Interim recognition of osteodensitometry tariff

ATA/220/1997Court of Justice / Administrative ChamberApr 8, 1997Granted

Extracted by Omnilex

Omnilex summary

The dispute concerned the tariff applicable to osteodensitometry while the cantonal executive had not yet fixed an amount in the framework tariff. The court held that, in the interim, a tariff of CHF 391.40 had to be recognized. The decision therefore grants recognition of that tariff pending the executive authority's determination.

Omnilex headnote

LAMAL art. 12; tariff applicable to osteodensitometry pending fixation by the cantonal executive authority; where the competent authority has not yet set the amount in the framework tariff, a provisional tariff may be recognized to permit billing of the service until a definitive tariff is established.

Full text

Descripteurs

ASSURANCE SOCIALE; AM; TARIF(EN GENERAL); EXAMEN(EN GENERAL); ASSU

Normes

LAMAL.12

Résumé

En attendant que le CE fixe un montant dans le tarif-cadre, un tarif de Frs 391,40 doit être reconnu pour l'ostéodensitométrie.

Keywords

social insurancemedical tariffframework tariffosteodensitometryprovisional tariff

Extracted by Omnilex

Key legal questions extracted by Omnilex

Key legal question

Whether a tariff of CHF 391.40 must be recognized for osteodensitometry pending the CE's fixing of an amount in the framework tariff.

Extracted holding

Yes. The tariff of CHF 391.40 is to be recognized until the CE sets the amount in the framework tariff.

Extracted reasoning

The court considered that, in the absence of a fixed amount by the competent executive authority, a provisional tariff had to be applied to ensure billing of the service.

Interim recognition of osteodensitometry tariffAI generated