DBC met onbevoegde regie-/hoofdbehandelaar per verzekeraar (N1826): verschil tussen versies

De hoofdbehandelaars in de (gespecialiseerde GGZ) zijn BIG-geregistreerd en hebben een GGZ-specifieke opleiding gevolgd te weten: psychiater, klinisch psycholoog, klinisch neuropsycholoog, psychotherapeut, specialist ouderengeneeskunde, verslavingsarts in profielregister KNMG, klinisch geriater, verpleegkundig specialist GGZ en GZ-psycholoog. De Minister heeft deze beroepen aangewezen als hoofdbehandelaar&nbsp;(bron:&nbsp;<span style="line-height: 18.9090900421143px;">BELEIDSREGEL BR/CU-5111 (p.2),&nbsp;</span>NADERE REGEL NR/CU-556&nbsp;(p.3)).

<br/>'''Bevoegde hoofdbehandelaren gespecialiseerde&nbsp;GGZ 2015&nbsp;'''<span style="line-height: 20.7999992370605px;">(bron: WMG-overkomsten 2015)</span>''':'''

{| border="1" cellspacing="1" cellpadding="1" style="line-height: 18.9090900421143px; width: 1088px;" align="center"

| style="width: 410px;" | '''Beroep'''

| style="width: 118px;" | '''CONO-code'''

| style="width: 62px; text-align: center;" | '''Achmea'''

| style="width: 60px; text-align: center;" | '''CZ'''

| style="text-align: center;" | '''DSW'''

| style="text-align: center;" | '''MENZIS'''

| style="text-align: center;" | '''MULTIZORG'''

| style="text-align: center;" | '''VGZ'''

| <span style="font-size: 10pt; line-height: 15.3333330154419px; font-family: Arial, sans-serif;">MB.SP.psych</span><br/>

| style="text-align: center; width: 62px;" | X

| style="text-align: center; width: 3px;" | X

| style="text-align: center;" | X

| style="text-align: center;" | X

| style="text-align: center;" | X

| style="text-align: center;" | X

| <span style="font-size: 10pt; line-height: 15.3333330154419px; font-family: Arial, sans-serif;">PB.SP.klinps</span><br/>

| style="text-align: center; width: 62px;" | X

| style="text-align: center; width: 3px;" | X

| style="text-align: center;" | X

| style="text-align: center;" | X

| style="text-align: center;" | X

| style="text-align: center;" | X

| <span style="font-size: 10pt; line-height: 15.3333330154419px; font-family: Arial, sans-serif;">Klinisch neuropsycholoog</span><br/>

| <span style="font-size: 10pt; line-height: 15.3333330154419px; font-family: Arial, sans-serif;">PB.SP.klinneurops</span><br/>

| style="width: 62px;" | <br/>

| style="text-align: center; width: 3px;" | <br/>

| <span style="font-family: Arial, sans-serif; font-size: 13.3333330154419px; line-height: 15.3333330154419px; text-align: center;">&nbsp; &nbsp; &nbsp; X</span><sup style="font-family: Arial, sans-serif; line-height: 15.3333330154419px; text-align: center;">1<span style="background-color:#D3D3D3;">,8</span></sup><br/>

| style="text-align: center;" | <br/>

| style="text-align: center;" | <span style="font-family: Arial, sans-serif; font-size: 13.3333330154419px; line-height: 15.3333330154419px; text-align: center;">X</span><sup style="font-family: Arial, sans-serif; line-height: 15.3333330154419px; text-align: center;">1</sup><br/>

| <span style="font-size: 10pt; line-height: 15.3333330154419px; font-family: Arial, sans-serif;">Psychotherapeut</span><br/>

| <span style="font-size: 10pt; line-height: 15.3333330154419px; font-family: Arial, sans-serif;">PT.BG.psth</span><br/>

