09:31 Feb 8 

Artikel 5, Krankenhausentgeltgesetz (KHEntgG)
Änderungen zu Nr. 1 Buchstabe b
„(2a) Abweichend von Absatz 2 Satz 1 und 2 gilt für Leistungen, die im Vergleich zur Vereinbarung für das laufende Kalenderjahr zusätzlich im Erlösbudget berücksichtigt werden, für das Jahr 2011 ein Vergütungsabschlag in Höhe von 25 Prozent (Mehrleistungsabschlag). Also vielleicht doch 'additional services'?

09:16 Feb 8 

With the explanation given by Gudrun, "agreed additional work" meaning "that exceeds the agreed minimum" (work and services are both correct in this case), fits very well.

09:00 Feb 8 

I really have no more context than I've given already, but here we go again:

Unter Zeitraum ist ein Tag angegeben (overall length of stay was 3 days); unter Tarifziffer: ABMEHR; unter Bezeichnung: Abschlag fuer vereinbarte Mehrleistungen; Entgeltschluessel 47200012, Fachrichtungsschluessel: 2400; unter Menge: 1; unter %-Anteil / Faktor: 0.018; unter Einzelpreis EUR: -75.33; unter Gesamtpreis EUR: -36.23.

08:58 Feb 8 

phoeberuth should post this as an answer.

08:46 Feb 8 

Before freelancing as a translator, I spent many years processing German medical bills for a British health organisaition. So let me clarify this point: The daily hospital rate for a patient with standard German health insurance covers food and accommodation, medication, nursing care and treatment by the hospital doctors. A private patient receives a private bill for all doctor treatment plus a bill from the hospital. Therefore the hospital or the private doctor reduce their rate by a certain percentage to make sure that the private patient does not pay twice for the doctor's services.

08:44 Feb 8 

in einem Krankenhaus können z.B. ein Einzelzimmer oder ein Krankenhaustagegeld sein, das im Standardtarif nicht versichert ist.

Was Abschlag betrifft, gehe ich ebenfalls mit Ruth und Renée konform. Ob "deduction" oder "anticipated payment" hängt vom Kontext ab. Warum nicht den ganzen Satz oder Absatz posten?

08:39 Feb 8 

It may be that they decide to give a discount to the people paying for the hospital services, maybe as an incentive.

08:26 Feb 8 

...with what phoeberuth and Renée Annabel have said. I also understand it to be additional services for privately insured patients, agreed upon signing the contract. And yes, Abschlag in this context does very likely mean an additional payment. However, why this then subtracted I don´t understand.

08:23 Feb 8 

The context is that it is one item out of nine, and the amount has a minus sign in front of it, indicating that this amount was subtracted from the total amount, which subsequently was paid in full.

08:20 Feb 8 

Thanks Bettina, "Abschlag" can also mean "anticipated payment". I think this fits here well (depending on the context).

08:02 Feb 8 

Thanks, phoeberuth, that is the alternative term that I have at the back of my mind. I agree that you have to pay extra for 'additional services', but why is it then a deduction? Also, these 'additional services' are usually listed extra on the bill and are called 'Wahlleistungen'.

07:56 Feb 8 

I'm not an expert at all in this field, but privately insured patients can opt for additional services when they're in hospital (their own room, for example, or seeing the head doctor...) . These are agreed on in advance - so I imagine "Mehrleistung" is actually "additional services" in this context, not increased efficiency.