KVAI – Billing and information system for physicians’ associations
Development of processing steps for Billing Area 2, per the service description, in parallel for Sybase (Transact-SQL) and Oracle (PL/SQL) databases.
Contributing to documentation, development specifications, aligning with requirements, estimating implementation effort, creating test plans, generating test data.
Topics: Call quotas, pain therapy regulations, dialysis material costs per EBM 40.14, regular service volume (RLV, QZV), fee distribution scale HVM, X-ray contrast agent regulation RKM, telematics infrastructure TI, and more.
Developer and Client-Server Application Support, Second-Level Support, Administration and Application Management
R+V Insurance
Data modeling, development of procedures and PL/SQL packages
Enhancing applications for managing unit-linked life and pension insurance, managing agents and agent contracts with conditions and condition packages, commission billing.
Data preparation for pension benefit notifications.
Loading street and place directories from Deutsche Post.
Automating processes and interfaces via shell scripts, crontab, Oracle jobs.
Ad-hoc reports via SQL and PL/SQL.
Performance tuning.
Optimizing Perl modules with embedded SQL serving as ETL modules for the data warehouse.
Operating systems: Windows XP, Windows 7, Windows 10, Linux
Databases: Oracle 11.x, Greenplum 11.3 (based on PostgreSQL 8.4)
Management Systems GmbH (now Adesso Health Solutions GmbH)
KVAI – Billing and information system for physicians’ associations
Developing processing steps for Billing Area 2 in parallel for Sybase (Transact-SQL) and Oracle (PL/SQL) as per service specs.
Contributing to development specs, aligning with requirements, estimating effort, creating test concepts, generating test data.
Enhancing processing step control.
Reorganizing system components so calculations can be simulated in temp tables for testing.
Topics: regular service volume (RLV), qualification-based additional volume (QZV), convergence regulation, job sharing, part-practice communities, time-limited capacity limits, social psychiatry regulation, pain therapy rules, Euro calculator, point calculator, quota model, VDX (unified data exchange), recourse and follow-up billing, processing step control, parallel processing
Doctor registry – default modules
Developing and maintaining default modules in parallel for Sybase and Oracle. These recalculate or carry over billing-relevant master data for doctors and practices per billing rules for the next quarter.
Topics: specialties, focus areas, VGK flat rates, audit groups, practice budget, case numbers, lab budget, fee group, doctor group, number of doctors, GOP catalogs, cutting validity periods, RLV: start of activity, various exemptions
MS Management Systems GmbH (now Adesso Health Solutions GmbH)
KVAI – Billing and information system for physicians’ associations
Developing processing steps for Billing Area 2 in parallel for Sybase and Oracle (e.g., lab economic bonus, job sharing, pain therapy, point limits, point valuation, fee reclamation after plausibility check, generating journal entries, SAP export, VDX generation).
Maintaining and extending a tool for migrating procedures (Oracle → Sybase).