GOÄ factors: what your documentation has to support

In private billing, the factor is not a preference — it's a claim about the service. The documentation either supports it, or it doesn't.

The mechanics, briefly

GOÄ services carry a Steigerungsfaktor. Up to the Regelhöchstsatz (2.3 for most personal services), the factor reflects difficulty and time within the normal range. Above it, a written Begründung is required — and the documentation has to carry that justification.

Where practices lose, both directions

Under-factoring: complex, time intensive services billed at routine factors because nobody connected the note to the number. And risk the other way: factors the documentation does not support, which fail exactly when scrutiny arrives. The safe position is the same in both cases — the factor the note proves.

The Verrechnungsstelle question

If a billing office runs your GOÄ, the quality of what reaches them decides everything. meda works upstream: documented services and supportable factors, physician approved, flowing into the process you already trust.