Changelog

The Generic Claims Standard (GDS801) 2.0 simplifies and improves healthcare claims. Starting January 1, 2025, this new standard will be mandatory for paramedical care. Older claims will still be processed via the PM304 standard.

Flux ensures a seamless transition and provides support to align your processes fully with the new requirements. This guarantees smooth and uninterrupted claims processing. As a healthcare provider, several changes have been introduced with the new GDS standard:

• Treatment Information
• Treatment Plan
• Reimbursement Note
• Administration
• Claim Date
• Healthcare Provider Identification
• Claim Codes
• Performance Lists
• Modules

Treatment Information

Distinctions such as left, right, or bilateral are now included where relevant for conditions in the GDS. These distinctions can now be recorded within a treatment plan, as this information is required for claims.

Treatment Plan

The treatment plan has become significantly more important for claims under the GDS. To clarify which services are associated with a specific treatment plan, Flux assigns each plan a unique care plan number. This number is automatically included in every GDS claim, ensuring consistent identification of the plan.

Flux now includes the following information in the claim file:

• Unique treatment plan number
• Treatment plan start date (first appointment within the plan)
• Diagnosis code
• Location indicator (left/right/bilateral)

If any of this information changes, all services within the plan must be credited and resubmitted.

Reimbursement Note

With the introduction of the GDS standard, all invoices for patients follow a fixed format. This format is designed to ensure uniformity and accelerate processing by insurers. The standardized design enables easier automatic processing, resulting in fewer rejections and fewer questions from patients.

Significant adjustments to these invoices are not possible. However, certain elements, such as logos and payment texts, can still be customized.

Administration

For patients with chronic care plans, managing the first 20 sessions has been simplified. Practices can now send a secure email detailing the number of sessions performed, which is useful when transferring a care plan from another practice.

Additionally, counting the first 20 sessions, which are billed directly to the insured, is now easier. These sessions can be invoiced directly to the patient without first submitting them to the insurer.

Claim Date

If a healthcare request continues while a patient transitions to a new provider, the original claim remains valid. The second provider must adopt the start date of the original care plan when opening a new plan.

To ensure compliance and validity of the claim duration, insurers must be informed of the original claim start date. The second provider is required to include this original date.

Healthcare Provider Identification

The AGB code of the actual healthcare provider is always included in the invoice line, with exceptions for interns or occasional substitutes, for which the responsible user’s code is used.

Claim Codes

The CSI code has been renamed to claim code. The following changes are automatically implemented in Flux:

• Pediatric physical therapy and exercise therapy: Codes 004 to 007 are replaced by code 003.
• COPD: A single new code (022) covers all COPD claims.
• COVID-19 recovery care: The scheme is discontinued; new claims can only be submitted through supplementary insurance (code 009).
• Rheumatoid arthritis: Claim code 022 for long-term exercise therapy.

Performance Lists

Each type of care now has a specific Performance Code List (PCL) for claims. Flux automatically processes these codes and generates the correct claim based on your appointment type.

Modules

For patients with the supplementary insurance "Basis Plus Module" from Zilveren Kruis, care under this module must be claimed specifically according to the GDS. This includes care such as physical therapy for cancer, cardiovascular diseases, and strokes. Additional conditions apply to ZorgTopics and the Fitkids care product from Zorg & Zekerheid.

Streamline your practice with patient subscriptions. Offer recurring services to your patients with ease. Subscriptions allow you to automate invoicing and payment processing for ongoing care, including:

• Monthly invoicing for recurring services
• Flexible start, pause, or cancellation options
• Automated payment processing for hassle-free collections
• Ability to schedule rate changes
• Customizable email templates for subscription invoices

You can easily manage subscriptions through the patient dashboard. Use the intuitive interface to start, pause, or cancel subscriptions as needed. Learn more in our documentation.

Subscriptions make it simple to focus on what matters most: providing excellent care while ensuring seamless administrative processes.

With HealthTrain (formerly the Huiswerkoefeningen.nl app), you can provide patients with exercises and training schedules while remotely monitoring their treatment progress. HealthTrain encompasses care solutions such as MijnZorgApp, AfsprakenApp, Huiswerkoefeningen.nl, Join2Move, and e-Exercise.

