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(NAR) VOL. 21 NO.1/ JANUARY - MARCH 2010

[ PHIC PHILHEALTH CIRCULAR NO. 07, s. 2010, February 19, 2010 ]

AMENDMENT TO PAYMENT OF PROFESSIONAL FEE IN HEALTH HUMAN RESOURCE SHORTAGE AREAS



Starting April 1, 2010, all General Practitioners (GP) in Health Human Resource Shortage Areas shall only be reimbursed up to 80 RVU in Level 2, 3 and 4 hospitals. Computation of professional fee shall be based on the RVU of the procedure multiplied by the peso conversion factor plus the additional ten percent (10%) of the computed professional fee.

For level 1 hospitals, payment for professional fee for all physicians shall still be up to 30 RVU only. However, physicians practicing in the said areas are entitled to the additional ten percent (10%) of the computed professional fee.

This circular shall take effect for all claims for PF in the said areas with admission dates starting April 01, 2010.

All other provisions of previous issuances which are inconsistent with this Circular are hereby repealed.

Please be guided accordingly.

Adopted: 19 Feb. 2010

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