About
This course provides an in-depth look at Prescribed Minimum Benefits (PMBs) to help healthcare professionals navigate the requirements of the Medical Schemes Act. It covers the legal definitions, the 271 Diagnostic Treatment Pairs, and the Chronic Disease List. Participants will learn to identify PMB-eligible conditions, apply correct ICD-10 coding, and understand the role of Designated Service Providers. The content focuses on practical compliance, claims processing, and ensuring patient access to guaranteed healthcare services. By understanding these regulations, providers and administrative staff can reduce claim rejections and uphold high standards of patient care.
You can also join this program via the mobile app. Go to the app
Overview
The Chronic Disease List (CDL)
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