Zorgprestatiemodel: verschil tussen versies
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| Regel 17: | Regel 17: | ||
=== A: Aanspraak & Onverzekerde zorg === | === A: Aanspraak & Onverzekerde zorg === | ||
{| border="1" cellspacing="1" cellpadding="1" style="width: | {| border="1" cellspacing="1" cellpadding="1" style="width: 90em;" | ||
|- | |- | ||
| style="width: 500px;" | <span>'''Norm titel''' | | style="width: 500px;" | <span>'''Norm titel'''</span> | ||
| style="width: 125px; | '''Type controle''' | | style="width: 125px; " | '''Type controle''' | ||
|'''HT-norm''' | |'''HT-norm''' | ||
|'''HT-blokkade''' | |'''HT-blokkade''' | ||
'''ZPM''' | '''ZPM''' | ||
| style="width: 75px;" | | style="width: 75px;" | <span>'''Financieringsvorm'''</span> | ||
| style="width: 75px;" | | style="width: 75px;" | <span>'''Prioritering''' V&C lijst</span> | ||
| style="width: 75px;" | | style="width: 75px;" | <span>'''Status'''</span> | ||
| style="width: 100px; | <span>'''Actueel van - tot''' | | style="width: 100px; " | <span>'''Actueel van - tot'''</span> | ||
| style="width: 250px;" | <span>'''Niveau (controle kijkt per)''' | | style="width: 250px;" | <span>'''Niveau (controle kijkt per)'''</span> | ||
| style="width: 305px;" | <span>'''Oude (DBC) variant''' | | style="width: 305px;" | <span>'''Oude (DBC) variant'''</span> | ||
|- | |- | ||
| style="width: 500px;" | [[Zorgtraject zonder verwijsbrief (N2970)]] | | style="width: 500px;" | [[Zorgtraject zonder verwijsbrief (N2970)]] | ||
| Regel 54: | Regel 54: | ||
|- | |- | ||
| style="width: 500px;" | [[Verwijsbrief ouder dan 9 maanden (N2971)]] | | style="width: 500px;" | [[Verwijsbrief ouder dan 9 maanden (N2971)]] | ||
| style="width: 125px;" | Data-analyse | | style="width: 125px;" | Data-analyse | ||
|Ja | |Ja | ||
|Ja | |Ja | ||
| style="width: 75px;" | | style="width: 75px;" | ZVW | ||
| style="width: 75px;" | | style="width: 75px;" | Verhoogd | ||
| style="width: 75px;" | | style="width: 75px;" | Beschikbaar om te testen | ||
| style="width: 100px;" | 2022 - | | style="width: 100px;" | 2022 - | ||
| style="width: 250px;" | Zorgtraject | | style="width: 250px;" | Zorgtraject | ||
| style="width: 305px;" | [[N1775]]; [[N2021]]; [[N2114]]; [[N2028]] | | style="width: 305px;" | [[N1775]]; [[N2021]]; [[N2114]]; [[N2028]] | ||
|- | |- | ||
| Regel 257: | Regel 257: | ||
|ZVW; FZ; WLZ; JW; WMO | |ZVW; FZ; WLZ; JW; WMO | ||
|Verhoogd | |Verhoogd | ||
| Beschikbaar | |Beschikbaar | ||
| 2022 - | |2022 - | ||
| | | | ||
| | | | ||
| Regel 264: | Regel 264: | ||
|} | |} | ||
=== B: Beroepen === | ===B: Beroepen=== | ||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | {| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | ||
|- | |- | ||
| style="width: 500px;" | <span>'''Norm titel''' | | style="width: 500px;" | <span>'''Norm titel'''</span> | ||
| style="width: 125px; | <span>'''Type controle'''</span> | | style="width: 125px; " | <span>'''Type controle'''</span> | ||
|'''HT-norm''' | |'''HT-norm''' | ||
|'''HT- blokkade''' | |'''HT- blokkade''' | ||
'''ZPM''' | '''ZPM''' | ||
| style="width: 75px;" | | style="width: 75px;" | <span>'''Financieringsvorm'''</span> | ||
| style="width: 75px;" | | style="width: 75px;" |<span>'''Prioritering''' V&C lijst</span> | ||
