Regulation On The Control Of Hospital Care Set

Original Language Title: Verordnung zur Regelung der Krankenhauspflegesätze

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Regulation on the treatment of hospital care records (Bundespflegesatzverordnung-BPflV)

Non-official table of contents

BPflV

Date of expander: 26.09.1994

Full quote:

"Federal Administration of Care of the Federal Republic of Germany" 26. September 1994 (BGBl. 2750), as last amended by Article 12 of the Law of 16. July 2015 (BGBl. I p. 1211) "

:Last modified by Art. 12 G v. 16.7.2015 I 1211

For details, see the Notes

Footnote

(+ + + text evidence from: 1.1.1995 + + +)


for details on the stand. was adopted as Article 1 V v 26.9.1994 I 2750 (PflNV) by the Federal Government with the consent of the Federal Council. It occurs gem. Article 10 (4), first sentence, of this V in force on 1 January 1995 (derogation from the provisions of this Regulation, see Art. 10 (1) to (3)). unofficial table of contents

content overview

First Section
General Rules
§ 1Scope
§ 2Hospital Services
Second section
Hospital Services Remuneration
§ 3Agreement of a total amount for the years 2013 to 2016
§ 4Agreement of a revenue budget for the years 2017 to 2021
§ 5Agreement of Ends and Abstops
§ 6Other Charges Agreement
Third section
Discharge and Accounting
§ 7General hospital services charges
§ 8Calculation of charges
Vated Section
Agreement Procedure
§ 9Agreement at the federal level
§ 10Agreement at the state level
§ 11Agreement for individual hospital
§ 12Preliminary Agreement
§ 13Arbitration site
§ 14Approval
§ 15Runtime
Fifth Section
Other Rules
§ 16 Separately calculable medical and other services
§ 17State-level health insurance responsibility
§ 18Transitional rules
Asset:Installation of the Charges and Budgeting (AEB-Psych)
Appendix 1 to the LKA:Betting Departments
Annex 2 to the LKA:Footnotes
Annex 3 to the LKA:Separate identification card for foreign patients according to § 3 para. 4

First section
General rules

Non-official table of contents

§ 1 Scope

(1) This Regulation provides that: The hospital remuneration system is not included in the DRG compensation scheme in accordance with Section 17b (1) sentence 1, second sentence, of the Hospital Finance Act. The hospital within the meaning of this Regulation is also the totality of the self-employed, area-certified departments for the subject areas of psychiatry and psychotherapy, child and adolescent psychiatry and psychotherapy (psychiatric facilities) and for psychosomatic medicine and psychotherapy (psychosomatic facilities) at a somatic hospital.(2) This Regulation does not apply to
1.
the hospitals to which the Hospital Finance Act is § 3 sentence 1 no. 1 to 4 shall not apply,
2.
the hospitals which are not funded pursuant to § 5 (1) Nos. 2, 4 or 7 of the Hospital Finance Law
(3) The pre-and post-inpatient treatment will be remunerated uniformly for all users according to § 115a of the Fifth Book of the Social Code. Non-official table of contents

§ 2 Hospital services

(1) Hospital services in accordance with § 1 (1) are, in particular, medical treatment, also by not permanently employed physicians, nursing care, medical care, medical and medical care necessary for hospital care, accommodation and meals; they include general hospital services, and Election services. The hospital services do not include the services of the staff doctors (§ 18 of the Hospital Law). (2) General hospital services are the hospital services, which take account of the hospital's performance in the hospital. Individual cases of the type and severity of the disease are necessary for the medical purpose and adequate care of the patient. These prerequisites include
1.
performed during the hospital stay. Measures for the early detection of diseases within the meaning of the Fifth Book of the Social Code,
2.
the services of third parties assessed by the hospital,
3.
the need to get a patient's companion or to take care of a caregiver according to § 11 (3) of the Fifth Book Social Code,
4.
The discharge management within the meaning of § 39, paragraph 1, sentence 4 of the Fifth Book of Social Code.
Not one of the hospital services belongs to the Dialysis.(3) In the provision of general hospital services by doctors who are not permanently employed in the hospital, the hospital shall ensure that they meet the same requirements for their activities in the hospital, as they also do for medical doctors in hospital.

