{"id":732,"date":"2025-02-14T10:18:40","date_gmt":"2025-02-14T09:18:40","guid":{"rendered":"https:\/\/blog.pratiquesante.fr\/?p=732"},"modified":"2025-02-14T10:54:07","modified_gmt":"2025-02-14T09:54:07","slug":"ngap-et-remboursement-tout-ce-que-les-kines-doivent-savoir","status":"publish","type":"post","link":"https:\/\/blog.pratiquesante.fr\/?p=732","title":{"rendered":"NGAP et remboursement : tout ce que les kin\u00e9s doivent savoir"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"732\" class=\"elementor elementor-732\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c0664e2 e-flex e-con-boxed e-con e-parent\" data-id=\"c0664e2\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2dc0461 elementor-widget elementor-widget-html\" data-id=\"2dc0461\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\n        :root {\n            --primary-yellow: #ffe6a4;\n            --primary-blue-light: #d7eef2;\n            --primary-blue: #467FF7;\n        }\n        \n        .body {\n            font-family: 'Segoe UI', Tahoma, Geneva, Verdana, sans-serif;\n            line-height: 1.6;\n            margin: 0;\n            padding: 0;\n            color: #333;\n            \/*background-color: #f5f5f5;*\/\n        }\n\n        .container {\n            max-width: 800px;\n            margin: 0 auto;\n            padding: 2rem;\n        }\n\n        .header {\n            background-color: var(--primary-blue-light);\n            padding: 2rem;\n            margin-bottom: 2rem;\n            border-radius: 10px;\n        }\n\n        h1 {\n            color: var(--primary-blue);\n            margin-bottom: 1rem;\n        }\n\n        .intro {\n            background-color: var(--primary-yellow);\n            padding: 1.5rem;\n            border-radius: 10px;\n            margin-bottom: 2rem;\n        }\n\n        .section {\n            margin-bottom: 2rem;\n            padding: 1.5rem;\n            background-color: white;\n            border-radius: 10px;\n            box-shadow: 0 2px 8px rgba(0,0,0,0.1);\n        }\n\n        h2 {\n            color: var(--primary-blue);\n            border-bottom: 2px solid var(--primary-blue-light);\n            padding-bottom: 0.5rem;\n        }\n\n        .highlight {\n            background-color: var(--primary-blue-light);\n            padding: 1rem;\n            border-radius: 5px;\n            margin: 1rem 0;\n        }\n\n        .alert {\n            background-color: #ffe8e8;\n            border-left: 4px solid #dc3545;\n            padding: 1rem;\n            margin: 1rem 0;\n        }\n\n        .tip {\n            background-color: #e8f5e9;\n            border-left: 4px solid #4caf50;\n            padding: 1rem;\n            margin: 1rem 0;\n        }\n\n        table {\n            width: 100%;\n            border-collapse: collapse;\n            margin: 1rem 0;\n        }\n\n        th, td {\n            padding: 0.75rem;\n            border: 1px solid #dee2e6;\n            text-align: left;\n        }\n\n        th {\n            background-color: var(--primary-blue-light);\n            font-weight: bold;\n        }\n\n        tr:nth-child(even) {\n            background-color: #f8f9fa;\n        }\n\n        .process-step {\n            background-color: #f8f9fa;\n            border: 1px solid #dee2e6;\n            padding: 1rem;\n            margin: 1rem 0;\n            border-radius: 5px;\n        }\n    <\/style>\n<div class=\"body\">\n    <div class=\"container\">\n\n        <div class=\"intro\">\n            <p>Le remboursement des actes de kin\u00e9sith\u00e9rapie n\u00e9cessite une parfaite ma\u00eetrise des r\u00e8gles administratives et des proc\u00e9dures de facturation. D\u00e9couvrez les points essentiels pour optimiser vos remboursements et \u00e9viter les rejets de paiement.