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n South African Gastroenterology Review - Private practice review : codes, tariffs, the Competition Commission and NHI : private practice review

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Abstract

There are major stumbling blocks in brokering remuneration and new coding and billing structures. The Competition Commission reigned in the abilities of service providers to negotiate fees. A surrogate replacement process to determine a cost-based Reference Price List (RPL) was an expensive failure. Legally there is no longer a RPL, nor a National Benchmark of tariffs (although the legal framework for it is still in existence and could be implemented without the requirement of an exemption from the Competition Act).

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/content/medgas/11/2/EJC140048
2013-08-01
2016-12-06
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