{"id":2355,"date":"2026-01-19T07:00:00","date_gmt":"2026-01-19T06:00:00","guid":{"rendered":"https:\/\/kineoweb.fr\/kineoblog\/?p=2355"},"modified":"2026-01-15T16:29:50","modified_gmt":"2026-01-15T15:29:50","slug":"hors-nomenclature-legal","status":"publish","type":"post","link":"https:\/\/kineoweb.fr\/kineoblog\/hors-nomenclature-legal\/","title":{"rendered":"Le hors nomenclature est-il l\u00e9gal pour un kin\u00e9 lib\u00e9ral ?"},"content":{"rendered":"\n[et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb10px||0px||false|false\u00a0\u00bb da_disable_devices=\u00a0\u00bboff|off|off\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb da_is_popup=\u00a0\u00bboff\u00a0\u00bb da_exit_intent=\u00a0\u00bboff\u00a0\u00bb da_has_close=\u00a0\u00bbon\u00a0\u00bb da_alt_close=\u00a0\u00bboff\u00a0\u00bb da_dark_close=\u00a0\u00bboff\u00a0\u00bb da_not_modal=\u00a0\u00bbon\u00a0\u00bb da_is_singular=\u00a0\u00bboff\u00a0\u00bb da_with_loader=\u00a0\u00bboff\u00a0\u00bb da_has_shadow=\u00a0\u00bbon\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_button button_url=\u00a0\u00bbhttp:\/\/www.kineoweb.fr\/challenge\u00a0\u00bb button_text=\u00a0\u00bbD\u00e9couvrir le challenge Kin\u00e9 \u00c9panoui pour revaloriser son expertise en 21 jours \ud83d\ude80\u00a0\u00bb button_alignment=\u00a0\u00bbcenter\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_button=\u00a0\u00bbon\u00a0\u00bb button_text_color=\u00a0\u00bb#0c123d\u00a0\u00bb button_border_color=\u00a0\u00bb#0c123d\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin_tablet=\u00a0\u00bb\u00a0\u00bb custom_margin_phone=\u00a0\u00bb-25px||0px||false|false\u00a0\u00bb custom_margin_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_padding=\u00a0\u00bb0px|0px|0px|0px|false|false\u00a0\u00bb da_disable_devices=\u00a0\u00bboff|off|off\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb da_is_popup=\u00a0\u00bboff\u00a0\u00bb da_exit_intent=\u00a0\u00bboff\u00a0\u00bb da_has_close=\u00a0\u00bbon\u00a0\u00bb da_alt_close=\u00a0\u00bboff\u00a0\u00bb da_dark_close=\u00a0\u00bboff\u00a0\u00bb da_not_modal=\u00a0\u00bbon\u00a0\u00bb da_is_singular=\u00a0\u00bboff\u00a0\u00bb da_with_loader=\u00a0\u00bboff\u00a0\u00bb da_has_shadow=\u00a0\u00bbon\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb2_5,3_5&Prime; _builder_version=\u00a0\u00bb4.20.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_column type=\u00a0\u00bb2_5&Prime; _builder_version=\u00a0\u00bb4.20.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/kineoweb.fr\/kineoblog\/wp-content\/uploads\/sites\/2\/2026\/01\/2-1.jpg\u00a0\u00bb alt=\u00a0\u00bble hors nomenclature est l\u00e9gal pour un kin\u00e9sith\u00e9rapeute lib\u00e9ral. \u00a0\u00bb title_text=\u00a0\u00bbhors nomenclature est l\u00e9gal pour un kin\u00e9sith\u00e9rapeute lib\u00e9ral\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.5&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width_tablet=\u00a0\u00bb\u00a0\u00bb width_phone=\u00a0\u00bb\u00a0\u00bb width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;][\/et_pb_image][\/et_pb_column][et_pb_column type=\u00a0\u00bb3_5&Prime; _builder_version=\u00a0\u00bb4.20.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_font=\u00a0\u00bb&#8211;et_global_heading_font|||on|||||\u00a0\u00bb header_text_color=\u00a0\u00bb#ff4e62&Prime; header_line_height=\u00a0\u00bb1.4em\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb]<h1 style=\"text-align: center;\">Le hors nomenclature est-il l\u00e9gal pour un kin\u00e9 lib\u00e9ral ?<\/h1>[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.27.5&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_font=\u00a0\u00bb&#8211;et_global_heading_font|||on|||||\u00a0\u00bb header_text_color=\u00a0\u00bb#ff4e62&Prime; header_line_height=\u00a0\u00bb1.4em\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<h2 style=\"text-align: center;\">Les 3 cadres pour que la r\u00e9ponse soit OUI<\/h2>[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.27.5&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<p>Oui, le hors nomenclature est l\u00e9gal pour un kin\u00e9sith\u00e9rapeute lib\u00e9ral.