From March 1, the new rules for telemedicine will apply to Germany. These have been set up on the requirements to ensure the quality of supply of telemedical services according to “Section 87 (2o) SGB V”, which has been concluded by the National Association of Legislative Health Insurance Physicians (KBV) and GKV Spitzenverband. With the Digital Act (DIGIG), the Union Health Ministry had earlier forced associations to make similar rules for video consultation. Its purpose is to improve the care of patients within these consultation hours and subsequent measures.
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The new rules mainly relate to video consultation hours as a telemedical performance between various doctors or other service providers with the doctor and the patient. Among other things, medical practices should be presented as part of the therapeutically sensible video consultation. Access must be low -threshold, and it should not be discriminated against according to the type of insurance of the patient. The offer of video counseling should be indicated in practice chambers.
Cosheral google snipet: publisher can stickHealth insurance medical care specialists should also be available for other doctors for teleconsile, ie advice by other doctors as part of the care of patients. Doctors can also consult video from outside their exercise, if there is a fully equipped telephoto workplace, including access to telematics infrastructure. However, you should not stay outside Germany.
Unknown patient
There are also rules for unknown patients. They have been defined as those who did not have a personal doctor-roggy contact in the previous four quarters before video consultation that conducted video consultation. Unknown patients cannot be given anesthetic or other potential addictive drugs by video consultation.
In addition, unknown patients have to undergo an SO -primary initial evaluation process to assess urgency according to the needs of treatment. This should be done with software.
Nearby patient
From 1 September, patients should also be given priority for video consultation after urgency. In addition, a practice should prefer to treat patients living nearby by video consultation. This should improve the supply of connections. The practices are also obliged to use electronic patient file (EPA) as part of video consultation, except that the patient has denied it.
The ban in video counseling from practice is not allowed – such as on sick leave – is not allowed. Instructions, transfer and cuisine should still be sent to the patient on the day of video counseling or post.
The top union of the Digital Health Care criticized the requirements of the agreement and referred to the demand for video counseling and close to the house with the software with which an unknown patient is to be initially assessed. The KBV Board rejected the criticism with the indication that only requirements would be implemented from the digital law.
Gently loose
Video counseling as a performance of statutory health insurance is present in Germany since 2017. Initially, this applies only to very limited use cases, especially during skin injuries and diseases, during the control of the musculoskeletal system diseases and the healing course after operation. And in this narrow structure, video consultation was allowed only for patients who were personally seen in practice by the concerned doctor.
There was a significant change in May 2018: German Medical Day still decided to lift the valid distance treatment ban in Germany, which justified the video consultation ban on the doctor. The decision of Medical Day was implemented by the Medical Association of various federal states, and finally in April 2019, video consultation was also billed for several other applications. Since October 2019, a patient’s first contact with the doctor has also been billed by video consultation.
The regulations were also relaxed as part of the Korona epidemics: here was additional remuneration as a start-up financing for the practices that begin video consultation, and to lift the already applied volume range.
(AXK)
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