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Laoag City Ordinance amending the Hospital Revenue Code of 2013 of LCGH

Republic of the Philippines
Province of Ilocos Norte
CITY OF LAOAG

OFFICE OF THE SANGGUNIANG PANLUNGSOD
EXCERPT FROM THE RECORD OF PROCEEDINGS OF THE 69TH REGULAR SESSION OF THE 9th SANGGUNIANG PANLUNGSOD OF LAOAG HELD AT THE SANGGUNIANG PANLUNGSOD SESSION HALL ON DECEMBER 15, 2014.
     WHEREAS,  the Laoag City General Hospital (LCGH), an Economic Enterprise of the City Government of Laoag pursuant to City Ordinance No. 2008-062 “Declaring the LCGH as an Economic Enterprise of the City of Laoag”
     WHEREAS,  the LCGH bases its revenue measures pursuant to City Ordinance No. 2009-038 “Creating the Hospital Revenue Code of 2009” and its subsequent  Amendments by CO 2010-007, CO 2011-001, and CO 2011-014 to provide accurate Ordinances of reference;
     WHEREAS,  amendments are necessary legislative measures to address current financial adjustments borne out changing economic factors affecting revenue collections of the LCGH in particular and the overall sustainability of operations and viability of the LCGH in general;
     WHEREFORE, upon motion of Committee on Health and Public Sanitation, Chaired by Hon. Sonia B. Siazon duly seconded by Hon. Franklin Dante A. Respicio, the Body with members present;
     RESOLVED as it is hereby Resolved, to ENACT
CITY ORDINANCE NO.  2014-118
Series of 2014
AN ORDINANCE AMENDING THE HOSPITAL REVENUE CODE OF 2013 OF THE LAOAG CITY GENERAL HOSPITAL
Be It Enacted That:
Chapter 4
ARTICLE A. SCHEDULE OF FEES AND CHARGES
     7.2 LABORATORY AND HAEMATOLOGY RATES
                Procedure                              Rates
                Pap’s Smear                           P 75.00
     7.6 CT SCAN PROCEDURES AND RATES   
                                     Use of CT Scan                Reading Fee
Head CT Scan Plain                              5,000.00                  850.00
Head CT + Bone Window     5,200.00                  892.50
Head CT + Contrast                              7,500.00                  884.00
Cranio-Facial CT Scan         6,500.00                  1,105.00
Sella Turcica Plain                6,000.00                  1,020.00
Sella Turcia + Contrast Enhanced
                                                8,500.00                  1,054.00
Temporal/Mastoid Plain       7,500.00                  884.00
Temporal/Mastoid + Contrast Enhanced           
                                                10,000.00                1,309.00
PNS Plain                                               7,500.00                  1,020.00
PNS + Contrast Enhanced   8,466.00                  1,054.00
Orbits Plain                            7,500.00                  1,020.00
Orbits + Contrast Enhanced 8,500.00                  1,054.00
Whole Abdomen Plain          11,500.00                                1,955.00
Whole Abdomen + Contrast Enhanced             
                                                16,000.00                2,159.00
Upper Abdomen Plain          7,400.00                  1,232.50
Upper Abdomen + Contrast Enhanced              
                                                11,000.00                                1,315.80
Lower Abdomen/Pelvis Plain               7,400.00                  1,232.50
Lower Abdomen/Pelvis + Contrast     
                                                11,000.00                                1,315.80
Chest Plain                            7,400.00                  1,232.50
Chest + Contrast Enhanced 12,500.00                1,598.00
Neck/Nasopharynx Plain     5,000.00                  850.00
Neck/Nasopharynx + Contrast Enhanced         
                                                8,500.00                  1,054.00
Whole Spine Plain                                12,000.00                2,040.00
Whole Spine + Contrast       14,500.00                2,074.00
Cervical Spine Plain                             5,000.00                  850.00
Cervical Spine + Contrast Enhanced 
                                                7,500.00                  884.00
Thoracic Spine Plain            6,000.00                  1,020.00
Thoracic Spine + Contrast Enhanced               
                                                8,500.00                  1,054.00
Lumbo-Sacral Spine Plain    5,000.00                  850.00
Lumbo-Sacral Spine + Contrast Enhanced
                                                7,500.00                  844.00
Extremities Plain                    5,000.00                  850.00
Extremities + Contrast Enhanced       
                                                7,500.00                  884.00
CT Guided Lung Biopsy-Done by Radiologist
                                                6,000.00                  2,500.00
CT Guided Lung Biopsy-Done by Surgeon/ Guided by Radiologist                                                                               6,000.00                  884.00
CT Stonogram                       5,000.00                  844.00
CT Urogram                           7,500.00                  955.00
Chest CT Bronchoscopy     17,500.00                3,000.00
CT Colonography                                 17,500.00                3,000.00
CT Cholangiogram                               15,000.00                3,000.00
Cranial CT Angiogram          15,000.00                2,550.00
Peripheral Vascular  Angiogram
                                                18,000.00                3,400.00
Calcium Scoring                    8,500.00                  1,054.00
Virtual Colonoscopy             16,000.00                3,600.00
Dynamic Liver (Triphase)     17,000.00                2,500.00
Dynamic Pancreas (Triphase)             17,000.00                2,500.00
Dynamic Kidney (Triphase)                 17,000.00                2,500.00
CTA Pulmonary Arteries       17,000.00                2,500.00
CTA Thoracic Aorta                              17,000.00                2,500.00
CTA Abdominal Aorta           17,000.00                2,500.00
CTA Kidneys                          17,000.00                2,500.00
CTA Thoraco-Abdominal Aorta
                                                19,000.00                3,000.00
CTA Upper Extremities         19,000.00                3,000.00
CTA Lower Extremities          19,000.00                3,000.00
3D Reconstruction                                1,250.00
Low Dose Chest Plain          5,000.00                  1,054.00
Calcium Score                       5,000.00                  1,054.00
Additional Film                      250.00

