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Revision physician and a § 16


Authors: J. Štajner
Authors‘ workplace: Všeobecná zdravotní pojišťovna ČR, Regionální pobočka Hradec Králové
Published in: Reviz. posud. Lék., 18, 2015, č. 1, s. 20-22
Category: Review articles, original papers, case report

Overview

The communication analyses the problems of evaluating the remittance of therapeutic remedies by a revision physician according to § 16 of the Law No. 48/1997 Sb. It itemizes the conditions where the evaluation takes place, renders specific documentation and necessary ­collaboration with the nursing physicians. Legal and ethical problems with the disapproved applications are of considerable extent. There is a missing public and health education in the non-professional and medical public about public health insurance. A revision of the Law No. 48/1997 Sb. has ­become necessary to comprehensively and univocally define the authorization of the revision physician.

Keywords:
health insurance – § 16 – therapeutic drugs


Sources

1. Zákon č. 48/1997 Sb., o veřejném zdravotním pojištění.

2. Metodika pro pořizování a předávání dokladů VZP ČR.

3. Číselníky léků.

4. AISLP.

5. SPC léčivých přípravků (SÚKL).

Labels
Medical assessment Occupational medicine
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