<br \/>Mais uniquement s\u2019il respecte trois cadres pr\u00e9cis : le champ de comp\u00e9tences, la distinction claire avec les actes NGAP, et une information loyale du patient.<br \/>Le probl\u00e8me n\u2019est donc pas le \u201coui\u201d. Le probl\u00e8me, comme souvent en kin\u00e9sith\u00e9rapie, c\u2019est l\u2019absence de cadre.<br \/>D\u00e8s maintenant, une pr\u00e9cision importante : comme pour toute prise en charge clinique, la pertinence du hors nomenclature d\u00e9pend toujours du contexte individuel. C\u2019est exactement pour cela que le\u00a0<a href=\"kineoweb.fr\/coaching\" target=\"_blank\" rel=\"noopener\">Bilan Du Kin\u00e9 \u00c9panoui<\/a> sert d\u2019\u00e9tape de clarification, avant toute d\u00e9cision structurante.<\/p>[\/et_pb_text][et_pb_button button_url=\u00a0\u00bb#interview\u00a0\u00bb button_text=\u00a0\u00bbVoir la vid\u00e9o compl\u00e8te\u00a0\u00bb button_alignment=\u00a0\u00bbcenter\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.5&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_button=\u00a0\u00bbon\u00a0\u00bb button_text_color=\u00a0\u00bb#0c123d\u00a0\u00bb button_border_color=\u00a0\u00bb#0c123d\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbsection\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; custom_padding=\u00a0\u00bb0px|||||\u00a0\u00bb da_disable_devices=\u00a0\u00bboff|off|off\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb da_is_popup=\u00a0\u00bboff\u00a0\u00bb da_exit_intent=\u00a0\u00bboff\u00a0\u00bb da_has_close=\u00a0\u00bbon\u00a0\u00bb da_alt_close=\u00a0\u00bboff\u00a0\u00bb da_dark_close=\u00a0\u00bboff\u00a0\u00bb da_not_modal=\u00a0\u00bbon\u00a0\u00bb da_is_singular=\u00a0\u00bboff\u00a0\u00bb da_with_loader=\u00a0\u00bboff\u00a0\u00bb da_has_shadow=\u00a0\u00bbon\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbrow\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbTexte\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.5&Prime; text_font_size=\u00a0\u00bb15px\u00a0\u00bb header_2_font=\u00a0\u00bb&#8211;et_global_heading_font||||||||\u00a0\u00bb header_2_text_color=\u00a0\u00bb#21214c\u00a0\u00bb header_2_line_height=\u00a0\u00bb1.4em\u00a0\u00bb background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb custom_padding=\u00a0\u00bb0px|||||\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb]<h2><b>Le vrai probl\u00e8me derri\u00e8re la question du hors nomenclature<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">La confusion actuelle ne vient pas d\u2019une volont\u00e9 de \u201ccontourner le syst\u00e8me\u201d.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Elle vient d\u2019un empilement de textes, d\u2019interpr\u00e9tations partielles et de raccourcis dangereux.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">On entend tout et son contraire :<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><i><span style=\"font-weight: 400;\">\u00ab Facture un DE, c\u2019est tol\u00e9r\u00e9 \u00bb<\/span><\/i><i><span style=\"font-weight: 400;\"><br \/><br \/><\/span><\/i><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><i><span style=\"font-weight: 400;\">\u00ab Il faut se d\u00e9conventionner pour \u00eatre libre \u00bb<\/span><\/i><i><span style=\"font-weight: 400;\"><br \/><br \/><\/span><\/i><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><i><span style=\"font-weight: 400;\">\u00ab Le hors nomenclature est un d\u00e9passement d\u00e9guis\u00e9 \u00bb<\/span><\/i><i><span style=\"font-weight: 400;\"><br \/><br \/><\/span><\/i><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">R\u00e9sultat : deux postures extr\u00eames et inconfortables.<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>L\u2019auto-censure totale<\/b><b><br \/><\/b><span style=\"font-weight: 400;\"> Le kin\u00e9 reste strictement dans la NGAP, m\u00eame quand cela limite clairement la r\u00e9cup\u00e9ration ou l\u2019autonomie du patient.<\/span><span style=\"font-weight: 400;\"><br \/><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>L\u2019improvisation au feeling<\/b><b><br \/><\/b><span style=\"font-weight: 400;\"> Le kin\u00e9 propose autre chose\u2026 mais sans cadre clair, ni juridique, ni strat\u00e9gique.