The Brazilian College of Radiology and Diagnostic Imaging (CBR) played an important role in the 90th meeting of the Committee for Standardization of Supplementary Health Information (COPISS), which took place on October 25, at the headquarters of the National Supplementary Health Agency (ANS), in Rio de Janeiro (RJ).
On three points that would have huge negative financial impacts for Radiology and Diagnostic Imaging services, as well as providers, the CBR was able to block initiatives with support from the National Health Council and the National Association of Private Hospitals (ANHAP). Check it out below:
1. TISS (Supplementary Health Information Exchange) change in billing delivery, where health care providers could return an entire batch of guides when only a few of them are wrong and only accept the batch when everything is correct. Because providers rely on billing schedules, and often correcting erroneous guides is not quick, this would have large and immediate impacts on clinic cash flow;
2. Inclusion of billing criticisms in billing delivery, even in non-mandatory fields, bringing the same kind of consequence as above;
3. Obligation of providers to correct carrier data from information sent by provider, according to the rules that ANS requires carriers to follow. This is because, since last year, the Agency has been criticizing the quality of data submitted by health care providers and requiring them to correct this information or be fined if they do not. But much of this data is not the domain of clinics, such as CRM from the right requesting physician. There will be a working group to discuss solutions for the quality of the submitted data.
Once again, the CBR has shown its importance with regard to advocacy. The organization will continue to fight for radiologists and Radiology and Diagnostic Imaging services.Tags: ANS, cbr, COPISS, professional defense, diagnostic imaging, exam, doctor, radiology, radiologist