Second section
Remuneration of hospital services

unofficial table of contents

§ 3 Agreement of a total amount for the years 2013 to 2018

(1) The remuneration system in accordance with § 17d of the Hospital Finance Act will be for 2013 Introduced budget-neutral for the hospital by 2018. For the years 2013, 2014, 2015 or 2016 (option years), the introduction will take place at the request of the hospital. The hospital has its request at the time of the invitation to negotiate by the social service providers, but at the earliest to the 31. In accordance with Section 18 (2) (1) or (2) of the Hospital Financing Act, the other Contracting Parties shall be notified in writing of the previous year in writing. From the 1st January 2017, the application of the remuneration system is binding for all hospitals. For the years 2013 to 2018, the evidence to be submitted pursuant to Article 11 (4) on the type and number of charges in accordance with § 7, first sentence, points 1 and 2, may be used only in order to ensure that the basic remuneration of the hospital in accordance with the conditions laid down in paragraph 3 of this Article is to be applied. identify and discuss the change in the medical performance structure.(2) From the hospital-specific introductory year to the year 2018, a total amount for a hospital shall be the corresponding application of Section 6 (1) of the German Federal Order of Pflegesatzverordnung (Bundespflegesatzverordnung) in the 31 December 2014. The Federal Government of the Federal Republic of Germany (Bundespflegesatzverordnung) is to be replaced by the Federal Government of the Federal Republic of Germany (Bundespflegesatzverordnung) on 31 December 2012, with the proviso that the Federal Government of Germany's Federal December 2012, as amended in accordance with Section 9 (1) (5) in 2015 and 2016, shall be double and in 2017 and 2018 in a simple amount as the definitive rate for the increase in the total amount; for the year 2013 shall be in addition to the second sentence of Article 18 (1), second sentence. The initial basis of the agreement is the total amount agreed for the previous year. This is in particular
1.
reduced by
a)
with the agreement after record 1. Costs for benefits that are transferred to other utilities in the agreement period,
b)
Costs for benefits for foreign patients included in the agreement and patients, insofar as they are broken down from the total amount in accordance with paragraph
,
2.
adjusted for the same and compensatory payments on the basis of from corrections for previous years,
3.
changed to the breakdown or reintegration of
a)
Other benefits and surcharges pursuant to § 7 sentence 1 (3),
b)
Cost of benefits in the Agreement period for the first time in the context of model projects according to § 63 of the Fifth Book of the Social Code or of contracts for integrated supply according to § 140a of the Fifth Book of the Social Code or for the first time in the context of the hospital budget
The agreed total amount is to be divided in a proper way to
1.
proceeds for charges in accordance with § 7 sentence 1 (1) and (2) (revenue budget)) including non-breakdown of other offsets in accordance with § 7 sentence 1, point 3; the revenue budget also includes the effective valuation ratios,
2.
proceeds for charges in accordance with § 7, first sentence, point 4 (proceeds according to § 6 paragraph 3).
The total amount and revenue budget in accordance with the fourth sentence of sentence 4 shall be changed by the same amount and corrections for previous years; in the case of a correction, in addition to the Adjustment of the previous budget (basic correction) to be adjusted accordingly.(3) For the settlement of charges in accordance with § 7 sentence 1 (1) (1), for the years 2013 to 2018, individual basic pay values shall be determined by 2018. For this purpose, the sum of the additional charges and the proceeds for the superiors shall be deducted from the respective modified revenue budget referred to in the second sentence of paragraph 2, and the resulting amount shall be divided by the agreed sum of the effective valuation ratios. The base rate applicable for each year shall be based on the settlement of the charges assessed by valuation ratios.(4) At the request of a hospital not funded under the Hospital Finance Act, investment costs for new investment measures in the total amount referred to in the first sentence of paragraph 2 shall be taken into account in addition to the extent to which the hospital-specific Base pay is lower than the estimated average base pay value of the hospitals in the country. The allowance shall be taken into account in accordance with Section 17 (5) sentence 3 of the Hospital Financing Act in conjunction with Section 8 of the German Federal Order for Nursing Care (Bundespflegesatzverordnung) in der am 31. The text is in force in December 2012. The first and second sentences apply to hospitals, which are only partially funded on the basis of an agreement pursuant to Section 8 (1) sentence 2 of the Hospital Finance Act.(5) For the period from 2013 to 2018, the sum of the income of the hospital for the calendar year arising from charges pursuant to section 7, first sentence, points 1, 2 and 4, shall be deducted from the amended total amount referred to in the fifth sentence of paragraph 2, so that the increase in the amount of the proceeds shall be:
1.
Minor revenue is 95 percent for 2013, 2014, 2015, and 2016, and 20 percent offset from 2017,
2.
Multi-revenue created as a result of a modified encoding of diagnoses and procedures will be fully balanced,
3.
Other additional revenues will be 65 percent balanced for the years 2013, 2014, 2015 and 2016, from the year 2017 other additional revenues will be up to 5 percent of the changed Total amount in accordance with the second sentence of the second sentence of 85% and beyond 90%.
The Contracting Parties may agree in advance compensation rates which differ in advance if this is the case of the assumed development of benefits and their costs is better. For the range of charges assessed by valuation ratios, the other additional revenue as set out in sentence 1, point 3 shall be determined in a simplified manner by multiplying the following factors:
1.
Number of calculation and occupancy days, which are provided in addition to those calculation and occupancy days that are used in the determination of the hospital's individual. Based on the basic value of the calculation referred to in the third sentence of paragraph 3,
2.
Mean of the agreed assessment ratios for each calculation and occupancy date; the mean value shall be: by dividing the sum of the effective valuation ratios referred to in paragraph 3, sentence 2, by the agreed calculation and occupancy days, and
3.
hospital-specific basic pay according to the third sentence of paragraph 3.
Where the hospital or another contracting party proves that the other surplus earnings after the first sentence of the first sentence are 3 as a result of changes in the performance structure with the simplified determination as set out in sentence 3, too low or too high, the amount of the other additional revenue shall be adjusted accordingly. The additional revenue referred to in point 2 of the first sentence shall be determined by deducting from the total number of charges incurred in respect of charges which are valued at valuation ratios, the additional revenue in accordance with the third sentence or sentence 4.(6) At the request of the hospital, services for foreign patients who enter the Federal Republic of Germany with the aim of hospital treatment shall not be reimbursed within the limits of the total amount.(7) The Contracting Parties shall be bound by the total amount. At the request of one of the Contracting Parties, the total amount of the total amount for the current calendar year shall be rearranged in the event of substantial changes to the assumptions underlying the agreement of the total amount. The Contracting Parties may agree in advance that, in certain cases, the total amount will be re-agreed only in part. The amount of the difference to the previous total amount shall be deducted from the newly agreed total amount; § 15 (2) sentence 3 shall apply accordingly. Non-official table of contents