     7.8 EQUIPMENT & SPECIAL EXAMINATIONS/ PROCEDURES
Endoscope/ Colonoscope/ Bronchoscope       4,000.00
Mechanical Ventilator                                           65/hr
Incubator                                                                                350/shift
Infant Warmer                                                        200/shift
Infusion Pump                                                       200/shift
O2 Regulator                                                         100/day
Ophtha OR Microscope                                       2,500/use
Pulse Oxymeter                                                     200/shift

     7.15 OR/DR RATES
     Major OR Procedures (use of OR, use of equipments, OR packs and instruments) 10,000.00 for the 1st hour + 500.00 /hr for the succeeding hours
     Minor OR Procedures (use of OR, use of equipments, OR packs and instruments) 5,000.00 for the 1st hour + 500.00 /hr for the succeeding hours
     7.18 PHYSICIAN’S PROFESSIONAL FEES
     a. Out Patient  Consultation Fee (Private Patients)
     Range:                              P500.00 – 1,250.00
     Consultation Fee exacted from Private patients shall vary according to classification and difficulty of case, duration of treatment and relation of physician to patient.
     7.20 Out Patient Rates/ ER Fees - IV Insertion                        100.00
     7.21 REHABILITATION AND PHYSICAL THERAPY RATES
OUTPATIENT
     NEURO Cases/ Children (Neuro Cases)
     Plain therapeutic Exercises (ROMEs, Strengthening, stretching)                                                                                              50.00
     Additional Charge for PT Modalities/Apparatus:
     UVR                                                   100/area
     Traction (cervical/lumbar)                               60/area
     Paraffin Bath                                     60/area
     Intermittent Compression Unit       50/area
     CPM (UE/LE)                                     50/extremity
     PJM                                                   30/joint
     US                                                      50/area
     Treadmill                                           50/use
     Reclining Bike                                  50/use
     IRR                                                    50/area
                Standing Balance-Tolerance Exercise    50/session
     Gradual High Back Rest                  30/session
     Special Exercises                            30/session
     FUP                                                   20/area
     Oropharyngeal Exercises                               15/area
     HMP                                                   10/area
     ES                                                      10/pair of electrodes
     TENS                                                 10/pair of electrodes
     FES                                                    10/pair of electrodes
     Finger Ladder                                  10/session
     SW                                                     10/session
     OHP                                                   10/session
     Wrist Exerciser                                 10/session
     Forearm Exerciser                           10/session
     Step-up Exerciser                            10/session
     Wobble Board                                  10/session
     NK Table                           10/session
     ORTHOPAEDIC Cases/ Medical Cases/ Surgical Cases/ Children (non neuro cases)
     Plain therapeutic Exercises            300.00
     If with modalities/apparatus            same as neuro cases
     IN-PATIENT
Service Ward (ROMEs, Strengthening, Stretching, ES, TENS, Oropharyngeal Exercises                                                           - 250.00
Semi-Private (ROMEs, Strengthening, Stretching)            480.00
Private (ROMEs, Strengthening, Stretching)     600.00
Suite Room (ROMEs, Strengthening, Stretching)             720.00
Mayor’s Suite (ROMEs, Strengthening, Stretching)          850.00
Isolation (ROMEs, Strengthening, Stretching)  480.00
MICU/ NICU/ PICU (ROMEs, Strengthening, Stretching)                                                                                                                  600.00
If with PT modalities or apparatus same as OPD charging
PATIENTS COVERED BY ANY INSURANCE (Out/In-Patient)                                                                                                                            600.00
CHEST PHYSICAL THERAPY                                               300.00
     7.23 PACKAGES FOR OB-GYN PROCEDURES (UNCOMPLICATED)
No Balance Billing- PHIC (MASA, 4Ps)
NSD (OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care  -                                                                                               3,000.00 
NSD with BTL ( OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care                                                                             - 6,000.00               
Ceasarian Section ( OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care                                                                                 - 11,400.00
D & C ( OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care -                                                                            6,800.00
PHIC Self-employed/Private/Government-Service Category
NSD (OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care -
                                                                 6,017.90
NSD with BTL (OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care                                                                 - 11,126.90
Ceasarian Section (OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care                                                                                 - 19,020.80
D & C ( OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care
                                                                -10,201.88
PHIC Self-employed/Private/Government-Private Category
NSD (OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care - 6,467.90
NSD with BTL ( OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care                                                                             - 12,026.90
Ceasarian Section ( OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care                                                                                 - 20,370.80
D & C ( OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care
                                                                - 10,651.88
    
