832.10
CH-TG
CH-TG
§ 37 Krankenversicherungsverordnung (TG KVV) - Rückforderung
Pflegefinanzierung - Stationäre Pflegeversorgung im Pflegeheim und Sterbehospiz
§ 37 TG KVV · Rückforderung
1. Zu Unrecht ausgerichtete Restfinanzierungsbeiträge sind zurückzuerstatten.
2. Zu Unrecht einem Pflegeheim direkt ausgerichtete Restfinanzierungsbeiträge sind von diesem zurückzuerstatten. Es kann sich nicht auf das Vorliegen einer grossen Härte berufen.
3. Die kantonale Durchführungsstelle kann den Rückforderungsbetrag mit zukünftigen auszurichtenden Restfinanzierungsbeiträgen verrechnen.
Gerichtsentscheide zu dieser Bestimmung (14)
ZZ.1998.43 · so (Art. 37 Abs. 3 KVG)
Pharmacists' Standing to Challenge Physician Self-Dispensing Authorization
This provision was examined in relation to the standing of the appellants, but the court ultimately found they could not derive standing from it.
V 2023 108 · zg (Art. 37 Abs. 1bis KVG)
Medical Practitioner Billing Authorization Refusal Upheld Despite Free Movement of Persons Challenge
The court refused to apply this article to grant an exceptional admission because it found that no shortage (Unterversorgung) existed in the canton.
2023 GSI 2384 · be (Art. 37 Abs. 1 KVG)
Appeal Against Refusal of Mandatory Health Insurance Authorization Based on Work Experience Requirement
The final order dismisses the appeal because the appellant does not meet the requirement stipulated in this article (three years of activity at a recognized Swiss training institution).
2023 GSI 2579 · be (Art. 37 Abs. 1 KVG)
Radiology Billing Authorization Denial Upheld Due to Specific Experience Requirement
The appeal was dismissed because the appellant did not fulfill the requirement set out in this article for the specialty of Radiology.
2023.09.06.vv.3 · bl (Art. 37 Abs. 1 KVG)
Physician's Appeal on Billing Authorization Dismissed Due to Untimely Application and Applicable Law at Time of Decision
The court implicitly confirmed the requirement derived from this article (three years of work in the requested specialization at a recognized Swiss training institution) was correctly applied as the ground for denying authorization.
2023.02.01.vv.2 · bl (Art. 37 Abs. 1 KVG)
Physician's Right to Assistant Permit for Swiss Training
Cited as the federal law requirement for three years of work experience in the relevant specialty at a recognized Swiss training institution.
36.2021.50 · ti (Art. 37 LAMal)
Hydrocele Surgery Inpatient Coverage Appeal Denial
Cited in the reasoning section regarding authorized service providers.
36.2011.49 · ti (Art. 37 LAMal)
Health Insurance Reimbursement for Off-Label Psoriatic Arthritis Medication
Cited in relation to Art. 52 LAMal concerning the establishment of the List of Specialties.
WBE.2009.419 · ag (Art. 37 Abs. 3 KVG)
Commuting Time and Childcare Expenses in Social Assistance
Differentiates between the dispensing authorization of pharmacies and the self-dispensing of doctors.
AGVE.2001.37 · ag (Art. 37 Abs. 3 KVG)
Physician Pharmacy Permit Revocation Upheld Amidst Public Interest Concerns
Cited as the federal law that directs cantons to regulate the conditions under which doctors can operate pharmacies, with a focus on patient access.
AGVE.2001.37 · ag (Art. 37 Abs. 3 KVG)
Doctor's Pharmacy Permit Revocation Upheld
This provision was cited as guidance for the cantonal regulation of self-dispensation, specifically regarding patient access to pharmacies.
AGVE.2001.37 · ag (Art. 37 Abs. 3 KVG)
Physician's Permit Revocation Upheld Due to Proximity Pharmacy
The court referenced this provision to establish the cantons' responsibility for regulating physician-run pharmacies and the importance of patient access to pharmacies.
36.2021.50 · ti (Art. 37 LAMal)
Insured Denied Coverage for Non-Medically Necessary Hospital Stay Following Hydrocele Repair
Cited in the reasoning regarding authorized providers of services under LAMal.
VB.2011.00577 · zh (Art. 37 Abs. III KVG)
Physicians' Mail-Order Pharmacy Model Challenged Over Dispensing Bans
This provision is cited in the list of legal norms, implying its relevance to the court's decision, although the specific application is not detailed in the summary.