Inclusion of US for Endometriosis Research in the ANS List

The Dynamics of the Health Market in the Negotiation of Readjustments and Accreditation of New Exams With Health Operators For decades we have watched health operators complain of high loss ratio, but they always reset the values of their beneficiaries' plans above the inflation of the period. No one addresses the fact that service providers… Continue lendo

USG for endometriosis research is now part of the LOL of procedures and must be complied with by health insurance

The Brazilian College of Radiology and Image Diagnosis (CBR) informs this Monday (7), that it managed to insert the (procedure 4.09.01.85-8 - US - Endometriosis Research) in the TUSS (Unified Terminology of Supplementary Health), as requested by the College itself to the National Supplemental Health Agency (ANS). The US Procedure – Endometriosis Survey, which has already … Continue lendo

In an official letter, ANS responds to CBR's request to update the website in the search field on coverage of the US procedure - Endometriosis Research

National Supplementary Health Agency recognizes immediate and mandatory coverage by the List of Procedures and Health Events of the new procedure, US – Endometriosis Research (40901858). Click here to read the letter in full. The Brazilian College of Radiology and Image Diagnosis (CBR), active in the professional defense of radiologists and committed … Continue lendo

New ANS Resolution conforms to Law 9.656/98 in compliance with court decision

Since 2015, a lawsuit promoted by the NATIONAL FEDERATION OF HEALTH SERVICES ESTABLISHMENTS (FENAESS) and UNION OF HOSPITALS, CLINICS, HEALTH CARE HOMES AND RESEARCH LABORATORIES AND CLINICAL ANALYSIS OF THE STATE OF PIAUÍ has been running in the Federal Court of the Federal District against the NATIONAL AGENCY OF SUPPLEMENTARY HEALTH (ANS) – process n. 0074233-60.2015.4.01.3400, 2nd COURT, … Continue lendo

Decision in proceedings against ANS: understand the changes imposed by the Judiciary on ANS Resolutions 363 and 364

Since 2015, a lawsuit promoted by the NATIONAL FEDERATION OF HEALTH SERVICES ESTABLISHMENTS (FENAESS) and UNION OF HOSPITALS, CLINICS, HEALTH CARE HOMES AND RESEARCH LABORATORIES AND CLINICAL ANALYSIS OF THE STATE OF PIAUÍ has been running in the Federal Court of the Federal District against the NATIONAL AGENCY OF SUPPLEMENTARY HEALTH (ANS) – process n. 0074233-60.2015.4.01.3400, 2nd COURT, … Continue lendo

Clarifications on ANS Normative Resolution No. 436

Published on November 28, 2018, by the National Supplementary Health Agency (ANS), the resolution amends RN nº 363 of December 11, 2014, which provides for the rules for entering into written contracts signed between health plan operators health care and care providers … Continue lendo

Enforcement of token use by beneficiaries

We have been monitoring cases of glosses from 30% to 40% of the entire volume served in various parts of Brazil. One of the largest supplementary health operators in the country has imposed the use of a token to confirm requests for consultations and exams with the justification of promoting more security, technology and transparency, allowing beneficiaries to confirm … Continue lendo

CBR participates in the CBHPM Technical Chamber meeting at the Brazilian Medical Association (AMB)

The CBR, represented by the Director of Professional Defense, Dr. Cibele Carvalho, and by the College's Economic Advisor, Mr. Carlos Moura, participated this Wednesday, May 2, in the CBHPM Technical Chamber meeting at the Brazilian Medical Association (AMB), in which the Ultrasonic Hepatic Elastography procedure was included in the CBHPM, after approval in the “List of … Continue lendo