For MVZs, practices, networks — and their billing partners

The Honorar is already in your notes.
It just never gets billed.

Meda reads the notes your doctors already write and finds the EBM, GOÄ and HzV codes that were never billed.

Read-only. Never writes to the record. Nothing bills without the doctor. Works with your PVS.
tomedo logo medatixx logo T2med logo CGM logo +
Meda · End of day reviewFriday, 14 March
Clinical note · Dr. Weber

Patient with a chronic wound, right lower leg. Follow up today. Cleaned the wound, removed damaged tissue, applied a new dressing. Wound healing well, edges calm. Next visit in five days.

Suggested for review · 1 of 6
EBM 02310
Wound treatment, care complex
“Cleaned the wound, removed damaged tissue, applied a new dressing.”

The doctor decides. Only approved codes flow into the PVS.

100%of billed codes approved by a doctor. By design.
3billing catalogs read: EBM, GOÄ and HzV
5+PVS live today — tomedo, medatixx, T2med, CGM
≈10 mina day. Die Feierabend-Review, by design.

Your PVS knows what was documented.

The KV knows what was billed.

The Kasse knows what was paid.

Nobody knows what your practice is owed.

Meda is the layer that answers it. Read-only, evidence attached, decided by your doctors.

The problem

You already did the work. The payment never arrived.

A chronic wound, cleaned and dressed, all of it in the note. The code that pays for it, EBM 02310, never gets entered.

Your PVS holds the note and the code catalog. It never reads one against the other.

The hole in the pipeline
Care Documentation Abrechnung Honorar Performed. Documented. Never billed. Meda reads across the hole — every find with evidence, every decision the doctor's.
One visit, on paperWork in the noteEBM 02310 missing

How it works

Meda reads

Every finished note in your PVS, against EBM, GOÄ and HzV. Read-only, nothing changes.

You see the evidence

Each suggested Ziffer shows the line of the note that supports it.

You decide

Bill, reject, unsure. Ten minutes at the end of the day.

AI Billing

Finds the codes your PVS misses.

Read

Finished notes, straight from your PVS.

Suggest

Unbilled EBM, GOÄ and HzV codes, with evidence.

Approve

Die Feierabend-Review. Three buttons, ten minutes a day.

Trace

Linked to its note. Ready for the Plausibilitätsprüfung.

Evidence chain
The note says
“Cleaned the wound, removed damaged tissue, applied a new dressing.”
Supports
EBM 02310
Wound treatment, care complex
Decided by
Dr. Weber, 18:42

Customer quote

First named customer story · publishes with written consent

Also from Meda: AI Note Clean documentation in seconds. 69 € per doctor and month. Explore AI Note

Why Meda

Four things nobody else can say.

Ambulant by design

EBM, GOÄ and HzV are the product's DNA, not a translated layer on top of a foreign system.

The doctor decides, by law and by design

Not a stage on the way to automation. The final decision is the physician's, and we build around that.

Evidence on every code

Each suggestion carries the note line that supports it, and keeps the link after approval.

Above your PVS, not inside it

One layer across every system you run. No migration, no writing to the patient record.

Trust

EU hosting

Processed in the EU with Meda's own AI. No US providers.

AVV in place

Signed before any practice data flows.

No audio stored

AI Note deletes audio after transcription.

Traceable by design

Every approved code keeps its link to the note.

Hosting, data flows and the full picture: Security

Common questions

How accurate are the suggestions?

We do not ask you to trust accuracy. Every suggestion shows the line from the note that supports it, and nothing is billed until the doctor approves it.

Will it work with my PVS?

Live in more than five PVS today, including tomedo, medatixx, T2med and CGM. No switch, no migration.

How do you protect patient data?

Processed in EU data centres, encrypted in transit and at rest. Audio is not stored. An AVV is part of every contract.

How long does it take to get started?

AI Note has a free trial today. For AI Billing, a 20 minute call shows the review on your PVS.

Doctor documenting at a laptop, stethoscope beside the keyboardFoto: National Cancer Institute / Unsplash

The vision

Complete, evidenced billing as the default state of German ambulant care.

One layer above every PVS. Every note read, every documented service surfaced, every code decided by the doctor.

Built in Munich, with practicing doctors advising from the first line of code.

Read the Meda Kodex

The Meda Briefing

✓ You're in.

The numbers, the tools, the moves. No filler.

Want to see your own quarter, read back to you?

A 20 minute call. We show the review on tomedo or medatixx, in a normal day's workflow.

Book a call

AI Billing

Finds the codes your PVS misses.
You approve every one.

Reads the finished documentation in your PVS. Surfaces the EBM, GOÄ and HzV codes that are documented but not billed.

3 catalogs: EBM · GOÄ · HzV 5 PVS live today ≈10 min a day, by design 100% doctor approved, by design
Meda · End of day reviewFriday, 14 March
Clinical note · Dr. Weber

Long consultation on a new diagnosis. Discussed findings, treatment options and next steps. Conversation lasted over ten minutes.

Suggested for review · 2 of 6
EBM 03230
Problem oriented consultation, 10 minutes or more
“Discussed findings, treatment options and next steps. Over ten minutes.”

The doctor decides. Only approved codes flow into the PVS.

A normal day, with Meda

Ten minutes at the end of the day.

During the day

Consultation documented. Wound care performed, dressing changed.

The day happens as usual

Doctors see patients and document in the PVS. Meda reads the finished notes in the background.

17:50 · MFA prepares
EBM 02310clear case
EBM 03230clear case
HzV P3for the doctor
The MFA prepares

Suggestions arrive as one end of day list. Clear cases sorted first, judgment cases flagged. For the MFA: the quarter-end hunt for missing Ziffern becomes a short daily list.

