Convention study pseudocodes

The pseudocodes to be used during the convention are mentioned in the “Agreement between the Insurance Committee of the Medical care service of Riziv, the physiotherapists and accredited nursing establishments for the reimbursement of the rehabilitation of patients before and after primary knee or hip arthroplasty with hip arthroplasty with a mobile application”.

This agreement is signed by the hospital and is available in Dutch and French on the RIZIV website.

The forfaits cannot be combined, during the same period, with codes provided for in Articles 7 and 22 of the nomenclature or with the tele-benefits provided for in Article 13 of Royal Decree No 20 of 13 May 2020 for rehabilitation following primary knee or hip arthroplasty.

The physiotherapist may not add any supplements to these forfaits during the entire pre- and postoperative care process.
Click here for more info on the cumul prohibition and what happens in case of early termination of rehabilitation with moveUP

Forfait 1: Preoperative phase

PseudocodeDescriptionTariffPersonal share patient non-preferential ratePersonal share patient preferential rate
567372
Intake of the patient (one time only)
30,65 EUR0 EUR0 EUR

This includes the pre-operative education and anamnesis of the patient by the physiotherapist of his choice.

Forfait 2: Mobile application

This forfait is meant for moveUP (not a medical act, but forfait for the app). It has to be attested together with F1 and F3 (the medical act). moveUP will invoice the physiotherapist claiming F1 and F3.

Pseudo-codeDescriptionTariffPersonal share patient nonpref ratePersonal share patient pref. rate
567394Digital monitoring before and during hospitalisation (one time only)€60 €4,11€11,88
! Can only be attested in combination with Forfait 1
567416Digital monitoring in the first 6 weeks after hospitalisation (per period of 2 weeks, max 3 times)€50 €4,11€11,88
! Can only be attested in combination with Forfait 3
567431Digital monitoring from the 7th to the 12th week after hospitalisation (per period of 2 weeks, max 3 times knee, 1 time hip)€35€4,11€11,88
! Can only be attested in combination with Forfait 3
! Hip: can be attested 2 times extra if medical motivation by doctor
567453Provision of a mobile communication device connected to the Internet before, during and after hospitalisation (per period
of 2 weeks)
€10€0€0
!Can only be attested in combination with the other items of Forfait 2

The digital monitoring during the hospital stay does not interfere with the treatment of the treatment of the patient in the hospital, but merely involves the digital follow-up of the  the data entered by the patient. 

This digital follow-up, provided by the mobile application, contains the following components:

  1. General
    • Manual and technical support for the use of the mobile application and platform;
    • Improvement and updating of the mobile application and platform, so that the safety and security and confidentiality of the data (transfer) remain guaranteed;
    • Informed consent of patient and healthcare provider;
    • Long-term follow-up (i.e. 3, 6 and 12 months after the operation).
  2. With regard to the healthcare provider
    • Training in the use of and access to the platform;
    • Preoperative digital evaluation to support physiotherapist and orthopaedic surgical specialist
    • Platform to provide the patient with a daily rehabilitation programme (with a combination of activities, medication and exercises) updated through the processing and analysis of objective data (e.g. via wearable measurements) and subjective data (e.g. via short questionnaire)
    • Alert function via the platform for the treating physiotherapist for referral of the patient to his surgeon or general practitioner
    • Evidence of activities (report)
  3. With regard to the patient
    • Rehabilitation accessories: mobile application and actvitiy tracker (+ mobile device for rent if necessary)
    • Preoperative education via the mobile application; 
    • Individualised treatment tailored to the patient via the mobile application, including activity (level) advice, exercises, monitoring of medication use and coaching via active monitoring of the processed and analysed data by the physiotherapist in charge. 
    • Medium for data exchange between patient and care provider via structural questionnaires, validated measurements (including range of motion, gait analysis) and the communication system. 
    • Alert function via the platform to the patient for referral to the treating physiotherapist or his GP; 

Forfait 3: Digital follow-up by physiotherapist

Forfait 3 is for the follow-up, (tele)monitoring and adjustment of the therapy. It includes:

  • all the services provided via the system as well as all services related to the rehabilitation carried out by the physiotherapist during the entire postoperative care process
  • the final report
  • This also includes the classical sessions carried out with the physical presence of the physiotherapist (obliged or on indication)

Knee arthroplasty

If the patient stops therapy before the end of the 12 weeks period for knee arthroplasty, the reason for stopping must be recorded. 

