Guidelines on the keeping of patient records

Practitioners belonging to the Medical and Dental Board are advised to comply with the HPCSA Guidelines on Keeping of Patient Records. The HPCSA Inspectorate Office recently lent their assistance to a joint operation by the Road Traffic Management Corporation’s Anti-Corruption Unit and the Directorate for Priority Crime Investigation looking into possible fraud and corruption in the issuing of Professional Driving Permits […]

Guidelines on professional relationship conduct

Ethics form one of the cornerstones to ensuring the healthcare profession enjoys its continued status and trust from society at large. The HPCSA is embarking on an ongoing awareness campaign to ensure compliance to ethical standards. To this end, Council would reminds practitioners that their ethical guidelines extend to working relationships with fellow healthcare practiotioners: […]

Education and Training Registration Commitee Dental (ETRCD)

Dental education and training oversight have been streamlined through the merger of the under- and post-graduate functions into one committee. Previously, dental matters at the Medical and Dental Professions Board (MDB) were dealt with by three Subcommittees of the Board: the Examinations Subcommittee which had oversight over the examinations for foreign-trained dentists the Undergraduate Education […]

Abiding by scope of practice

There is growing concern by the Professional Board for Dental Therapy and Oral Hygiene that members of the profession under its ambit continue to work outside of their current scope of practice. It is therefore necessary to caution anyone who is practicing as such, or behaving unethically by transgressing the ethical guidelines of the HPCSA, […]

Medical scheme access to clinical records

In terms of Regulation 15J(2)© of the Medical Schemes Act Regulations, a medical scheme is entitled to access any treatment record held by a managed health care organisation or health care provider and other information pertaining to the diagnosis, treatment and health status of the beneficiary in terms of a contract entered into pursuant to […]

Prosecution for fraudulent activities

Section 16 of the Medical Schemes Act places an obligation on Council for Medical Schemes to report cases of improper or disgraceful conduct (Unprofessional Conduct) to medical schemes by practitioners registered with the HPCSA as the statutory body which has jurisdiction over practitioners registered under the Health Professions Act. Where a criminal offence has been […]

Recovery of ill-gotten benefits from practitioners

Section 59(3) of the Medical Schemes Act empowers the medical scheme to recover any amount which has been paid bona fide to which a practitioner is not entitled to or any loss which has been sustained by the medical scheme through theft, fraud, negligence or any misconduct which comes to the notice of the medical […]

Legal status of scheme payment arrangements

The payment arrangements between practitioners and medical schemes are legally binding if they are lawful. Medical schemes are duty bound in terms of common law and section 66 of the Medical Schemes Act to report unprofessional conduct to the HPCSA. Guidance provided here is not exhaustive and practitioners are advised to approach Council for further […]

Withholding of claims due to practitioners by medical schemes

In terms of Section 59(2) of the Medical Schemes Act, the scheme should pay a claim either to the member or practitioner within 30 days of receiving the claim. According to Regulation 6 of the Medical Schemes Act Regulations, if a medical scheme is of the opinion that an account, statement or claim is erroneous […]