Thecodes to be used in 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”.
Forfait 1: Preoperative phase
Pseudocode | Description | Tariff | Personal share patient non-preferential rate | Personal share patient preferential rate |
567372 | Intake of the patient (one time only) | 30,65 EUR | 0 EUR | 0 EUR |
This includes the pre-operative education and anamnesis of the patient by the physiotherapist of his choice.
Forfait 2: Mobile application
Pseudo-code | Description | Tariff | Personal share patient non–pref rate | Personal share patient pref. rate |
567394 | Digital monitoring before and during hospitalisation (one time only) | €60 | €4,11 | €11,88 |
! Can only be attested in combination with Forfait 1 | ||||
567416 | Digital 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 | ||||
567431 | Digital 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 | ||||
567453 | Provision 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:
- 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).
- 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)
- 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
Pseudo-code | Description | Tariff | Personal share patient non–pref rate | Personal share patient pref. rate |
567593 | Treatment 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 | ||||
567615 | Treatment 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 | ||||
567630 | Treatment 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 |
Hip arthroplasty
Pseudo-code | Description | Tariff | Personal share patient non–pref rate | Personal share patient pref. rate |
567770 | Treatment 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 | ||||
567792 | Treatment 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 | ||||
567814 | Treatment 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 |