n South African Gastroenterology Review - RED CARDS to Department of Health and CMS : private practice portfolio




We have stagnated since third-part payors started calling the shots and the Competition Commissioner reigned in the abilities of service providers to negotiate fees. The surrogate replacement process to determine a cost-based Reference Price List (RPL) has turned out to be slow, laborious, expensive and flawed. Our painstaking private practice cost studies have been vilified by the Department of Health (DoH). The most basic of concepts, that of tiered consultations, has been stalled for more than five years. No new codes or amendments have been allowed. The SAMA system has been shunted out, to be replaced by a still-to-be-determined coding system that we, the profession, will have to pay for!


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