor and Social Affairs of the State of Saxony-Anhalt .
tasks
The tasks of the KZV Sachsen-Anhalt result from legal mandates in the fourth chapter of the Social Security Code V (SGB V).
Assurance
- The KZV has to ensure the contractual dental care (§ 75 SGB V) and to guarantee to the health insurance companies and their associations that the contractual dental care complies with the legal and contractual requirements.
Representation of interests
- Fulfillment of the professional political interest representation for the more than 1,600 contract dentists in Saxony-Anhalt towards the public, the state supervisory authorities , the health insurance companies and other stakeholders in the health care system .
Advice and contact for dentists and politics
- The KZV Sachsen-Anhalt advises dentists on all questions relating to contract dentistry . The spectrum ranges from questions about billing to admission . Furthermore, authorities and the legislator are advised on all questions of contract dental health policy. This includes, for example, statements on proposed legislation, suggestions for improving health care and the development of political objectives.
Billing and auditing
- In the KZV Sachsen-Anhalt, the invoices for the dental services provided by the contract dentists are collected, comprehensively checked for correctness and then forwarded to the billing offices of the health insurance companies by means of electronic data carrier exchange. The contract dental bills are checked for factual and computational accuracy and compliance with the obligations of the contract dentists in the context of their contract dentistry work is checked. If necessary, a settlement can be made. This ensures compliance with legal and contractual provisions vis-à-vis the state.
Contract and fee negotiations
- The remuneration of the dentists and institutions participating in contract dental care is regulated by the state associations of the health insurance funds and the replacement funds with the statutory dental associations through general contracts.
- The Association of Statutory Health Insurance Dentists distributes the agreed total remuneration. During the distribution, it applies a distribution standard that is set in consultation with the regional associations of the health insurance funds and the substitute funds.
Advanced training
- Contract dentists are obliged to undergo further professional training to the extent necessary to maintain and develop the specialist knowledge required for their professional practice in contract medical care. The training content must reflect the current state of scientific knowledge in the field of dentistry .
- Every five years, a contract dentist has to provide proof to the Association of Statutory Health Insurance Dentists that he has complied with his training obligation in the past five-year period. Proof of advanced training can be provided by advanced training certificates (regulated by Section 95d SGB V).
Quality assurance and quality management
- The work of the KZV Sachsen-Anhalt includes dental experts and prosthetic second opinion advice, which are intended to ensure and promote the quality of care and treatment.
- According to § 135 SGB V, every contract dental practice is legally required to maintain an internal quality management system that meets the requirements of the QM guideline of the Federal Joint Committee (G-BA). The existence of such a QM system is checked by the KZV Sachsen-Anhalt. Every year, two percent of all contract dental practices are randomly checked.
Second opinion advice on prosthetics
- As a counseling service, the KZV Sachsen-Anhalt in cooperation with the Consumer Center Saxony-Anhalt offers the patients a second opinion counseling on prosthetic care.
public relation
- The KZV Sachsen-Anhalt, in cooperation with the Dental Association of Saxony-Anhalt, publishes the monthly newsletter Zahnärztliche Nachrichten (zn). It publishes reports on the activities of the committees of professional self-government and presents health policy events and activities in the district offices. The newspaper provides information on the dates of advanced training events of the Dental Association and the KZV Sachsen-Anhalt and is intended to support the exchange of opinions and experiences between the state's dentists. Contributions to advanced training are published regularly. The sheet is sent to all members of the Dental Association and KZV Sachsen-Anhalt.
- In addition, the KZV Sachsen-Anhalt together with the state dental associations of the states of Brandenburg, Mecklenburg-Western Pomerania, Saxony, Saxony-Anhalt and Thuringia publishes the patient magazine ZahnRat . The magazine provides information on dental treatments and provides information on oral and dental health issues. The magazine appears with a circulation of 57,000 copies and is distributed via the dental practices of the publishing countries.
Newsletter
The circular is the official communication organ of the Association of Statutory Health Insurance Dentists. It contains important innovations and provisions, among others, on the following points:
- Billing of contract dental services
- Legal questions relevant to contract dentists
- Seminar dates of the KZV Sachsen-Anhalt
- Changes in health insurance
- Notes on the PVS and the accounting modules
- Updates for the manual of the KZV Sachsen-Anhalt
Emergency service
- According to Section 75 SGB V, Paragraph 1, Sentence 2, the KZV Sachsen-Anhalt is responsible for ensuring a comprehensive emergency service in times when there are no consultation hours. To implement this legal obligation, a contract under public law was concluded between the KZV Sachsen-Anhalt and the Dental Association of Saxony-Anhalt, in which the organization of the emergency service in the contract dentistry area was transferred to the Dental Association. This makes use of the district offices to fulfill its tasks. Thus, both the Saxony-Anhalt KZV and the Saxony-Anhalt Dental Association are responsible as contractual partners for the emergency service.
