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PMB Conditions | Council for Medical Schemes

    https://www.medicalschemes.co.za/resources/pmb/pmb-conditions/
    PMB conditions list. Annexure A of the General Regulations made in terms of the Medical Schemes Act, 131 of 1998 provides a schedule of “diagnosis and treatment pairs”, which cumulatively comprise the prescribed minimum benefits (PMBs) to be provided to …

Prescribed Minimum Benefits | Council for Medical Schemes

    https://www.medicalschemes.co.za/resources/pmb/
    This means that the treatment your medical scheme must provide for may not be inferior to the algorithms. If you have one of the 25 listed chronic …

Circular 47 of 2022: PMB Coded List - Council for Medical Schemes

    https://www.medicalschemes.co.za/latest-publication/circular-47-of-2022-pmb-coded-list/
    The Council for Medical Schemes (CMS) would like to bring to your attention the publication of the new PMB Coded List. Clinical Review Committee members have …

2022 PMB ICD-10 Coded list | Council for Medical Schemes

    https://www.medicalschemes.co.za/wpfd_file/2022-pmb-icd-10-coded-list/
    2022 PMB ICD-10 Coded list | Council for Medical Schemes 2022 PMB ICD-10 Coded list 2022 PMB ICD-10 Coded list File size: 590.38 KB Created: 09-05 …

Council for Medical Schemes (CMS) | Home

    https://www.medicalschemes.co.za/
    The Medical Schemes Industry in 2021; The Medical Schemes Industry in 2020; Publications; Annual Reports; Presentations; Research; Events. Consumer Education; Conferences; Training & …

2 0 2 1 PRESCRIBED MINIMUM BENEFITS LIST …

    https://www.discovery.co.za/wcm/discoverycoza/assets/medical-aid/benefit-information/2021/pmb-conditions-list-2021.pdf
    Prescribed Minimum Benefits (PMBs) list of conditions The Prescribed Minimum Benefit (PMB) list of conditions lists all of the conditions which all medical schemes need to …

Council - Medical Schemes

    https://www.medicalschemes.com/files/PMB%20Benefit%20definition%20guidelines/PMB_definition_guideline-COVID-19_v6.pdf
    The amendment includes an insertion of the Diagnosis and Treatment Pair (DTP) in the list of PMBs under the heading "Respiratory System". The treatment component includes …

CMS PMB ICD-10 Coding - Medical Schemes

    https://www.medicalschemes.com/files/ICD10%20Codings/CMS%20PMB%20Four%20Character%20Coding%20July%202005.pdf
    of medical management 950A Benign and malignant brain tumours, treatable Medical and surgical management which includes radiation therapy and chemotherapy CMS PMB …

PMB definition guidelines for acute mental health ... - Medical …

    https://www.medicalschemes.com/files/PMB%20Benefit%20definition%20guidelines/PMB_definition_Guideline_for_Acute_Mental_Health_Conditions_v1.pdf
    The current Medical Schemes Act has three 910T DTP descriptions, as shown in the table below. Alcohol withdrawal delirium; alcoholintoxication deliriumHospital-based …

CMS - Accreditation - Medical Schemes

    https://www.medicalschemes.com/AccreditationPortal
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