Onvolledig behandeltraject (N6105): verschil tussen versies

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Regel 94: Regel 94:




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<span style="color: rgb(0, 0, 205); line-height: 20.79px; font-size: small;">1) Alle DBC's</span>
<span style="color: rgb(0, 0, 205); line-height: 20.79px; font-size: small;"></span><span style="color: rgb(0, 0, 205); font-size: small; font-weight: bold; text-align: center; background-color: rgb(173, 216, 230);">1)&nbsp;</span><span style="color: rgb(0, 0, 205); font-weight: bold; text-align: center; background-color: rgb(173, 216, 230);">Prestaties geopend in het betreffende jaar</span><span style="color: rgb(0, 0, 205); line-height: 20.79px; font-size: small;"></span>
 
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<span style="color: rgb(0, 0, 205); font-size: small;">2) Zorgtype ongelijk aan:</span>
 
<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: 12.7px;">301: crisis zonder opname</span>
 
<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: 12.7px;">302: crisis met opname&nbsp;</span>


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! scope="col" colspan="7" style="text-align: center; vertical-align: middle; width: 1209px; background-color: rgb(173, 216, 230);" | <span style="color: rgb(0, 0, 205); line-height: 18.9px; font-size: small;"></span><p style="font-weight: bold; text-align: center;"><span style="color: rgb(0, 0, 205);">2) Prestatiecode is ongelijk aan:</span></p><p style="font-weight: bold; text-align: center;"><span style="color: rgb(0, 0, 205);">180005 (Onvolledig behandeltraject)</span></p><span style="color: rgb(0, 0, 205); line-height: 20.79px; font-size: small;"></span>
<span style="color: rgb(0, 0, 205); line-height: 18.9px; font-size: small;">3)&nbsp;</span><span style="color: rgb(0, 0, 205); line-height: 20.79px; font-family: sans-serif; font-size: small;">&nbsp;</span><span style="color: rgb(0, 0, 205); line-height: 20.79px; font-size: small;">DBC's geopend in het betreffende kalenderjaar</span>
 
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<span style="font-size: small; color: rgb(0, 0, 205); line-height: 18.9px;">4)&nbsp;</span><span style="font-size: small; line-height: 20.79px; color: rgb(0, 0, 205); font-family: sans-serif;">&nbsp;Reden voor afsluiten bij patiënt / niet bij behandelaar</span>
 
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<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small; line-height: 20.79px;">5) Reden voor afsluiten bij &nbsp;bij behandelaar / om inhoudelijke redenen</span>
 
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<span style="font-size: small; line-height: 20.79px; color: rgb(0, 0, 205); font-family: sans-serif;">6) In onderling overleg beeïndigd zorgtraject / patiënt uitbehandeld</span>
 
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<span style="font-size: small; line-height: 20.79px; color: rgb(0, 0, 205); font-family: sans-serif;">7) Afsluiting na alleen pré-intake / intake / diagnostiek / crisisopvang</span>
 
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<span style="font-size: small; line-height: 20.79px; color: rgb(0, 0, 205); font-family: sans-serif;">8) Afsluiten vanwege openen vervolg-DBC</span>
 
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<span style="font-size: small; line-height: 20.79px; color: rgb(0, 0, 205); font-family: sans-serif;">9) Afsluiten vanwege overgang naar andere bekostiging&nbsp;</span>
 
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<span style="font-size: small; line-height: 20.79px; color: rgb(0, 0, 205); font-family: sans-serif;">10) Afsluiten in verband met overgang met van de jeugd-GGZ naar de gemeenten</span>
 
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<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small; line-height: 20.79px;">11) Zorgtype is ongelijk aan:&nbsp;</span>
 
<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small; line-height: 20.79px;">204 - exarcebatie/recidive</span>
 
<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small; line-height: 20.79px;"><span style="line-height: 20.79px;">216 - voorgezette behandeling jeugd -ggz</span></span>
 
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<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small; line-height: 20.79px;">12) Zorgtype is ongelijk aan:&nbsp;</span>
 
<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small; line-height: 20.79px;">204 - exarcebatie/recidive</span>
 
