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PMB definition guidelines for acute mental health conditions

Weba mental health clinician to determine the type and urgency of the response required from mental health or referral to other services. 3.5. The Mental Health Care Act No.17 of …

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URL: https://www.medicalschemes.com/files/PMB%20Benefit%20definition%20guidelines/PMB_definition_Guideline_for_Acute_Mental_Health_Conditions_v1.pdf

Measuring quality & health outcomes in medical schemes: …

WebHealth quality and outcomes measurement enables proper judgements to be made about the performance of a health system. Quality and health outcome measurements are …

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Registered Nurses in Private Practice

Webequivalent to a specified percentage of the national health reference price list. It is especially intended to serve as a basis for negotiation between individual funders and …

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Accreditation standards for managed care organisations

WebManaged care, within the South African context, is a term used to refer to. a diverse range of healthcare organisational strategies aimed at controlling cost, improving access and …

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GENERAL ETHICAL GUIDELINES FOR GOOD PRACTICE IN …

Web4.1.1 According to the Health Professions Act, No 56 of 1974, registration is a prerequisite for practising a profession in terms of which a professional board has been established, …

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Low income participation in voluntary health insurance …

WebEquity is a key objective of any health system (WHO, 2000). For a health care system to be equitable there must be a separation between financial contribution and use of health …

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Mental health is a big deal

Web(WHO), health is the state of physical, mental, and social well-being. In observation of Mental Health Awareness Month, the July issue of CMScript takes a closer look at …

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Comments on Mental Health Conditions in the PMB setting

WebOf the 25 PMB CDL conditions, 9 are cardiovascular related, whereas only 3 are psychiatry related (considering that Parkinson’s disease also has a substantial mood disorder …

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Draft PMB definition guidelines for mental health emergencies

WebAccording to the Mental Health Care Act No. 17 of 2002, “a mental health practitioner” means a psychiatrist or registered medical practitioner or a nurse, occupational therapist, …

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Circular 12 of 2020: LCBO and Demarcation Update

Web4. Provide the inputs on the LCBO framework before it is submitted by CMS for approval by the Minister of Health. The terms of reference of these advisory committees are …

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Circular 44 of 2019: Review of the solvency framework: Update

Weblevel of 99%) over a three-year period. SAM, Solvency II and international health industries such as Australia and the UK, are all based on a confidence level of 99.5% over a one …

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Managed Care Agreement Guideline

Webmanaged health care organisation by the Council; and (c) such arrangement must not absolve a medical scheme from its responsibility towards its members if any other party …

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by Esnath Maramba

Webby Esnath Maramba - Health Economist Figure 1: Some of the common sites for endometriosis. There are several misconceptions around endometriosis and these …

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CIRCULAR 13OF 2014: MANAGED CARE ACCREDITATION

Web· “Managed health care - means clinical and financial risk assessment and management of health care, with a view to facilitating appropriateness and cost effectiveness of relevant …

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MANAGED HEALTH CARE POLICY DOCUMENT

WebVersion 1 (August 2003) 1. Introduction. 1.1. A new set of regulations governing managed health care activities in South Africa took effect on 1 January 2003, by way of …

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MODEL RULES FOR MEDICAL SCHEMES REGISTERED UNDER …

Web5.3 where applicable, to render a relevant health service, either by the medical scheme itself, or by any supplier or group of suppliers of a relevant health service or by any …

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Circular 84 of 2019: Medical Scheme benefit options for open …

WebPage 1 Chairperson: Dr C Mini Chief Executive & Registrar: Dr S Kabane Block A, Eco Glades 2 Office Park, 420 Witch-Hazel Avenue, Eco Park, Centurion, 0157

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South African ICD-10 Coding Standards

WebICD-10 is a diagnostic coding standard that was adopted by the National Department of Health in 1996 as the national standard for South Africa. ICD-10 was implemented in …

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NATIONAL REFERENCE PRICE LIST FOR SERVICES BY MEDICAL …

Webbenefit levels and health service providers can individually determine fees charged to patients. Medical schemes may, for example, determine in their rules that their benefit in …

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CIRCULAR 9 OF 2006 NATIONAL HEALTH REFERENCE PRICE …

Weband pricing levels within the private health sector – and thereby promote competition among health care providers and between medical schemes. What the NHRPL is NOT (1) 6. …

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