Splitting ban
The splitting ban ( English to split , 'split ) is a term from the German Social Law . In the general provisions of the Uniform Assessment Standard (EBM), the remuneration system for treatment services for statutory health insurance patients in outpatient medical care in Germany, Section 6 (3) stipulates that "services performed in a uniform treatment case either only through the Association of Statutory Health Insurance Physicians (KV) or only through the Association of Statutory Health Insurance Dentists (KZV) ”. The division of a uniform treatment case into two billing cases is not permitted. Specialists in oral and maxillofacial surgery can be both a panel dental admission, and an Ambulatory Health approval request. The splitting ban means that doctors with such a double license have to settle a single treatment case in full, either as a contract doctor or contract dentist treatment. This is to prevent them from splitting the treatment and billing partial treatment services to the Association of Statutory Health Insurance Physicians and the Association of Statutory Health Insurance Dentists, depending on where the remuneration is higher. This also applies to services within a professional association (BAG, formerly: group practice). For the allocation of the services provided, it is crucial whether the economic focus of the treatment is in the field of a contract doctor or a contract dentist.
Individual evidence
- ↑ Uniform evaluation standard. National Association of Statutory Health Insurance Physicians , accessed on March 14, 2017 .
- ↑ Federal Social Court Ref .: B 6 KA 17/15 R and B 6 KA 30/15 R. Accessed on March 14, 2017.
