In-Patient Reimbursement

Executive Summary

  • For in-patients, a fee-per-case system is applied throughout the country, based on the German Diagnosis Related Groups (G-DRG) scheme
  • Reimbursement for medical devices used on in-patients is subject to a proviso that new, innovative medical therapies may be applied as long as they comply with quality standards, are cost-effective and that they have adequate coding options
    • This makes the system very innovation-friendly because it allows rapid application of innovative medical devices in clinical practice. This has paved the way for making medical care in German hospitals some of the most innovative in the world
  • If one or all of these preconditions fail to be met, specific applications (OPS; DRG and/or NUB applications) can be made at the institutes responsible for the DRG coding and coverage, which are the German Institute of Medical Documentation and Information (DIMDI) and the Institute for the Hospital Remuneration System (InEK)