What is PhilHealth Benchbook?

What is PhilHealth Benchbook?

This Benchbook aims to show how PhilHealth providers can serve Filipinos with high quality health care. The Benchbook is not an all-encompassing and exhaustive textbook on quality of care.

What is non hospital based?

Non-hospital facilities provide health service for patients needing health care beyond the home environment but outside of the hospital facilities. The facility must be aware of the essential care needs of the patients and community it serves.

Why are hospitals important?

In total, hospitals provide employment for more than 5.7 million Americans, with tens of thousands of new healthcare jobs added each month. Additionally, hospitals spend over $852 billion on goods and services annually and generate greater than $2.8 trillion of economic activity.

What is PhilHealth premium?

The Philippine Health Insurance Corp. To date, PhilHealth will continue to collect contributions using the three percent premium rate, wherein those with monthly basic salary of P10,000 and below will pay a fixed rate of P300 per month and those with monthly basic of P60,000 and above will pay a fixed rate of P1,800.

Where can I file PhilHealth reimbursement?

Visit the nearest PhilHealth Regional Office (PRO) or Local Health Insurance Office (LHIO) in your locality. Bring two (2) valid identification cards. 2. Fill out the Request for Release of Unclaimed Refund Form completely.

What is a non hospital ambulatory care?

Ambulatory care refers to medical services performed on an outpatient basis, without admission to a hospital or other facility (MedPAC). It is provided in settings such as: Offices of physicians and other health care professionals.

What is hospital setting?

Hospital Setting means a (i) hospital-setting in the delivery room, NICU, PICU, CCU, emergency department, surgical care unit and/or intermediate care unit, (ii) emergency and specialized medical treatment centers, such as birthing centers, treatment centers for chronic diseases, trauma centers and other similar …

What are the services of a hospital?

The basic services that hospitals offer include: short-term hospitalization. emergency room services. general and specialty surgical services….

  • primary care services.
  • mental health and drug treatment.
  • infectious disease clinics.
  • hospice care.
  • dental services.
  • translation and interpreter services.

What are the qualities of a good hospital?

4 Things That Makes a Hospital Truly Great

  • A Culture of Excellence. Hospitals are complex machineries run by human minds and hands.
  • Efficient and Empathetic Nursing Staff. The nursing staff are typically the largest group of caregivers in a hospital.
  • Timely Communication.
  • Transparent Pricing.

How much is PhilHealth deduction for hospitalization?

The PhilHealth-engaged IHCPs shall first deduct the twelve percent (12%) VAT exemption from the total hospital charges; then deduct twenty percent (20%) SCD from tl1e 1 Page 2 difference; then deduct the PhilHealth Benefit from the remaining amount.

Is PhilHealth mandatory?

All government and private sector employers are required to register with PhilHealth to enable them to provide social health insurance coverage to their employees.

How do I claim PhilHealth in hospital?

To be eligible to avail of your PhilHealth benefits when hospitalized, the following conditions must be met:

  1. Payment of at least 3 months’ worth of premiums within the immediate 6 months of confinement.
  2. Confinement in an accredited hospital for 24 hours due to illness or disease requiring hospitalization.

When do Benchbook standards and other government standards apply?

When the Benchbook standards and other government or professional standards address similar performance areas, whichever sets the stricter or higher requirement applies. See Appendix for a sample listing of local or national laws and standards that are related to Benchbook standards.

What is the goal of the PhilHealth accreditation program for Advanced participation?

Enhanced Benchbook: Rationale What is the goal of the PhilHealth accreditation program for advanced participation (Center of Excellence Award)? The PhilHealth accreditation program aims to use accreditation as a key tool for installing a culture of quality and safety in hospitals while ensuring members’ universal access to health care.

How is Philhealth trying to achieve universal health coverage?

As part of PhilHealth’s efforts towards achieving universal health coverage, it has become obvious that PhilHealth – accredited Health Care Institutions (HCIs) must be improved in order to provide services that are worth paying for.

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