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Manejo integrado de UPC y Presupuestos Máximos se aprobó – Resolución 535 de 2020
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Un paso definitivo para la gestión integral del riesgo derivado de la pandemia, y en general de la salud de los colombianos dio el ministerio de salud, al establecer las condiciones para el manejo integrado de los recursos de la Unidad de Pago por Capitación y los de presupuestos máximos a cargo de las Entidades Promotoras de Salud y Entidades Obligadas a Compensar, através de la resolución 535 de 2020.
CONTRATACIÓN INTEGRAL DE SERVICIOS Y TECNOLOGÍAS SEGÚN LA RESOLUCIÓN 535 DE 2020
Las Entidades Promotoras de Salud-EPS o Entidades Obligadas a Compensar-EOC podrán realizar contratos con las IPS y proveedores de servicios y tecnologías en salud, y financiarlos de manera integral con recursos de la UPC, de los presupuestos máximos, así como los demás ingresos operacionales, con el fin de garantizar la integralidad y la gestión de la prestación de los servicios de salud.
Sin embargo las EPS deberán garantizar el manejo contable en las unidades de ingreso y gasto de cada una de las fuentes de financiamiento mencionadas en el presente artículo .
Las IPS deberán producir los RIPS y facturar de conformidad con la normatividad vigente
Mecanismo de seguimiento
El principal mecanismo de seguimiento que utilizará la ADRES para los servicios y tecnologías en salud financiadas con cargo al presupuesto máximo será lo que sea registrado en la plataforma de prescripción -MIPRES, específicamente en los módulos de suministro y facturación. Lo anterior sin perjuicio de los mecanismos de seguimiento, control y auditoria que apliquen las EPS y EOC en el marco de los contratos que realicen.
giros previos o anticipos
En caso de que se generen giros previos o anticipos por parte de las EPS hacia las IPS o proveedores de servicios y tecnologías en salud, estos deberán legalizar los mismos de acuerdo a los plazos pactados en el contrato y, en caso de aplicar, realizar el cargue de la información en los módulos de suministro y facturación de la herramienta de prescripción -MIPRES.
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Resolucion 535 de 2020 manejo integrado de recursos UPS y Presupuestos Maximos
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