Text file: 9495.txt
author: bmozin
downvotes: 4
end consideration date: 2018-10-26
id: '9495'
number comments: 6
number views: 1330
proposal type: Competent authority response
response: "Response from the Ministry of Health\nWe would like to clarify that Article\
  \ 25 of the Law on Patients' Rights regulates the information of the patient about\
  \ the costs. If the patient pays for part or all of the healthcare service himself,\
  \ the healthcare provider shall provide the patient with prior written information\
  \ on the estimated costs of the healthcare service. After the health service has\
  \ been provided, the patient shall receive an invoice for the health services provided\
  \ and the medicines and medical devices used. If the patient does not pay for the\
  \ healthcare service himself, the healthcare provider shall inform the patient after\
  \ the healthcare service has been provided of the bill, specified by individual\
  \ healthcare service, the medicines and medical devices used. At the patient's request,\
  \ the healthcare provider shall explain the bill to the patient. It follows from\
  \ the above that if the patient does not pay for the health service provided, he/she\
  \ does not receive an invoice, but is informed of the health services charged to\
  \ the Health Insurance Fund.\nWe would also add that the annual General Agreement\
  \ also regulates the specification to be issued to patients in the individual activities.\
  \ Thus, the General Agreement for the contractual year 2018 stipulates that, upon\
  \ completion of specialist outpatient and inpatient treatment, providers shall issue\
  \ to the insured person a specification of the services rendered and charged to\
  \ the Health Insurance Fund (ZZZS), with a minimum set of data also being specified.\
  \ In accordance with the provisions of the General Agreement, providers of dentistry\
  \ and physiotherapy, as well as providers of patronage and home care, shall issue\
  \ to the insured persons a specification of the services rendered and charged to\
  \ the Health Insurance Fund, exclusively on the basis of a request from the insured\
  \ person.\nWe consider that the proposal to issue an invoice or a statement of charges\
  \ for each healthcare service is reasonable from the point of view of establishing\
  \ an additional system of control over the healthcare services charged to the payer\
  \ of the compulsory health insurance, ZZZS, and we would add that the regulation\
  \ of the system is also necessary from the point of view of the tax legislation.\
  \ In January 2018, the Ministry of Health and the Ministry of Finance agreed on\
  \ the basis for the regulation of the invoicing of health care providers for a transitional\
  \ period until 31 December 2019 (attached). Due to the specificities of the financing\
  \ arrangements for health services and programmes in the compulsory health insurance\
  \ system, it is necessary to first implement systemic changes in the area of health\
  \ financing (as set out in the letter in the Annex), which will make it possible\
  \ to ensure that the patient is invoiced for each service provided.\nWe would also\
  \ like to clarify that every citizen can already now consult the services provided\
  \ under the compulsory health insurance on the website of the Health Insurance Fund\
  \ (Access to the website for insured persons \u2192 e-Services of the Health Insurance\
  \ Fund \u2192 Access to my data) with a valid digital certificate.\n "
response date: 2018-11-20
response due date: null
sent date: 2018-10-05
title: Issue of invoices or statements of charges for each healthcare service
upvotes: 14
url: https://predlagam.vladi.si/predlog/9495