| style="width: 75px;" | | style="width: 75px;" |<span>'''Status'''</span> | ||
| style="width: 100px; | <span>'''Actueel van - tot''' | | style="width: 100px; " | <span>'''Actueel van - tot'''</span> | ||
| style="width: 250px;" | <span>'''Niveau (controle kijkt per)''' | | style="width: 250px;" | <span>'''Niveau (controle kijkt per)'''</span> | ||
| style="width: 305px;" | <span>'''Oude (DBC) variant''' | | style="width: 305px;" | <span>'''Oude (DBC) variant'''</span> | ||
|- | |- | ||
| style="width: 500px;" |[[Medewerker zonder (geldige) AGB-code (N2901)]] | | style="width: 500px;" |[[Medewerker zonder (geldige) AGB-code (N2901)]] | ||
| Regel 287: | Regel 287: | ||
| style="width: 75px;" | Verhoogd | | style="width: 75px;" | Verhoogd | ||
| style="width: 75px;" | Beschikbaar | | style="width: 75px;" | Beschikbaar | ||
| style="width: 100px;" | 2021 - | | style="width: 100px;" | 2021 - | ||
| style="width: 250px;" | Medewerker | | style="width: 250px;" | Medewerker | ||
| style="width: 305px;" |[[N2400]] | | style="width: 305px;" |[[N2400]] | ||
| Regel 307: | Regel 307: | ||
|Nee | |Nee | ||
| style="width: 75px;" | ZVW;FZ | | style="width: 75px;" | ZVW;FZ | ||
| style="width: 75px;" | | style="width: 75px;" | Verhoogd | ||
| style="width: 75px;" | | style="width: 75px;" | Beschikbaar | ||
| style="width: 100px;" | 2021 - | | style="width: 100px;" | 2021 - | ||
| style="width: 250px;" | Medewerker | | style="width: 250px;" | Medewerker | ||
| style="width: 305px;" | | | style="width: 305px;" | | ||
| Regel 319: | Regel 319: | ||
|ZVW; FZ | |ZVW; FZ | ||
|Verhoogd | |Verhoogd | ||
|Beschikbaar | |Beschikbaar | ||
|2022- | |2022- | ||
|Medewerker | |Medewerker | ||
| Regel 326: | Regel 326: | ||
|} | |} | ||
=== C: Consulten === | ===C: Consulten=== | ||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | {| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | ||
|- | |- | ||
| style="width: 500px;" | <span>'''Norm titel''' | | style="width: 500px;" | <span>'''Norm titel'''</span> | ||
| style="width: 125px; | <span>'''Type controle'''</span> | | style="width: 125px; " | <span>'''Type controle'''</span> | ||
|'''HT-norm''' | |'''HT-norm''' | ||
|'''HT-blokkade''' | |'''HT-blokkade''' | ||
'''ZPM''' | '''ZPM''' | ||
| style="width: 75px;" | | style="width: 75px;" | <span>'''Financieringsvorm'''</span> | ||
| style="width: 75px;" | | style="width: 75px;" | <span>'''Prioritering''' V&C lijst</span> | ||
| style="width: 75px;" | | style="width: 75px;" |<span>'''Status'''</span> | ||
| style="width: 100px; | <span>'''Actueel van - tot''' | | style="width: 100px; " | <span>'''Actueel van - tot'''</span> | ||
| style="width: 250px;" | <span>'''Niveau (controle kijkt per)''' | | style="width: 250px;" | <span>'''Niveau (controle kijkt per)'''</span> | ||
| style="width: 305px;" | <span>'''Oude (DBC) variant''' | | style="width: 305px;" | <span>'''Oude (DBC) variant'''</span> | ||
|- | |- | ||
| style="width: 500px;" |[[Afspraak niet gefiatteerd (N2600)]] | | style="width: 500px;" |[[Afspraak niet gefiatteerd (N2600)]] | ||
| Regel 368: | Regel 368: | ||
|Ja | |Ja | ||
|Nee | |Nee | ||
| style="width: 75px;" | | style="width: 75px;" | ZVW; FZ | ||
| style="width: 75px;" | | style="width: 75px;" | Verhoogd | ||
