Onterecht vastleggen van dialysetoeslag (N0839): verschil tussen versies
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| Regel 46: | Regel 46: | ||
=== Programmeerbare norm === | === Programmeerbare norm === | ||
Er is sprake van “{{BASEPAGENAME}}” als aan de volgende selectie is voldaan:<span style="line-height: 1.6"> </span> | Er is sprake van “{{BASEPAGENAME}}” als aan de volgende selectie is voldaan:<span style="line-height: 1.6;"> </span> | ||
{| style=" | {| align="center" style="width: 597px; line-height: 20.79px; font-size: 12.72px;" cellpadding="0" cellspacing="10" border="0" | ||
|- | |- | ||
! | ! style="text-align: center; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" colspan="4" | | ||
<span style="color: | <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) Zorgactiviteiten IC dialysetoeslag</span></span></span> | ||
<span style="color: | <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);">2014 / 2015: 190156</span></span></span> | ||
<span style="color: | <span style="color: rgb(0, 0, 205);">2013: 190128, 190137, 190144</span> | ||
|- | |- | ||
! | ! style="text-align: center; vertical-align: middle;" scope="col" colspan="4" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span> | ||
|- | |- | ||
! | ! style="background-color: rgb(173, 216, 230);" scope="col" colspan="4" | | ||
{| style="line-height: 23. | {| align="center" style="width: 597px; line-height: 23.11px;" cellpadding="0" cellspacing="10" border="0" | ||
|- | |- | ||
! scope="col" | | ! scope="col" | | ||
<span style="color: | <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);">2) Uitgevoerd in controlejaar of handreikingjaar en gedeclareerd of te declareren als OZP</span></span></span> | ||
|} | |} | ||
|- | |- | ||
! | ! style="width: 140px; text-align: center; vertical-align: middle;" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span> | ||
| style="width: 140px; text-align: center" | <span style="color: | | style="width: 140px; text-align: center;" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span> | ||
| style="width: 140px; text-align: center" | <span style="color: | | style="width: 140px; text-align: center;" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span><br/> | ||
! | ! style="width: 140px; text-align: center; vertical-align: middle;" scope="col" | <span style="color: rgb(0, 0, 205);"><span style="font-size: small;">{{BlauwePijl}}</span></span> | ||
|- | |- | ||
! | ! style="width: 140px; 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);">3) IC dialysetoeslag is niet geregistreerd door intensivist</span><span style="line-height: 20.79px;"> </span></span></span><br/> | ||
! | ! style="width: 140px; 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);">4) Op dezelfde kalenderdag is de verrichting 2 of meer keer uitgevoerd</span></span></span> | ||
! | ! style="width: 140px; 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) Op dezelfde kalenderdag als de IC dialysetoeslag verrichting is er geen IC-behandeldag (190153, 190154 en 190155) geregistreerd</span></span></span> | ||
! | ! style="width: 140px; text-align: center; line-height: 23.11px; vertical-align: middle; background-color: rgb(173, 216, 230);" scope="col" | | ||
<span style="color: | <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) Voor een IC dialysetoeslag is er overlappend op dezelfde kalenderdag een dialyse subtraject aanwezig. Deze worden herkent a.d.h.v. AGB nummers en diagnose codes*: </span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">- 0313_331</span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">- 0313_332</span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">- 0313_336</span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">- 0313_339</span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);"> - 0316_4006</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);"></span></span></span><font size="2"><font color="#0000cd"><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">- 0313_322</span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">- 0313_323</span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">- 0313_324</span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);">- 0313_325</span><br/><span style="text-align: center; line-height: 20.79px; font-weight: bold; background-color: rgb(173, 216, 230);"> - 0316_4005</span></font></font> | |||
|} | |} | ||
<div><br/></div><div> | <div><br/></div><div> | ||
| Regel 89: | Regel 91: | ||
* 0313_339 Chronische hemodialyse in instelling | * 0313_339 Chronische hemodialyse in instelling | ||
* 0316_4006 Nierinsufficiëntie, chronische | * 0316_4006 Nierinsufficiëntie, chronische | ||
* 0313_322 Acute nierinsufficiëntie met dialyse | |||
* 0313_323 Acute nierinsufficiëntie zonder dialyse | |||
* 0313_324 Chronische nierinsufficiëntie eGRF 30-60 ml/min | |||
* 0313_325 Chronische nierinsufficiëntie eGF <30 ml/min | |||
* 0316_4005 Nierinsufficiëntie, | |||
<br/>Logica: 1 en 2 en (3 of 4 of 5 of 6) | <br/>Logica: 1 en 2 en (3 of 4 of 5 of 6) | ||