Category Archives: PhilHealth

PhilHealth Procedure Case Rates

PHILHEALTH PROCEDURE CASE RATES PhilHealth Members – Know your benefits under PhilHealth Procedure Case Rates Here is the list (I am still using this list since 2014 – I really don’t know if there is an updated list – but … Continue reading

Posted in PhilHealth | Leave a comment

PhilHealth Case Rate for Breast Mass Excision Under Outpatient and Local Anesthesia in Manila Doctors Hospital

A patient undergoing a breast mass excision under local anesthesia and outpatient can easily be covered by the PhilHealth Case Rate for Health Care Institution or Hospital (P5500) in Manila Doctors Hospital as of December 2016. This has been my … Continue reading

Posted in Breast Fibroadenoma - Operations, PhilHealth, Value-based Health Care Services | Leave a comment

Value-based Health Care Services for Breast Mass Excision Using PhilHealth Case Rate – CM

Value-based Health Care Services for Breast Mass Excision Using PhilHealth Case Rate Benign Breast Mass Excision PhilHealth Case Rate (Hospital – P5500) Fit the total expenses of operation to the case rate (P5500) and yet producing good outcomes (no complications) … Continue reading

Posted in Breast Mass, PhilHealth, Value-based Health Care Services | Leave a comment

PhilHealth Benefits for Breast Mass Excision

The PhilHealth benefits for “excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion or nipple lesion, (except for gynecomastia), male or female, one or more lesion” consist of the following: Health care institution fee: P5500 … Continue reading

Posted in PhilHealth | 6 Comments

PhilHealth All Case Rate Policy and No Balance Billing Policy

PhilHealth All Case Rate Policy and No Balance Billing Policy Case-based Payment – Payment method that reimburses to health care providers a predetermined fixed rate for each treated case or disease; also called per case payment. Case rate (CR) – … Continue reading

Posted in PhilHealth | Tagged | Leave a comment

PhilHealth All Case Rate Policy, ROJoson Experience and TPOR

PhilHealth All Case Rate Policy, ROJoson Experience and TPOR Case-based Payment – Payment method that reimburses to health care providers a predetermined fixed rate for each treated case or disease; also called per case payment. Case rate (CR) – Fixed … Continue reading

Posted in PhilHealth | Tagged | Leave a comment

Recruitment of Patients under PhilHealth Benefits

In the light of the recent hearings in the Senate Blue Ribbon Committee (July 1, 2015) on alleged PhilHealth scam on cataract surgery in which eye centers allegedly recruit patients for the operation, I have this related story to share. … Continue reading

Posted in PhilHealth | Leave a comment