Service packages instead of individual tasks
Home care in Germany is not billed task by task but in service packages (Leistungskomplexe). Each package groups a set of care tasks and carries a number of points that expresses its effort relative to the other packages. The invoice amount is the points multiplied by the point value (Punktwert). Both – the catalogue and the point value – are set by contracts at federal-state level and therefore differ from state to state, sometimes even between the associations of insurance funds.
That is why DIAS does not hold one nationwide standard catalogue but the catalogues of the individual federal states: during setup, the catalogue for your state, checked against your remuneration agreement (Vergütungsvereinbarung) (the stored state catalogues are not yet complete for every state). The point value valid for your service comes from your remuneration agreement and is entered in the system – not estimated and not borrowed from another region.
From visit to service package
The decisive step between documentation and billing is the assignment: which documented visit belongs to which service package. DIAS offers three complementary ways to do this:
- Individually – a visit is assigned to a package by hand, with a quantity.
- Bulk assignment – all visits in a period or category at once, each with a dry run: you first see what would happen and then decide.
- Rules – a rule permanently links a visit category to a service package. New visits are assigned automatically when they are created; every assignment is logged and remains traceable.
Anything that cannot be billed is deliberately left unassigned. Medical treatment care (Behandlungspflege) under SGB V, for example, does not belong in billing under SGB XI – so the system does not assign it automatically but leaves it open.
Proof of service
The assigned visits produce the proof of service (Leistungsnachweis): a statement per patient and billing period with date, service package, quantity and total points. It can be exported as a PDF and is therefore ready to submit to the long-term care insurance fund (Pflegekasse). If something is missing – a period without visits, a visit without an assignment – the report shows it instead of silently leaving it out.
Export and handover
For handover to your billing service provider, DIAS generates the billing data as files: as a PDF for the records, as XML and in the DALE-UV record format. The transmission to the insurance funds themselves is handled by your billing service provider – the system generates the data, it does not send it.
Long-term care insurance amounts
To help you advise relatives, the benefit amounts are stored in the system and updated whenever they change. As of 2025, per month:
- In-kind care benefits (Pflegesachleistung, § 36): care level 2 €796, care level 3 €1,497, care level 4 €1,859, care level 5 €2,299
- Care allowance (Pflegegeld, § 37): care level 2 €347, care level 3 €599, care level 4 €800, care level 5 €990
- Relief allowance (Entlastungsbetrag, § 45b): €131 in all care levels 1 to 5
In care level (Pflegegrad) 1 there is no entitlement to care allowance or in-kind care benefits; the relief allowance is still available.
Identification numbers
For billing, a home care service needs the institution code (Institutionskennzeichen) under § 293 SGB V and its care service number from the care provision contract (Versorgungsvertrag). Both are stored per company and appear on the generated documents.
Next: Proof of service and reports for the long-term care insurance fund · all modules at a glance