1. [Development of a claim form for the initiation of post-treatment rehabilitation for nationwide use by all reimbursement agencies: a report and plea for reducing administrative barriers].
- Author
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Egen C, Ballüer K, Wilhelm I, Lindner HJ, Gaedtke D, Klein H, Seger W, Rohland D, Schenke N, and Gutenbrunner C
- Subjects
- Documentation, Germany, Insurance, Health, Reimbursement standards, Practice Guidelines as Topic, Aftercare standards, Forms and Records Control standards, Insurance Claim Reporting standards, Insurance Claim Review standards, Records standards, Rehabilitation standards
- Abstract
We describe the results of a survey of claim forms that are used when starting rehabilitation following inpatient treatment and of an evaluation of a claim form developed on the basis of the results. The survey of different existing forms shows a high overlapping in content, suggesting the possibility of unification to one claim form that can be accepted by all insurers. In analogy to the Delphi method criteria for evaluation were consented and applied by the author group to assess the relevance of the claim forms content items for the process of initiating rehabilitation. A group of further experts added their evaluations. We prioritised the results and extracted the essential contents to conceive a unified claim form eligible for all types of rehabilitation. The claim form was discussed in 3 focus groups, revised accordingly and tested in the Hannover Medical School. Test results show that all relevant information is asked for and that the form is well manageable. The users' request for an IT-based solution and further ideas for improvement were integrated into the revised and validated version of the claim form. It is now available for all stake holders, in particular for insurers, as a means to improve quality of care and efficiency by standardisation of rehabilitation claim forms., (© Georg Thieme Verlag KG Stuttgart · New York.)
- Published
- 2015
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