§ 4 Agreement of a revenue budget for the years 2019 to 2023

(1) to the 1. January 2019, 2020, 2021, 2022 and 2023, the hospital-specific basic fee and the hospital's revenue budget (§ 3 (2) sentence 4 (1)) will be gradually added to the country base fee according to § 10 and the resulting volume of revenue adjusted.(2) The initial value for the determination of the revenue budget for 2019 is the agreed revenue budget in accordance with § 3, second sentence, sentence 4, point 1, for 2018, the basis of which is corrected in accordance with § 3, paragraph 2, sentence 5; this shall be
1.
degraded by
a)
a pro-rata cost of benefits that are included in the agreement period
b)
the benefits to foreign patients to be broken down in accordance with paragraph 9, to the extent that they are included in the total amount for the Year 2018
2.
adjusted for the same amount as well as compensation payments due to previous years adjustments,
3.
increased by the expected proceeds from charges pursuant to § 7 sentence 1 number 1 and 2, insofar as benefits paid under § 6 (2) have so far been paid into the remuneration system in accordance with § 17d of the Hospital Finance Act,
4.
changes to the outsourcing or reintegration of
a)
Other benefits and surcharges pursuant to § 7 sentence 1 (3),
b)
Redeem for benefits pursuant to § 6 paragraph 1,
c)
Cost of benefits for the first time in the agreement period as part of a model project in accordance with § 63 of the Fifth Book of the Social Code or of contracts for the integrated supply in accordance with § 140a of the Fifth Book of the Social Code or for the first time under the hospital budget
initial value for the calculation of the revenue budgets for the years 2020 to 2023 is the Revenue budget for the previous year; the requirements of the first sentence shall be applied accordingly.(3) The initial value referred to in paragraph 2 shall be modified by taking account of the following facts for a future period (period of agreement pursuant to § 11 (2)):
1.
Changes of the type and quantity of the full and part-time benefits expected to be provided by the nationwide pay catalogues in accordance with § 9 (1) (1) and (2) ,
2.
the change value in accordance with section 9 (1) (5).
Additional benefits under the first sentence of 1 (1) shall be 45% for 2019, for the year 55% in 2020, 60% for 2021, 70% for 2022 and 80% for 2023, and therefore with the following share of the level of charges applicable to charges under Section 7, first sentence, point 1, applying the Country base pay value, taken into account in the initial value:
1.
38.9 percent for 2019,
2.
46 percent for the year 2020,
3.
50 percent for the year 2021,
4.
55 percent for the year 2022 and
5.
60 percent for the year 2023;
with the same shares shall be taken into account in so far as such benefits are not already to be taken into account in accordance with the provisions of point 1 of the first sentence of paragraph 2 of the budget. In order to simplify the negotiations, the Contracting Parties shall apply the provisions of the second sentence in a lump-sum manner to the corresponding change in the sum of the effective assessment ratios, in so far as they do not apply to changes in the rates of remuneration, the the accounting regulations or the coding guidelines. To the extent that, in individual cases, the costs of additional services cannot be covered by these percentages, the Contracting Parties shall, by way of derogation from the provisions of sentences 2 and 3, agree to take account of the level of one of the second sentence of the second sentence of the Percentage; where larger organizational units are closed and services are no longer provided, the initial value should be reduced accordingly. Additional charges for medicinal products must be taken into account at 100%.(4) A revenue volume for the hospital shall be agreed as the target for the adjustment referred to in paragraph 1 for the years 2019 to 2023, by the nature and quantity of the charges to be provided in accordance with Section 7, first sentence, point 1, with the respective National base pay value according to § 10, and the calculated sum of the proceeds will be increased by the estimated sum of the revenues from additional charges.(5) The adjustment in accordance with paragraph 1 shall be 10 per cent for 2019, 15 per cent for the years 2020 and 2021, and 20 per cent for 2022 and 2023 respectively. The amount of the adjustment applicable to the adjustment referred to in paragraph 1 for the years 2019 to 2023 shall be determined by deducting from the target value referred to in paragraph 4 the difference in the initial value referred to in paragraph 3, and by the following intermediate result: Shares are calculated:
1.
10.0 percent for the year 2019,
2.
16.7 percent for the Year 2020,
3.
20.0 percent for the year 2021,
4.
33.3 percent for the year 2022 and
5.
50.0 percent for the year 2023.
To determine the revenue budgets for 2019 to 2023, the relevant changes for the year in question will be changed. The initial value referred to in paragraph 3 and the amount of the same year as determined for the same year shall be added in accordance with the first sentence, taking into account the sign. In the case of previous special facilities pursuant to § 6 (1), which shall negotiate for the first time in accordance with § 4, the percentage referred to in the second sentence for the respective year shall be applied. In the case of hospitals whose revenue budget is reduced, the adjustment according to the rates 2 and 3 shall be limited to a maximum of the following shares of the modified initial value referred to in paragraph 3 (capping limit):
1.
1.0 percent for year 2019,
2.
1.5 percent for the year 2020,
3.
2.0 percent for the year 2021,
4.
2.5 percent for 2022 and
5.
3.0 percent for the year 2023.
(6) In order to determine the individual basic pay values applicable for the years 2019 to 2023, the respective revenue budget will be determined by the following: Paragraph 5, sentence 3
1.
to be reduced by the expected revenue from additional revenue and revenue for overseers and
2.
to change the required pre-years for previous years, even if this is the result of a correction.
The changed revenue budget of the first sentence will be the agreed sum of the effective assessment ratios for the treatment cases divided. The resulting base pay value shall be based on the accounting of the charges assessed by valuation ratios.(7) At the request of a hospital not funded under the Hospital Finance Act, investment costs for new investment measures in the revenue budget should be taken into account in addition, as far as the hospital-specific basic pay value is lower than the national base rate according to § 10. The allowance shall be taken into account in accordance with Section 17 (5) sentence 3 of the Hospital Financing Act in conjunction with Section 8 of the German Federal Order for Nursing Care (Bundespflegesatzverordnung) in der am 31. The text is in force in December 2012. The first and second sentences apply to hospitals, which are only partially funded on the basis of an agreement pursuant to Section 8 (1) sentence 2 of the Hospital Finance Act.(8) The revenue budget agreed in accordance with the third sentence of paragraph 5 and the proceeds agreed in accordance with § 6 (3) shall be combined for the purpose of determining more or less redemption compensation for a total amount. If from this total amount the sum of the hospital proceeds of the hospital from the charges in accordance with section 7, first sentence, points 1, 2 and 4 shall be deducted, the more or less the proceeds shall be compensated as follows:
1.
Minor revenue will be 20 percent balanced,
2.
Multi-revenue will be up to 5 percent of the Total amount after the first sentence of 85 per cent and in excess of 90 per cent.
The contracting parties may agree in advance compensation rates, if this is better for the assumed development of services and their costs. .(9) At the request of the hospital, benefits for foreign patients entering the Federal Republic of Germany for the purpose of hospital treatment shall not be remunerated within the limits of the total amount referred to in the first sentence of paragraph 8.(10) The Contracting Parties in accordance with § 11 shall be bound by the revenue budget. At the request of one of the Contracting Parties, the revenue budget for the current calendar year shall be rearranged in the event of substantial changes to the assumptions underlying the agreement of the revenue budget. The Contracting Parties may agree in advance that in certain cases the revenue budget shall be only partially rearranged. The amount of the difference to the previous revenue budget is to be deducted from the newly agreed revenue budget; § 15 (2) sentence 3 shall apply accordingly.(11) In the event that no other legislation has entered into force for the period from 2024 onwards, the determination of the revenue budget and the taking into account of adjustments and adjustments for previous years, paragraph 6, sentence 1 shall apply mutagenly. , Paragraphs 8, 9 and 10 shall apply. Non-official table of contents

§ 5 Agreement of consents and surcharges

(1) The regulations for the federal unitary state agreed in accordance with Section 9 (1) (3) Surcharges pursuant to Section 17d (2) sentence 4 of the Hospital Financing Act are binding for the Contracting Parties in accordance with § 11. At the request of one of the Contracting Parties, it is necessary to consider whether the hospital has the necessary conditions for an increase or a drop. If the amount of a crime has been determined by a national amount, which must be converted into an individual reference quantity for the purposes of settlement in relation to the patients or to the patient's own health care expenses, the Contracting Parties shall, in accordance with the uniform provisions of the Federal Republic of Germany, agree on the amount or percentage of the amount or percentage of the individual sickness allowance resulting therefrom.(2) The provisions of Section 17d (2) sentence 5 of the Hospital Finance Act shall apply to the agreement of seizations of seizulees. Non-official table of contents

