The ASHIPs not only check the data structure of individual invoices from healthcare providers and verify the content and calculations, but also the overall fee of the healthcare providers. There are, of course, various regulations and contractual stipulations which must be taken into consideration – such as specialist subdivisions, practice composition, budgeting, reductions, standard service volumes, point values, healthcare groups, additional contractual agreements, etc.
The basis in this case is the Fee Allocation Criteria (FAC). Alongside the actual calculation of amounts to be paid to the individual healthcare providers, it is the reporting of these complex invoices which plays an important role. A range of information packs in graphic and written form must be prepared for the healthcare providers, health insurance companies, ASHIPs and others.
KV.net 2 is very flexible – the workflow can be adapted and configured to individual needs, allowing optimum integration of the software into the work processes of each health insurance company. In KV.net 2 no manual changes are necessary, apart from the individual adjustments for accounting activities and reports. Basically, a “Part 2” invoice could be started - and implemented - with one click.