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PHIC Philhealth Circular No. 07 (2011)

NEW REIMBURSEMENT SCHEME FOR INFLUENZA A (H1N1)

PHIC Philhealth Circular · May 17, 2011


(NAR) VOL. 22 NO. 2, APRIL - JUNE 2011

[ PHIC PHILHEALTH CIRCULAR NO. 07, S. 2011, May 17, 2011 ]

NEW REIMBURSEMENT SCHEME FOR INFLUENZA A (H1N1)

In compliance to PhilHealth Board Resolution No. 1494, series of 2011, claims for cases of Influenza A (H1N1) shall now be paid as Case Type A under the fee-for-service scheme. The World Health Organization (WHO) announced that the world is now shifting toward the post-pandemic phase of Influenza A (H1N1). Post-pandemic phase means that Influenza A (H1N1) virus has taken on a behavior and intensity similar to that of the regular seasonal flu viruses. In consideration of this change in behavior of Influenza A (H1N1) virus, the Corporation amends PhilHealth Circular Nos. 25 and 33 series of 2009 and shall no longer pay Influenza A (H1N1) as a special benefit package. Moreover, the ICD 10 code that shall be used for all claims for Influenza A (H1N1) is as follows: ICD 10 Code Description Case Type Influenza due to identified Avian J09 A Influenza Virus This Circular shall take effect fifteen (15) days after its publication in the Official Gazette or in a newspaper of general circulation. All provisions of previous issuances that are inconsistent with any provisions of this Circular are hereby amended or repealed accordingly. Adopted: 17 May 2011

(SGD.) DR. REY B. AQUINO President and CEO Source: Supreme Court E-LibraryThis page was dynamically generated

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