18:05 · Die Feierabend-Review
Bill itRejectUnsure

About ten minutes a day, by design. Where does your gap sit? Take the Gap-Check

The doctor decides

Three buttons for every code. Approved codes flow into the PVS. Nothing bills without approval.

Audit ready

Every code carries its evidence.

Every suggestion shows the exact line of the note that supports it. Every approved code keeps that link.

The supporting ICD‑10‑GM diagnosis sits next to the billing code, so diagnosis and Ziffer stay coherent.

When the KV asks during a Plausibilitätsprüfung, the answer is one click. The code, the note, the diagnosis, the approval.

Suggestions by catalogSample data
EBM · 62% GOÄ · 23% HzV · 15%

EBM — the statutory catalog. Consultations, chronic care, wound care, home visits.

GOÄ — private billing. Documented services and the correct factors.

HzV — the contract codes easiest to forget.

Security, in one glance

Nothing bills without the doctorEvery code is a physician's decision. By design, not by option.
Evidence on every suggestionEach Ziffer links to the note line that supports it — and keeps the link.
Withstands reviewBuilt so your billing answers the Plausibilitätsprüfung with one click.

Hosting, data flows and the full picture: Security

Product screenshotThe real review screen — suggested codes with their evidence, three decision buttonsexport from app.mymeda.ai · swap here
Hand writing notes at a desk at the end of the dayFoto: JESHOOTS.COM / Unsplash

Common questions

Does Meda change anything in the patient record?

No. Meda is read-only on the documentation. It never changes or adds to the Patientenakte — suggestions live in the review, and what happens after approval stays in your existing billing process.

Is this billing automation?

Meda automates the reading: finished notes cross-checked against the catalogs, evidence prepared. It never automates the decision. Every code is approved by the doctor. In ambulant billing that final step belongs to the physician by law, and Meda is built around it.

Do we have to change our PVS?

No. Meda works above your existing PVS. It is live in more than five PVS today, with more on the way.

How much time does it take?

The review is designed for about ten minutes per doctor per day, at the end of the day. The MFA can prepare the list first.

What does it cost?

AI Billing runs in practices today. We discuss pricing in a call, based on your setup.

When can we start?

The measurement runs now; results publish at the end of September. Book a call and we will show you the review on your PVS.

See the review on your PVS.

20 minutes, on tomedo or medatixx.

Book a call

AI Note

Clean documentation,
in seconds.

Turns what you dictate or type into structured clinical notes. Inside your existing workflow, in proper German medical language.

€69 / doctor / month Live today Writes the note AI Billing reads
AI Note · new entry
Structured note

S — Patient reports improving wound pain.
O — Wound granulating, edges calm.
A — Chronic ulcer, healing as expected.
P — Continue dressing change, review in five days.

Suggested diagnosis
ICD‑10‑GM · L97.9 — confirm

Security, in one glance

Nothing bills without the doctorEvery code is a physician's decision. By design, not by option.
Evidence on every suggestionEach Ziffer links to the note line that supports it — and keeps the link.
Withstands reviewBuilt so your billing answers the Plausibilitätsprüfung with one click.

Hosting, data flows and the full picture: Security

What it does

Documentation, without the evening backlog.

Structured notes

Dictate or type. AI Note turns it into a clean, structured record.

Visit preparation

A short summary of the patient before they walk in.

ICD‑10‑GM coding

Diagnoses suggested from the note, for you to confirm.

German medical language

Built for German documentation, not translated to it.

Patient summary

A clear, patient friendly visit summary to take home.

Across specialties

Clinically accurate terms and structure across specialties.

Product screenshotThe AI Note editor — a real note being structured, ICD‑10‑GM suggestion visibleexport from app.mymeda.ai · swap here
Doctor in conversation with a patient in a consultation roomFoto: Vitaly Gariev / Unsplash

Why it matters

Good notes are where billing starts.

Every code needs a note that supports it. AI Note writes that documentation. AI Billing reads it. Together they close the gap between the work and the Honorar.

Live today

€69

per doctor, per month

Start with documentation today. Add billing recovery next — most practices do.

Try for free

For MVZs · Betriebsleitung & Verwaltung

Every location.
The same standard.

Each location misses different codes, in different ways, and no report shows you where. Meda reviews every location the same way, and every approved code stays traceable to its note.

Meda · Practice overviewSample data
128codes suggested this week
97approved by doctors
14open for review
Standort NordReview complete
Standort Mitte4 open for review
Standort SüdReview complete

Runs where you already work — more than 5 PVS

tomedo logo medatixx logo T2med logo CGM logo Dc +

One engine · one surface per role

MFADrafted, pre-sorted suggestions land in an inbox. The chasing stops; the clearing starts.
DoctorsOne-click adjudication. The decision and the signature stay with the doctor. The hunting doesn't.
AbrechnungsteamExceptions instead of transcription. More Standorte per billing colleague.
MVZ-Leitung & CFOBilling completeness per Standort, visible in one overview.

Your billing team stops transcribing and starts reviewing. Same team, more locations — and the billing becomes complete.

What multi location billing actually looks like

Every location misses differently

Different teams, different habits, different gaps. The codes that slip in Nord are not the ones that slip in Süd.

No report shows you where

The PVS reports what was billed. It cannot report what was documented and never billed. That number does not exist today.

Growth raises the stakes

More locations means more billing volume under review. Consistency and traceability stop being nice to have.

Modern medical reception counter in natural lightFoto: Martha Dominguez de Gouveia / Unsplash

What Meda changes

One review. One overview. Every site.

Rolled out location by location, above the PVS each site already uses. No big bang migration, no workflow change.

One overview

Suggested, approved and open, per location and per week.

Same review everywhere

Read the notes, suggest the codes, doctors approve. Identical at every site.

Audit ready by design

Every approved code stays traceable to its note and diagnosis. Billing that withstands review.

No workflow change

Doctors document as before. The review takes about ten minutes a day, by design.

