In order to favor the access to the cares and to take into account, in the framework of the journey of cares coordinated, their engagement in the coordination of the realized cares to mastered tariffs, this option of coordination is proposed: to the nonspecialized doctors and specialists that are authorized to practice of the honorary different one or tenured of a permanent right.
Engagements of the adhesive general medical billing software practice
For the acts clinics that it carries out, the general practitioner is involved himself to apply, for the patient that enters in the journey of coordinated cares, the tariffs opposables such as described above. For the technical acts that it carries out, the adhesive doctor to the option is involved itself to practice with tact and measures mastered passing, for the patient that enters into the journey of coordinated cares, applicable by billed and put a ceiling on act to 15% of the tariffs opposables. This ceiling will be, if need be, decline by specialty and by region, in the respect of the national supervision.
These passing are not applicable in case of consultation in medically justified urgency, or when the general practitioner receives a child of less than 16 years. For the technical acts, the doctor will have to respect an honorary ratios without passing on honorary equal total or superior to 30%, with for basis the inter-system national systems of the professional of electronic health records (EHRs). For the acts clinics, the doctor will have to respect an honorary ratios without passing on honorary equal total or superior to 30%, with for basis the snir-ps.
At last, for the patients of age less than 16 years that the consult, the adhesive general practitioner is involved himself to respect the tariffs opposables; it profits in this framework of the foreseen increase to the point 7,6 of the present convention.
Advantages conferred by the coordination option
When it receives a patient, in coordinated or specific access, for repeated cares and proceeds to a information return to the treating doctor, the adhesive general practitioner applies the coordination increase defined to the point. The disease insurance takes charge of a part of the social contributions of the adhesive general practitioner. This taken charge of applies on the party of the activity of the adhesive general practitioner billed in tariffs opposables, according to the exposed methods in annex 8,3. On this party, the rates of take charge of are equivalent to those of the general practitioners exercising in the sector to honorary opposables.
The parties are involved themselves besides to study the methods of adaptation of the option of coordination so to take into account the problematic ones linked to the access to the cares to the tariffs opposables in certain loss-making zones in care offer. The doctor formalizes his adhesion to the coordination option by the bias of a form (models in annex of the convention) that it addresses to the cash register of the place of establishment of his office principal by recommended letter with reception accused. Without response of the cash register in the months following the reception form, the adhesion is renowned obtained.
The adhesion is valid five years to count of the date back to recording by the cash register of the adhesion and in the limit of the length of the presents convention. If the cash register notes the non-respect of its engagements by the adhesive general practitioner, she informs it by recommended letter with accused of reception of the facts that are reproached him. The doctor has access to one delay of a months to count reception of the mail to make known its observations. To the coming from this delay, the cash register can notify to the general practitioner the end of his adhesion to the option by recommended letter with reception accused. The cash register stops from that time immediately the payment of his participation to the social contributions and can recover with the doctor versed down payments to the title of the year in course. If need be, the cash register will equally be able to proceed to an action in recuperation of the sums unduly versed.
The doctor can put an end to his adhesion to the option at any moment; it in informs the cash register of the place of establishment of his office principal by recommended letter with reception accused. The decision of the doctor takes effect three months to count reception of the letter by the cash register.
The parties suit to proceed to an annual evaluation of the optional device. This evaluation will be followed by the commission parietal national. The UNCAM takes act of the wish of the medical records unions to imply the representatives of the administrators of the private establishments of health systems (EHR system)in which these exercise the liberal doctors, notably those of which it specialty and the practice necessitate heavy technical plateaus. The conventional partners suit in addition to study the timeliness to create an option conventional, understanding a notebook of the loads and methods of evaluation, relating to this exercise specific.
The signatories agree on the other hand to finalize the methods of implement, for what the concern, relief of decisions relating to liberal surgery of August 24 2004.