<\/p>\n        <\/div>\n\n        <div class=\"section\">\n            <h2>Bases du remboursement<\/h2>\n            <table>\n                <thead>\n                    <tr>\n                        <th>Type de prise en charge<\/th>\n                        <th>Taux de remboursement<\/th>\n                        <th>Conditions particuli\u00e8res<\/th>\n                    <\/tr>\n                <\/thead>\n                <tbody>\n                    <tr>\n                        <td>Soins courants<\/td>\n                        <td>60%<\/td>\n                        <td>Sur prescription m\u00e9dicale<\/td>\n                    <\/tr>\n                    <tr>\n                        <td>ALD<\/td>\n                        <td>100%<\/td>\n                        <td>Pathologie en rapport avec l'ALD<\/td>\n                    <\/tr>\n                    <tr>\n                        <td>Accident du travail<\/td>\n                        <td>100%<\/td>\n                        <td>Avec accord pr\u00e9alable CPAM<\/td>\n                    <\/tr>\n                <\/tbody>\n            <\/table>\n        <\/div>\n\n        <div class=\"section\">\n            <h2>Documents indispensables<\/h2>\n            <div class=\"process-step\">\n                <p>Pour chaque patient, v\u00e9rifier :<\/p>\n                <ul>\n                    <li>Prescription m\u00e9dicale valide<\/li>\n                    <li>Carte Vitale \u00e0 jour<\/li>\n                    <li>Attestation de droits<\/li>\n                    <li>Accord pr\u00e9alable si n\u00e9cessaire<\/li>\n                    <li>D\u00e9claration d'accident de travail le cas \u00e9ch\u00e9ant<\/li>\n                <\/ul>\n            <\/div>\n        <\/div>\n\n        <div class=\"section\">\n            <h2>Proc\u00e9dures de facturation<\/h2>\n            <div class=\"highlight\">\n                <p>\u00c9tapes cl\u00e9s pour une facturation conforme :<\/p>\n                <ol>\n                    <li>V\u00e9rification des droits du patient<\/li>\n                    <li>Saisie exacte des codes actes<\/li>\n                    <li>Application correcte des majorations<\/li>\n                    <li>Transmission s\u00e9curis\u00e9e \u00e0 l'Assurance Maladie<\/li>\n                    <li>Archivage des justificatifs<\/li>\n                <\/ol>\n            <\/div>\n        <\/div>\n\n        <div class=\"section\">\n            <h2>Points de vigilance<\/h2>\n            <div class=\"alert\">\n                <p>Principales causes de rejet :<\/p>\n                <ul>\n                    <li>D\u00e9passement du nombre de s\u00e9ances autoris\u00e9es<\/li>\n                    <li>Absence d'entente pr\u00e9alable<\/li>\n                    <li>Non-respect des d\u00e9lais de facturation<\/li>\n                    <li>Erreurs de cotation<\/li>\n                    <li>Droits patients non \u00e0 jour<\/li>\n                <\/ul>\n            <\/div>\n        <\/div>\n\n        <div class=\"section\">\n            <h2>Cas particuliers de remboursement<\/h2>\n            <div class=\"process-step\">\n                <h3>ALD (Affection Longue Dur\u00e9e)<\/h3>\n                <ul>\n                    <li>V\u00e9rifier le rapport avec la pathologie exon\u00e9rante<\/li>\n                    <li>Mentionner le num\u00e9ro d'ALD<\/li>\n                    <li>Respecter le protocole de soins<\/li>\n                <\/ul>\n            <\/div>\n            <div class=\"process-step\">\n                <h3>Accident du travail<\/h3>\n                <ul>\n                    <li>Num\u00e9ro AT\/MP obligatoire<\/li>\n                    <li>Dates de l'accident<\/li>\n                    <li>Soins en rapport avec l'accident<\/li>\n                <\/ul>\n            <\/div>\n        <\/div>\n\n        <div class=\"section\">\n            <h2>Optimisation des remboursements<\/h2>\n            <div class=\"tip\">\n                <p>Bonnes pratiques :<\/p>\n                <ul>\n                    <li>T\u00e9l\u00e9transmission r\u00e9guli\u00e8re des feuilles de soins<\/li>\n                    <li>Suivi hebdomadaire des rejets<\/li>\n                    <li>Mise \u00e0 jour r\u00e9guli\u00e8re du logiciel