MVZ questions

Our locations run different PVS systems. Does that work?

That is the point of the layer above. Meda is live in more than five PVS today, with more on the way. Each location keeps its system.

How does rollout across locations work?

Location by location, above the PVS each site already uses. No big bang migration, and no location waits for another.

Do our doctors have to change how they document?

No. Meda reads the finished notes they already write. The only new thing is a short end of day review.

What does our ärztliche Leitung need to know?

Three things. Clinical judgment stays where it is: every code is decided by the treating doctor, and nothing changes in how anyone documents. The suggestions are evidence, not instructions — each one shows the note line it rests on. And the rules we build by are public: the Meda Kodex.

What happens at a §106d Plausibilitätsprüfung?

Every approved code stays linked to its note and the supporting ICD‑10‑GM diagnosis, at every location. When the KV asks, the answer is one click. Complete billing that withstands review is the whole point. More on Security.

Want every location billing complete — without new headcount?

A 20 minute call shows the overview on your locations, on the PVS you already run.

Book a call

For Hausärzte und Fachärzte in eigener Praxis

The codes that slip
through a full day.

The long conversation. The chronic care visit. The GOÄ service for a private patient. You did the work and documented it. Then the next patient was already waiting.

Die Feierabend-Review · 18:05Sample data
EBM 03230 · long consultationBilled
HzV P3 · chronic care contractBilled
EBM 02310 · wound treatmentYour call

Three decisions. Then you go home.

Runs where you already work — more than 5 PVS

tomedo logo medatixx logo T2med logo CGM logo Dc +

Where your Honorar slips

The conversation

Fifteen minutes walking a patient through a new diagnosis, documented in full. The Gespräch code never entered.

The contract codes

HzV codes are the easiest to forget in a mixed day, and they add up quarter after quarter.

The evening doubt

Did everything get billed? Today, there is no way to know. The note holds the answer, and nothing reads it.

Bright treatment room in a small practiceFoto: Olivier Collet / Unsplash

What Meda changes

Ten minutes. Your decision. Every time.

Meda reads your finished notes and shows what is documented but not billed, with the line from the note that proves it.

End of day, not popups

One short review when the day is done. No interruptions during consultations.

Evidence per code

Every suggestion carries the exact sentence from your note that supports it.

Three buttons

Bill, reject with a reason, or unsure. About ten minutes, by design.

You decide

Nothing bills without you. Your judgment stays the final step, by design.

Doctor questions

Is this upcoding?

No. Meda only suggests codes your documentation supports, and you approve every one. That is correct billing, evidenced. Every approved code stays traceable to the note, ready for the Plausibilitätsprüfung.

How much extra work is it?

The review is designed for about ten minutes a day, at the end of the day. Your MFA can prepare the list first.

Does it work with HzV contracts?

Yes. HzV codes are part of what Meda reads for, alongside EBM and GOÄ.

The Meda Briefing

✓ You're in.

The numbers, the tools, the moves. No filler.

Want your Feierabend back — with the Honorar already in it?

A 20 minute call. We show the review on your PVS. Or start smaller: take the Gap-Check.

Book a call

For Praxisnetze und Verbünde

One standard across
independent practices.

Praxisnetze, Verbünde, Genossenschaften: federations of independent practices. Their systems differ, so Meda sits above the PVS. The same billing review works everywhere, without forcing anyone to switch software.

One layer, many systems
Meda the layer above · same review everywhere Praxis A tomedo Praxis B medatixx Praxis C another PVS Every practice keeps its system. Every doctor keeps the final say.

What the network gets

A member benefit that actually lands.

Complete, evidenced billing for your members — the kind of benefit that strengthens the network itself: members earn what they documented, and the standard travels with your name.

A shared quality floor without mandating software. Each practice decides and contracts for itself. The network offers; it never administers.

What you can tell your members

"It reads the notes you already write and shows the Ziffern you documented but never billed."
"Nothing bills without you. Every code is your decision, with the evidence attached."
"It runs on the PVS you already have. No migration, no new documentation habits."

Three sentences, forwardable as they are.

The network reality

Different systems everywhere

Every member practice chose its own PVS. Any tool that requires switching is dead on arrival.

No shared billing standard

Billing quality depends on each practice's habits. There is no common floor, and no way to raise one.

Autonomy is non negotiable

Member practices are independent. A network can offer a standard. It cannot mandate software.

What Meda changes

A shared floor, without shared software.

The layer above the PVS is the only place a network standard can live without touching each practice's stack.

Above every PVS

The same review works across tomedo, medatixx, T2med, CGM — and counting.

Per practice autonomy

Each practice keeps its system and control of its own data.

Doctors decide locally

Every code is approved by the treating doctor, in every practice.

Same quality everywhere

Complete, evidenced billing that withstands review — as the network's common floor.

Network questions

Do member practices have to switch their PVS?

No. Meda works above the PVS each practice already uses. Live in more than five PVS today, more on the way.

Who controls the data?

Each practice. The network sees no practice data. Each practice sees only its own review; there is no network dashboard, by design. Every code is decided by the treating doctor in that practice.

How does a network offering work?

Network offerings are relationship led, not a form. Talk to the founders and we work out the shape together.

How do member doctors experience it?

A short end of day review with evidence attached to every suggested code. About ten minutes a day, by design.

Want a standard your members actually adopt?

Relationship led, not a form. A call with the founders, then we shape it together.

Book a call

Integrations

Above your PVS.
Not instead of it.

Your PVS stays your system of record. Meda reads finished documentation and writes back only what the doctor approved.

The PVS we run above.

One layer, every system of record. Meda reads the finished documentation in the PVS you already use — no switch, no migration, no new tool for the front desk.

tomedo
medatixx
T2med
CGM
Doc Cirrus
Ask about yours

Which PVS do you run?

✓ Noted. We come back to you on your PVS.

