Appendix 1

Publication of the payment of hospitals for hospital care by another region's sick-care system

Purline to section 235, paragraph 1. 3, in the health code, cf. Law Order no. 913 of 13. July, 2010, as well as section 4 of Law No 1396 of 21. In December 2005 on the case of forensic procedure, etc., shall be determined :

General provisions

§ 1. Regions shall pay for patients ' treatment by a foreign region's health care system following the provisions of this notice.

Paragraph 2. The provisions of this notice shall apply to patients for whom the Member State of residence or the residency region must pay for treatment in the health care of another region in accordance with the rules in the notice of the right to medical care and the provision of services and so on.

§ 2. Payments after Section 1 is counted months behind.

§ 3. The provisions relating to the calculation and payment for patients ' treatment by foreign regional hospitals may, in specific cases, be deviated from specific agreements between the regions concerned.

§ 4. No payments shall be made for newborn healthy and whitelighters who are not receiving treatment.

§ 5. When payment for the inmediated patients is calculated per on the bed day, the day of discharge is not included in the bed day. However, at least 1 day per day, imposition,

Paragraph 2. Where an admitted patient is granted the freedom to leave the health department for a period of 24 hours or parts thereof, without terminating the study / processing operation, and the absence of an absence extends beyond 3 days shall be deemed not to be taken for : terminated or interrupted, and the patient shall not be registered as prescribed and reloaded. If the individual absence extends for more than three days or more, the patient shall be registered as printed and restored and the absence shall not be included in the specification of bedtimes. However, in the case of high time periods such as Christmas, New Year and Easter, the individual absence may, however, extend over more than three days without the patient being recorded as being released and reloaded.

§ 6. When payment for the inmediated patients is calculated per Depreciation, uninterrupted admission, which is part of the process of treatment, of several departments at the same hospital in one. For the purpose of determining whether an admission has been suspended, the provision in section 5 (5) shall be used. 2.

Paragraph 2. In a health-related type, all benefits shall be paid to the hospital in question, which is part of the treatment process and take place during the construction.

Paragraph 3. The Ministry of the Interior and Health Department provides for diagnostic rates per year. medical records, by the way. Ambulance visits, etc. (DRG takers). The keys are regulated annually with effect from 1. In January, in addition, the Ministry of Health and Health may provide for each diagnostic group a maximum of sheets of sheets covered by the tariff (trim line).

§ 7. The payment for procedures / outpatient benefits is calculated per service / inquiries.

§ 8. The payment of certain specific services may be collected (tils).

§ 9. Expiration stack residues may be collected for processing flow.

Action on main function and region function

§ 10. Payment for submitted somatic patients at the main function and region level shall be calculated by : Hat writing. Payments for the psychiatric psychiatric patients at the main function and region level shall be calculated by to bed, or per. health care records, cf. paragraph 3.

Paragraph 2. For the calculation of payment for somatic patients, they are used in section 6 (4). The DRG charges mentioned above. For bed days beyond the trimpunction, $1,819 is paid. (2010-price and wage level). The key is regulated annually with effect from 1. January. Bed-day payment may be charged for half-bed days if the trim-bed has been established for half-bed days.

Paragraph 3. The Ministry of the Interior and Ministry of Health shall determine the charge for calculating payment for the psychiatric psychiatric patients. The key is regulated annually with effect from 1. January.

Paragraph 4. For outpatient patients, each is settled. service / visit. For multiple services / visits, same day may be settled. For somatic patients, they are used in section 6 (4). The DRG charges mentioned above. The psychiatric treatment of psychiatric patients is determined by the Ministry of Internal Affairs and the Ministry of Health. The key is regulated annually with effect from 1. January.

Paragraph 5. For outpatient patients, special benefit rates for special cost-processing services, implants, prostheses, medications and so on, as laid down by the Ministry of Interior and Health, see in accordance with the provisions of the Internal Affairs and Health Department. however, paragraph 1 6. The yearly list of yesterds is published annually with effect from 1. January.

Paragraph 6. In the case of treatments which can be carried out both for ambulant and in-Office, the Ministry of Interior and Health may lay down special tariffs (Grayzonetaksts). Where a grey zone is established, it is settled with this, regardless of whether the treatment is carried out as an outpatient or to visit or to be hospitalized. For any for or after-ante benefits / visits are settled by an outpatient in the order of the other. If processing is submitted, payment for bed days beyond the trimpunction may be collected.

Process highly specialized service level

§ 11. In the case of the treatment of patients at a highly specialised function level, a fixed subscription basis is based on consumption during a previous period, on the one hand after the actual consumption of the year in question.

Paragraph 2. The fixed subscription payment must correspond to 25%. the consumption of the region concerned excludes. the special benefits of the other regions in question during a previous period, cf. § 12, paragraph 1. 2.

Paragraph 3. Payment after actual consumption shall be made in the form of sheets of sheets, procedural charges (operation, x-ray), and emergency services, or in the form of the flow rate. The keys are reduced by 25%. In addition, special services, such as special treatments, implants, prostheses and special medicines, can be separated into separate settlement at the cost of the cost.

§ 12. Calculation of subscription fees, sheets of sheets, procedural tariffs and outlying keys shall be made on the basis of the department accounts for each department with the excrement of any special services, and a deduction for payment for Patients at the main function and regional function of other regions. The calculation of the tariff basis shall be as set out in Annex 1. The calculation of the flow rate keys may occur on the basis of department accounts for several departments.

Paragraph 2. Subscription charges, sheets of sheets, procedural charges and outflow rates shall be calculated based on the most recent accounts corrected for essential, documented changes during the intermediate period. In the introduction into service of new treatment methods and the arrival of new patients ' categories, the budget figure can be based on the basis of the budget. A price and pay adjustment shall be carried out.

§ 13. In the calculation of subscription fees, sheets of sheets, procedural tariffs and outlying keys, and the flow rate, interest and depreciation of plant expenditure shall be held by the region. In the leasing of appliance, the leasing payment is included in the operating accounts.

Paragraph 2. The status value for buildings and appliances and equipment must be calculated as the acquisition sum for commissioned plant projects in addition to commissioned improvements and deductions for dispositions and depreciation. A plant project is part of the precipitation calculation of the year after the entry into service.

Paragraph 3. The design of buildings and appliances and equipment, including computerised equipment, shall be calculated. The element values are not calculated for the base values. The interest rate is calculated on the basis of the status values primo fiscal year. New investment is being calculated for the months of the year in which the new construction has been used. The rate of the interest rate is the applicable state company.

Paragraph 4. Buildings are written in linear over 30 years, corresponding to an annual depreciation of 3 1/3%. Apparatus and equipment, including computerised equipment, are written in linear over 10 years, corresponding to an annual depreciation of 10%.

§ 14. In the calculation of subscription fees, sheets of sheets, procedural tariffs and outpatient tariffs and outpips, a calculated pension burden shall be calculated on pension-based staff who are not pension insurance, by 15%. the actual payroll costs.

Entry into force

§ 15. The announcement shall enter into force on 1. January, 2011.

Paragraph 2. At the same time, notice No Thirteen of ten. January 2006, on the payment of hospitals for the hospital by a different region's health care service.

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Appendix 1

Key Calculation for highly specialized service level