## Healthcare Accounting

Healthcare Accounting in Germany

by

Christoph Lohmann <20h@r-36.net>

## Why?

* Noone stepped up for a rookie talk.

* I am a family doctor in Germany, doing this all day long.

* I want to show you how things can be done really wrong.

## Daily Life

* patients come during office hours
* you do diagnosis
* home visits

## Then Comes The Beast

Bob, Evil, born XXXX-XX-XX, living at Gunther Street 2

	03004 – basic number

## Chronic Bob

Bob comes very often, so we add:

	03004
	03220 – chronic number
	03221 – chronic number on third visit

## Blood Bob

Bob needs a blood test.

	03004
	03220
	03221
	01732 – blood test
	38001
	38002
	38003 – blood exception numbers

## Home Bob

Bob needs a home visit.

	01410 – home visit
	93224 – mid-distance drive

## Emergency Home Bob

Bob needs an emergency visit at home.

	01212(XX:XX) – emergency visit at time XX:XX
	01418(XX:XX) – emergency home visit at time XX:XX
	93225 – mid-distance drive at night
	01224 – Bob got a serious disease

## Bob Got Diabetes

Bob got diabetes and gets a regular check.

	32025 – Blood sugar test.
	38004 – exception number
	D:diabetes – Diagnosis needs to be encoded at the same point.

## Bob Is In Nursing (0/1)

Bob is in a nursing home.

	1. Visit: 01413
		   93224
		   03360
		   03005
		   37102
		   32025
		   38004
		   D: diabetes

## Bob Is In Nursing (1/1)
	
	2. Visit: 01415 (emergency visit)
		   93225
		   03220
		   37112

## What Else Is There? (0/2)

* palliative care numbers

* over 75 vaccination numbers for different insurances

* different diagnostic numbers

* psychosomatic numbers

* acupuncture numbers

## What Else Is There? (1/2)

* Checks
	* Times per number
		* daily budget
		* quarterly budget
	* Exclusions
		* per day
		* per quarter
		* per year
	* obligatory number tasks
	* facultatory number tasks
	* different ratios and quotas of number per patient total
	* quotas, quotas, quotas

## What Else Is There? (2/2)

* different accounting system for youth checks

* different accounting for private system

* different accounting system for work accidents

* different accounting system for court work

* different accounting for reports

And all of them have caveats like presented in one system.

## Who wants to become a doctor in Germany now?

Do you want to become a doctor in Germany?

Always inquire me at:

	Christoph Lohmann <20h@r-36.net>

## Anyone has questions?

Questions?

## Thanks

Thanks for listening to this boring talk!

## Contact

Christoph Lohmann <20h@r-36.net>

Or: __20h__ on #bitreich-en on Freenode