<\/span><span style=\"font-weight: 400;\"><br \/><br \/><\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Dans les deux cas, le probl\u00e8me n\u2019est pas l\u2019intention.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Le probl\u00e8me, c\u2019est l\u2019absence de diagnostic global.<\/span><\/p>\n<h2><b>Le cadre de base : ce que la loi regarde r\u00e9ellement<\/b><\/h2>\n<p data-start=\"4807\" data-end=\"4882\"><\/p>[\/et_pb_text][et_pb_image src=\u00a0\u00bbhttps:\/\/kineoweb.fr\/kineoblog\/wp-content\/uploads\/sites\/2\/2025\/03\/Challenge-kine-epanoui.jpg\u00a0\u00bb title_text=\u00a0\u00bbChallenge kine\u0301 e\u0301panoui\u00a0\u00bb url=\u00a0\u00bbhttps:\/\/kineoweb.fr\/coaching\u00a0\u00bb url_new_window=\u00a0\u00bbon\u00a0\u00bb align=\u00a0\u00bbcenter\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.5&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb50%\u00a0\u00bb width_tablet=\u00a0\u00bb50%\u00a0\u00bb width_phone=\u00a0\u00bb50%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][\/et_pb_image][et_pb_text admin_label=\u00a0\u00bbTexte\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; text_font_size=\u00a0\u00bb15px\u00a0\u00bb header_2_font=\u00a0\u00bb&#8211;et_global_heading_font||||||||\u00a0\u00bb header_2_text_color=\u00a0\u00bb#21214c\u00a0\u00bb header_2_line_height=\u00a0\u00bb1.4em\u00a0\u00bb background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb]<p><span style=\"font-weight: 400;\">Premier point fondamental : <\/span><b>le hors nomenclature n\u2019est pas interdit par principe<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Aucun texte n\u2019interdit \u00e0 un kin\u00e9 de proposer :<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">de la pr\u00e9vention,<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">de l\u2019\u00e9ducation,<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">de l\u2019accompagnement,<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ou un suivi hors remboursement,<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">tant que cela reste coh\u00e9rent avec son r\u00f4le professionnel, tel que garanti par l\u2019Ordre des masseurs-kin\u00e9sith\u00e9rapeutes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><\/span><\/p>\n<h3>Le mod\u00e8le des cercles (\u00e0 garder en t\u00eate)<\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Grand cercle<\/b><span style=\"font-weight: 400;\"> : le <\/span><b>champ de comp\u00e9tences du kin\u00e9<\/b><b><br \/><\/b><span style=\"font-weight: 400;\"> Tout ce que tu es l\u00e9galement form\u00e9 et autoris\u00e9 \u00e0 faire.<\/span><span style=\"font-weight: 400;\"><br \/><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Petit cercle<\/b><span style=\"font-weight: 400;\"> : la <\/span><b>convention NGAP<\/b><span style=\"font-weight: 400;\">, sous l\u2019\u00e9gide de la Caisse primaire d\u2019assurance maladie<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Ce qui est rembours\u00e9 par la S\u00e9curit\u00e9 sociale.<\/span><span style=\"font-weight: 400;\"><br \/><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Entre les deux<\/b><span style=\"font-weight: 400;\"> : le <\/span><b>hors nomenclature<\/b><b><br \/><\/b><span style=\"font-weight: 400;\"> Tout ce qui rel\u00e8ve de ta comp\u00e9tence, mais qui <\/span><b>n\u2019est pas rembours\u00e9<\/b><span style=\"font-weight: 400;\">.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Cette zone est <\/span><b>l\u00e9gale<\/b><span style=\"font-weight: 400;\">.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Le risque appara\u00eet uniquement quand les fronti\u00e8res deviennent floues.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><\/span><\/p>\n<h2><b>Les 3 conditions incontournables de l\u00e9galit\u00e9<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Lorsqu\u2019un dossier est examin\u00e9, les instances regardent toujours le m\u00eame triptyque.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><\/span><\/p>\n<h3>1. Le champ de comp\u00e9tences<\/h3>\n<p><span style=\"font-weight: 400;\">La prestation propos\u00e9e doit \u00eatre coh\u00e9rente avec ton expertise de kin\u00e9.