[Current legal and jurisdictional questions from the perspective of the German Federal Association for Geriatrics : Practical report].

Z Gerontol Geriatr

Bundesverband Geriatrie, Reinickendorfer Str. 61, 13347, Berlin, Deutschland.

Published: June 2017

AI Article Synopsis

  • The article examines arbitration bodies' roles under § 111b SGB V, focusing on how geriatric rehabilitation hospitals negotiate reimbursement agreements with health insurance.
  • It explores whether the full scope of these reimbursement agreements can be discussed during arbitration sessions.
  • Additionally, the authors analyze the impact of Federal Social Court rulings on the legal framework and minimum age considerations for complex geriatric treatment (OPS 8-550).

Article Abstract

The article discusses the questions of the arbitration bodies according to § 111b SGB V (Volume V of the Social Insurance Code) in the individual federal states from the perspective of geriatric rehabilitation hospitals. The content of the agreement of reimbursement between a rehabilitation hospital and health insurance will be targeted as well as the question whether the entire content of the agreements of reimbursement can be negotiated at the arbitration body. In addition, the authors describe the consequences of the jurisprudence of the Federal Social Court on § 301 I. S. 1 no. 8 SGB V and the reaction of the lawgiver. Furthermore the authors describe the effects of the jurisprudence of the Federal Social Court regarding the minimum age associated with complex geriatric treatment (OPS 8-550).

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Source
http://dx.doi.org/10.1007/s00391-017-1245-zDOI Listing

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