In the agreement (convention) for tele-rehabilitation RIZIV has written out some administrative obligations for the physiotherapist claiming the pseudocodes mentioned in the convention.
On this page we summarise them for you.
This administration should be done by the physiotherapist claiming F1 (for preoperative education and medical anamnesis) and F3 (for the physiotherapeutic follow-up after discharge).
The physiotherapist claiming F1 and F3 also claims the F2 on behalf of moveUP.
What are the administrative obligations during the convention?
1. Registration of reason dropout
Agreement (convention) for tele-rehabilitation RIZIV:
“If the beneficiary does not start in the postoperative care pathway and the reason for discontinuation was recorded“
“If the patient stops the treatment before the end of the 8 weeks in the case of hip arthroplasty, and before 12 weeks in case of a knee arthroplasty, the reason for stopping must be recorded.“
The reason if the patient decides he does NOT want to start with moveUP (after full preoperative education and anamnesis is performed) should be registered in the moveUP platform by the physiotherapist performing F1 (preoperative education and anamnesis).
Also when the patient wants to stop using moveUP before his or her rehabilitation is finished, the reason for this premature stop should be registered by the physiotherapist performing F3 (digital follow-up)
This reason should be recorded in via the following form
2. Notification document and prescription
Agreement (convention) for tele-rehabilitation RIZIV:
Notification of start and end date
“The physiotherapist will notify the beneficiary’s insurance body of the start and end dates of the rehabilitation with the aid of a mobile application within
within a period of 2 weeks from the start and end dates.“
Mutuality of the patient should be informed at the start + stop of moveUP with a specific notification document: you can read all about it on the RIZIV website (available in Dutch and French).
The physiotherapist performing F1 should sent the notification document to the mutuality of the patient within 2 weeks after performing F1.
The physiotherapist performing F3 when the patient stops the treatment should sent the notification document to the mutuality of the patient within 2 weeks after the stop of moveUP.
The notification document can be downloaded here:
To be practical we give the advice to the surgeon to already give the signed notification forms and the prescription to his patients during the consultation. We suggest you sign it during the F1 info session and ask the patient to sign it too and let him/her send the document to his/her mutuality (stress the importance concerning reimbursement)
3. Financial administration
The physiotherapist claiming F1 and F3 to the mutuality can either decide to do the financial administration him- or herself, or this can be done by moveUP (see below).
The tele-rehabilitation convention on the financial side contains 3 types of forfait:
- Forfait 1: For preoperative education and medical anamnesis of the patient performed the physiotherapist
- Forfait 2: For the use of the platform moveUP. These finances are for the moveUP platform. They can only be charged together with Forfait 1 and/or Forfait 3 on the same attestation. This means RIZIV asks that the physiotherapist performing the medical act has to claim the forfait 2 in the name of moveUP. moveUP has to send a monthly invoice to the physiotherapist for this forfait 2.
- Forfait 3: For the digital follow-up of the patient after discharge. This follow-up can be with or without obliged physical session depending in which group the patient is randomised.
F2 forfait can onnly be attested in combination with F1 and F3 forfaits. The F2 forfait is meant for moveUP. moveUP will send you an invoice at the end of the month for the F2 forfait.
Click here for an overview of the pseudocodes that can be charged during the convention.
As with any codes, you have 2 options to charge the pseudocodes:
- They can be claimed directly to the mutuality (3rd payer)
- They can be claimed directly to the patient. In this case, the patient pays the physiotherapist and claims part of the money back with his or her mutuality.
4. Mutuality attestation
The physiotherapist claiming F1 and F3 to the mutuality can either decide to do the attestation him- or herself, or this can be done by moveUP (see below).
Mutuality attestation for the patient has to be made. If moveUP takes care of the administration this is done at the end of the active follow-up. The attestation is send to the patient, so he can ask for reimbursement to his mutuality.
How does it work when moveUP does the administration on behalf of the physiotherapist?
The physiotherapist claiming F1 and F3 to the mutuality can either decide to do the financial and attestation administration him- or herself, or decide to outsource it to moveUP.
If you decide to let moveUP do your administration we will send the invoices to the patient on your behalf. The patient will pay moveUP and we will make an overview at the end of the month with the charges made on your behalf. We will transfer this amount to you.
If moveUP does the administration a contract between moveUP and the physiotherapist has to be signed, that gives our physiotherapists the right to make attestations on their behalf.
At the end of the month, the physiotherapist will receive an overview of the attestations made on his behalf the past month and the amount attested will be transferred to the account defined within the signed contract.