The organization of healthcare

RIZIV recognition number: 25014102

How well do you, as a general practitioner, know the system in which you work? Rules regarding reimbursement, forms, and medical registration often remain abstract. This course provides clarity and offers practical tools to navigate the healthcare system more smoothly.

You will gain insight into the operations and competencies of RIZIV. Subsequently, you will discover how health insurance funds are organised, including the role they play within the reimbursement system. It will be explained how reimbursements are processed, which systems exist for this, and what the effect is of measures such as increased reimbursement and the maximum bill. Furthermore, concepts such as conventioning, nomenclature, and official descriptions of medical care will be clearly explained.

Subsequently, the importance of echeloning will be highlighted. The global medical record and the shared pharmaceutical record will be placed in their context. The course also covers the basics of medical registration, with attention to the minimal data collected in various healthcare domains. Finally, you will gain insight into how medicines find their way into practice. The course explains how they are developed and recognised, including how reimbursement is established.

After just 60 minutes, you will possess the knowledge to navigate the healthcare system with greater confidence.