| style="text-align: center; width: 62px;" | X

| style="text-align: center; width: 3px;" | X

| style="text-align: center;" | X

| style="text-align: center;" | <span style="text-align: center; font-family: Arial, sans-serif; font-size: 13.3333330154419px; line-height: 15.3333330154419px;">X</span><sup style="text-align: center; font-family: Arial, sans-serif; line-height: 15.3333330154419px;">1</sup><br/>

| style="text-align: center;" | X

| style="text-align: center;" | X

| <span style="font-size: 10pt; line-height: 15.3333330154419px; font-family: Arial, sans-serif;">Specialist ouderengeneeskunde</span><br/>

| <span style="font-size: 10pt; line-height: 15.3333330154419px; font-family: Arial, sans-serif;">MB.SF.sger/MB Sp.Oud</span><br/>

| style="width: 62px;" | <br/>

| style="text-align: center; width: 3px;" | <br/>

| <span style="line-height: 18.9090900421143px; text-align: center;">&nbsp; &nbsp; &nbsp;&nbsp;</span><span style="font-family: Arial, sans-serif; font-size: 13.3333330154419px; line-height: 15.3333330154419px; text-align: center;">X</span><sup style="font-family: Arial, sans-serif; line-height: 15.3333330154419px; text-align: center;">1,2</sup><br/>

| style="text-align: center;" | <span style="font-size: 10pt; line-height: 15.3333330154419px; font-family: Arial, sans-serif;">X^1,2</span><br/>

| style="text-align: center;" | X²

| <span style="font-size: 10pt; line-height: 15.3333330154419px; font-family: Arial, sans-serif;">Verslavingsarts in profielregister KNMG</span><br/>

| <span style="font-size: 10pt; line-height: 15.3333330154419px; font-family: Arial, sans-serif;">MB.SF.vslarts</span><br/>

| style="text-align: center; width: 62px;" | <span style="line-height: 18.9090900421143px; text-align: center;">&nbsp;X</span><sup style="line-height: 18.9090900421143px; text-align: center;">1</sup><br/>

| style="text-align: center; width: 3px;" | <br/>

| <span style="line-height: 18.9090900421143px; text-align: center;">&nbsp; &nbsp; &nbsp; X</span><sup style="line-height: 18.9090900421143px; text-align: center;">1,3</sup><br/>

| style="text-align: center;" | X^1,3

| style="text-align: center;" | X³

| <span style="font-size: 10pt; line-height: 15.3333330154419px; font-family: Arial, sans-serif;">Klinisch geriater</span><br/>

| <span style="font-size: 10pt; line-height: 15.3333330154419px; font-family: Arial, sans-serif;">OV.SP.kger</span><br/>

| style="width: 62px;" | <br/>

| style="width: 3px; text-align: center;" | <br/>

| <span style="line-height: 18.9090900421143px; text-align: center;">&nbsp; &nbsp; &nbsp; X</span><sup style="line-height: 18.9090900421143px; text-align: center;">1,2</sup><br/>

| style="text-align: center;" | X^1,2

| style="text-align: center;" | X²

| <span style="font-size: 10pt; line-height: 15.3333330154419px; font-family: Arial, sans-serif;">Verpleegkundig specialist GGZ</span><br/>

| <span style="font-size: 10pt; line-height: 15.3333330154419px; font-family: Arial, sans-serif;">VB.SP.vrplsp</span><br/>

| style="text-align: center; width: 62px;" | <br/>

| style="text-align: center; width: 3px;" | <br/>

| style="text-align: center;" | <br/>

| style="text-align: center;" | X^{1<span style="background-color:#A9A9A9;">,7</span>}

| style="text-align: center;" | <br/>

| style="text-align: center;" | <span style="line-height: 18.9090900421143px; text-align: center;">X</span><sup style="line-height: 18.9090900421143px; text-align: center;">1</sup>

| <span style="font-size: 10pt; line-height: 15.3333330154419px; font-family: Arial, sans-serif;">GZ-psycholoog</span><br/>

