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Reporting and reimbursement of applied therapy from the resources of public medical insurance in sojourn institutions of social services


Authors: D. Malá 1;  Z. Salcman Kučerová 2
Authors‘ workplace: Odbor kontroly a revize zdravotní péče, MUDr. Emílie Bartišková, pověřená řízením Všeobecná zdravotní pojišťovna ČR 1;  Společnost revizního lékařství ČLS JEP, předsedkyně MUDr. Zdeňka Salcman Kučerová, MBA 2
Published in: Reviz. posud. Lék., 19, 2016, č. 3, s. 100-102
Category:

Overview

The reimbursement of applied oral medical preparations in chronically ill population in sojourn institutions of social services (PZSS) is the continuing and so far unsolved source of controversy between the provider and profession representative of the largest group of indicating physicians – the Association of General Practitioners of the Czech Republic since the expertise 913 (general nurse in social services) had been introduced into the List of Medical Interventions with item values and the entry of PZSS into the network of medical service providers. The article recapitulates the origin and development of the relevant problems since 2007 to the present time.

Keywords:
applied oral medical therapy – oral administration of medication – sojourn institutions of social services – medical intervention of the 06613 code – medical intervention of the 06623 code


Labels
Medical assessment Occupational medicine
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