Patient management
Management
Renate Sailer
Department of Patient Management
The Patient Management department handles central administrative tasks at LMU Klinikum - from admissions and data processing to service billing, the preparation, implementation and evaluation of structural and service group audits and budget negotiations through to the digital archiving of medical documentation.
The Patient Services department focuses on visitors and patients. The visitor reception at the Großhadern campus is the first point of contact for visitors, patients and staff. It is closely linked to the telephone switchboard in order to provide all those seeking help with quick and appropriate information. In the administrative patient admissions department, personal and billing-related patient data is recorded in compliance with cost protection and data protection regulations. The Patient Services Department has the following areas of responsibility:
- Visitor and patient reception at the Großhadern Campus
- Patient admissions at the Großhadern campus
- Patient admissions at the City Center Campus
- Telephone switchboard at the Großhadern campus
The Revenue Assurance Department is responsible for the billing of outpatient and inpatient treatment cases of all departments at the LMU Klinikum to the payers and private individuals. The main areas of responsibility include
- Outpatient billing
- Inpatient billing
- Private liquidation
The Medical Controlling/MD Management department is responsible for strategic service management in the area of medical controlling, case-related review and processing of MD procedures, support for legal proceedings and discussion procedures. Communication with payers and the MD is also handled by Medical Controlling and Case Review. The archive is responsible for ensuring the structured archiving and availability of medical documents. The aim is to ensure transparent, economical and legally compliant mapping of treatment cases. The central areas of responsibility here include
- Medical controlling
- Case review
- archive management
The Budget Negotiations department is responsible for the preparation, execution and implementation of budget negotiations with the health insurance funds in the outpatient and inpatient areas. In addition to DRG budgets, negotiations are also conducted in the PEPP area. This involves individual fee calculations as well as comprehensive statistical analyses and calculations. In the outpatient area, the focus is on cost calculation, particularly for university outpatient clinics and selective services. This results in the following main tasks:
- Outpatient fees
- Inpatient negotiations
The Medical Service Management department ensures the correct coding of diagnoses and procedures (ICD and OPS) for billing with the health insurance funds, thereby ensuring a reliable revenue basis. At the same time, the department checks whether the hospital fulfils the personnel, technical and organizational requirements to be able to bill for certain services in accordance with legal regulations. The central areas of responsibility include
- Coding management
- structural audits
The Project Management and Process Organization staff unit is the central point of contact for the coordination and control of cross-interface projects and processes within Patient Management. It supports the departments in the planning, implementation and evaluation of joint projects and ensures structured and targeted project work. In addition, the staff unit performs quality control and quality assurance tasks, thereby making a significant contribution to the continuous improvement of internal processes and compliance with defined standards in the Patient Management department.
The IT Systems and Data Protection Unit is the central point of contact for all issues relating to data protection and hardware and software within the Department of Patient Management.
In addition, a central data protection officer is available to monitor compliance with data protection regulations at LMU Hospital and to act as an independent point of contact for patients, employees and external bodies.
Inquiries or further information
If you have any questions about the invoice or if your health insurance company has any objections to the invoice, please always contact the biller or the external billing company. The contact details of the biller or the external billing company can be found on the respective invoice.
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Data Usage Notice
Your personal data will be treated confidentially by us and will only be used to contact you by e-mail, telephone and/or in writing as part of this contact. Your information will be adequately protected against access by third parties and collected, processed and used in accordance with the provisions of the Federal Data Protection Act. The provision of your personal data, in particular your data on your health, is voluntary. If necessary, your request will be forwarded to the responsible departments or persons within the Munich University Hospital (KUM). In this context, there is the possibility that non-medical staff of the clinic may gain knowledge of the information you have disclosed. This information will not be passed on or transmitted to third parties outside the clinic. Your data will be deleted no later than 3 months after your information has been evaluated or forwarded to the responsible office. You can revoke your consent to the earmarked processing and use of the data at any time in writing without giving reasons. Your stored data will then be deleted immediately within the framework of legal regulations. The relevant information about your request will be sent or forwarded to you in unencrypted form at the email address you provided, without providing any information about your health. This poses a risk under data protection law. We will only send requested patient and personal application documents to a reasonable extent by post if you have given your postal address. Please also note our general data protection declaration
