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Health Care

In the ASHIPs not only the data structure of individual invoices from healthcare providers are checked and content and calculations verified, but also their overall fee. There are, of course, various regulations and contractual stipulations which must be taken into consideration – such as specialist subdivisions, practice composition, budgeting, reductions, standard service volumes, point values, healthcare groups, additional contractual agreements etc.

The basis here is the Fee Allocation Criteria (FAC). Alongside the actual calculation of amounts to be paid to the individual healthcare providers, it is the reporting of these complex accounts which plays an important role. A range of information packs (including texts and visuals) must be prepared for the healthcare providers, health insurance companies, ASHIPs and others.

KV.net 2 is very flexible – the workflow can be adapted and configured to individual needs, allowing optimum integration of the software into the work processes of each health insurance company. In KV.net 2 no manual changes are necessary, apart from the individual adjustments for accounting activities and reports. Basically, a “Part 2” invoice could be started - and implemented - with one click.