§ 6 Agreement of other charges

(1) For benefits provided by § 17d of the Hospital Finance Act The contracting parties shall, in accordance with § 17d (2) sentence 4 of the Hospital Financing Act, arrange for special facilities to be paid in accordance with Section 17d (2) sentence 4 of the Hospital Financing Act as from year 2019, period-related charges, provided that the services or the special facilities, as determined by the contracting parties in accordance with § 9 or in a regulation pursuant to § 17d (6) sentence 1 (3) of the Hospital Finance Act, apply from the application of the Federal level assessed fees are excluded. In very limited exceptional cases, the Contracting Parties agree on additional charges. The charges must be calculated correctly; the recommendations according to § 9 (1) (4) must be taken into account.(2) For the remuneration of new examination and treatment methods which cannot yet be properly remunerated with the charges assessed in accordance with § 17d of the Hospital Financing Act at the federal level, and not according to § 137c of the Fifth Book In accordance with § 11, the Contracting Parties shall, for the first time in the calendar year 2019, agree time-limited charges outside the revenue budget in accordance with § 4 and the proceeds of the proceeds in accordance with paragraph 3 of this article. For the details of the procedure, § 6 (2) sentences 2 to 9 of the Hospital Pay Law shall be applied accordingly.(3) If hospital-specific charges for services or special facilities are agreed upon in accordance with the first sentence of paragraph 1 and 2, the fees for these charges shall apply in accordance with Section 6 (1) of the German Federal Order for the Remuneration of the Federal Government of Germany (Bundespflegesatzverordnung) in the 31 December 2008. The Federal Government of the Federal Republic of Germany (Bundespflegesatzverordnung) shall be responsible for the formation of a redemption sum in force in December 2012, with the proviso that instead of the rate of change pursuant to Section 6 (1), sentence 3, of the Federal Order for the As of December 2012, the change in the value of the change in accordance with Section 9 (1) (5) shall be deemed to be the decisive rate for the increase in the amount of the proceeds. It shall not include the fees referred to in paragraph 2. For the agreement of the charges and the proceeds of the proceeds, calculation documents are to be submitted in accordance with § 9 (1) (4). If the actual proceeds deviate from the agreed proceeds, the more or less proceeds shall be determined and compensated in accordance with the provisions of § 4 paragraph 8.

Third Section
Remuneration and billing

Unofficial table of contents

§ 7 General Hospital Services fees

The general Hospital services are charged to the patients or their payers with the following charges:
1.
assessed with assessment relations Charges according to the federal level agreed upon at the federal level (§ 9),
2.
Additional charges according to the remuneration catalogue agreed at the federal level (§ 9),
3.
Training surcharge (§ 17a (6) of the Hospital Finance Act) and other surcharges (§ 17d (2) sentence 4 and 5 of the Hospital Finance Act) and Quality assurance surcharges in accordance with § 8 (4),
4.
Charges for special facilities and services not yet covered by the federal level agreed upon (§ 6 (1)),
5.
Charges for new examination and treatment methods that have not yet been included in the fee catalogues according to § 9 (§ 6) (2).
These charges shall be used to pay all the general hospital benefits required for the care of patients. In addition, the following surcharges will be billed:
1.
the DRG system surcharge in accordance with § 17b paragraph 5 of the Hospital Finance Act,
2.
The system surcharge for the Joint Federal Committee and the Institute for Quality and Efficiency in Healthcare pursuant to § 91 (3) sentence 1 in conjunction with § 139c of the Fifth Book of Social Code and
3.
The telematics surcharge in accordance with § 291a (7a) sentence 1 and 2 of the Fifth Book of the Social Code.
Non-official table of contents

§ 8 Calculation of charges

(1) The charges for general hospital services are for all patients of the hospital shall be calculated in a uniform manner; § 17 (5) of the Hospital Finance Act shall remain unaffected. In patients treated as part of a clinical trial, the charges for general hospital benefits are to be calculated in accordance with § 7, including in clinical trials with medicinal products. The charges may only be calculated in the context of the supply contract; this shall not apply to the treatment of emergency patients. The hospital supply contract follows
1.
at a planning hospital from the hospital plan's findings in connection with the admissions to its Implementation in accordance with § 6 (1) in conjunction with Section 8 (1) sentence 3 of the Hospital Finance Act as well as from a supplementary agreement according to § 109, paragraph 1, sentence 4 of the Fifth Book of Social Code,
2.
at a university clinic from the recognition according to the country-law regulations, from the hospital plan according to § 6 paragraph 1 of the hospital finance law as well as from a additional agreement pursuant to § 109 (1) sentence 4 of the Fifth Book of Social Code,
3.
at other hospitals under the supply contract in accordance with § 108, point 3 of the Fifth Book of Social Code.
(2) Day-related fees for full or part-time services are calculated for the day of admission and every other day of the hospital stay (calculation day); the day of release or relegation, which is not at the same time the reception day, is only calculated in case of part-time treatment. The first half-sentence shall apply in the case of internal transfers; if a patient or a patient is transferred on several occasions in one day, only the last-receiving department shall calculate the day-related payment. The provisions of § 8 (2) sentence 3 (1), (2) and (4) of the Hospital Remuneration Act apply accordingly to the charges which can be calculated in addition to daily-related charges. If case-related charges are to be calculated, the provisions of Section 8 (2) sentence 3, paragraphs 5 and 6 of the Hospital Pay Law shall apply accordingly. In accordance with Section 17b (2) sentence 1 of the Hospital Financing Act, the Contracting Parties shall agree or deviate in accordance with the provisions of Section 17b (2) sentence 1 of the Hospital Financing Act, or shall be regulated in accordance with Section 17d (6) of the Hospital Finance Act. Separate charges will be charged for the patients and patients.(3) Hospitals in the area referred to in Article 3 of the Agreement shall be charged up to 31% of the total number of hospitals in the area covered by the agreement December 2014 shall be the investment surcharge provided for in Article 14 (3) of the Health Structure Act for each calculation day. In case of partial inpatient treatment, the surcharge will also be charged for the day of the discharge.(4) If the hospital does not comply with its quality assurance obligations, the charges pursuant to § 7 sentence 1 number 1 and 2 surcharges shall be made pursuant to section 137 (1) sentence 2 of the fifth book Social Code.(5) The hospital may require patients and patients to receive an appropriate advance payment, provided that the health insurance cover is not established. From the eighth day of the hospital stay, the hospital may require a reasonable payment of the amount, the amount of which is based on the services provided so far in connection with the charges to be paid. The rates 1 to 2 shall not apply to the extent that other provisions relating to a time-related remuneration of general hospital services in regulations binding the hospital pursuant to § § 112 to 114 of the Fifth Book of Social Code or in the Agreement pursuant to § 11 (1) shall be made.(6) The hospital shall provide patients with self-paying patients or their legal representative in writing as soon as possible, unless the patient is fully aware of the charges, unless the patient is fully informed. insured for hospital treatment. In addition, each patient and each patient may require that the charges which are likely to be deducted be communicated without obligation. If the charges are not yet definitively established when a self-paying patient or a self-paying patient is received, it shall be pointed out. In this case, it should be reported that the fee to be paid increases if the new charge enters into force during the patient's treatment of the patient or the patient. The expected increase is to be specified.

