Billing without a backlog.

1. Pass on prescriptions quickly

   Submit prescriptions for home nursing to the health insurer quickly. Under the G-BA home nursing guideline, the insurer covers the services provided until its decision if it receives the prescription no later than the fourth working day after it was issued.

2. Request follow-up prescriptions in good time

   According to the guideline, follow-up prescriptions are to be issued in the last three working days before the prescribed period ends. A simple list of deadlines in the office prevents gaps in care and in billing.

3. Update service records daily

   Have services recorded and signed off promptly. Otherwise, missing signatures or deviations from the care contract are only noticed at billing.

4. Fixed month-end closing

   Set a fixed day for the month-end closing and stick to it. Billing regularly helps you spot errors earlier.

5. Check open items every week

   Go through open receivables and deductions by the insurers every week. Clear up queries immediately while the documents are still at hand.

6. Review remuneration regularly

   Remuneration under § 89 SGB XI is negotiated with the long-term care insurers. Regularly check whether your remuneration still matches your staff and material costs, and prepare negotiations with clean figures.

7. Plan rounds and rota together

   Good round planning saves driving time and brings calm to the team. Plan buffers for emergencies and new admissions.

8. Data protection in the office

   A data protection concept, a record of processing activities and clear rules for messengers and email protect your patients - and your service.

General practical information, as of October 2026. They do not replace legal or tax advice. The current laws, guidelines and contracts apply in each case.