| style="width: 75px;" | | style="width: 75px;" | Beschikbaar | ||
| style="width: 100px;" | 2022 - | | style="width: 100px;" | 2022 - | ||
| style="width: 250px;" | Consult | | style="width: 250px;" | Consult | ||
| style="width: 305px;" | | | style="width: 305px;" | | ||
| Regel 380: | Regel 380: | ||
|Nee | |Nee | ||
| style="width: 75px;" | ZVW;FZ;WLZ;JW;WMO | | style="width: 75px;" | ZVW;FZ;WLZ;JW;WMO | ||
| style="width: 75px;" | - | | style="width: 75px;" | - | ||
| style="width: 75px;" | | style="width: 75px;" | Beschikbaar | ||
| style="width: 100px;" | 2021 - | | style="width: 100px;" | 2021 - | ||
| style="width: 250px;" | Cliënt | | style="width: 250px;" | Cliënt | ||
| style="width: 305px;" | R60101; R60102; R60103; R60196; R61934; R62101 | | style="width: 305px;" | R60101; R60102; R60103; R60196; R61934; R62101 | ||
| Regel 399: | Regel 399: | ||
|} | |} | ||
=== D: Declaratie === | ===D: Declaratie=== | ||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | {| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | ||
|- | |- | ||
| style="width: 500px;" | <span>'''Norm titel''' | | style="width: 500px;" | <span>'''Norm titel'''</span> | ||
| style="width: 125px; | <span>'''Type controle'''</span> | | style="width: 125px; " | <span>'''Type controle'''</span> | ||
|'''HT-norm''' | |'''HT-norm''' | ||
|'''HT-blokkade ZPM''' | |'''HT-blokkade ZPM''' | ||
| style="width: 75px;" | | style="width: 75px;" | <span>'''Financieringsvorm'''</span> | ||
| style="width: 75px;" | | style="width: 75px;" |<span>'''Prioritering''' V&C lijst</span> | ||
| style="width: 75px;" | | style="width: 75px;" |<span>'''Status'''</span> | ||
| style="width: 100px; | <span>'''Actueel van - tot''' | | style="width: 100px; " | <span>'''Actueel van - tot'''</span> | ||
| style="width: 250px;" | <span>'''Niveau (controle kijkt per)''' | | style="width: 250px;" | <span>'''Niveau (controle kijkt per)'''</span> | ||
| style="width: 305px;" | <span>'''Oude (DBC) variant''' | | style="width: 305px;" | <span>'''Oude (DBC) variant'''</span> | ||
|- | |- | ||
| style="width: 500px;" |[[Adresgegevens niet volledig ingevuld (N2515)]] | | style="width: 500px;" |[[Adresgegevens niet volledig ingevuld (N2515)]] | ||
| Regel 493: | Regel 493: | ||
|} | |} | ||
=== RB: Regiebehandelaar === | ===RB: Regiebehandelaar=== | ||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | {| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | ||
|- | |- | ||
| style="width: 500px;" | <span>'''Norm titel''' | | style="width: 500px;" | <span>'''Norm titel'''</span> | ||
| style="width: 125px; | <span>'''Type controle'''</span> | | style="width: 125px; " | <span>'''Type controle'''</span> | ||
|'''HT-norm''' | |'''HT-norm''' | ||
|'''HT-blokkade ZPM''' | |'''HT-blokkade ZPM''' | ||
| style="width: 75px;" | | style="width: 75px;" | <span>'''Financieringsvorm'''</span> | ||
| style="width: 75px;" | | style="width: 75px;" |<span>'''Prioritering''' V&C lijst</span> | ||
| style="width: 75px;" | | style="width: 75px;" |<span>'''Status'''</span> | ||
| style="width: 100px; | <span>'''Actueel van - tot''' | | style="width: 100px; " | <span>'''Actueel van - tot'''</span> | ||
| style="width: 250px;" | <span>'''Niveau (controle kijkt per)''' | | style="width: 250px;" | <span>'''Niveau (controle kijkt per)'''</span> | ||
