meda Billing · GOÄ
GOÄ: documented services,
correct factors.
Private billing lives on two things: the services you performed and the factors your documentation justifies. Both come from the note. meda reads it.
reason needed
agreement before
the service
Applies to most services. Sections A, E, O and the lab (M) have narrower ranges.
reason needed
agreement before
the service
Applies to most services. Sections A, E, O and the lab (M) have narrower ranges.
In short
GOÄ in three sentences.
The scale of fees for doctors (GOÄ) sets the fees for medical services unless a federal law says otherwise.1 In practice that mostly means privately insured patients and self-payers.
Points times the point value of 5.82873 cents give the simple fee. The multiplier (Steigerungsfaktor) multiplies it.1
Where fees can be left behind
The multiplier the note supports.
Under the GOÄ, fees are lost in two directions: billed too low, or too high without evidence. The safe position is the same in both cases.
| Services | Range | Threshold |
|---|---|---|
| All other services | 1.0 to 3.5 | 2.3 |
| Sections A, E and O | 1.0 to 2.5 | 1.8 |
| Section M (lab) and no. 437 | 1.0 to 1.3 | 1.15 |
A demanding service billed at the standard multiplier, although the note shows the extra effort.
A multiplier above the threshold that the note does not support. According to the Bundesärztekammer, a bare “especially time-consuming” is not enough.3
The multiplier the note of this contact supports, with its own reason for every item.1
meda Billing
How meda works with the GOÄ.
meda shows you the GOÄ services and multipliers your note supports, each with the sentence behind it.
meda writes the note down during the consultation and shows the GOÄ services it supports.
meda suggests the multiplier with the sentence in the note that justifies it. The doctor decides.
If a private billing service (Verrechnungsstelle) handles your GOÄ, meda works before it: once approved, it goes into the process you already trust.
Why now
GOÄneu rewrites the catalog.
Under the draft by the Bundesärztekammer and the PKV-Verband, multipliers give way, as a rule, to fixed euro amounts and surcharges.6 What that means for a single practice depends on its specialty and its service mix — old and new GOÄ positions generally have no 1:1 relationship.7 What holds either way: the code you can bill is the one your note supports.
There is no date yet.
Guides
More on the GOÄ.
GOÄ factors: what your documentation has to support
Under-factored loses money; unjustified over-factoring does not hold. The note decides.
GOÄneu: what changes for your private billing
What the draft changes for your private billing, and where the reform stands.
How we measure: the method, published before the numbers
We publish the method before the numbers. Rejections count against us.
Security, at a glance.
What holds before any practice data flows.
Processing under the GDPR, only on your instructions.
Our servers are in EU data centres.
Signed before any practice data flows.
meda Notes deletes audio after transcription.
Your practice’s data never trains AI models.
Every approved code keeps its link to the note.
Price
What it costs.
meda Billing is added to meda Notes, because it finds the codes in the documentation meda Notes writes. MVZ and practice networks from 3 sites or 20 doctors get a custom offer.
meda Billing
For practices with 1–2 sites
+ 159 €
per doctor per month on top, excl. VAT
Everything in meda Notes, plus:
- Free logins for your whole team
- Covers EBM, GOÄ and HzV
- Suggestions with evidence, you decide
- Also finds what usually gets missed
- No pile-up at quarter-end
GOÄ questions
Does meda suggest higher multipliers?
meda shows the services and multipliers your note supports, with the evidence attached. Nothing beyond what the note justifies, and the doctor decides every item.
Do I need a reason up to 2.3?
No. The GOÄ asks for a written reason only above the threshold (section 12(3)).1
Do lab and imaging use the same multipliers?
No. For sections A, E and O the range is 1.0 to 2.5 with a threshold of 1.8; for the lab (section M) 1.0 to 1.3 with a threshold of 1.15.1
We bill GOÄ through a private billing service (Verrechnungsstelle). Does that change anything?
No. meda sits before the billing service: the doctor approves the documented services, and more complete input flows into the process you already run.
When does GOÄneu come?
Not yet. The Bundesärztekammer and the PKV-Verband submitted an updated draft to the Federal Ministry of Health in July 2026; there is no ministry draft yet. Both consider 1 January 2028 achievable. Until then, today’s GOÄ applies.4, 5
Does meda change anything in our PVS?
Only what you approve. Suggestions stay in the review; nothing enters your PVS unless you approve it.
Sources (7)
- Scale of fees for doctors (GOÄ), sections 1, 5 and 12, as last amended on 19 Jul 2023 (in German). gesetze-im-internet.de
- GOÄ, section 2: deviating agreement (in German). gesetze-im-internet.de
- Bundesärztekammer: notes on deviating fee agreements and on higher multipliers (PDF, in German). bundesaerztekammer.de
- Bundesärztekammer: GOÄ reform (in German). bundesaerztekammer.de
- Bundesärztekammer und PKV-Verband: press release on the updated GOÄ draft, 31 Jul 2026 (in German). bundesaerztekammer.de
- Bundesärztekammer: questions and answers on the draft of the new GOÄ, December 2025 (PDF, in German). bundesaerztekammer.de
- PKV-Verband: why private health insurers back a new GOÄ, 15 Jul 2026 (in German). pkv.de
The official text is what counts. Not legal advice.
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