Fourth Section
Agreement Procedure

Non-tampering Table of contents

§ 9 Agreement at the federal level

(1) The top association of the health insurance companies and the Association of Private Health Insurance jointly agree with the German Hospital Association (Contracting Parties to the German Association of Sickness Funds) Federal level) with effect for the contracting parties in accordance with § 11, in particular
1.
a catalogue pursuant to § 17d paragraph 1 of the Hospital Finance Act, with particular reference to: day-to-day charges, including valuation ratios, and in appropriate cases, arrangements for overshooting or abatation, which are to be carried out after overshooting or undershooting of disease-typical treatment periods,
2.
a catalog of additional fees according to § 17d paragraph 2 sentence 2 of the Hospital Finance Act including the Remuneration Level,
3.
the billing terms for the numbers 1 and 2 as well as the ups and down rules,
4.
Recommendations for the calculation and the hospital-specific remuneration of benefits and new examination and treatment methods, for which separate charges are agreed in accordance with § 6 ,
5.
up to 31. October of each year, for the first time in 2013, the value of change in accordance with § 10, paragraph 6, sentence 5 or 6 of the Hospital Pay Law for the limitation of the development of the basic pay value in accordance with § 10, paragraph 3, where already elsewhere shall be taken into account, insofar as this does not fall below the rate of change in accordance with § 71 (3) of the Fifth Book of the Social Code; in the case of § 10, paragraph 6, sentence 6 of the Hospital Pay Law, the The rate of change according to § 71 (3) of the Fifth Book of the Social Code increases by 40 per cent of this difference,
6.
the uniform structure of the data sets and the Procedures for the transmission of the data in accordance with Article 11 (4), first sentence, and the further development of sections E1 to E3 and B1 and B2 after the installation of this Regulation.
By way of derogation from the first sentence of the first subparagraph of point 5, the second half-sentence shall be for the years 2014 and 2015 the rate of change in accordance with § 71 (3) of the Fifth Book of the Social Code in the case of § 10 paragraph 6 sentence 6 of the Hospital Pay Law, taking into account the guarantee of the necessary medical care and of personnel and Increases in product costs up to the full amount of this difference, but at least 40 per cent of this difference.(2) If an agreement to paragraph 1 (1) (1) to (3) does not come into effect in whole or in part, Section 17d (6) of the Hospital Finance Act shall apply. In the other cases, at the request of one of the Contracting Parties, the arbitral body shall decide in accordance with Article 18a (6) of the Hospital Financing Act; a decision on paragraph 1 (5) shall be taken by the arbitral body until the 15th of December. It will be held in November of each year. Non-official table of contents

§ 10 Agreement at the country level

(1) To determine the amount of the charges assessed by valuation ratios in accordance with § 9 In paragraph 1, point 1, the parties referred to in Article 18 (1), second sentence, of the Hospital Finance Act (Contracting Parties at the State level) shall, with effect for the Contracting Parties in accordance with Article 11, agree annually, for the first time for the year 2019, a country-wide the present basic pay value (country base value) for the following calendar year. In doing so, they shall be deemed to be the starting point of the agreement values of the hospitals in the country for the current calendar year following the annex to this Regulation, in particular the sum of the effective valuation ratios and the sum of the proceeds for Charges in accordance with section 7, first sentence, point 1, and estimate on this basis the expected development in the following calendar year; if there are not yet available values for individual hospitals, these are to be estimated. The Contracting Parties at the country level agree that misestimates of the facts on which the agreement of the Land base pay value is based shall be adjusted in the agreement of the country base pay for the following year. They shall specify in the agreement the circumstances under which a correction is made in the following year and under which conditions. In addition to the correction of the agreed volume of proceeds (basic adjustment), a correction should be made in the case of a correction. The correction shall only be carried out to the extent that, in the context of the change value referred to in paragraph 3, in the case of the agreement to be amended in the previous year, the amount of the basic adjustment may also have been taken into account without any miscalculation.(2) In particular, the agreement shall take into account:
1.
Estimated general cost developments,
2.
Possibilities for taking out economic reserves, as far as they have not already been recorded by the further development of the rating relations,
3.
Performance changes, insofar as these are not the result of a changed coding of the diagnoses and procedures, equal to the estimated portion of the variable costs to those with charges. in accordance with section 7, first sentence, point 1,
4.
overall expenditure development in the performance areas not assessed by valuation ratios Charges shall be paid if they exceed the value of change in accordance with section 9, paragraph 1, point 5; in this case, the surcharges shall not be included in Section 7, sentence 1, point 3,
5.
Minor the sum of the proceeds expected to be non-budget-reducing for hospitals in the country as a whole, due to the capping limit according to § 4 (5) sentence 5 as well as the sum of the other surcharges pursuant to section 7, first sentence, point 3, in so far as the benefits have so far been financed by the basic paid value,
6.
increasing the amount of other tee-off in accordance with § 7 sentence 1, point 3, to the extent that the benefits have so far been financed by the base paid value,
7.
Agreements in accordance with § 9 paragraph 1.
For the purposes of the application of sentence 1, point 3, it is necessary to ensure that additional benefits are reduced in the agreement of the national base rate value be taken into account. To the extent that expenditure increases arise as a result of changes in the coding of diagnoses and procedures, they shall be fully compensated by a corresponding reduction in the national base rate.(3) The country base pay value agreed in accordance with paragraph 2 shall not exceed the national base pay value of the previous year, which has been changed and corrected by the change value in accordance with section 9 (1), point 5. This shall not apply in so far as an increase in the national base pay value is only technically conditional and does not lead to an increase in the total expenditure on hospital services or to the extent that a correction of misestimates as referred to in paragraph 1 is to be carried out is. Only due to technical reasons is an increase in the state base fee value, in particular if it is due to the further development of the compensation system in accordance with § 17d of the Hospital Financing Act or the settlement provisions.(4) The agreement of the Land base rate value is up to 30 years. November to be closed every year. The Contracting Parties at the country level shall immediately enter into negotiations after a party has requested in writing. The agreement shall be concluded by agreement between the parties which took part in the hearing; it shall be concluded in writing. If an agreement is reached by the 30. In the event of a failure to take effect in November of the year in question, the arbitral body shall, in accordance with Section 13, immediately determine the national base pay value at the request of a Contracting Party. Non-official table of contents

