The questionnaire on the Quality Factor for radiology and diagnostic imaging clinics and services is now available from the National Supplementary Health Agency (ANS). Click here to fill out.
The ANS provides that services that have accreditation are entitled to the best index in the application of the Quality Factor stipulated by Law No. 13,003/2014 and regulated by Normative Resolution No. 364. The Quality Factor for radiology and diagnostic imaging clinics is now in effect at the beginning of 2017.
In summary, the Quality Factor must be applied to the readjustment index established by the ANS, which is the Extended Consumer Price Index (IPCA) applicable to contracts between service providers and health plan operators, when there is a forecast of free negotiation between the parties, as the only form of readjustment, and there is no agreement after negotiation, in the first 90 days of the year.
The Quality Factor may be IPCA 105%, 100% or 85%, depending on compliance with the quality requirements published in a Technical Note updated annually, and regulated by the Agency. In the case of services that have Padi accreditation, the expected readjustment is 105% of the IPCA, while those certified with the CBR Quality Seal have a foreseen readjustment of 100% of the index.
It is important to remember that the elaboration of the rules for the application of the quality factor had the participation of a series of entities that represent the providers of health services. In addition, the accrediting entities were responsible for sending the accredited services or those that have any other certification for publication on the ANS website, being responsible only for capturing the information filled in the questionnaire by the Diagnostic Imaging services.
Check out the clinics that fit the percentages of 105% and 100%, according to the criteria described above, and learn more about what determines the ANS in relation to the Quality Factor at: https://goo.gl/ZyD14v.