Additional fee
In addition to the flat-rate system ( DRG system ), defined services, mostly expensive drugs , medical products or complex treatments, are additionally paid for in hospital billing in Germany .
background
In the hospital, services are remunerated on a flat-rate basis with flat-rate case fees. However, some expensive services rarely occur and are not tied to individual service categories. A fair remuneration through flat rates is difficult here. For example, patients with inherited haemophilia require special preparations for surgery or bleeding that often significantly exceed the cost of the actual treatment. In order to remunerate such services, additional fees are provided for in the German flat-rate system.
calculation
Services for which additional fees can be billed are agreed each year by the representatives of the cost bearers and the hospitals in the case flat rate catalog. A distinction is made between priced additional fees, recognizable by the designation ZE and a numbering, and unpriced additional fees, recognizable by the ZE , the current year and a number. Priced additional fees are calculated by the Institute for the Hospital Remuneration System (InEK). The remuneration of unpriced additional fees is determined on a hospital-by-hospital basis in the budget negotiations in the hospital.
Services with additional fees
- Certain medicines
- Certain implants
- Blood products
- Dialysis procedure
- Palliative medical complex treatment
- High Complex Care (after PKMS or nursing degree )
Individual evidence
- ^ Federal Ministry of Health : Hospital Financing , accessed July 11, 2020
- ↑ recommendation for the calculation of additional charges of InEK , accessed on July 11, 2020