| <span style="font-size: 10pt; line-height: 15.3333330154419px; font-family: Arial, sans-serif;">PB.BG.gzpsy</span><br/>

| style="text-align: center; width: 62px;" | X¹

| style="text-align: center; width: 3px;" | <br/>

| style="text-align: center;" | <span style="line-height: 18.9090900421143px; text-align: center;">X</span><sup style="line-height: 18.9090900421143px; text-align: center;">1</sup><br/>

| style="text-align: center;" | <span style="background-color:#FFFFFF;">X</span>^{<span style="background-color:#FFFFFF;">1,</span><span style="background-color:#FF0000;">6</span>}

| style="text-align: center;" | <br/>

| style="text-align: center;" | <span style="line-height: 18.9090900421143px; text-align: center;">X</span><sup style="line-height: 18.9090900421143px; text-align: center;">1</sup><br/>

| style="text-align: center; width: 62px;" | <br/>

| style="text-align: center; width: 3px;" | <br/>

| style="text-align: center;" | <br/>

| style="text-align: center;" | <br/>

| style="text-align: center;" | <br/>

| style="text-align: center;" | <span style="text-align: center; color: rgb(0, 0, 0); font-family: Arial, sans-serif; font-size: 12.6666669845581px; line-height: 14.5666675567627px;"><span style="background-color:#FF0000;">X</span></span><sup style="text-align: center; color: rgb(0, 0, 0); font-family: Arial, sans-serif; line-height: 14.5666675567627px;"><span style="background-color:#FF0000;">1,9</span></sup><br/>

| style="text-align: center; width: 62px;" | <br/>

| style="text-align: center; width: 3px;" | <br/>

| style="text-align: center;" | <br/>

| style="text-align: center;" | <br/>

| style="text-align: center;" | <br/>

| style="text-align: center;" | <span style="text-align: center; color: rgb(0, 0, 0); font-family: Arial, sans-serif; font-size: 12.6666669845581px; line-height: 14.5666675567627px;"><span style="background-color:#FF0000;">X</span></span><sup style="text-align: center; color: rgb(0, 0, 0); font-family: Arial, sans-serif; line-height: 14.5666675567627px;"><span style="background-color:#FF0000;">1,9</span></sup><br/>

| <span style="font-size: 9.5pt; line-height: 14.5666675567627px; font-family: Arial, sans-serif; color: black; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;">MB.BG.basis</span><br/>

| style="text-align: center; width: 62px;" | <br/>

| style="text-align: center; width: 3px;" | <br/>

| style="text-align: center;" | <br/>

| style="text-align: center;" | <span style="line-height: 18.9090900421143px; text-align: center;"><span style="background-color:#FF0000;">X</span></span><sup style="line-height: 18.9090900421143px; text-align: center;"><span style="background-color:#FF0000;">1,4</span></sup><br/>

| style="text-align: center;" | <br/>

| style="text-align: center;" | <br/>

⁶&nbsp;<span style="line-height: 20.7999992370605px;">&nbsp;Ook indien werkzaam als&nbsp;GZ-psycholoog in opleiding</span>

^8&nbsp;<span style="line-height: 20.7999992370605px;">&nbsp;Alleen voor DSM-stoornissen als gevolg van een hersendysfunctie</span>

^9&nbsp;<span style="line-height: 20.7999992370605px;">&nbsp;Alleen voor adolescenten: 18 t/m 23 jaar</span>

<br/><span style="color: rgb(0, 0, 0); font-family: sans-serif; font-size: 12.6999998092651px; line-height: 19.0499992370605px;">Elke factuur dient in ieder geval de AGB-code en het beroep van de hoofdbehandelaar te bevatten. Indien de hoofdbehandelaar in de fase van behandeling een andere hoofdbehandelaar is dan in de fase van de diagnose, dan moet ook de AGB-code van de tweede hoofdbehandelaar en diens beroep op de factuur vermeld worden&nbsp;(bron: NADERE REGEL NR/CU-556&nbsp;(p.18)).</span>