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Außergerichtliche Gutachtenerstellung in Praxis- und Klinikalltag

Physicians are often confronted with the task of having to answer queries from various authorities and insurance companies. In order to avoid errors and for effective processing it is necessary to consider the different framework and legal conditions that are applicable. A comparison between statuto...

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Detalles Bibliográficos
Autores principales: Heufelder, M., Klemm, H.‑T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2020
Materias:
CME
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7553379/
http://dx.doi.org/10.1007/s12285-020-00272-4
Descripción
Sumario:Physicians are often confronted with the task of having to answer queries from various authorities and insurance companies. In order to avoid errors and for effective processing it is necessary to consider the different framework and legal conditions that are applicable. A comparison between statutory and private insurance queries on accidents, disabilities and pensions reveals decisive differences in the appraisal of available findings as well as in their later evaluation. Even in the issuing of certification of incapacity to work in the statutory and private contexts or in insurance letters on medical necessity and in billing questions, there are differences which the physician should know and take into account. If private expert opinions are required importance should be placed on the neutral and objectively founded examination of the contested facts and circumstances.