§ 11 Agreement for the individual hospital

(1) In accordance with § § 3 to 6 and subject to consideration of the supply order In accordance with Section 18 (2) of the Hospital Finance Act (Contracting Parties), the Contracting Parties shall regulate the total amount, the revenue budget, the sum of the valuation ratios, in accordance with Article 18 (2) of the Hospital Finance Act (Contracting Parties). hospital-specific basic remuneration, the proceeds of the proceeds, the other charges, the surcharges and deductions, and the balance of the proceeds of the reduction. The agreement is to be made for a future period of time (agreement period). The agreement must also include provisions ensuring a timely payment of the charges to the hospital, in particular by making arrangements for appropriate monthly instalments and interest on late payment in case of late payment . The agreement shall be concluded by agreement between the Contracting Parties which took part in the negotiation; it shall be concluded in writing.(2) The agreement period shall be one calendar year when the hospital is operated year-round. A period of time, which includes several calendar years, can be agreed.3. The Contracting Parties shall immediately accept the hearing after a Contracting Party has called upon them in writing. The trial is to be concluded in time, taking into account the six-week period of Section 18 (4) of the Hospital Finance Act, in such a way that the new budget and the new charges will expire at the end of the current agreement period. Power can occur.(4) In order to prepare for the hearing, the hospital carrier shall transmit to the other Contracting Parties, the parties referred to in Article 18 (1) sentence 2 of the Hospital Finance Law and the competent State authority
1.
for the years from 2013, 2014, 2015, 2016 or 2017, sections E1 to E3 and B1 after the installation of this Regulation in the applicable version of the agreement pursuant to § 9 paragraph 1 The first sentence of paragraph 6, as well as the performance and calculation of the calculation according to Appendix 1 of the German Federal Order for the Pflegesatzverordnung in der 31. December 2012, with the exception of Sections V1, V4, L4 and K4,
2.
for the years from 2019 the sections E1 to E3 and B2 after the Annex to this Regulation or in the current version of the agreement in accordance with § 9 (1) sentence 1 (6).
The data shall be presented on machine-readable data carriers. At the joint request of the other Contracting Parties, the hospital shall submit additional documents and provide information in accordance with section 18 (2) (1) and (2) of the Hospital Finance Act, insofar as this is necessary for the assessment of the benefits of the hospital financing act. hospital as part of its supply contract is required on a case-by-case basis and if the benefits to be expected significantly exceed the expenditure incurred.(5) The Contracting Parties are obliged to jointly clarify essential questions regarding the supply contract and the performance structure of the hospital as well as the amount of the surcharges and the surcharges pursuant to § 5 in such a way that the negotiation is carried out expeditiously. can be. Non-official table of contents

§ 12 Preliminary agreement

The contracting parties may, in particular, be able to agree on the amount of the total amount, the The contracting parties shall conclude an agreement, in so far as the amount is undisputed, in the case of revenue budgets, the basic pay value of the hospital, or the level of other charges, and should therefore be referred to the arbitration body in accordance with Section 13. is. The charges based on this agreement shall be levied until such time as the definitive charges become binding. Any more or less of the hospital ' s earnings as a result of the provisional charges levied shall be offset by any increase or fall on the charges for the current or subsequent agreement period. A non-official table of contents

§ 13 Arbitration

(1) If an agreement is not concluded in whole or in part pursuant to § 10 or § 11, the decision shall be taken by the Arbitration body pursuant to Section 18a (1) of the Hospital Finance Act at the request of one of the contracting parties mentioned in § 10 or § 11. It shall be bound by the legislation applicable to the Contracting Parties.(2) The arbitral body shall decide within six weeks on the items on which no agreement could be reached.(3) (omitted) unofficial table of contents

§ 14 Approval

(1) The approval of the agreed or the arbitration body pursuant to § 13 Country base value according to § 10 and the basic income values of the hospital, the revenue budget, the proceeds of the proceeds, the other fees and the surcharges and discounts in accordance with § 5 shall be the responsibility of one of the contracting parties to the competent national authority. apply. The competent State authority shall grant the authorisation if the agreement or the fixing complies with the provisions of this Regulation and other law. It shall decide on the approval of the Land base value within four weeks of the date of receipt of the application.2. The Contracting Parties and the Arbitration Bodies shall submit the documents to the competent national authority and shall provide the information necessary for the examination of the legality. In addition, the legislation applicable to the parties to the agreement must be applied in accordance with the provisions of the agreement. Authorisation may be associated with secondary provisions where necessary in order to remove legal obstacles to full authorisation.(3) If the authorisation of an arbitral award is failed, the arbitral body shall, upon request, be obliged to re-decide, in compliance with the legal opinion of the approval authority.(4) With regard to the approval of the Land base pay value, the administrative rights path shall be given only for the Contracting Parties at the country level. A pre-trial procedure shall not take place. The action does not have suspensive effect. Non-official table of contents

§ 15 Runtime

(1) The charges and other charges evaluated with valuation ratios shall be found in the The calendar year shall be raised from the beginning of the new agreement period. If the agreement is not approved until after that date, the charges shall be levied from the first day of the month following the authorization, provided that no other future date is determined in the agreement or arbitration decision. is. Until then, the charges currently in force must be further collected; this also applies to the introduction of the compensation system in accordance with § 17d of the Hospital Finance Act in 2013, 2014, 2015, 2016 or 2017. They shall, however, be subject to the correction of the compensatory amounts contained therein, if and to the extent that this has been determined in the previous agreement or setting.(2) More or less proceeds as a result of the further collection of the previous charges shall be compensated for by means of surcharges and deductions on the new charges to be charged during the remainder of the agreement period. If the amount of the compensatory amount is exceeded or fallen below the proceeds from these allowances and surcharges in the remainder of the agreement period, the difference shall be offset by the charges of the next agreement period; it is a simple one Compensation procedure. If the charges were increased by more than 30 percent as a result of this compensation and an amount pursuant to § 3 (7) or § 4 (10) as a whole, exceeding amounts up to this limit are to be equated in subsequent budgets. There is no compensation for any reduction in the amount of the agreement from the hospital to the extent that the late approval of the agreement is to be found.