Product screenshotMeda running above tomedo — the layer and the PVS side by sideexport from app.mymeda.ai · swap here

How it connects

Standard interfaces. No switch.

Meda connects through the standard interfaces your PVS already speaks, including GDT, LDT and APIs where available.

It reads finished documentation. It never changes a note. It writes back exactly one thing: the codes your doctor approved.

No migration. No new documentation tool. No change for the front desk.

Medareads notes · suggests codes
↑ READS · WRITES BACK APPROVED CODES ↓
Your PVStomedo · medatixx · …
HOLDS
Notes & billingyour system of record

Security & compliance

Built for German healthcare.
From the ground up.

Patient data, medical documentation and billing. No room for shortcuts. This page states how Meda handles it.

GDPRGerman healthcare requirements
EU hostedProcessing in EU data centers
AVV includedWith every contract
Audit trailEvery code traceable
Where your data goes — and where it does not
Your PVS notes · billing · system of record Meda · EU reads notes · suggests codes Anywhere else audio · raw notes finished notes approved codes only nothing leaves

Data protection

GDPR compliant. In line with German healthcare requirements.
Encrypted. In transit and at rest, 256 bit.
Hosted in the EU. Processing in EU data centers.
AVV included. A data processing agreement with every contract.
Audio is not stored. Notes stay under your control.

Why the doctor stays in the loop

German ambulant billing makes the physician responsible for every billed code. That is why Meda is built around the doctor's decision, not around automation.

Every suggestion needs approval. Every approved code stays traceable to the note and the supporting ICD‑10‑GM diagnosis.

When the KV reviews your billing in a Plausibilitätsprüfung under §106d SGB V, the evidence is already attached.

Sovereignty, precisely

German health data stays in Europe.

Practice and documentation data is processed in the EU, on EU infrastructure, with Meda's own AI. No US AI providers touch it.

Meda reads the documentation — read-only, never changing the Patientenakte — and every code is a physician's decision. Sovereignty here isn't a server location. It's the architecture.

An AVV (Auftragsverarbeitungsvertrag) is in place before any practice data flows.

Two kinds of data, told apart

Product data

Documentation and billing context. EU-only, Meda's own AI, read-only on the record, AVV-covered.

Website & contact data

Forms and CRM run on HubSpot with EU data residency, under the cookie consent you control. Never mixed with product data.

The honest split most vendors blur. We name it.

Security questions? Ask them directly.

We answer data protection and compliance questions before anything else. AVV and technical documentation on request.

Book a call

About Meda

Doctors should be paid for the work they already do.

Not more medicine. Not different medicine. The same work, finally billed completely and correctly.

Reserved for own shoot · Praxisalltag, München

Why we built Meda

The gap between the note and the bill.

German ambulant care documents almost everything and still loses Honorar every quarter, because notes and billing live in the same system without ever meeting.

We build the layer that reads one against the other. Above the PVS, with the doctor in charge of every decision.

Meda is built in Munich by a team across product, engineering and healthcare, with practicing doctors advising from day one.

Evidence over enthusiasm

We publish methods and measured results. Claims we cannot back stay off this website.

The doctor decides

Doctor in the loop is not a feature stage. It is how ambulant billing must work, and how Meda is built.

German ambulant first

EBM, GOÄ, HzV, PVS. We build for this system, in this language, for this market.

Reserved for own shoot · the founders, Munich

Why we're building this

A letter from the founders

We built Meda after watching, up close, how much documented work in German practices never turns into Honorar — and how little the systems holding that work seemed to care.

What we knew from day one: doctors don't need another tool that promises more revenue. They need to be paid completely and correctly for the work they already do — with their own judgment as the final step. That is what we build, in Munich, with practicing doctors advising from the first line of code.

Supported by the EXIST Gründungsstipendium and the AI+Munich initiative. Built with practicing doctors and academic advisors from Munich's medical and AI faculties. A German company, engineered and hosted in Europe.

— Andrei (CEO), Aqid (CTO) & Penny (CPO) · Munich
Read the Kodex we build by

Talk to the team.

Questions, rollouts, partnerships. We answer directly.

Book a call

Book a call

See Meda on your PVS.

A 20 minute call. We show the code review on tomedo or medatixx and answer your questions. No slides marathon.

In a hurry? Book a slot directly

Goes directly to the founders. No newsletter.

Request received.

We get back to you within one working day to find a time.

Read-only. Never writes to the record. AVV signed before any data flows. Processed in EU data centres.

Pricing

You pay per doctor.
Your team logs in free.

Two features, both counted per Arzt and month. Your MFAs, your billing team and your Praxismanagement use Meda every day too, and cost nothing.

(AI Note + AI Billing)
× your doctors

Everyone else in your practice: 0 €. However many. Each with their own named login.

AI Note is 69 € per Arzt and month. AI Billing comes on top when you want it, and we price that one after we have measured in your practice.

The reason Meda exists

AI Note + AI Billing

For practices that want the documented Ziffern back.

Per Arzt and month the number comes after we measure in your practice

Choose this if you

  • suspect Ziffern are slipping and cannot prove it
  • run more than one doctor, or more than one Standort
  • want every code to hold up at a Plausibilitätsprüfung
  • Finished notes read against EBM, GOÄ and HzV
  • Evidence attached to every suggestion
  • Die Feierabend-Review: bill, reject, unsure
  • MFA prepares, the doctor decides
  • AI Note included, for every doctor

Live today

AI Note

For practices that want clean notes and nothing else.

69 € per Arzt / month

No credit card.

Choose this if you

  • want the documentation, and no billing help
  • would rather start this week than have a conversation
  • are curious about the billing side, later
  • Structured notes from dictation or typing
  • Visit preparation summaries
  • ICD‑10‑GM diagnoses suggested, you confirm
  • German medical language, built in
  • Billing-code suggestions as a preview

All prices net, zzgl. USt. AI Billing is taken for the whole practice, not per single doctor. Practices that only need the documentation are welcome to stay there, and many do.