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ce n\u2019est pas une reconversion d\u00e9guis\u00e9e, ni une activit\u00e9 hors-sant\u00e9.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><\/span><\/p>\n<h3>2. La distinction claire avec l\u2019acte conventionn\u00e9<\/h3>\n<p><span style=\"font-weight: 400;\">Un acte hors nomenclature :<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">n\u2019a pas le m\u00eame objectif,<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ni la m\u00eame intention,<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ni la m\u00eame nature qu\u2019un acte NGAP.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Ce n\u2019est <\/span><b>pas<\/b><span style=\"font-weight: 400;\"> un suppl\u00e9ment, ni une option ajout\u00e9e \u00e0 un soin rembours\u00e9.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><\/span><\/p>\n<h3>3. L\u2019information loyale du patient<\/h3>\n<p><span style=\"font-weight: 400;\">Le patient doit savoir clairement :<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ce qu\u2019il paie,<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">pourquoi ce n\u2019est pas rembours\u00e9,<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">et que cela <\/span><b>n\u2019impacte pas<\/b><span style=\"font-weight: 400;\"> la qualit\u00e9 de sa prise en charge conventionn\u00e9e.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\ud83d\udc49 Ce n\u2019est <\/span><b>pas<\/b><span style=\"font-weight: 400;\"> une question de prix.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> \ud83d\udc49 C\u2019est une question de <\/span><b>clart\u00e9<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><\/span><\/p>\n<h2><b>Le hors nomenclature comme zone d\u2019excellence balis\u00e9e<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Raisonner en \u201cautoris\u00e9 \/ interdit\u201d est une erreur de perspective.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">L\u2019acte conventionn\u00e9 vise la <\/span><b>restauration fonctionnelle minimale<\/b><span style=\"font-weight: 400;\">.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Le hors nomenclature peut viser :<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">l\u2019autonomie,<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">la pr\u00e9vention,<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">la durabilit\u00e9,<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ou la performance.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Ce n\u2019est pas une zone dangereuse par nature.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Elle devient risqu\u00e9e uniquement quand elle est abord\u00e9e sans rep\u00e8res.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Comme en r\u00e9\u00e9ducation :<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">soit tu n\u2019y vas jamais, m\u00eame quand c\u2019est pertinent,<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">soit tu y vas sans protocole.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Dans les deux cas, le potentiel est perdu.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><\/span><\/p>\n<h2><b>Ce qui fait basculer dans l\u2019ill\u00e9galit\u00e9 (ou le risque)<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Dans 90 % des cas probl\u00e9matiques, ce n\u2019est pas \u201cl\u2019id\u00e9e\u201d qui pose souci.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> C\u2019est la <\/span><b>confusion<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3>Confusion soin \/ accompagnement<\/h3>\n<p><span style=\"font-weight: 400;\">Un programme de performance pr\u00e9sent\u00e9 comme un soin.<\/span><\/p>\n<h3>Confusion technique \/ nomenclature<\/h3>\n<p><span style=\"font-weight: 400;\">Facturer une technique alors qu\u2019elle rel\u00e8ve d\u2019un acte NGAP d\u00e9j\u00e0 prescrit.<\/span><\/p>\n<h3>Confusion information \/ promesse<\/h3>\n<p><span style=\"font-weight: 400;\">Laisser croire qu\u2019un \u201cextra\u201d est indispensable au soin.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Le probl\u00e8me n\u2019est pas de proposer autre chose.