Belgian settings¶
The Belgian pack adds its own settings to the common ones: the INAMI numbers and approvals of the establishment, the journal and the accreditation used to bill the dependency allowance, the INAMI rates and their pseudo-codes, and the lists of health insurers and CPAS. This page gathers them; the common settings are described under Configuration.
The eHealth certificate, the CIN license and the eFact header are described on their own page: see eHealth and eFact settings.
Where the Belgian settings are¶
With the Belgian pack, some common screens change their name:
the Billing settings tab is called MR/MRS Billing — MR/MRS/CSJ Billing when the day care centre is installed;
the Billing Rates menu is called INAMI Rates;
the Nursing Home settings tab gains an Approvals block;
the billing configuration gains the Mutuelles, Billing Codes and CPAS menus;
an eHealth settings tab appears — see eHealth and eFact settings.
The settings are only visible to the home’s managers, and are set once, at start-up.
Approvals¶
Healthcare → Configuration → General → Approvals. The home is licensed by sector: MR (rest home), MRS (rest and care home) and, for a day care centre, CSJ. WideCare records these sectors on the approval of the INAMI number they were granted to. A company holds one approval per type of establishment: a rest home and a day care centre make two; a second site of the same type is a branch or another company.
In the settings, the Nursing Home tab shows a summary under Approvals of the establishment, with a Manage approvals link, and the Conventioned Establishment box: tick it if the establishment adheres to the agreement with the health insurers, which decides the tariff applied.
On the approval itself:
INAMI identity: the INAMI Number; the Establishment Type, proposed from the first three digits of the number and editable; the Competence Code, the last three digits of the NIHII-11 (000 for a day care centre, 110 for a rest home, 210 for some MRS); the NIHII-11;
the company, the Address and the Notes;
the Sectors tab: one line per approved sector, with its Beds / places, the beds Occupied, the Occupancy, the Approval Reference and the Approval Date. A line opens its own form, where the Approval PDF is kept. The tab also holds the resident journal of this establishment;
the eHealth tab: the establishment’s certificate;
the eFact tab: the Account C journal and the contact person of this INAMI number, when they differ from the settings.
The beds recorded here are what the occupancy is measured against, and what decides which sectors an admission may offer. Archive a superseded sector line rather than deleting it: its beds are what the occupancy of those months was measured against.
The approval warns, it does not refuse
A red banner says a sector is recorded twice; an orange one says more residents occupy a category than the approval covers, or that a sector does not match the type of its INAMI number — a day care centre has its own number, separate from the rest home’s. For the daily view, see Occupancy MR / CS / MRS.
Two approvals in one company
A company that runs a rest home and a day care centre holds two INAMI numbers, so two approvals, each with its own certificate. See Setting up a day care centre.
Billing: journal, accreditation and Katz¶
Settings > MR/MRS Billing. Next to the common blocks (see Billing settings), the Belgian pack adds three settings. This tab contains no secret data: the eHealth certificate, the CIN license and the health-insurer credentials are set in the eHealth and eFact settings.
INAMI Journal¶
WideCare issues two streams of invoices: the insurer share (the dependency allowance, sent to the health insurer via eFact) and the resident share (accommodation and supplements). Each stream goes into its own sales journal.
Setting |
What it does |
Recommended value |
|---|---|---|
INAMI Journal |
Sales journal that receives the invoices for the insurer share (dependency allowance sent via eFact). |
A sales journal of your facility, separate from the Resident Journal. |
Separating the two journals (INAMI on one side, resident on the other) makes reconciliation and per-payer tracking easier. A branch with no INAMI Journal of its own uses the one of its parent company; the setting says so under the empty field.
Establishment accreditation¶
Some federal allowances require a specific accreditation of the facility. This is the case for the coma (Ccoma) allowance.
Setting |
What it does |
Recommended value |
|---|---|---|
Cc accreditation (comatose forfait) |
Tick if the facility holds the accreditation allowing it to bill the Ccoma coma allowance. Without it, a resident classified as Ccoma is not billable via eFact (neither regional nor federal); accommodation is still billed. |
Tick only if your facility is accredited. |
Not to be confused with the allowance amount
The ordinary dependency allowance is the same amount for all Katz categories; the category is used to declare the profile to the health insurance fund, not to set the amount (see The INAMI dependency allowance). The Cc accreditation concerns only the special case of the coma allowance.
Absence management¶
The AViQ presence-day rules are built into WideCare and are not configured here: the noon rule for leave, and their own thresholds for a hospitalization. Only the assignee of a follow-up activity is configurable.
Setting |
What it does |
Recommended value |
|---|---|---|
Katz activity assignee |
User to whom the “New Katz required” activity is assigned when a hospital readmission exceeds 30 days. If empty: current user (if clinical), otherwise the first head nurse, nurse or doctor found. |
The head nurse (or the care manager). |
Why 30 days?
A readmission after more than 30 days of hospitalization requires a new Katz assessment. The assigned activity acts as a reminder. See The Katz assessment and Absences and hospitalizations.
INAMI rates and pseudo-codes¶
Billing → Configuration → INAMI Rates. The rate grid carries the amounts of the INAMI dependency allowance (rate type INAMI Forfait) and of the accommodation, dated by Start Date and End Date.
Katz Category: O, A, B, C, Cd, D and Ccoma. Under the AViQ rates the amount is the same for every category, including O; the grid stays configurable per category if a convention requires it.
Stay Type: the sector the rate prices (MR, MRS, CSJ). A rate left empty applies whatever the sector; the sector-specific one wins when both exist.
Generate a year, above the list, creates the rates of a whole year from the amounts you enter once; New adds a single row.
When an eFact is built for a year that has no rate yet, WideCare stops and offers to open or create the INAMI rates of that year.
Billing → Configuration → Billing Codes. The pseudo-codes the health insurer is billed with. Each code carries its Pseudo-code, its Category, and, for the daily allowance:
Federated entity: who publishes the code — Wallonia (AViQ), Brussels (Iriscare)… Each entity has its own series for the same Katz categories;
Katz category and Sector: a Katz B resident in an MR is billed with the MR code, never the MRS one — the health insurer rejects a pseudo-code that does not match the agreed sector;
Partial intervention (IP): the variant where the patient carries part of the allowance.
A supplement declared to the health insurer carries its Pseudo-code on the product, and its product category is Declared to the OA (ET50) (see Applying supplements).
Health insurers and CPAS¶
Mutuelles (Billing → Configuration → Mutuelles): the list of health insurers (insurance organisations, OA), used for insurability (MDA) and eFact.
CPAS (Billing → Configuration → CPAS): the public welfare centres that pay for some residents. See CPAS coverage.
Other Belgian settings¶
Nursing Home tab: with the Belgian pack, the Nursing Home settings are those of an MR/MRS; the default values of the general settings (30 days, 1 bed) suit most of them.
Medical tab: the Hide Empty Stat Cards setting also hides the Katz renewals card when it is at 0; the SAM medicines block connects WideCare to the Belgian medicines database (see The SAM medication database).
Documents: the ready-made tags include Katz evaluation, MR/MRS agreement (eAgreement), OA allocation and CPAS, next to the common ones (see Document settings).
Approvals: the INAMI number and the certificate of each approval are those used in the eHealth exchanges (MDA, eFact, eAgreement) — see eHealth and eFact settings.