Belgium¶
This space gathers everything that comes from Belgian rules: the scale that measures dependency, the allowance paid by the mutualities, the electronic exchanges with them over eHealth, the funding of the facility and the day care centre.
The common pages — Residents, Admissions, Billing, Care, Meals — describe the journey in every country. Where Belgium adds something, they show an In Belgium box that links here.
Start here¶
The billing journey — the big picture: admission → MDA → eAgreement → Katz → eFact → payment.
FAQ — Belgium — short answers on the Katz, the MDA, the eAgreement, the eFact and Belgian billing.
Glossary — Belgium — INAMI, NISS, OA, annexes, pseudo-codes and the other Belgian terms.
The resident and their assessment¶
The resident’s file in Belgium — the NISS and the eID reading, the mutuality (OA), the MR, MRS and short-stay sectors, the Katz category.
Admitting a resident in Belgium — the MR, MRS or day care stay type, the NISS, the MDA before admission, the admission agreement.
The Katz assessment — the 6 criteria, the category (O, A, B, C, Cd) and the allowance it gives.
Internal transfer (MR ↔ MRS) — moving a resident between sectors and the two annexes the insurer expects.
Billing and the INAMI¶
Billing a month in Belgium — the INAMI allowance and its pseudo-codes, the mutuality and resident shares, the month-end checklist.
The INAMI dependency allowance — from the Katz category to the amount billed to the mutuality.
The Expense Note (Annexe 12) — the individual note per resident and the summary note per insurance organisation.
CPAS coverage — when a CPAS pays all or part of the resident share.
eHealth¶
eHealth — the overview of the exchanges with the mutualities.
Insurability: Insurability (MDA) and MDA errors — causes and solutions.
Agreements: Agreements (eAgreement), Following a request: deadlines and decision, Refused agreement (eAgreement) — causes and solutions, Responsible practitioner and annex signatures and Collective holidays.
Electronic invoicing: Electronic invoicing (eFact), eFact rejections — causes and solutions, Correcting an already-settled sending and Payment tracking and settlement reconciliation.
The institutional allowance¶
Institutional allowance — the AViQ allowance of the facility, from the days billed and the staff present.
Computing the allowance — step by step, from the days billed to the INAMI rates.
Simulations and live tracking — trying a change and following the year in progress.
The day care centre¶
Day care centre (CSJ) — day places, the attendance register, the CSJ forfait and the staffing norm.
Setting up a day care centre, Admitting a day care user and Recording attendance.
Billing a day care month, Care for a day care user and The staffing norm.
Care and medication¶
Care in Belgium — the Katz scale in the medical record, the INAMI number of care staff, the AViQ undernutrition screening.
The SAM medication database — the Belgian authentic source: ATC, BCFI class, SmPC and leaflet.
Settings¶
Belgian settings — INAMI numbers and MR/MRS approvals, the Cc accreditation, INAMI rates and pseudo-codes, health insurers and CPAS.
eHealth and eFact Settings — certificate, platform, Walloon Account C, CIN licence and invoicing header.
The same software elsewhere¶
Resthome separates the question from the answer: the engine asks for a dependency category, a national identification number, a stay type; the Belgian pack answers with the Katz, the NISS, MR/MRS. Another country brings its own pack, and the common pages do not change. See France and Luxembourg.