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Problems most frequently solved by revision physicians in relation to prescription of medical devices for physically disabled individuals


Authors: E. Tyblová
Authors‘ workplace: Odbor kontroly a revize zdravotní péče, ředitelka MUDr. Zdeňka Salcman Kučerová, MBA ;  Všeobecná zdravotní pojišťovna ČR, Praha
Published in: Reviz. posud. Lék., 19, 2016, č. 1, s. 5-9
Category:

Overview

The problem of evaluating medical devices for physical­ly disabled individuals from the standpoint of revision physician is often complicated by insufficient specification and substantiation of the demand. Insufficient information of the physicians about medical devices may participate in this kind of imperfection. The paper characterizes individual types of medical devices for physically disabled individuals and outlines most frequent common fallacies and shortcomings in requirement for compensation or reimbursement of these medical devices. The following concepts are outlined: minimal time of utility, recondition ability of medical devices, and loan contract. The meaning and advantages of the revision technician functions as a member of the assessment and controlling team is explained.

Keywords:
medical devices – centralized assessment by revision physician – shortcomings in applications for reimbursement – minimal utility time – loan contract – revision technician – methodical and educational activities of revision physicians of General Insurance Company of the Czech Republic


Sources

1. Úhradový katalog VZP-ZP.

2. Číselník Svazu zdravotních pojišťoven.

3. Zákon č. 48/1997 Sb., o veřejném zdravotním pojištění.

4. Zákon č. 268/2014 Sb., o zdravotnických prostředcích.

Labels
Medical assessment Occupational medicine
Topics Journals
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