More than one Standort

Still per doctor.
Plus 99 € per practice.

The per-doctor rate is agreed for the whole organisation. The 99 € per practice and month covers the layer that holds your Standorte together.

  • Completeness per Standort in one overview
  • Organisation wide roles and named logins
  • One engine across every location and PVS
  • Team accounts free at every Standort
Talk to us

How it runs across locations

We measure firstRoughly one billing quarter, in your own practices, before anything is agreed.
One rate, not twelveAgreed once for the organisation. Annual contract.
Setup is scoped with youYour locations, your PVS systems, your roles. No two organisations are the same.
Your teams stay freeAt every Standort, however many people. You are only counted in doctors.

Roles

Everyone in the practice gets a login. You pay for the doctors.

The seat you pay for Doctor

Documents as always, sees the suggestions, decides every Ziffer. Nothing is billed without that decision.

AI Note69 €
AI Note + AI Billingafter we measure

Per Arzt and month. A doctor who also runs the practice holds both roles on one login, and is counted once.

Everyone else Free on every plan
MFAWorks the daily list and flags what needs a doctor's eye. Nothing she does can change a decision a doctor made.
BillerPrepares the review and sorts the clear cases, so the quarter stops piling up. Approving stays with the doctors.
ManagerSees how complete the billing is per Standort and how the review is moving. Never sees notes or findings.

However many you need. Each with their own named login.

What is included

AI Note + AI Billing Chain & Org
AI Note
Ambient documentation of visits
Structured notes, dictation or typing
ICD‑10‑GM suggested, you confirm
Billing-code suggestionspreview
AI Billing
Finished notes read against EBM, GOÄ and HzV
Evidence attached to every suggestion
Three button review: bill, reject, unsure
Export into your billing process
Team & accounts
Biller, MFA and Manager accounts0 €0 €0 €
Named individual logins
Unlimited team accounts
Chain layer
Completeness per Standort
Organisation wide roles
Platform fee per practice99 € / month
Contract
AVV in place before any data flows
Termmonthly / annualmonthly / annualannual
Setupincludedincludedscoped per deal

Why it is priced this way

How do you count doctors?

Every doctor whose visits run through Meda in that period. Deactivate a doctor and they stop counting from then on. Anyone practising as a doctor counts, Weiterbildungsassistenten included.

Why per doctor?

Because a doctor is who Meda works for. It reads what a doctor wrote, and every Ziffer is a doctor's decision. Your MFA and your billing team work in Meda every day too. Charging for their logins would put a price on the paperwork instead of the work.

What do Biller, MFA and Manager accounts cost?

Nothing, however many you have. Each person gets their own login rather than sharing one, so it stays clear who did what. That matters at a Prüfung, and it is not something we charge for.

When do you need the multi-site setup?

When you need the layer above the practices: several locations, billing run centrally, and deadlines across more than one KV. It is not about how many doctors you have. Six doctors at one Standort is a practice, and the practice setup fits it.

We work with an external Abrechnungsdienstleister. Can they log in?

Biller accounts are for people employed by the practice or the chain. For external services, Meda hands over finished material in the formats they already take.

Why is there no price on AI Billing?

Because we refuse to guess. It runs in practices today and its price follows the measurement rather than a guess about it. In a call we walk through your setup and what the pricing will look like for it.

See it before you decide.

A 20 minute call on your PVS. No obligation, no slides marathon.

Talk to us

Insights

Billing knowledge,
written to be useful.

EBM, GOÄ, HzV, the PVS landscape and the rules around them. No fluff, evidence marked, reviewed by practicing doctors.

Customers

How we measure: the method behind our numbers

We publish the method before the numbers — so you can check how they're made. Rejections count against us, publicly.

6 min read · Live
Market

The Ziffern practices forget most — and why the pattern repeats

Not a knowledge problem. A timing problem — and the same families slip everywhere.

5 min read · Live
Market

GOÄ factors: what your documentation has to support

The factor is a claim about the service. Under-factored loses money; over-factored fails review. The note decides.

5 min read · Live
Market

Why German health data needs German AI

The shortest processing chain is the safest — and it stays in Europe. Three questions to ask any vendor.

6 min read · Live
Market

Honorarausschöpfung: billing everything you already documented

What full Honorar capture means, why practices fall short, and what legitimately closes the gap.

7 min read · Featured
Market

GOÄneu: the 24 month window

The PVS systems get rewritten. What the reform projects for GP and psychiatric practices, and what to do about it.

Next up
Market

Labs solved this in 2018. Billing didn't.

LDT 3.0 made lab results flow automatically. Why billing capture stayed manual, and what that gap costs.

Next up
Technical

Why the doctor approves every code

The regulatory architecture of German ambulant billing, and why doctor in the loop is a design requirement, not a feature stage.

Next up · reviewed by physicians
Technical

How Meda connects: above tomedo and medatixx

GDT, LDT and APIs. What the layer above the PVS reads, what it writes back, and what never leaves.

Next up
Tool · preview

Ziffern-Finder: every EBM, GOÄ and HzV code, in plain German

Search the way you think — "Wundversorgung", not chapter numbers.

Interactive · live
Tool · free

Der Gap-Check: see your own billing gap in 30 minutes

Six questions, a personal audit plan, a printable checklist. No invented numbers — you count your own.

Interactive · live now
Product

Why three buttons

Designing a billing review a doctor actually finishes: bill, reject, unsure, in about ten minutes a day.

Next up

Customer stories publish with the measurement — with consent, never invented.

Market · 7 min read · publishes in German

Honorarausschöpfung: billing everything you already documented

Honorarausschöpfung means one thing: billing completely for the services your practice has already performed and documented. Not billing more. Not billing differently. Closing the gap between what the note proves and what the Abrechnung contains.