Organization and administration
The KZV Sachsen-Anhalt implements its tasks and functions in professional administration . The KZV has its administrative headquarters in Magdeburg . Organizationally, it is divided into the accounting, IT, finance, legal and general administration departments. The KZV Sachsen-Anhalt is managed by a full-time executive board (chairman and deputy chairman), who is elected by the representative assembly of the KZV Sachsen-Anhalt. The board of directors makes use of the management of the KZV to fulfill its tasks.
organs
The organs of the KZV Sachsen-Anhalt are the representative assembly and the full-time executive board.
Representative Assembly
The representative assembly is the highest decision-making body of the KZV Sachsen-Anhalt. It consists of 30 honorary members who have been elected every six years by the contract dentists in Saxony-Anhalt since 2005 when the Statutory Health Insurance Modernization Act came into force . The elections take place according to the principles of proportional representation . The legislative period that began in 2017 is the seventh legislative period of the KZV Sachsen-Anhalt.
The meeting of representatives makes all decisions that are of fundamental importance for the KZV Sachsen-Anhalt. It elects the board of the KZV and the members of the statutory committees . It is responsible for setting the annual budget, regulating the membership fee and approving the annual financial statements . The representative assembly is the statute giver and regulates the election regulations of the KZV Sachsen-Anhalt.
Board
The representative assembly elects its chairman and a deputy from among its members in separate ballots with a majority of the votes cast. Dentists can continue to work on the board of directors to a limited extent.
The board of directors manages the business of the KZV Sachsen-Anhalt and represents it in and out of court. In fulfilling its tasks, the board of directors makes use of an administration which runs an administrative directorate according to the instructions of the board of directors.
The chairman of the board of the Association of Statutory Health Insurance Dentists in Saxony-Anhalt is the dentist Jochen Schmidt from Dessau-Roßlau during the current term of office.
| Term of office | Surname |
|---|---|
| 1st term of office 1991–1994 | Hans Hünecke |
| 2nd term of office 1995–1998 | Hans Hünecke |
| 3rd term 1999–2002 | Hans Hünecke |
| 4th term 2003-2004 | Dieter Hanisch |
| 5th term of office 2005–2010 | Dieter Hanisch |
| 6th term of office 2011–2016 | Dieter Hanisch |
| 7th term of office from 2017 | Jochen Schmidt |
history
- The registration of a "Kassenzahnärztlichen Vereinigung Magdeburg e. V. ”in the register of associations at the Magdeburg District Court on June 14, 1990.
- The constituent meeting of the KZV Sachsen-Anhalt as a corporation under public law took place on June 28, 1991 with 41 delegates.
- The first KZV office in Gellertstrasse in Magdeburg emerged from the old accounting office of the dentists privately established in the Magdeburg district. On December 31, 1990, initially only three employees were working in four rooms with a total area of 50 square meters. On April 4, 1991, the KZV's small office was able to move to Kaiser-Otto-Ring 6 in Magdeburg. There were initially five large and two small rooms available; At the end of 1991 the area used was increased to 1,120 square meters. However, the house still had to be shared with the labor court, so that with increasing demands on the KZV, the rooms were slowly becoming too scarce. So the house in Kaiser-Otto-Ring was only a temporary solution.
- As early as autumn 1991, the ailing condition of the Kaiser-Otto-Ring building became apparent. When two square meters of plaster finally fell from a ceiling in the office, the board of directors applied to the supervisory authority for the purchase of a plot of land for the construction of a new administration building with a planned 3,500 square meters of usable space. By resolution of the meeting of representatives on November 28, 1992 that the state's contract dentists would finance the construction of the house, the prerequisite was given to plan the building and secure the acquisition of a plot of 12,500 square meters on the southern outskirts of Magdeburg. The foundation stone was laid on January 12, 1994. On December 23, 1994 the administration was able to move into the new administration building.
Web links
Individual evidence
- ^ KZV Sachsen-Anhalt, tasks
- ↑ Second opinion dentures
- ↑ Dental Council
- ^ KZV Sachsen-Anhalt, board of directors
- ↑ Board of Directors of the Association of Statutory Health Insurance Physicians in Saxony-Anhalt (ed.): Chronicle of the Association of Statutory Health Insurance Physicians in Saxony-Anhalt , Magdeburg 2011, ISBN 978-3-935971-59-1 .
