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| Regel 53: |
Regel 53: |
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| ! style="text-align: center; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" | <span style="text-align: center; color: rgb(0, 0, 205); line-height: 20.79px; font-size: small; font-weight: bold; background-color: rgb(173, 216, 230);">2) Zorgactiviteit uitgevoerd in controlejaar of handreikingjaar</span><br/> | | ! style="text-align: center; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" | <span style="text-align: center; color: rgb(0, 0, 205); line-height: 20.79px; font-size: small; font-weight: bold; background-color: rgb(173, 216, 230);">2) Zorgactiviteit uitgevoerd in controlejaar of handreikingjaar</span><br/> |
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| ! style="text-align: center; vertical-align: middle;" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span><br/>
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| ! style="text-align: center; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" |
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| <span style="text-align: center; color: rgb(0, 0, 205); line-height: 20.79px; font-size: 12.72px; font-weight: bold;"><span style="font-size: small;"><span style="line-height: 20.79px; background-color: rgb(173, 216, 230);">3</span></span></span><span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="line-height: 20.79px;">) </span></span></span><span style="text-align: center; color: rgb(0, 0, 205); line-height: 23.11px; font-size: small; font-weight: bold; background-color: rgb(173, 216, 230);">Op dezelfde kalenderdag is een zorgactiviteit INR bepaling (079995) geregistreerd</span>
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| ! style="text-align: center; vertical-align: middle;" scope="col" | <span style="font-size: small;">{{BlauwePijl}}</span><br/>
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| ! style="text-align: center; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" |
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| <span style="text-align: center; color: rgb(0, 0, 205); line-height: 20.79px; font-size: 12.72px; font-weight: bold;"><span style="font-size: small;"><span style="line-height: 20.79px; background-color: rgb(173, 216, 230);">4) Minder zorgactiviteiten geregistreerd uit de tabel Laboratoriumonderzoek op dezelfde kalenderdag dan z</span></span></span><span style="text-align: center; color: rgb(0, 0, 205); line-height: 18.89px; font-size: small; font-weight: bold; background-color: rgb(173, 216, 230);">orgactiviteiten “Ordertarief laboratoriumonderzoek”</span>
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| ! style="text-align: center; vertical-align: middle;" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span><br/>
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| ! style="text-align: center; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" |
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| <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="line-height: 23.11px;">5) De organisatie heeft geen erkenning als trombosedienst zoals omschreven in de Wet toelating zorginstellingen (WTZi) </span></span></span>
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| |} | | |} |
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| {| style="width: 597px; line-height: 20.79px; font-size: 12.72px;" align="center" cellpadding="0" cellspacing="10" border="0" | | {| style="width: 597px; line-height: 20.79px; font-size: 12.72px;" align="center" cellpadding="0" cellspacing="10" border="0" |
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| ! style="text-align: center; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" colspan="3" | | | ! style="width: 257px; text-align: center; vertical-align: middle;" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span><br/> |
| <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 23.11px; font-weight: bold; background-color: rgb(173, 216, 230);">1) Alle subtrajecten met zorgtype 11</span></span></span>
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| | | ! style="width: 286px; text-align: center; vertical-align: middle;" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span><br/> |
| <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 23.11px; font-weight: bold; background-color: rgb(173, 216, 230);">met uitzondering van diagnoses hartrevalidatie (821) en begeleiding bij hart- en hartlongtransplantatie (903 en 904) v</span></span></span><font color="#0000cd" size="2">oor cardiologie (AGB 20)</font>
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| ! style="text-align: center; vertical-align: middle;" scope="col" colspan="3" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span><br/>
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| ! style="text-align: center; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" colspan="3" | <p style="text-align: center; line-height: 23.11px; font-weight: bold;"><span style="color: rgb(0, 0, 255);"><span style="font-size: small;">2)</span> Los te factureren zorgactiviteit uitgevoerd in controlejaar of Handreikingsjaar</span></p><p style="text-align: center; line-height: 23.11px; font-weight: bold;"><span style="color: rgb(0, 0, 255);">of</span></p><p style="text-align: center; line-height: 23.11px; font-weight: bold;"><span style="color: rgb(0, 0, 255);">zorgactiviteit gekoppeld aan een subtraject dat gesloten wordt in controlejaar of Handreikingsjaar</span></p>
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| ! style="text-align: center; vertical-align: middle;" scope="col" colspan="3" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span><br/>
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| ! style="background-color: rgb(173, 216, 230);" scope="col" colspan="3" | | | ! style="width: 257px; text-align: center; line-height: 23.11px; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" rowspan="3" | |
| {| style="width: 597px; line-height: 23.11px;" align="center" cellpadding="0" cellspacing="10" border="0"
| | <span style="text-align: center; color: rgb(0, 0, 205); line-height: 20.79px; font-size: 12.72px; font-weight: bold;"><span style="font-size: small;"><span style="line-height: 20.79px; background-color: rgb(173, 216, 230);">3) Minder zorgactiviteiten geregistreerd uit de tabel Laboratoriumonderzoek op dezelfde kalenderdag dan z</span></span></span><span style="text-align: center; color: rgb(0, 0, 205); line-height: 18.89px; font-size: small; font-weight: bold; background-color: rgb(173, 216, 230);">orgactiviteiten “Ordertarief laboratoriumonderzoek”</span> |
