Health Profession
publicado em 16/01/2013 às 20h52:00
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CFM clarifies on charging fees for deliveries by obstetricians

Clarification covers services including childbirth assisted by the same doctor who accompanied pregnant woman during pregnancy

 
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The Federal Council of Medicine (CFM) issued an opinion regarding the charging of fees to ensure that delivery is accompanied by the same obstetrician who provided assistance to pregnant women during pregnancy. The opinion states that the procedure is not part of the List of Procedures and Events in Health (minimum mandatory coverage of health plans), no configuring or double charging violation of medical ethics.

According to the National Health Agency (ANS), the beneficiaries of health plans are entitled to all obstetric procedures of segmentation described in List of Procedures and Events Health, at no cost beyond that provided in the contract.

Existing contracts must be guaranteed. Should the opinion of CFM come to be applied in the health insurance Certain requirements must be met.

Among them, the amendment of a contract between the operator and the provider (recontratualização), making it clear between the parties for which the physician is contratualizado service. Operators must have service providers for all procedures listed in List of Procedures and Events in Health

Another guarantee the transparency is ensured on the network available with the update site with the books and the identification of their doctors and the services they provide: pre-natal doctor and obstetrician (prenatal and postpartum).

Must be defined by the CFM hospital staff and the application of mandatory minimum term of Consent, as proposed in the opinion.

There is need to review, in the opinion of the CFM, the current context of pay for procedures performed by health professionals. The NSA has been working on this issue in other specific working groups, such as hierarchy and new standard contracting.

Source: Isaude.net
   Palavras-chave:   Health plans    Obsttetra    Childbirth    Pregnancy    Health events    List of procedures    Supplemental health   
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