Hospitals are complex economic enterprises that are subject to considerable cost pressure due to the limited resources of the health care system and, at the same time, have to meet ever higher legal requirements in order to avoid additional economic sanctions.

In addition to the demands on staffing and equipment (e.g. through nursing staff floors and structural characteristics), hospitals must always comply with the requirements of the legislator on the quality of treatment and the corresponding specifications of the self-administration (e.g. minimum quantity regulations and quality management guideline). If the relevant criteria are not met, the service providers are threatened with remuneration reductions and further sanctions, up to and including removal from the hospital plan.

In addition, the time available for patient care is reduced by bureaucratic tasks such as documentation and billing audits by the Medical Service. Billing disputes, audit quotas and surcharge payments continue to put economic pressure on hospitals.

In this challenging environment, SKALING offers customised solutions for complex case scenarios so that you can implement your plans and concentrate on the care of your patients. We advise you individually with comprehensive expertise. From Hamburg and Berlin - nationwide.

We advise service providers in inpatient care in particular on:

  • Hospital planning law (inclusion in the hospital plan, conclusion of supply contracts)

  • Hospital financing law (remuneration of inpatient and outpatient services, DRG billing, cost unit disputes, structural feature audits)

  • GBA guidelines (minimum volume regulations, MD quality control guidelines, centre regulations, guidelines on examination and treatment methods in hospitals)

  • New examination and treatment methods (NUB, NUB charges)

  • Optional service agreements and billing of optional medical services according to GOÄ

  • Co-operation with service providers in private practice

  • Establishment, licensing and operation of hospital MVZs

  • Digitalisation, telemedicine & e-health

  • Hospital pharmacies and contracts according to § 129a SGB V

  • Data protection law

  • Tax law

  • Labour law, law governing contracts with chief physicians

  • Competition law, law on the advertising of medicines

  • Ongoing legal advice

  • Litigation