In most practices that gap exists quietly. The service is in the documentation, the matching EBM, GOÄ or HzV code never gets entered, and nothing flags it. This page explains where the gap comes from, where it typically sits, and what actually closes it.

Why documented services go unbilled

The daily reality first: the long conversation about a new diagnosis, the chronic care visit, the wound care. Done, documented, and then the next patient was already waiting. The code entry is the step that loses.

Then the system reality: your PVS holds both the note and the code catalog, and never reads one against the other. Documentation tools write notes. Billing modules check what was typed into the billing mask. The space between is invisible to both.

Where the gaps typically sit

In EBM, it is the problem oriented conversations, chronic care codes and wound treatment. In HzV, the contract codes that are easiest to forget in a mixed day. In GOÄ, documented services and the correct factors for private patients. These are qualitative patterns; our measured numbers publish at the end of September.

Honorarausschöpfung messen: how to see your own gap

The honest method: for one quarter, read the notes against the billed codes and count the divergence. Manual, tedious, revealing. It is exactly what we measure right now, in practices on tomedo and medatixx, with every decision logged.

Three ways practices close the gap

Self audits work but rarely survive a busy quarter. Billing training helps, decays, and does not scale across locations. And there is a newer, third way: ambient billing intelligence above the PVS. Software that reads the finished notes and suggests the documented but unbilled codes, for the doctor to approve.

How Meda does it

Meda reads the finished documentation in your PVS and surfaces the codes it supports, each with the exact line of the note as evidence. The review takes about ten minutes at the end of the day: bill, reject with a reason, or unsure. Nothing is billed without the doctor.

What this means for the Plausibilitätsprüfung

Complete billing has to withstand the KV's review. That is why every approved code keeps its link to the note and the supporting ICD‑10‑GM diagnosis. Correct billing, evidenced — not gaming it.

Questions doctors actually ask

What does Honorarausschöpfung mean?

Billing completely for documented, performed services. Nothing more, nothing different.

Isn't this upcoding?

No. Only codes the documentation supports, and the physician approves every one. That is correct billing, and it is built that way deliberately.

How much Honorar do practices typically lose?

We publish measured answers, not estimates — from measurement in real practices. Until then we don't quote a number.

Does it work with my PVS?

Meda is live in five PVS today, including tomedo and medatixx.

Do I have to change how I document?

No. Meda reads the notes you already write.

← All Insights

Der Meda Kodex

The rules we build by.
Published, so you can hold us to them.

Billing AI in German healthcare needs rules, not promises. These are ours. They don't change with the roadmap.

The doctor approves every code.

Nothing is ever billed without a physician's explicit decision. Not as a feature stage. As the design.

We automate the reading. Never the decision.

The industry races toward touchless coding. We build the opposite: machine reading, evidence attached, human decision. We will not "evolve toward autonomy."

Every suggestion carries its evidence.

Each code shows the line of the note that supports it, and keeps that link after approval. Ready for the Plausibilitätsprüfung, by construction.

We publish our measurements.

No performance numbers appear in our marketing before they appear in a published measurement. Our measured results publish, method first, end of September.

German ambulant care first.

EBM, GOÄ, HzV, the PVS landscape, correct billing under German law. Built for this system, in this language, hosted in Europe. Not adapted to it.

— Andrei, Aqid & Penny · Munich. If we ever break one of these, tell us — publicly.

Der Gap-Check · free

We don't estimate your gap.
We hand you the measuring tape.

Six questions about your quarter. You get a personal audit plan: which code families to count first, and how to see your own gap in about 30 minutes. No invented numbers — the only number that counts is yours.

Gap-Check · your quarter

Billed consistently in your practice? Honest answers only — nobody sees them but you.

Problem-oriented conversations (e.g. EBM 03230)
Wound treatment (e.g. EBM 02310)
Chronic care codes (Chroniker-Ziffern)
HzV contract codes
GOÄ services and factors (private patients)

AI Billing · EBM

Every EBM Ziffer
your notes support.

The Versichertenpauschale bills itself. The Einzelleistungen are where the quarter leaks: the conversations, the wound care, the Chroniker codes. Documented, performed, never entered.

Evidence chain · EBM
The note says
“Discussed the new diagnosis, treatment options and next steps. Over ten minutes.”
Supports
EBM 03230
Problemorientiertes ärztliches Gespräch
Decided by
Dr. Weber, 18:12

Where EBM slips

The patterns we see, before the numbers.

Problem oriented conversations (03230) done in full and never coded. Wound treatment (02310) documented by the MFA, missing on the Schein. Chronikerzuschläge (03220/03221) forgotten in a mixed day. Vorsorge like the Check-up (01732) performed, unbilled.

These are the qualitative patterns from practice. Our measured numbers publish with the September write up.

Meda reads the finished note, finds the documented service, and shows you the Ziffer with its evidence. You decide.

Photo slot · EBM: Sprechzimmer, doctor listening to a patient, natural light, calm — pick at Framer (Unsplash or own shoot · model-release check for faces)

EBM questions

Which EBM codes does Meda look for?

Documented but unbilled services, with the common hausärztliche patterns first: Gespräche, Wundversorgung, Chroniker, Vorsorge. Every suggestion carries the line of the note that supports it.

What happens at the Plausibilitätsprüfung?

Every approved code stays linked to its note and the supporting ICD‑10‑GM diagnosis. When the KV asks, the answer is one click. Complete billing that withstands review is the whole point.

Is this upcoding?

No. Only codes your documentation supports, and the doctor approves every one. Correct billing, evidenced.

See your EBM quarter with Meda.

A 20 minute call, on your PVS.

Book a call

AI 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.

