The Brazilian College of Radiology and Diagnostic Imaging (CBR) and 34 other medical entities approved a manifesto expressing their opposition to the court decision that suspended parts of CFM Resolution No. 2,448/2025. Concerned with patient protection and ensuring safe care, the document reinforces that auditing is an act exclusive to physicians and must be carried out with autonomy, technical responsibility, and a commitment to quality care.
According to the text, the suspension of provisions included in the Resolution represents a risk to the quality of care, potentially compromising medical autonomy, fostering conflicts of interest, and hindering patients' access to appropriate diagnoses and treatments.
Representing the Brazilian College of Radiology (CBR) were the president, Dr. Rubens Chojniak; the director of Institutional Relations, Dr. Bernardo Tessarollo; and the director of Professional Defense, Dr. Marcelo Lauar. The meeting was organized by the Federal Council of Medicine (CFM) at its headquarters in Brasília (DF).
Repeated glosses – The president of the CFM (Federal Council of Medicine), Dr. José Hiran Gallo, celebrated the entities' adherence. In his opinion, this decision confirms the negative impact of the repeated denials of medical procedures by health insurance companies. “It is very important that we are united on this issue. The current situation is unsustainable, with medical procedures being denied by non-medical professionals and even in an automated way. We must unite against this situation,” he stated.
Given this scenario, the CFM (Federal Council of Medicine) and the Brazilian Medical Association (AMB) stated that they will adopt measures to restore the effectiveness of Resolution No. 2,448/2025, reinforcing their commitment to medical ethics, patient safety, and the enhancement of professional practice.
Among the main points highlighted by the organizations in the manifesto are the defense of the autonomy of the attending physician and the auditor, the prohibition of links between remuneration and the number of rejected claims, a measure considered essential to avoid conflicts of interest and guarantee the impartiality of the audit. Furthermore, it prohibits the rejection of procedures that have already been authorized and performed.
In-person assessment – The text also emphasizes the need for an in-person patient assessment by the auditing physician, preventing decisions based solely on document analysis, and advocates for adherence to recognized clinical protocols, as well as those listed by the National Supplementary Health Agency and the Unified Health System (SUS).
For the president of CBR, Rubens Chojniak, The suspension of sections of the Resolution represents a setback in how medical auditing is conducted. "Auditing needs to be aligned with clinical practice and the physician's responsibility. When decisions begin to be influenced by criteria external to medicine, there is an imbalance that can compromise both the quality of care and patient safety," he states.