Knee Arm 2 (with physical sessions)

Arm 2: A minimum number of classical sessions with physical presence of the physiotherapist per week is required

Pseudo-codeDescriptionTariffPersonal share patient nonpref ratePersonal share patient pref. rate
567475Treatment and follow-up of the patient via the mobile application after hospitalisation for primary knee arthroplasty in the first 4 weeks after hospitalisation (per period of 2 weeks, max 2 times)€100 €6,40€17,60
! at least 1 classic session with the physical presence of the physiotherapist must take place every week
567490Treatment and follow-up of the patient via the mobile application after hospitalisation forprimary knee arthroplasty from the 5th until the 8th week after hospitalisation (per period of 2 weeks, max 2 times)€75 €5,60€15,40
! at least 1 classic session with the physical presence of the physiotherapist per 2-week period
567512Treatment and follow-up of the patient via the mobile application after hospitalisation for primary knee arthroplasty from the 9th week after hospitalisation (per period of 2 weeks, max 2 times)€57,50€5,60€15,40
! at least 1 classic session with the physical presence of the physiotherapist per 2-week period

Knee arm 3 (without physical sessions)

Arm 3: No minimum number of classical sessions with physical presence of the physiotherapist per week is required

Pseudo-codeDescriptionTariffPersonal share patient nonpref ratePersonal share patient pref. rate
567534Treatment and follow-up of the patient via the mobile application after hospitalisation for primary knee arthroplasty in the first 4 weeks after hospitalisation (per period of 2 weeks, max 2 times)€100 €6,40€17,60
567556Treatment and follow-up of the patient via the mobile application after hospitalisation forprimary knee arthroplasty from the 5th until the 8th week after hospitalisation (per period of 2 weeks, max 2 times)€75 €5,60€15,40
567571Treatment and follow-up of the patient via the mobile application after hospitalisation for primary knee arthroplasty from the 9th week after hospitalisation (per period of 2 weeks, max 2 times)€57,50€5,60€15,40

Hip arthroplasty

If the patient stops therapy before the end of the 8 weeks period for knee arthroplasty, the reason for stopping must be recorded. If the treatment takes longer than 8 weeks this should be motivated by a specialist doctor in orthopaedic surgery or physical medicine and rehabilitation

Hip Arm 2 (with physical sessions)

Arm 2: A minimum number of classical sessions with physical presence of the physiotherapist per week is required

Pseudo-codeDescriptionTariffPersonal share patient nonpref ratePersonal share patient pref. rate
567593Treatment and follow-up of the patient via the mobile application after hospitalisation for primary hip arthroplasty in the first 4 weeks after hospitalisation (per period of 2 weeks, max 2 times)€100 €6,40€17,60
! at least 1 classic session with the physical presence of the physiotherapist must take place every week
567615Treatment and follow-up of the patient via the mobile application after hospitalisation forprimary hip arthroplasty from the 5th until the 8th week after hospitalisation (per period of 2 weeks, max 2 times)€67,50 €5,60€15,40
! at least 1 classic session with the physical presence of the physiotherapist per 2-week period
567630Treatment and follow-up of the patient via the mobile application after hospitalisation for primary hip arthroplasty from the 9th week after hospitalisation (per period of 2 weeks, only for medical reasons, max 2 times)€57,50€5,60€15,40
! Can only be attested if for medical reasons the treatment requires more than 8 weeks, the reason for continuation must be registered.
! At least 1 classic session with the physical presence of the physiotherapist per 2-week period

Hip arm 3 (without physical sessions)

Arm 3: No minimum number of classical sessions with physical presence of the physiotherapist per week is required

Pseudo-codeDescriptionTariffPersonal share patient nonpref ratePersonal share patient pref. rate
567652Treatment and follow-up of the patient via the mobile application after hospitalisation for primary knee arthroplasty in the first 4 weeks after hospitalisation (per period of 2 weeks, max 2 times)€100 €6,40€17,60
567674Treatment and follow-up of the patient via the mobile application after hospitalisation forprimary knee arthroplasty from the 5th until the 8th week after hospitalisation (per period of 2 weeks, max 2 times)€67,50 €5,60€15,40
567696Treatment and follow-up of the patient via the mobile application after hospitalisation for primary knee arthroplasty from the 9th week after hospitalisation (per period of 2 weeks, max 2 times)€57,50€5,60€15,40

Updated on May 7, 2021

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