title: [Development of a claim form for the initiation of post-treatment rehabilitation for nationwide use by all reimbursement agencies: a report and plea for reducing administrative barriers].
abstract: We describe the results of a survey of claim forms that are used when starting rehabilitation following inpatient treatment and of an evaluation of a claim form developed on the basis of the results. The survey of different existing forms shows a high overlapping in content, suggesting the possibility of unification to one claim form that can be accepted by all insurers. In analogy to the Delphi method criteria for evaluation were consented and applied by the author group to assess the relevance of the claim forms content items for the process of initiating rehabilitation. A group of further experts added their evaluations. We prioritised the results and extracted the essential contents to conceive a unified claim form eligible for all types of rehabilitation. The claim form was discussed in 3 focus groups, revised accordingly and tested in the Hannover Medical School. Test results show that all relevant information is asked for and that the form is well manageable. The users' request for an IT-based solution and further ideas for improvement were integrated into the revised and validated version of the claim form. It is now available for all stake holders, in particular for insurers, as a means to improve quality of care and efficiency by standardisation of rehabilitation claim forms.
authors.affiliation: Klinik für Rehabilitationsmedizin, Medizinische Hochschule Hannover, Hannover.
authors.forename: C
authors.initials: C
authors.lastname: Egen
authors.affiliation: Ressort Krankenversorgung, Medizinische Hochschule Hannover, Hannover.
authors.forename: K
authors.initials: K
authors.lastname: Ballüer
authors.affiliation: Sozialdienst, Medizinische Hochschule Hannover, Hannover.
authors.forename: I
authors.initials: I
authors.lastname: Wilhelm
authors.affiliation: Direktion Hannover Gesundheitsmanagement stationär, AOK Niedersachsen, Hannover.
authors.forename: H-J
authors.initials: HJ
authors.lastname: Lindner
authors.affiliation: Direktion Hannover Gesundheitsmanagement stationär, AOK Niedersachsen, Hannover.
authors.forename: D
authors.initials: D
authors.lastname: Gaedtke
authors.affiliation: Direktion Hannover Gesundheitsmanagement stationär, AOK Niedersachsen, Hannover.
authors.forename: H
authors.initials: H
authors.lastname: Klein
authors.affiliation: Ärztliche Leitung, MDK Niedersachsen, Hannover.
authors.forename: W
authors.initials: W
authors.lastname: Seger
authors.affiliation: Medizinischer Dienst der Krankenversicherungen in Niedersachsen, Geschäftsbereich Consulting, Hannover.
authors.forename: D
authors.initials: D
authors.lastname: Rohland
authors.affiliation: Klinik für Rehabilitationsmedizin, Medizinische Hochschule Hannover, Hannover.
authors.forename: N
authors.initials: N
authors.lastname: Schenke
authors.affiliation: Klinik für Rehabilitationsmedizin, Medizinische Hochschule Hannover, Hannover.
authors.forename: C
authors.initials: C
authors.lastname: Gutenbrunner
mesh_terms: D000359:Aftercare / Q000592:standards*; D004282:Documentation; D005568:Forms and Records Control / Q000592:standards*; D005858:Germany; D007344:Insurance Claim Reporting / Q000592:standards*; D007345:Insurance Claim Review / Q000592:standards*; D007349:Insurance, Health, Reimbursement / Q000592:standards; D017410:Practice Guidelines as Topic; D011996:Records / Q000592:standards*; D012046:Rehabilitation / Q000592:standards*