Evidence chain · FacharztWording via physician review
The note says
“Ausführliche Besprechung der Befunde und Therapieoptionen bei chronischer Dermatose, über zehn Minuten.”
Supports
GOÄ Ziffer 3
Eingehende Beratung, mind. 10 Minuten

Where GOÄ slips

The service happened. The Ziffer didn't.

The Beratung that ran long. The symptombezogene Untersuchung done alongside. Services performed for private patients, fully documented, missing from the Rechnung — or billed below the factor the documentation supports.

Meda surfaces the documented services and factors, each with its evidence from the note. If your GOÄ billing runs through a Verrechnungsstelle, Meda works upstream: more complete input, same trusted process.

Why now

GOÄneu opens a 24 month window.

For GP and psychiatric practices the reform projects around 20 percent more Honorar. Capturing it depends on capturing the codes.

We decode the transition as it happens — our read, the numbers, the tools.

✓ You're in.

Photo slot · GOÄ: modern private practice interior, warm materials, no people needed — pick at Framer (Unsplash or own shoot)

GOÄ questions

Does Meda suggest higher factors?

Meda surfaces the services and factors your documentation supports, with the evidence attached. Nothing beyond what the note justifies, and the doctor decides every position.

We bill GOÄ through a Verrechnungsstelle. Does that change anything?

No. Meda sits upstream of the billing office: the doctor approves the documented services, and more complete input flows into the process you already run.

Are you ready for GOÄneu?

The reform rewrites the catalog and the PVS systems with it. Meda is built above the PVS, which is exactly where that transition is easiest to survive. We publish a GOÄneu Rechner in August.

See your GOÄ billing with Meda.

A 20 minute call, on your PVS.

Book a call

AI Billing · HzV

HzV: the contract codes
easiest to forget.

Hausarztzentrierte Versorgung pays through contract codes that sit outside the EBM routine. In a mixed day of GKV, HzV and private patients, they are the first thing that slips.

Die Feierabend-Review · mixed daySample data
EBM 03230 · GKV patientBilled
HzV Chroniker-Pauschale · contract patientYour call
GOÄ Ziffer 3 · private patientBilled

Three catalogs, one review.

Why HzV slips

A second billing logic, in the same day.

HzV contracts differ by region and Krankenkasse, each with its own Pauschalen and Zuschläge. The doctor's day doesn't sort patients by contract — the billing has to, and in a full Sprechstunde the contract codes are the ones that get lost.

Meda reads the finished notes and surfaces the documented HzV codes relevant to your contracts, alongside EBM and GOÄ, in the same Feierabend-Review. One list, three catalogs, your decision.

Photo slot · HzV: Hausarzt with older patient, conversation, trust — pick at Framer (Unsplash or own shoot · model-release check)

HzV questions

Which HzV contracts are covered?

Contracts differ by KV region and Krankenkasse. In the call we go through the contracts your practice participates in and what Meda reads for in each.

Do HzV and EBM suggestions get mixed up?

No. Each suggestion is tied to the patient's context and shows its catalog. The doctor sees one clean end of day list.

We're an MVZ with mixed enrollment. Does that work?

Yes. The review handles mixed days by design — that's exactly the situation where contract codes slip most.

See your HzV codes with Meda.

A 20 minute call, on your PVS.

Book a call

Ziffern-Finder · free

Every Ziffer, explained
in plain German.

EBM, GOÄ and HzV codes with what they actually mean, when they apply, and what they're also called. Search the way you think, not the way the catalog is written.

EBM

03230

Problemorientiertes ärztliches Gespräch, mind. 10 Minuten

Auch gesucht als:

Gesprächszifferlanges GesprächBeratungsgespräch
EBM

02310

Behandlung chronischer Wunden, Behandlungskomplex

Auch gesucht als:

WundversorgungWundbehandlungchronische Wunde
EBM

03220 / 03221

Chronikerzuschlag zur Versichertenpauschale

Auch gesucht als:

Chroniker-Zifferchronische Erkrankung Zuschlag
EBM

03000

Versichertenpauschale, hausärztliche Versorgung

Auch gesucht als:

GrundpauschaleQuartalspauschale
EBM

01732

Gesundheitsuntersuchung (Check-up)

Auch gesucht als:

Check-up 35Vorsorgeuntersuchung
EBM

35100

Differentialdiagnostische Klärung psychosomatischer Krankheitszustände

Auch gesucht als:

Psychosomatik-Zifferpsychosomatische Grundversorgung
GOÄ

Ziffer 1

Beratung, auch telefonisch

Auch gesucht als:

BeratungszifferGOÄ Beratung
GOÄ

Ziffer 3

Eingehende Beratung, mind. 10 Minuten

Auch gesucht als:

ausführliche Beratunglanges Gespräch privat
GOÄ

Ziffer 7

Vollständige körperliche Untersuchung eines Organsystems

Auch gesucht als:

Facharzt-UntersuchungOrgansystem
GOÄ

Ziffer 5

Symptombezogene Untersuchung

Auch gesucht als:

körperliche Untersuchung
HzV

Chroniker-Pauschale

Vertragsabhängige Pauschale für chronisch Kranke (Beispiel P3)

Auch gesucht als:

HzV ChronikerHausarztvertrag Pauschale

No match in the preview set. The full tool covers the complete catalogs.

The most-searched Ziffern, in plain German. The complete catalogs are next.

Documented, but never billed?

Finding these codes in your own notes is literally what Meda does. Every day, with your approval.

See AI Billing

Market · 5 min read · publishes in German

The Ziffern practices forget most — and why the pattern repeats

The forgotten Ziffer is almost never a knowledge problem. It's a timing problem: the service ends, the next patient is waiting, and the code entry is the step that loses.

Across practices, the same families slip again and again. Not the exotic positions — the everyday ones.

The conversation that ran long

The problem oriented conversation (EBM 03230) is documented constantly and billed inconsistently — because it happens inside a full Sprechstunde, and ten honest minutes of talking feel like care, not like a billable position. The note proves it. The Schein often doesn't show it.