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Le probl\u00e8me est de ne pas savoir <\/span><b>o\u00f9 s\u2019arr\u00eate le soin<\/b><span style=\"font-weight: 400;\"> et <\/span><b>o\u00f9 commence ton tarif libre<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><\/span><\/p>\n<h2><b>Clarification strat\u00e9gique : pour qui, et pour qui ce n\u2019est pas<\/b><\/h2>\n<h3>Cette approche est pertinente si :<\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">tu veux s\u00e9curiser juridiquement ta pratique,<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">tu refuses les bricolages bancals,<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">tu cherches de la coh\u00e9rence long terme.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<\/ul>\n<h3>Elle n\u2019est pas pertinente si :<\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">tu cherches une \u201castuce de facturation\u201d,<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">tu veux aller vite sans cadre,<\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">tu esp\u00e8res une solution universelle cl\u00e9 en main.<\/span><span style=\"font-weight: 400;\"><br \/><br \/><\/span><\/li>\n<\/ul>\n<h2><b>Conclusion \u2014 d\u00e9cider avec clart\u00e9<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Le hors nomenclature n\u2019est ni une faille du syst\u00e8me, ni une libert\u00e9 totale.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> C\u2019est une <\/span><b>zone professionnelle l\u00e9gale<\/b><span style=\"font-weight: 400;\">, exigeante, et structurante.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Comme en kin\u00e9sith\u00e9rapie, on ne commence jamais par le traitement.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> On commence par le <\/span><b>diagnostic<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u2019est exactement le r\u00f4le du <\/span><b>Bilan du Kin\u00e9 \u00c9panoui<\/b><span style=\"font-weight: 400;\"> :<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> clarifier ta pratique actuelle, ton contexte, et les options r\u00e9ellement s\u00e9curis\u00e9es pour toi.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Sans diagnostic, on agit \u00e0 l\u2019aveugle.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Et aucun kin\u00e9 s\u00e9rieux n\u2019accepterait cela pour ses patients.<\/span><\/h3>\n<p>&nbsp;<\/p>\n<p><strong>\ud83d\udca1 Prochaines \u00e9tapes<\/strong><br \/>Vous souhaitez savoir comment structurer et pr\u00e9senter vos offres compl\u00e9mentaires ?<br \/>\ud83d\udcc5 R\u00e9servez votre coaching gratuit ici : <a href=\"https:\/\/kineoweb.fr\/coaching\" target=\"_blank\" rel=\"noopener\">kineoweb.fr\/coaching<\/a><\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_text_align=\u00a0\u00bbcenter\u00a0\u00bb header_2_text_align=\u00a0\u00bbcenter\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb]<h2>D\u00e9couvrir la derni\u00e8re vid\u00e9o de Kin\u00e9Oweb<\/h2>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row module_id=\u00a0\u00bbinterview\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.5&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_video src=\u00a0\u00bbhttps:\/\/youtu.be\/x5fH9iX1t0A\u00a0\u00bb module_id=\u00a0\u00bbinterview\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.5&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;][\/et_pb_video][\/et_pb_column][\/et_pb_row][\/et_pb_section]\n","protected":false},"excerpt":{"rendered":"<p>Oui, le hors nomenclature est l\u00e9gal pour un kin\u00e9sith\u00e9rapeute lib\u00e9ral. Mais uniquement s\u2019il respecte trois cadres pr\u00e9cis \u00e0 d\u00e9couvrir ici \ud83d\udc49<\/p>\n","protected":false},"author":1,"featured_media":2356,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"1080","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2355","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-e-therapeutes"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Le hors nomenclature est-il l\u00e9gal pour un kin\u00e9 lib\u00e9ral ? - Kin\u00e9Oblog<\/title>\n<meta name=\"description\" content=\"Oui, le hors nomenclature est l\u00e9gal pour un kin\u00e9sith\u00e9rapeute lib\u00e9ral. 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