| style="width: 305px;" | <span>'''Oude (DBC) variant''' | | style="width: 305px;" | <span>'''Oude (DBC) variant'''</span> | ||
|- | |- | ||
| style="width: 500px;" | [[Geen regiebehandelaar gekoppeld aan zorgtraject (N2940)]] | | style="width: 500px;" | [[Geen regiebehandelaar gekoppeld aan zorgtraject (N2940)]] | ||
| Regel 609: | Regel 609: | ||
|} | |} | ||
=== V: Verblijf === | ===V: Verblijf=== | ||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | {| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | ||
|- | |- | ||
| style="width: 500px;" | <span>'''Norm titel''' | | style="width: 500px;" | <span>'''Norm titel'''</span> | ||
| style="width: 125px; | <span>'''Type controle'''</span> | | style="width: 125px; " | <span>'''Type controle'''</span> | ||
|'''HT-norm''' | |'''HT-norm''' | ||
|'''HT-blokkade ZPM''' | |'''HT-blokkade ZPM''' | ||
| style="width: 75px;" | | style="width: 75px;" | <span>'''Financieringsvorm'''</span> | ||
| style="width: 75px;" | | style="width: 75px;" |<span>'''Prioritering''' V&C lijst</span> | ||
| style="width: 75px;" | | style="width: 75px;" |<span>'''Status'''</span> | ||
| style="width: 100px; | <span>'''Actueel van - tot''' | | style="width: 100px; " | <span>'''Actueel van - tot'''</span> | ||
| style="width: 250px;" | <span>'''Niveau (controle kijkt per)''' | | style="width: 250px;" | <span>'''Niveau (controle kijkt per)'''</span> | ||
| style="width: 305px;" | <span>'''Oude (DBC) variant''' | | style="width: 305px;" | <span>'''Oude (DBC) variant'''</span> | ||
|- | |- | ||
| style="width: 500px;" | [[Verblijfsdag geregistreerd, maar geen nachtelijke aanwezigheid cliënt (N2480)]] | | style="width: 500px;" | [[Verblijfsdag geregistreerd, maar geen nachtelijke aanwezigheid cliënt (N2480)]] | ||
| Regel 641: | Regel 641: | ||
|ZVW; FZ | |ZVW; FZ | ||
|Verhoogd | |Verhoogd | ||
| Beschikbaar om te testen | |Beschikbaar om te testen | ||
|2022- | |2022- | ||
| | | | ||
| Regel 659: | Regel 659: | ||
|} | |} | ||
=== ZT: Zorgtraject === | ===ZT: Zorgtraject=== | ||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | {| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | ||
|- | |- | ||
| style="width: 500px;" | <span>'''Norm titel''' | | style="width: 500px;" | <span>'''Norm titel'''</span> | ||
| style="width: 125px; | <span>'''Type controle'''</span> | | style="width: 125px; " | <span>'''Type controle'''</span> | ||
|'''HT-norm''' | |'''HT-norm''' | ||
|'''HT-blokkade ZPM''' | |'''HT-blokkade ZPM''' | ||
| style="width: 75px;" | | style="width: 75px;" | <span>'''Financieringsvorm'''</span> | ||
| style="width: 75px;" | | style="width: 75px;" |<span>'''Prioritering''' V&C lijst</span> | ||
| style="width: 75px;" | | style="width: 75px;" |<span>'''Status'''</span> | ||
| style="width: 100px; | <span>'''Actueel van - tot''' | | style="width: 100px; " | <span>'''Actueel van - tot'''</span> | ||
| style="width: 250px;" | <span>'''Niveau (controle kijkt per)''' | | style="width: 250px;" | <span>'''Niveau (controle kijkt per)'''</span> | ||
| style="width: 305px;" | <span>'''Oude (DBC) variant''' | | style="width: 305px;" | <span>'''Oude (DBC) variant'''</span> | ||
|- | |- | ||