The wound the MFA documented

Wound care (EBM 02310) is a team pattern: the MFA documents the treatment precisely, and the code depends on someone reading that documentation against the catalog at the end of a long day.

The chronic patients everyone knows

Chroniker codes (03220/03221) fail in mixed days — the patient is so familiar that the routine hides the position. The same mechanism catches HzV contract codes: a second billing logic in the same Sprechstunde.

The Vorsorge that happened anyway

Check-ups (01732) and psychosomatic basic care (35100) are performed, documented — and forgotten precisely because they feel like part of the visit rather than services of their own.

What actually fixes the pattern

Not more training — the knowledge is there. The fix is reading: every finished note, against every catalog, every day, with the doctor deciding. That is what Meda does, with the evidence attached to every suggestion.

← All Insights

Customers · 6 min read

How we measure: the method behind our numbers

Every billing tool claims results. We publish our method before our numbers — so when the numbers come, you can check how they were made.

The design

Multi-practice measurement on tomedo and medatixx, in real daily operation. For every patient contact, Meda reads the finished documentation and suggests the documented but unbilled codes. Every suggestion, every doctor decision — bill, reject, unsure — and every reason is logged.

What we count, and what we refuse to count

We count only physician approved codes: services the documentation supports and a doctor confirmed. Rejected suggestions count against us, publicly. We do not count projections, do not extrapolate from best cases, and do not quote a number before the measurement closes.

Why the doctor's rejection matters most

A suggestion a doctor rejects is the most important data point we collect. It trains the reading, and it is the difference between recovery and upcoding: the measured result is, by construction, only what physicians decided was correct.

What publishes

The method, the practice profiles, the acceptance rates, and the recovered positions — with the KV review register in mind: everything traceable to documentation. When it publishes, it publishes whole. Until then, this page is the promise you can hold us to.

← All Insights

Market · 5 min read · publishes in German

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.

← All Insights

Market · 6 min read

Why German health data needs German AI

The most sensitive data a country produces is its citizens' health records. Where that data is processed — and under whose law — is not a technicality. It's the whole question.

The structural argument

Health data enjoys the strictest protection European law knows. Every additional jurisdiction in the processing chain adds legal surface: foreign disclosure obligations, transfer mechanisms under permanent legal challenge, sub-processors your AVV can name but your KV cannot audit. The shortest chain is the safest chain — and the shortest chain stays in Europe.

The Doctolib lesson

The European companies that won in German healthcare didn't win by waving a flag. They won by operational Germanness: German entities, European health-grade hosting, German support, fluency in the KV world. Sovereignty is performed in contracts and architecture, not proclaimed in marketing.

How Meda holds it

Practice data is processed in the EU with Meda's own AI — no US AI providers in the chain. The system is read-only on the patient record, every code is a physician's decision, and the billing logic is native: EBM, GOÄ, HzV are the product's DNA, not a localization layer. A tool built elsewhere can translate its interface. It cannot translate its jurisdiction.

What to ask any vendor

Three questions sort the field: Where exactly is the data processed, and under which law? Which sub-processors touch it — all of them? And can it act on the record, or only read it? The answers belong in writing, before any data flows.

← All Insights

For billing offices · Privatärztliche Verrechnungsstellen

More complete input.
Same trusted process.

You can only bill what reaches you — the gap sits upstream, in the practice's day, before your work begins. Meda reads the finished documentation there and surfaces documented services, approved by the doctor, before the billing data goes out. Your process stays exactly as it is.

Upstream of your process — not inside it
Practice documents in the PVS Meda surfaces codes · doctor approves Billing office your process, unchanged Invoice complete input

The structural reality

A note on letters: on this page, PVS always means Praxisverwaltungssystem — the practice software. Billing offices we call by name.

Input depends on the practice's day

Services get performed and documented, and in a full day some never make it into the billing data that reaches you.

You see the Leistungsdaten, not the note

The evidence lives in the clinical documentation, one layer upstream of your process. No one reads it against the billing data.

Completeness starts at the source

The place to close the gap is in the practice, at the end of the day, with the doctor deciding. That is where Meda sits.

What this means for you

Meda works upstream. You run the billing.

Meda does not process claims, does not invoice, and does not collect. It improves what flows into the claim, with the doctor's approval on every code.

Complete input

Documented services surfaced at the source, before the data reaches you.

Doctor approved

Every code carries the physician's decision and its evidence from the note.

GOÄ aware

Documented private services and the correct factors, evidenced in the note.

Partner model

Relationship led. We work out the fit together, case by case.

Straight answers

Does Meda replace a billing office?

No. Meda does not process claims, does not invoice, and does not collect. It reads clinical documentation and surfaces documented codes for the doctor to approve. Everything downstream stays yours.

Do you pitch against us at our clients?

No. Meda sits one layer upstream. Where a practice works with a billing office, the approved codes flow into the process that practice already runs with you.

How does a partnership work?

Relationship led, not a form. Talk to the founders and we will walk through your setup and where Meda fits.

Want more complete input — without changing your process?

A direct conversation with the founders. WhatsApp or a 20 minute call.

Talk to us

Careers · Munich

Build the layer
above the PVS.

We are a small team in Munich building ambient billing intelligence for German ambulant care, with practicing doctors advising from day one. We are hiring.

Two people working together at a laptopFoto: KOBU Agency / Unsplash
EngineeringBuild the enginePVS integrations, German medical language, the review UX. Roles open as we grow — reach out.
ClinicalKeep it trueEBM, GOÄ and HzV depth. Evidence and audit readiness. Roles open as we grow — reach out.
Go to marketCarry the storyMVZs, practices and networks across Germany. Roles open as we grow — reach out.

See a role that fits — or one we're missing?

Reach out. The founders answer.

WhatsApp the founders

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