By integrating HealthTrain with Flux, healthcare providers can effortlessly create exercises and schedules during the treatment process. You can share exercises directly with patients and monitor therapy adherence directly from the patient record.

In this release, we introduce a new feature that allows healthcare providers to send questionnaires directly to patients. This functionality allows practitioners to gather valuable patient feedback and insights using standardized questionnaires.

The following questionnaires are implemented at launch which can be sent to the patient:

• VAS
• NPRS
• PSK
• Quick DASH
• HOOS
• KOOS
• STarT MSK
• STarT Back
• GPE-DV

More questionnaires will be added in the coming weeks to expand our offerings.

Here’s how it works:

1. Request and Send Questionnaires: Healthcare providers can request a single questionnaire or a set of questionnaires tailored to specific treatment plans. These questionnaires are then automatically sent to the designated patients.
2. Self-Administration by Patients: Patients receive and email with a secure link where they can complete the questionnaires at their convenience, promoting higher response rates and more accurate data collection.
3. Integrated Responses and Scores: The patients’ answers and the calculated scores are automatically displayed in our medical feed, providing immediate access to this information to inform treatment decisions at the next clinical visit.

We are continuously expanding our questionnaire library to cover a broader range of conditions and specialties. Stay tuned for updates and new additions in the coming weeks!

This week, we completed our new integration with the LDF. This integration provides insights into the treatment outcomes of your practice and practitioners. For the Royal Dutch Society for Physical Therapy (KNGF), this data serves as an essential foundation for scientific research and contributes to the quality and position of physical therapy care.

If your practice participates in the Practice Register of the Kwaliteitshuis Fysiotherapie, it is mandatory to submit data to the LDF. For other practices, participation is optional.

Patient Consent

It is mandatory to explicitly ask patients for permission to share their data, including submission to the LDF. This follows the opt-in principle. You can register this consent during the intake or later in the treatment process. Patients can also withdraw their consent at any time. In such cases, no further data from that treatment or patient will be sent to the LDF.

What Data Do You Submit?

You share individual and aggregated treatment data directly from Flux with the LDF app. The specifications for data submission are updated annually to align with the latest developments in the field. Currently, we support message specification version 10. Patient data that could lead to identification (such as patient ID, birthdate, gender, and postal code) are encrypted into an irreversible pseudonym via Mediquest.

Submitting complete data increases the value of the insights and gives you a clearer understanding of your practice’s performance. The processing report from the LDF helps you improve the quality of your data submission. With just a few clicks, you can see whether your data has been fully accepted, contains rejected fields, or has not been accepted. As a practice owner, you have access to a comprehensive overview of your practice’s submissions, while each practitioner can also view their individual performance report.

Viewing Data on the Dashboard

The LDF dashboard provides an up-to-date overview of your submitted data, allowing you to analyze your patient population, evaluate treatment outcomes, and compare your results with national benchmarks. The dashboard is updated daily to ensure you always have access to the latest information.

The dashboard is designed to quickly show you where your practice excels and where there is room for improvement, both at the practice and practitioner level, in comparison to national averages.

With this integration, we support your practice in making data-driven decisions and continuously improving the quality of care.

We’ve developed tools to make migrating from SpotOnMedics to Flux fast and hassle-free. Now, you can handle the entire process yourself. Simply drag and drop your SpotOnMedics export files from FysioOne into Flux, and you're all set. Flux will automatically detect the data structure and start the migration of your data.

If an error occurs, just restart the process—Flux will pick up exactly where it left off without duplicating any data. You will receive and update if the process is complete.

Key features for this automated import tool:

• Automated data mapping: Aligns data fields automatically to reduce manual work.
• Full data import: Transfers patient records, appointments, billing, and more.
• Custom import options: Choose exactly what data you want to bring over.
• Error handling: Detects and fixes issues for accurate, complete migration.

Transitioning to flux is now simpler and quicker, letting you focus on what matters—your practice.