de facturation<\/li>\n                    <li>Constitution de dossiers patients complets<\/li>\n                <\/ul>\n            <\/div>\n        <\/div>\n\n        <div class=\"section\">\n            <h2>Gestion des litiges<\/h2>\n            <div class=\"process-step\">\n                <p>En cas de rejet :<\/p>\n                <ol>\n                    <li>Analyser le motif de rejet<\/li>\n                    <li>Rassembler les justificatifs n\u00e9cessaires<\/li>\n                    <li>Contacter le service Relations PS de la CPAM<\/li>\n                    <li>Formuler une r\u00e9clamation \u00e9crite si n\u00e9cessaire<\/li>\n                <\/ol>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>La ma\u00eetrise de la NGAP est cruciale pour assurer un remboursement optimal des soins de kin\u00e9sith\u00e9rapie. Cet article d\u00e9taille les cotations, les d\u00e9marches administratives et les points de vigilance pour \u00e9viter les refus de paiement.<\/p>\n","protected":false},"author":1,"featured_media":785,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-732","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kine"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NGAP kin\u00e9sith\u00e9rapie : comprendre la cotation et le remboursement<\/title>\n<meta name=\"description\" content=\"Apprenez \u00e0 bien utiliser la NGAP pour garantir un remboursement optimal de vos actes de kin\u00e9sith\u00e9rapie et \u00e9viter les erreurs de facturation.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NGAP kin\u00e9sith\u00e9rapie : comprendre la cotation et le remboursement\" \/>\n<meta property=\"og:description\" content=\"Apprenez \u00e0 bien utiliser la NGAP pour garantir un remboursement optimal de vos actes de kin\u00e9sith\u00e9rapie et \u00e9viter les erreurs de facturation.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blog.pratiquesante.fr\/?p=732\" \/>\n<meta property=\"og:site_name\" content=\"Blog Pratique Sant\u00e9\" \/>\n<meta property=\"article:published_time\" content=\"2025-02-14T09:18:40+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-02-14T09:54:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blog.pratiquesante.fr\/wp-content\/uploads\/2025\/02\/doctor-gives-medical-document-clinic-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1707\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/blog.pratiquesante.fr\/?p=732\",\"url\":\"https:\/\/blog.pratiquesante.fr\/?p=732\",\"name\":\"NGAP kin\u00e9sith\u00e9rapie : comprendre la cotation et le remboursement\",\"isPartOf\":{\"@id\":\"https:\/\/blog.pratiquesante.fr\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/blog.pratiquesante.fr\/?p=732#primaryimage\"},\"image\":{\"@id\":\"https:\/\/blog.pratiquesante.fr\/?p=732#primaryimage\"},\"thumbnailUrl\":\"https:\/\/blog.pratiquesante.fr\/wp-content\/uploads\/2025\/02\/doctor-gives-medical-document-clinic-scaled.jpg\",\"datePublished\":\"2025-02-14T09:18:40+00:00\",\"dateModified\":\"2025-02-14T09:54:07+00:00\",\"author\":{\"@id\":\"https:\/\/blog.pratiquesante.fr\/#\/schema\/person\/a50c60f6d7504018b19cf2f94a103c1b\"},\"description\":\"Apprenez \u00e0 bien utiliser la NGAP pour garantir un remboursement optimal de vos actes de kin\u00e9sith\u00e9rapie et \u00e9viter les erreurs de facturation.\",\"breadcrumb\":{\"@id\":\"https:\/\/blog.pratiquesante.fr\/?p=732#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/blog.pratiquesante.fr\/?p=732\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/blog.pratiquesante.fr\/?p=732#primaryimage\",\"url\":\"https:\/\/blog.pratiquesante.fr\/wp-content\/uploads\/2025\/02\/doctor-gives-medical-document-clinic-scaled.jpg\",\"contentUrl\":\"https:\/\/blog.pratiquesante.fr\/wp-content\/uploads\/2025\/02\/doctor-gives-medical-document-clinic-scaled.jpg\",\"width\":2560,\"height\":1707,\"caption\":\"Closeup of hand of retired person receiving medical document from doctor at table in hospital room. 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