<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small; line-height: 20.79px;"><span style="line-height: 20.79px;">216 - voorgezette behandeling jeugd -ggz</span></span>
 
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<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small; line-height: 20.79px;">13) Zorgtype is ongelijk aan:&nbsp;</span>
 
<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small; line-height: 20.79px;">204 - exarcebatie/recidive</span>
 
<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small; line-height: 20.79px;">216 - voorgezette behandeling jeugd -ggz</span><span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small; line-height: 20.79px;">&nbsp;</span>
 
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<font color="#0000cd" face="sans-serif" size="2">14) Zorgtype is ongelijk aan:&nbsp;</font>
 
<font color="#0000cd" face="sans-serif" size="2">106 - Second opinion</font>
 
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<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small; line-height: 20.79px;">15) Aansluitend geen DBC met zorgtype<br/>150 - overgang DSM 5&nbsp;</span>
 
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<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small; line-height: 20.79px;">16) Aansluitend DBC geopend</span>
 
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<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small; line-height: 20.79px;">17)&nbsp;</span><span style="font-family: sans-serif; font-size: 12.7px; line-height: 19.05px;"><font color="#000000">&nbsp;</font></span><span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small; line-height: 20.79px;">DBC niet gesloten op 31-12-2014 en/of cliënt niet <18 jaar t.t.v. sluiten DBC</span>
 
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! scope="col" style="text-align: center; vertical-align: top; width: 377px; background-color: rgb(0, 68, 137);" | <span style="font-size: small; color: rgb(0, 0, 205); line-height: 18.9px;"></span><p style="font-weight: bold; text-align: center;"><span style="color: rgb(255, 255, 255);"><span style="font-size: small; line-height: 20.8px;">3)&nbsp;</span>Prestatie is onrechtmatig als de afsluitreden is:</span></p><p style="font-weight: bold; text-align: center;"><span style="color: rgb(255, 255, 255);">12. Vermoeden van DSM-stoornis niet bevestigd<br/><br/></span></p><span style="font-size: small; line-height: 20.79px; color: rgb(0, 0, 205); font-family: sans-serif;"></span>
<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small;">18) Aansluitend een DBC geopend</span>
! scope="col" style="text-align: center; vertical-align: top; width: 374px; background-color: rgb(0, 68, 137);" | <span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small; line-height: 20.79px;"></span><p style="font-weight: bold; text-align: center;"><span style="color: rgb(255, 255, 255);"><span style="font-size: small; line-height: 20.8px;">3)&nbsp;</span>Prestatie is onrechtmatig als de afsluitreden is:</span></p><p style="font-weight: bold; text-align: center;"><span style="color: rgb(255, 255, 255);">13. Cliëntprofiel cliënt te zwaar voor Basis GGZ én er is sprake van maximaal 120 minuten directe en indirecte cliëntgebonden tijd<br/><br/></span></p><span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small; line-height: 20.79px;"></span>
 
! scope="col" style="text-align: center; vertical-align: top; width: 373px; background-color: rgb(0, 68, 137);" | <span style="font-size: small; line-height: 20.79px; color: rgb(0, 0, 205); font-family: sans-serif;"></span><p style="font-weight: bold; text-align: center;"><span style="color: rgb(255, 255, 255);"><span style="font-size: small; line-height: 20.8px;">3)&nbsp;</span>Prestatie is onrechtmatig als de afsluitreden is:</span></p><p style="font-weight: bold; text-align: center;"><span style="color: rgb(255, 255, 255);">21. Voortijdige beëindiging behandeling op initiatief van cliënt én er is sprake van maximaal 120 minuten directe en indirecte cliëntgebonden tijd</span></p><span style="font-size: small; line-height: 20.79px; color: rgb(0, 0, 205); font-family: sans-serif;"></span>
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<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small;">19) Aansluitend een DBC geopend</span>
 
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<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small;">20) Aansluitend een DBC geopend</span>
 
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<span style="color: rgb(0, 0, 205); font-family: sans-serif; font-size: small;">21) Aansluitend een DBC geopend</span>
 
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