PHIC PHILHEALTH CIRCULAR NO. 14. S. 2010, July 29, 2010

[ PHIC PHILHEALTH CIRCULAR NO. 14. S. 2010, July 29, 2010 ]

ORDER OF DISCHARGE

For proper guidance, it is reiterated that the payment for room and board covers only up to the date the attending physician issues the order of discharge.

The order of discharge may be in the form of “May go Home”, for discharge” or any other similar order as written in the doctor’s order sheet. In this cases, the computation for room and board shall be up to the date attending physician finally orders the discharge of the patient.

Example:

Admission Date January 4, 2010 May Go Home Order January 10, 2010 Date of Discharge January 10, 2010 Total Compensable Days 6 days

However, exception to this is when the discharge is deferred due to sudden onset of complication requiring further management as evidenced by the doctor’s order in the clinical chart of the patient.

PhilHealth may request a copy of the Clinical chart to verify authenticity of the information submitted i.e., claims with prolonged period of confinement.

All accredited HCPs are hereby reminded to abide with the abovementioned rules and conditions. Violation of the above policy shall constitute the offense of extending period of confinement and is punishable under the Revised Implementing Rules and Regulations of R.A. 7875, as amended by R.A. 9241. Claims of health care providers found to be with unnecessary extension of confinement shall be referred to the Legal Sector for appropriate action.

All other issuances inconsistent herewith are hereby repealed or modified accordingly while those consistent herewith shall remain in full force and effect.

Please be guided accordingly.

(SGD.) DR. REY B. AQUINO President and CEO