Healthcare ERP for Germany
Healthcare in Germany is delivered through a statutory health insurance (GKV) system that covers approximately 90% of the population, with private health insurance (PKV) covering the remainder. Healthcare providers must navigate the billing systems of both GKV and PKV, which follow entirely different fee schedules and reimbursement processes. GKV billing follows the Einheitlicher Bewertungsmassstab (EBM) for outpatient services and the DRG system (G-DRG) for inpatient care, while PKV billing follows the Gebuhrenordnung fur Arzte (GOA) with different fee multipliers.
Healthcare in Germany
The Telematikinfrastruktur (TI) connects healthcare providers to the national health information network, enabling electronic health cards (eGK), electronic prescriptions (E-Rezept), and the electronic patient record (ePA). Healthcare providers must maintain TI connectivity and use approved connectors and card terminals. The E-Rezept became mandatory for prescription medications in 2024, requiring pharmacies and prescribers to process prescriptions electronically through the gematik infrastructure.
Medical devices and pharmaceutical products fall under strict regulatory oversight. The MDR (Medical Device Regulation) and IVDR requirements apply through German federal law. Pharmaceutical manufacturing must comply with GMP requirements overseen by the Lander authorities. Data protection under the DSGVO (German implementation of GDPR) imposes particularly strict requirements on healthcare data processing, with the Landesdatenschutzbeauftragter in each state providing enforcement oversight.
Yukti provides German healthcare organizations with billing that supports both EBM-based GKV claims and GOA-based PKV invoicing from the same patient encounter. The system integrates with the Telematikinfrastruktur for eGK verification, E-Rezept processing, and ePA data exchange. Patient data management complies with DSGVO requirements including data processing agreements, consent management, and the right to data portability. The pharmacy module handles E-Rezept workflows with dispensing documentation and Apothekenrechenzentrum billing. Financial reporting follows HGB requirements with the healthcare-specific chart of accounts used by German hospitals (KHBV). The quality management module supports KTQ certification documentation for hospitals and QEP for outpatient practices.
Germany Requirements for Healthcare
Country-specific and industry-specific compliance that Yukti handles natively
Dual billing system support for GKV claims under EBM and G-DRG fee schedules and PKV invoicing under GOA with correct fee multiplier application from the same encounter data
Telematikinfrastruktur integration for electronic health card verification, E-Rezept mandatory electronic prescription processing, and ePA electronic patient record data exchange
DSGVO healthcare data protection compliance with processing agreements, consent management, patient data portability, and Landesdatenschutzbeauftragter reporting for data incidents
Why Yukti for Healthcare in Germany
Yukti handles the dual GKV/PKV billing complexity that defines German healthcare administration. AI optimizes EBM coding to ensure that services rendered are billed under the correct fee schedule positions and identifies undercoded encounters.
More Industries in Germany
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