Philhealth by H125Ocy

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									 Phil health

 Hi,
    1. Filling up of Phil health form
         a. RVS code
 The new form that physicians fill up for Phil health no longer has space for the
 procedure. Instead, there is a space for “number of visits / RVS code”. The RVS
 code is a 5-digit number, which represent the surgery or procedure done.
 Example gastroscopy – 43235.

 *Jen, department secretary, has the complete list of procedures with RVS code.
 *Or you can download it from
 www.philhealth.gov.ph/circulars/2009/circ10_2009.pdf
 It is 24 pages and I could not attach it to this email.
 *Or you can ask copy from PHIC main office in Pasig

        b. Amount- For the amount, if the surgeon signed the Phil health benefits,
 diplomates can just compute the 56% of the amount they placed in the column
 ‘physician’. If not yet diplomate, its 44%.
        If you are asked to sign the PHIC ahead of the surgeon, you can just compute
 the amount by using the relative value unit (RVU) in the same document above.
 RVU will be multiplied by 40 to 56 (conversion factor) depending on the specialist
 surgeon. Then 56% of it is for the anesthesiologist.

       2. Official Receipt (OR) is not needed in the ff instances
             a. Health insurance (HMO)
             b. Promissory note (PN)
             c. C/o Billing
             d. Staggered payment

       3. The patient must submit copy of the official receipt you issued when they file
          the Phil health. It must state that the amount for Phil health has been deducted
          and must have the conforme signature of the patient.


       Examples:

       1. HMO
                               Amt       Physician      Amount pd                   For PHIC
                                         RVU x          by member
                                         conversion
                                         factor x
                                         56%
Nelia Laborte      1 / 43235   5000      1800           3200 HMO        Signature
Accreditation      Date                                                 Date
number             done                                                 Signed

       2. NC
                               Amount      Physician    Amount pd                   For PHIC
                                                        by member
Nelia Laborte     1 / 43235 1800          1800        0 NC             Signature
Accreditation     Date                                                 Date
number            done                                                 Signed


     3. PN
                              Amount      Physician   Amount pd                     For PHIC
                                                      by member
Nelia Laborte     1 / 43235 5000          1800        3200 TF          Signature
Accreditation     Date                                                 Date
number            done                                                 Signed

     4. Private patient - Official Receipt must be issued
                              Amount       Physician Amount pd                      For PHIC
                                                       by member
Nelia Laborte     1 / 43235 5000           1800        3200            Signature
Accreditation     Date                                                 Date
number            done                                                 Signed


 Nelia A. Laborte MD DPBA
                    Anesthesiologist

 Date

 Received the amount 3200 from patient Juan de la Cruz as payment for professional
 fee.

 Total Amount due P5000.
 Less PHIC        P1800
 Amount paid      P3200

 Conforme:      signature of Juan dela Cruz


     Sometimes you can still include in the official receipt the amount for VAT.


     To all those who have not been receiving their Phil health benefits for your
     patients, you can go to PHIC office and inquire.
     For those practicing in SLMC,
     *Go to PHIC office near Pegasus. Look for Ms Ay (Accounts claim) at first floor
     Admin office.
     * Give your ID and ask for the list of your patients whose pf was not paid.
     * Upon receiving the list, go to mezzanine (first door to your left if you will take
     the stairs) and sign a request for reevaluation and give them your list of patients.
     You should also have a copy which they will sign received.
     *Then wait and pray…. At least 6 months daw.
That’s all for now. Please feel free to correct me if there are any inaccuracies in
the information above.

Nelia

								
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