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The document provides access to a file named OvsTopmed2012, which contains information about a medical scheme. It can be downloaded by anyone interested in the details of this scheme.
- Who it is for:
- members of the public, medical scheme administrators, auditors, brokers, and regulated entities
- How to act on it:
- Visit the Council for Medical Schemes website and navigate to the file under the provided link
The Council for Medical Schemes provides a downloadable Excel file containing the final version of the ICD-10 five-character coding standard for Prescribed Minimum Benefits (PMBs), as defined in 2005. This file is intended for use by medical schemes, healthcare providers, auditors, and brokers to ensure consistent application of PMB codes.
- Who it is for:
- medical schemes, healthcare providers, auditors, brokers, regulated entities
- How to act on it:
- Visit the official portal and download the file from the provided link
The Council for Medical Schemes provides a downloadable reference document that outlines the ICD-10 coding standards used by medical schemes in South Africa. This document is intended to guide accurate classification of medical diagnoses for claims processing and reporting.
- Who it is for:
- medical schemes, healthcare providers, billing administrators, auditors, and brokers
- How to act on it:
- Visit the Council for Medical Schemes website and download the file from the provided link
This is a dataset containing aggregated compliance information from medical schemes in South Africa for the first quarter of 2010, based on ICD-10 diagnostic coding standards. It includes statistical summaries used for monitoring and regulatory oversight.
- Who it is for:
- medical schemes, healthcare researchers, regulators, and compliance officers
- How to act on it:
- Download the file from the official portal link provided
This is a publicly accessible legal case file from the Council for Medical Schemes. It contains information related to a dispute between an individual (Dr AR M) and Discovery Health Medical Scheme. The file can be downloaded and viewed by anyone interested in the case details.
- Who it is for:
- members of the public, legal professionals, medical scheme regulators, healthcare providers
- How to act on it:
- Visit the Council for Medical Schemes website and navigate to the DrARMvsDiscovery document page to download or view the file
The Council for Medical Schemes provides a downloadable erratum document that corrects errors in the South Africa ICD-10 Coding Standards Version 4. This document is available for use by healthcare providers, coders, auditors, and other stakeholders involved in medical scheme compliance.
- Who it is for:
- medical schemes, healthcare providers, coders, auditors
- How to act on it:
- Visit the Council for Medical Schemes website and download the file from the provided link
The Council for Medical Schemes provides access to the addendum to the UPFS minor theatre procedures. This document outlines updated or supplementary guidelines related to minor theatre procurement processes for regulated entities such as medical schemes, auditors, brokers, and brokerages.
- Who it is for:
- medical schemes, auditors, brokers, brokerage firms, regulated entities
- How to act on it:
- Download the file from the official portal using the provided link
The Council for Medical Schemes provides a downloadable discussion document that outlines communication guidelines for medical schemes. This document is intended to guide medical schemes in their communication practices with members, stakeholders, and regulators.
- Who it is for:
- medical schemes, brokers, auditors, regulated entities, and industry stakeholders
- How to act on it:
- Visit the official website and download the file from the provided link
The public can access the full text of the High Court judgment delivered on 27 November 2013, which concerns a legal dispute between the Council for Medical Schemes and Hosmed Medical Scheme. The document is available for download and preview online.
- Who it is for:
- members of the public, legal professionals, medical scheme stakeholders
- How to act on it:
- Visit the Council for Medical Schemes website and navigate to the document titled 'Hosmed_HCJM' under the Media Centre or Resources section.
The Council for Medical Schemes provides access to the Explanatory Memorandum on Model Rules for medical schemes. This document explains the framework and guidelines that medical schemes must follow. It is available for download at any time.
- Who it is for:
- medical schemes, regulators, healthcare providers, legal advisors, and members of medical schemes
- How to act on it:
- Visit the official portal and download the file directly from the provided link
The South African ICD-10 Coding Standards, Version 4 provides a comprehensive framework for the classification of diseases and health conditions used by medical schemes and healthcare providers across South Africa. It ensures consistency in reporting and claims processing.
- Who it is for:
- medical schemes, healthcare providers, insurance administrators, and regulatory staff
- How to act on it:
- Download from the official website of the Council for Medical Schemes
The Council for Medical Schemes provides public access to a High Court judgement concerning Hosmed Medical Scheme. This document is available for download and review by anyone interested in medical scheme regulation and legal proceedings.
- Who it is for:
- members of the public, medical scheme regulators, legal professionals, researchers
- How to act on it:
- Download the file from the provided link on the Council for Medical Schemes website