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ECOVIS AG Steuerberatungsgesellschaft Ernst-Reuter-Platz 10 10587 Berlin, Germany http://www.ecovis.com
Contact Mr Ulf Hausmann +49 30 31000854

Erste Entscheidung zur verspäteten RLV-Zuweisung

(PresseBox) (Berlin, )
Verspätete Zuweisungsbescheide der Kassenärztlichen Vereinigungen an Praxen sind nach einem Urteil des Sozialgerichts (SG) Marburg ungültig. Bei verspätetem Erlass gilt das Regelleistungsvolumen (RLV) des Vorquartals vorläufig fort, eine nachträgliche Korrektur ist nicht möglich.

Im Zuweisungsbescheid wird der Praxis ihre quartalsbezogene Obergrenze (RLV + QZV) im Hinblick auf das vertragsärztliche Honorar mitgeteilt. Nach § 87 b Absatz 5 SGB V hat diese Zuweisung einschließlich der Mitteilung der Leistungen, die außerhalb der Regelleistungsvolumina vergütet werden, spätestens vier Wochen vor Beginn der Geltungsdauer des Regelleistungsvolumens zu erfolgen. Die Zuweisungsbescheide für das Quartal 3/2010 mussten damit spätestens am 3. Juni 2010 erlassen werden.

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