| style="width: 500px;" | [[Eerste prestatie niet gelijk aan startdatum zorgtraject (N2911)]] | | style="width: 500px;" | [[Eerste prestatie niet gelijk aan startdatum zorgtraject (N2911)]] | ||
| Regel 678: | Regel 678: | ||
|Ja | |Ja | ||
|Ja | |Ja | ||
| style="width: 75px;" | | style="width: 75px;" | ZVW; FZ | ||
| style="width: 75px;" | | style="width: 75px;" | Laag | ||
| style="width: 75px;" | | style="width: 75px;" | Beschikbaar | ||
| style="width: 100px;" | 2022- | | style="width: 100px;" | 2022- | ||
| style="width: 250px;" | Consult | | style="width: 250px;" | Consult | ||
| Regel 720: | Regel 720: | ||
|} | |} | ||
=== V: Overige controles === | ===V: Overige controles=== | ||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | {| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | ||
|- | |- | ||
| style="width: 500px;" | <span>'''Norm titel''' | | style="width: 500px;" | <span>'''Norm titel'''</span> | ||
| style="width: 125px; | <span>'''Type controle'''</span> | | style="width: 125px; " | <span>'''Type controle'''</span> | ||
|'''HT-norm''' | |'''HT-norm''' | ||
|'''HT-blokkade ZPM''' | |'''HT-blokkade ZPM''' | ||
| style="width: 75px;" | | style="width: 75px;" | <span>'''Financieringsvorm'''</span> | ||
| style="width: 75px;" | | style="width: 75px;" |<span>'''Prioritering''' V&C lijst</span> | ||
| style="width: 75px;" | | style="width: 75px;" |<span>'''Status'''</span> | ||
| style="width: 100px; | <span>'''Actueel van - tot''' | | style="width: 100px; " | <span>'''Actueel van - tot'''</span> | ||
| style="width: 250px;" | <span>'''Niveau (controle kijkt per)''' | | style="width: 250px;" | <span>'''Niveau (controle kijkt per)'''</span> | ||
| style="width: 305px;" | <span>'''Oude (DBC) variant''' | | style="width: 305px;" | <span>'''Oude (DBC) variant'''</span> | ||
|- | |- | ||
|[[Zorgvraag zonder zorgvraagtypering (N2985)]] | |[[Zorgvraag zonder zorgvraagtypering (N2985)]] | ||
| Regel 770: | Regel 770: | ||
|} | |} | ||
=== AG: Acute GGZ === | ===AG: Acute GGZ=== | ||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | {| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | ||
|- | |- | ||
| Regel 788: | Regel 788: | ||
|Ja | |Ja | ||
|Nee | |Nee | ||
| ZVW | |ZVW | ||
|Verhoogd | |Verhoogd | ||
| Beschikbaar om te testen | |Beschikbaar om te testen | ||
| 2022 - | |2022 - | ||
|Zorgtraject Datum | |Zorgtraject Datum | ||
|[[N2236]] | |[[N2236]] | ||
| Regel 802: | Regel 802: | ||
|Verhoogd | |Verhoogd | ||
|Beschikbaar om te testen | |Beschikbaar om te testen | ||
|2022 - | |2022 - | ||
|Zorgtraject Datum | |Zorgtraject Datum | ||
|[[Crisis-DBC met verblijf zonder directe tijd van de regiebehandelaar (N2256)|N2256]] | |[[Crisis-DBC met verblijf zonder directe tijd van de regiebehandelaar (N2256)|N2256]] | ||
|} | |} | ||
=== FZ: Forensische zorg === | ===FZ: Forensische zorg=== | ||
{| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | {| border="1" cellspacing="1" cellpadding="1" style="width: 1450px;" | ||
|- | |- | ||
| Regel 823: | Regel 823: | ||
|FZ | |FZ | ||
|Verhoogd | |Verhoogd | ||
|Beschikbaar | |Beschikbaar | ||
|2022 - | |2022 - | ||
|Zorgtraject | |Zorgtraject | ||
| Regel 832: | Regel 832: | ||
|FZ | |FZ | ||
|Verhoogd | |Verhoogd | ||
|Beschikbaar | |Beschikbaar | ||
|2022 - | |2022 - | ||
|Zorgtraject | |Zorgtraject | ||