🇩🇪Germany

Strafen bei falscher DRG-Tarifladung

1 verified sources

Definition

Add-on payments and deductions/penalties negotiated individually or at state/federal level to impact hospital behavior, tied to accurate DRG application[1].

Key Findings

  • Financial Impact: 0.5-2% DRG-Revenue-Kürzung (€50.000+ p.a.)
  • Frequency: Bei Audit oder Budgetprüfung
  • Root Cause: Fehlerhafte Integration verhandelter Tarife in Abrechnung

Why This Matters

This pain point represents a significant opportunity for B2B solutions targeting Hospitals.

Affected Stakeholders

DRG-Manager, Interne Revision

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Financial Impact

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Current Workarounds

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Methodology & Sources

Data collected via OSINT from regulatory filings, industry audits, and verified case studies.

Evidence Sources:

Related Business Risks

Falsche Abrechnung durch fehlerhafte Gebührensätze

1-2% Budgetverlust pro Jahr (typisch €100.000+ für Mittelstandsklinik)

Verzögerte Zahlungen durch Schiedsverfahren

3-6 Monate verzögerte Zahlungen (€50.000+ pro Streitfall)

Verhandlungsstau und Personalblockaden

200-400 Stunden/Jahr à €100/h (€20.000-40.000 Overhead)

Verpasste OPS-Codes und DRG-Unterabrechnung

2-5% revenue loss per year from unbilled procedures; €100,000+ annually for mid-sized hospitals

Administrative Overhead durch Dokumentationszeit

€50-100/Stunde; 10-15 Stunden/Woche pro Arzt → €20,000-50,000/Jahr pro FTE

Kapazitätsverlust durch Dokumentationsengpässe

20-30% Kapazitätsverlust; €200-500 pro Bett/Tag idle

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