#SFHU2616319SFrance updates reimbursed nursing acts and child-care surcharge
AI-generated summary for informational purposes only. Not legal advice. See the original source for the authoritative text.
The decision updates France’s health insurance reimbursement rules for nursing care. Nurses will be able to apply a specific MIE surcharge when treating patients under 7 years old. It also adjusts billing rules for wound dressings and home monitoring. Prescriptions for dressings that say “until healing” will be accepted for up to three months, unless the doctor sets a different duration, and some nursing acts are reclassified, replaced, or removed from the reimbursement schedule.
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Key Changes
- Adds an MIE surcharge for nursing care provided to patients under 7 years old
- Allows wound-dressing prescriptions marked “until healing” to be used for up to three months unless the doctor specifies another period
- Updates reimbursement codes and billing rules for wound dressings and home medication monitoring, and removes some nursing act entries
Obligations
What this law requires
When an infirmier provides nursing care to a patient under 7 years old, the care gives rise to application of the MIE surcharge.
For dressing-care prescriptions stating “until healing” or equivalent wording, nurses may treat the prescription as valid for a maximum care duration of three months unless the physician specifies a different duration.
If a physician specifies a duration for dressing care in the prescription, that specified duration is binding on the nurse.
For common dressings, nurses must use the updated AMI billing classifications for non-surgical wounds and simple surgical wounds, each with coefficient 2.02 and letter key AMI.
During the same session, home monitoring acts billed under AMI in Article 10 may not be cumulated with each other.