The TISS Standard brought some obligations to healthcare providers governed by the ANS (National Supplementary Health Agency). One of the most important is the possibility for the clinic's system to communicate directly with the healthcare provider's system at no cost to the clinic.
Most of the country's RIS systems are ready to use Web Services, which is the way the systems talk to each other. The main positive impacts are:
1) Reduction in patient care time due to automation of the execution of Patient Eligibility and authorization of exams;
2) Reduction of Customer Service Employees due to reduced service time;
3) Reduction in disallowances due to errors in authorization codes;
4) Formalization, in case of denial, from the healthcare provider so that the clinic can share it with the patient and show that it is not the clinic that does not want to carry out the exam. This way the patient becomes a positive agent helping the clinic in cases of negative results.
All this at no cost to the clinic. But we need clinics to show the ANS that health operators have refused to provide this way of making eligibility and authorizing procedures in an automated way. For healthcare providers, the more we make mistakes, the more we lose money!
The only way to show this to ANS is for you to expressly participate in this research, where there is no need to identify yourself, but even if you identify yourself, the CBR (Brazilian College of Radiology and Image Diagnosis) will not share your sensitive data and personal contacts with ANS.
The CBR will present and share the results by region, showing which health operators have not offered this automation possibility for Imaging clinics. Therefore, it is extremely important that you choose your 5 largest healthcare providers governed by the ANS to respond to this survey.
After we complete the research, the CBR will share the consolidated data with the ANS (not possible to identify the clinic that participated in the research) so that the ANS can officially justify why these operators are not offering this possibility to providers in their region.
The more services in the region participate, the better the result will be. We count on you to make a difference.”