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| <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 23.11px; font-weight: bold; background-color: rgb(173, 216, 230);">3) Subtraject is parallel: De begindatum van het ZT11 subtraject ligt tussen de begin- en einddatum van een ander ZT11 of ZT21 subtraject met hetzelfde uitvoerend specialisme</span></span></span> | |
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| |}
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| ! style="width: 268.03px; text-align: center; vertical-align: middle;" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span><br/> | |
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| ! style="width: 286px; text-align: center; vertical-align: middle;" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span><br/>
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| ! style="width: 268.03px; text-align: center; line-height: 23.11px; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" rowspan="5" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">4) </span><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">De diagnoses van de parallelle subtrajecten komen als combinatie bij het betreffende specialisme in de diagnosecombinatietabel voor</span></span></span><br/>
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| ! style="width: 19px;" scope="col" rowspan="5" |
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| ! style="width: 286px; text-align: center; line-height: 23.11px; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" | | | ! style="width: 286px; text-align: center; line-height: 23.11px; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" | |
| <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">5) Het ZT11 subtraject (uit het laatst geopende parallelle zorgtraject) bevat </span>'''<u>geen</u>'''<span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);"> zorgactiviteit uit zorgprofielklasse 1,2,3 (consult, dagverpleging of verpleegdag)</span></span></span> | | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="line-height: 20.79px;">4) </span></span></span><span style="text-align: center; color: rgb(0, 0, 205); line-height: 23.11px; font-size: small; font-weight: bold; background-color: rgb(173, 216, 230);">Op dezelfde kalenderdag is een zorgactiviteit INR bepaling (079995) geregistreerd</span><span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);"></span></span></span> |
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| ! style="width: 286px; text-align: center; line-height: 23.11px; vertical-align: middle;" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span><br/> | | ! style="width: 286px; text-align: center; line-height: 23.11px; vertical-align: middle;" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span><br/> |
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| ! style="width: 286px; text-align: center; line-height: 23.11px; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">6) Het ZT11 subtraject (uit het laatst geopende parallelle zorgtraject) bevat</span> '''<u>geen</u>'''<span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);"> operatieve verrichtingen (42 dagen regel uit het registratieaddendum)</span></span></span> | | ! style="width: 286px; text-align: center; line-height: 23.11px; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);"></span></span></span> |
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| | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="line-height: 23.11px;">5) De organisatie heeft geen erkenning als trombosedienst zoals omschreven in de Wet toelating zorginstellingen (WTZi) </span></span></span> |
| ! style="width: 286px; text-align: center; line-height: 23.11px; vertical-align: middle;" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span><br/>
| | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);"></span></span></span> |
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| ! style="width: 286px; text-align: center; line-height: 23.11px; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" |
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| <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">7) Het ZT11 subtraject (uit het laatst geopende parallelle zorgtraject) bevat '''<u>geen</u>''': </span></span></span>
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| <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">- zorgactiviteit uit de groep chronische thuisbeademing (afsluitregel 1.0000.2) of </span></span></span><span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">chronische hemodialyse (afsluitregel 1.0000.3)</span></span></span>
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| <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">- gespecialiseerde technieken voor fertiliteitsbehandelingen (afsluitregel 2.0307.1)</span></span></span> | |
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| <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">- verstrekking oncologische medicatie per infuus of per injectie (afsluitregel 1.0000.1)</span></span></span>
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| <span style="color: rgb(0, 0, 205);"><span style="font-size: small;"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">- <span style="display: none;" data-cke-bookmark="1"> </span></span>audiologie zorgactiviteit (190702-190781) - geldt vanaf 1-1-2015</span></span><span style="display: none;" data-cke-bookmark="1"> </span>
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| |} | | |} |
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| <div style="line-height: 20.79px;">Logica: 1 en 2 en 3 en 4 en 5 </div></div><div><br/></div> | | <div style="line-height: 20.79px;">Logica: 1 en 2 en (3 of (4 en 5))</div></div><div><br/></div> |
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| === Berekening financiële impact === | | === Berekening financiële impact === |
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| Zie [[Berekening_financiële_impact#Waarde_add-on|Berekening financiële impact - Waarde add-on]] | | Zie [[Berekening_financiële_impact#Waarde_add-on|Berekening financiële impact - Waarde add-on]] |