Fifth Section
Other Rules

Non-official table of contents

§ 16 Separately calculable medical and other services

The calculation of employee benefits is governed by § 18 of the hospital pay law. The agreement and the calculation of elective services are based on § § 17 and 19 of the Hospital Pay Law. Non-official table of contents

§ 17 Responsibility of health insurance funds at the state level

The national associations of the health insurance companies in this regulation The German Pension Fund (Deutsche Rentenversicherung Knappschaft-Bahn-See) and the German Pension Fund (Deutsche Rentenversicherung Knappschaft-Bahn-See) are responsible for the tasks assigned to the replacement funds under Section 212 (5) of the Fifth Book of Social Code. Health insurance of farmers the social insurance for agriculture, forestry and horticulture is true. Non-official table of contents

§ 18 Transitional rules

(1) Hospitals that in the years 2013, 2014, 2015, or 2016 pursuant to § 3 paragraph 1 sentence 2 Remuneration system in accordance with § 17d of the Hospital Finance Act does not introduce the German Federal Order of Education Act (Bundespflegesatzverordnung) in the following years. December 2012, with the proviso that
1.
instead of the rate of change according to § 6 (1), third sentence, as from 2013, the value of the change in accordance with section 9 (1) (5) of the German Federal Government Regulations (Bundespflegesatzverordnung) as from 1.
2.
2.
§ 6 (2) to 31 January 2013, the current version shall be deemed to be the relevant rate for the increase in the total amount. December 2012, and
3.
§ 15 paragraph 1 sentence 1 shall last for the year 2012.
For the year 2013, the budget agreed by the contracting parties shall be: to rectify 40 per cent of the rate agreed in accordance with section 9 (1), first sentence, point 5 of the hospital pay law, with the correction amount to be deducted from the budget of the following maintenance period; § 3, paragraph 2, second sentence, second sentence Half-sentence should be taken into account.(2) For the years 2013 to 2018, the hospitals have an agreement in accordance with Section 6 (4) of the German Federal Order for the Occupation of the Federal Government of Germany (Bundespflegesatzverordnung) in the on 31. In accordance with Section 11 of this Regulation, the other Contracting Parties shall conclude a confirmation of the annual auditor's confirmation of the actual annual average number of vacancies at the 31 December 2012. (a) to be repaid in December as well as through the appropriate use of funds; appropriations not used for the purpose shall be repaid. Unofficial table of contents

Asset and budgeting (AEB-Psych)

(Fundstelle: BGBl I 2012, 1623;
bzexcl. of the individual amendments, cf. Footnote)

Charges and Budgetering
(AEB-Psych)
E
Charges in accordance with § 17d KHG
E1
List of the evaluation relations rated charges
E2
Additional charges lineup
E3
List of the charges individually negotiated in accordance with § 6 of the patient's hospital.
B
Budgetering
B1
Total and base pay according to § 3 for the Calendar years 2013 to 2018
B2
Redemption budget and base paid value according to § 4 from calendar year 2019


Hospital:Page:
Date:


E1 lineup of the with Valuation ratios assessed charges for the hospital 1) 2) Entgelt Nr.Authorningstage3)
(only day-based charges) related case number case number (only case-and time-space-related charges) related occupancy rate evaluation relation according to remuneration catalogue sum of the valuation ratios without intakes and disburses (Sp. 2 x 4 and 3 x 4) of which cases with patient-
related drop-off cases with patient-
related allowance sum of the effective assessment ratios
(Sp. 5-Sp. 9 + Sp. 13)Number of days with a drop count of days with a drop-out ratio of day-to-day hits
the
(Sp. 7 x 8) Number of cases with random number of days with rate-of-strike ratio for each aggregate
of the increases (Sp. 11 x 12)122a33a4567891011121314
Annual cases and all cases with day-related charges 4)
Sum4)
Überlieger (only case-and time-related charges) 5)
Sum5)
Total Total 


Hospital: Page:
Date:


E2 setup of the additional charges for the hospital 1)ZE-Nr.Number of ZEEntgelthöhe
lt. ZE catalog revenue total1234
Annual cases and all cases with day-related charges 2)
















Sum of the ZE
Overlier (case and period charges only)2)











Sum of the ZE
Total ZE total 


 
Hospital: Page:
Date:


E3 lineup of the fees 1) 2) E3.1 lineup of the case-related fees 3) Entgelt according to § 6 BPflVFallzahl (day-, case-or period-related charges) (in €) Gross proceeds without any surcharges (in €) (Sp. 2 x 4) of which cases with patient-related offshoot cases with patient-related income net proceeds-total incl. To-and-drop (in €)
(Sp. 4-Sp. 8 + Sp. 12)Number of cases with number of days with a drop-off of each day (in €) total of the abatation (Sp. 7 x 8) Number of cases with random number of days with supplement per day (in €) Total of surcharges (Sp.
11 x 12)12345678910111213
 
Sum:


E3.2 Set of additional charges3) E3.3 Lineup of day-related charges3)


Additional charges according to § 6 BPflVAnpayable Remuneration Fee (Sp. 2 x 3) charges according to
§ 6 Paragraph 1 BPflVFallPayTageEntgelthöheErlössum (Sp. 3 x 4)1234 12345
 
Sum: Sum:
 


Hospital: Page:
Date:
 


B1 Total and base pay according to § 3 for calendar years 2013 to 2018 lfd. Nr.Calculation step agreement for the current calendar year agreement period123
Adjustment of the total amount (§ 3 paragraph 2):
1 Total amount for the current year
2 ./. Power displacements (No. 1a)
 3 ./. Outsourcing of foreign patients (No. 1b)
4 +/-Cleanup to be included (no. 2)
5 +/-Off/reintegration of stops and stops (no. 3a)
6 +/-Models, integrated supply (No. 3b)
 7 = exit amount for agreement according to § 3


here: Negotiation of the total amount for the agreement period
8 Total AgreementPeriod
9 +/-New comparisons and corrections for previous years 1)
10 = Changed total (§ 3 paragraph 2 sentence 5)
11 of which: changed revenue budget (§ 3 paragraph 2 sentence 5) 2)
12 of which: Charges according to § 6 paragraph 1 BPflV


Determination of base charge value: 
13 Redemption budget from lfd. No. 112)
14 ./. Proceeds from additional apply
15 ./. Proceeds for overseers at the beginning of the year 3)
16 = Sum with valuation ratios rated charges included. lfd. No. 9
17: Sum of effective Rating relations (Appendix E1) 4)
18 = hospital individual base deg value
19
message:
base pay value without exception and corrections
 


Hospital: Page:
Date:
 


B2 Redemption budget and base rate value according to § 4 from the calendar year 2019 lfd. Nr.Calculation step agreement for the current calendar year agreement period123
Determination of the output value (paragraph 2):
1 Redemption budget for the current year
 2 ./. Power displacements (No. 1a)
 3 ./. Outsourcing of foreign patients (No. 1b)
4 +/-Cleanup to be included (no. 2)
5 + inclusion of innovations (no. 3)
6 +/-Off/reintegration of stops and stops (no. 4a)
7 +/-Off/reintegration of services pursuant to § 6, paragraph 1 (no. 4b)
8 +/-Models, integrated supply (No. 4c)
9 = output value of the previous year
10 +/-probable performance changes (paragraph 3 sentence 1 no. 1)
11 +/-Change value according to § 9, paragraph 1, point 5 (paragraph 3 sentence 1 no. 2)
12 (lifted)
13 = changed output value (paragraph 3)


