Services and benefits dictionary management covered by contracts with NFZ

Services and benefits dictionary management covered by contracts with NFZ

The "NFZ services" functionality from the "Dictionaries" submenu in "NHF" menu is used to manage dictionaries of benefits contained in agreements with the NFZ. After selecting this functionality there is displayed a list of agreements with the NFZ.

Agreements are divided into years (agreement from consecutive years are available in separate tabs). For each agreement there is displayed the "Select" button, which when pressed displays a list of benefits contained in the agreement.

Because the list of services results directly from the agreement with the NFZ, it is not possible to add and remove services, and editing data of services that are included in the agreement. However, it is to possible to supplement data of each service with shortcut, the ministerial code of provision, default ICD-9 code and emphasis color. To some benefits, the system automatically assigns ministerial codes of provisions and default ICD-9 codes itself, but you can modify them. At each provision there is available the "Edit" button allows you to view the data form of provision.

After entering to the form the ministerial code of benefit, shortcut, the default code of medical procedure and emphasis color (these fields are not mandatory) save your changes by clicking "Save" button. If the benefit will be assigned with a ministerial code of benefit and default code of procedure, then in the form of data of service, after specifying code of this benefit, the ministerial code of provision and code of medical procedure will be filled automatically. The shortcut may be used in the form of data of service while entering code of service - entering shortcut, the system will prompt code of provision (service) bearing the shortcut. If the emphasis color is defined, then in the schedule of planned visits and in the doctor's office, visits with a given service will be marked with this color (in the case of scheduled visits, the distinction applies to the service assigned initially by registration, in the case of completed visits, the distinction applies to the service assigned while coding visits). Defining a emphasis color for a service with a given code means that services with the same code from all contracts with the National Health Fund will be distinguished with the same color. If the service has a emphasis color assigned to it and you want to remove it, check the "no emphasis" box. In the case of POZ, entering a synonym for the service name will cause that the registrar in the visit planning process and the doctor in the surgery room in the process of handling the visit will display the given synonym instead of the name from the contract. In addition, in POZ you can indicate that a given service is to be invisible to the doctor on the selection list in the surgery room and for registration on the selection list in the visit planning process or that it is to be visible only in clinics with specific specialties for the doctor in the surgery room and for registration in the planning process visits (if none of the specialties is selected, then the service will be visible to all clinics - if the service is to be invisible to all clinics, then the "Invisible to doctor / registration" option should be selected). In the case of ASDK, the default code of the ICD-9 procedure is additionally used to suggest to the doctor in the surgery room a service that matches the procedure performed by the doctor (the system displays to the doctor on the selection list only those services that match the procedures performed by him and those for which the NFZ services dictionary no default routine code has been assigned). If in the ASDK there is a situation where a certain service corresponds to more than one default procedure code, these codes should be entered in the field "Other ICD-9 procedure codes" separated by commas.