Tarmed
The Tarmed (derived from collective médical, French for doctors tariff) is the tariff for outpatient medical services in Switzerland. The agreement between the FMH and santésuisse comprises a main document with eight annexes and a supplemental agreement.
The Tarmed applies to all outpatient medical treatments in doctors' offices and hospitals. It does not apply to services in the field of dentistry, laboratory analyzes, physical and occupational therapy, speech therapy, nutrition counseling, stoma and midwifery services, services of chiropractors and services of care and hospitality. Moreover, prices indications and dosage forms and quantities of medicines and materials, tools ( MiGel ), implants and consumable materials are not regulated in Tarmed.
In Tarmed framework contract has been agreed that all invoices should be submitted electronically to payers by the service provider within two years. For the transition period a uniform billing form has been set, its use and compliance is mandatory since 1 October 2004. The invoice forms are numerous insurers electronically read by means of scanning and OCR text recognition.
The electronic invoices (also called e - billing ) are transmitted in XML format, be defined by its form and content set up by the collective bargaining forum data exchange.
Criticism
About the savings thanks to the electronic invoice submission, opinions differ; Numbers between CHF 20 million to 200 million. / Year will be passed around. However, the introduction be sluggish on both sides of the service providers (doctors, hospitals, laboratories, etc. ) as well as on the part of payers ( health insurance and insurance companies) because of numerous problems.
Other criticisms are that some common services provided were forgotten (such as urgent consultations ), and that the tariff which primary care is still much worse than specialists (although the reverse was originally intended).
In 2004, the santésuisse the Big Brother Award for the enforcement of Tarmed.