Determination of the target value (paragraph 4):  
14 Revenue from Rating ratios rated charges 
15 + Anticipated revenue from additional applicable law 
16 = Target value (paragraph 4)


Determination of the equalization amount:
17 Target value from lfd. No. 16 
18 ./. modified starting value from lfd. No. 13 
19 = Intermediate result
20 ... % of lfd. No. 19 (paragraph 1) 5 set 2) or cap limit
21 = Equal amount (paragraph 5 sentence 2)


Determination of revenue budget: 
22 Modified starting value from lfd. No. 13
23 +/-Equal Amount from lfd. No. 21
24 = Redemption budget (paragraph 5 sentence 3)


lfd. Nr.Calculation step agreement for the current calendar year agreement period123
Determination of base pay value (paragraph 6):
25 Redemption budget from lfd. Nr. 24
26 ./. probable earnings from additional charges (lfd. No. 15)
27 ./. Proceeds for overseers at the beginning of the year 1) 
28 +/-new Same for previous years 2)
29 = Changed revenue budget (paragraph 6 sentence 1) 3)
30: sum of the effective rating relations (asset E1) 4)
31 = hospital individual Base asset value
32
message:
base pay value without exception and Corrections


1)
In accordance with the requirements of footnote 2, the lineup must be prepared and submitted separately as follows for the following periods:
-for the previous calendar year the Actual data according to the Remuneration Catalogue of the previous year (target: u. a. Determination of the final earnings comparison),
-for the current calendar year the actual data according to the payment catalogue of the current year (Objectives: presentation of the actual data as well as determination of the preliminary proceeds of the proceeds),
-for the current calendar year Calendar year the actual data according to the agreement period (target: the basis for the agreement of budget and more or less),
-for the agreement period, the requirement of the hospital according to the Agreement Period Charges Catalogue (Target: Basis for Budget Agreement).
A separate statement is to be provided for the performance of the document's staff. For outstanding actual data of the current calendar year, a high calculation is allowed.
2)
For the presentation of the actual data of the previous calendar year and the All columns are to be filled in with the actual data of the current calendar year. For the requirement of the agreement period, columns 6-7, 9-11 and 13 do not need to be filled out; for these, only the respective final sums are to be estimated. For outstanding actual data of the current calendar year, a high calculation is allowed.
3)
All calculation days within the budget period, independent of the Inclusion or dismissal.
4)
For day-based charges, the case count follows the following formal assignment: (Recordings + layoffs): 2. Without internal considerations. Cases with only pre-hospitalisation are not included. The following performance levels in the treatment of patients are counted as only one full-time case:
-
interruption of treatment due to leave of absence,
-
resuming a patient or a patient, where only one weekend is between resumption and previous dismissal,
-
combination of full-and partial-steady-state treatment,
-
Combination of pre-, full-and post-stationary treatment.
An additional count as a part-inpatient case is not allowed.
For case-and period-related charges the case count for all ingested and dismissed patients in the calendar year without any overlying at the beginning of the year.
5)
For case and period-related charges shall be assigned to the full-height valuation ratios for the year in which the patient or patient is dismissed. They shall be submitted in accordance with the catalogue of remuneration in force in the previous year, d. h. for the agreement period, the superiors shall be subject to the valuation ratios of the current year's pay catalogue.
The presentation and agreement of the superseders will be dropped in the year of system change.
1)
For each of the following periods, the installation must be set up and presented separately as follows:
-for the previous calendar year, the actual data after the ZE catalog of expired year
(target: u. a. Determination of the final revenue comparison),
-for the current calendar year, the highly calculated actual data according to the ZE catalogue of the current year
(Objectives: presentation of the actual data as well as determination of the preliminary proceeds of the proceeds),
-for The agreement period is the hospital's demand for the ZE catalog for the agreement period
(target: presentation for the budget agreement).
2)
Representation corresponding to footnotes 4 and 5 of section E1.
1)
The lineup is in compliance with the requirements of footnote 2 for the following To establish and submit periods separately as follows:
-for the previous calendar year, the actual data after the agreed charges for the past year
(target: u. a. Determination of the final proceeds of earnings),
-for the current calendar year the highly calculated actual data according to the agreed charges for the current year
(Objectives: presentation of the actual data as well as the determination of the provisional data) Redemption matching),
-for the agreement period, the hospital's request for the required charges for the agreement period
(target: presentation for the budget agreement).
For the services provided by document departments to submit a separate installation.
2)
For the presentation of the actual data of the previous calendar year and the presentation of the actual data of the current calendar year are basically all columns to be filled out. For the requirement of the agreement period, columns 5-6, 8-10 and 12 do not need to be filled out; for these, only the respective end totals are to be estimated.
3)
In each case separate lineup and template for pay agreements according to § 6 paragraph 1 or paragraph 2 BPflV.
1)
The same and Corrections are to be reported individually on a separate sheet.
2)
Redemption budget, including revenue for patient-related intakes and surcharges.
3)
Breakdown of excess revenues for case-and period-related charges.
4)
Sum the annual cases and all cases with day-to-day charges (column 14, section E1).
1)
Breakdown of excess revenues for case-and period-related Charges.
2)
The matching and corrections are to be shown individually on a separate sheet.
3)
Redemption budget, including revenue for patient-related surcharges and surcharges.
4)
Sum of the year and all cases with daily charges (column 14, section E1).
unofficial table of contents

appendix 1 (to Appendix 1) to the performance and Costing site

the original text: BGBl. I 2002, 1421
lfd. Nr.BettenLeading Specialist Departments *)
1Psychiatry and Psychotherapy
2Child and adolescent psychiatry and -Psychotherapy
3Psychosomatics
4 Psychotherapeutic Medicine
5Other
*)
Only departments that are qualified by a non-refereed physician with appropriate Subject area designation, which are mainly used for this subject area.
unofficial table of contents

appendix 2 (to annex) 1) for performance and costing

(content: not covered table,
site: investment country for BGBl. I 1994 N ° 67, pp. 45-46;
of the individual amendments, cf. Footnote) unofficial table of contents

appendix 3 on the performance and costing installation
Separate ID for Foreign patients according to § 3 (4

of the original text of the original text: BGBl. I 1997, 2880;
bzexcl. of the individual amendments, cf. Footnote The services of the hospital and its departments for foreign patients according to § 3, para. 4 are to be shown in separate sections "L1" and "L3", limited to the following contents:

-lfd. No. 4BT with daily maintenance records 4),
-lfd. No. 8Occupancy days FP area 9),
-lfd. No. 13Full-time cases with daily care rates 11),
-lfd. No. 18Sub-stationary cases with daily care records 11a),
-lfd. No. 19Case-flat-rate cases