Vor der MDK-Reform stand am Anfang ein Urteil des Bundessozialgerichts (BSG) vom Sommer 2018. Danach dürfen Krankenhäuser die Fallpauschale für die Komplexbehandlung eines Schlaganfalls nicht abrechnen, wenn die eigentliche Behandlung nicht im Krankenhaus selbst, sondern in einer kooperierenden Klinik stattfindet, die mehr als eine halbe Stunde Transportweg entfernt ist. Dabei fange die Uhr an zu laufen, wenn das Transportmittel angefordert wird.
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