     Patients without PHIC-Private Category
     NSD (OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care
                                                                - 6,017.90               
NSD with BTL ( OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care                                                                             - 11,126.90
Ceasarian Section ( OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care                                                                                 - 19,020.80
D & C ( OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care
                                                                - 10,201.88

     Patients without PHIC-Service Category
NSD (OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care - 4,817.90
NSD with BTL ( OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care                                                                             - 10,126.90
Ceasarian Section ( OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care                                                                                 - 6,020.80
D & C ( OR-DR kit, OR-RR Fee, Labor Room, Room and Board, Laboratory, Registration Fee, ER Services, Supportive Care
                                                                - 9,201.88
* PHIC benefit will be deducted on the packages

     7.24 OPD CONSULTATION FEE
     Follow up consultation Fee - 25.00
     7.25 DIET COUNSELLING
     Private - 75.00
     Service - 50.00
     7.26 MEDICAL CERTIFICATE/CERTIFICATION FEE/ RE-ISSUANCE OF BILLING STATEMENT
     Medical Certificate/Medico-Legal - 100.00
     Clinical Abstract - 200.00
     Birth/Death Certificate - 100.00
     Certified True Copy - 50.00
     Re-issuance of Billing Statement - 20.00

CHAPTER 5
ARTICLE A. RULE ON THE LCGH MEDICAL PROFESSIONAL FUND
     Section 1.  LCGH Medical Professional Fund – shall refer to a fund generated from Professional Service Fees of Fulltime Physicians (Permanent/Contract of Service/Contractual) in the exercise of their Private Practice in the hospital.
     Section 2. The LCGH Medical Professional Fund – shall be 25% of the Gross Professional Fee as indicated in the accomplished and submitted Physician’s Payment Order Slip by the Physician concerned. It shall be collected by the Billing and Cash Collection Section of the hospital upon discharge of a Private Patient duly acknowledged with Official Receipts of the hospital and the Physicians’ personal Official Receipt issued and authorized by the Bureau of Internal Revenue (BIR) by the Cashier on duty. Such LCGH Medical Professional Fund and all involved collection processes shall be fully explained by the Admitting Clerk on Duty during admission of the private patient.
     Section 3. The LCGH Medical Professional Fund collected shall be geared for hospital services improvement.

ARTICLE B. RULE ON PHILHEALTH INSURANCE CORPORATION (PHIC) PROFESSIONAL FEE CAPITATION FUND
     Section 1. PHIC Professional Fees remitted by PHIC to practicing Physicians in LCGH shall be covered by the following Distribution Scheme on PHIC Professional Fees Capitation Fund:
     1. PHIC Professional Fees from Service Patients w/o Attending Visiting Consultants:
                50% Hospital Staff PHIC Pool (including Physicians who are not allowed private practice)
                50% LCGH Medical Professional Fund
     2. PHIC Professional Fees from Walk-in Private Patients:
                70% Attending Physician
                30% Hospital Staff PHIC Pool
     3. PHIC Professional Fees from Full Private Patients (Patients admitted from private clinics) :
                100% Attending Physician
     4. PHIC Professional Fees of Service patients (Charity) with Attending Visiting Consultants
                100% Attending Physician
*PHIC Hospital Services Capitation Fund goes 100% to LCGH collection
     Section 11.  SPECIAL DISCOUNTS
                Sub. 11.2 City Officials and Employees, Barangay Officials and Tanods, Barangay Day Care Workers, BNS, BSPO, Barangay Lupon, SK officials, Past Barangay Chairmen of Laoag City, shall be given twenty percent (20%) discount after Philhealth deductions from total hospital bill except Pharmacy and medical supply items.
                As part of the Maternal and Child Care Program adopted by the LCGH together with the BHW’s of Laoag City, a Mobilization Fee of P300.00 shall be accorded to members of the BHW for every pregnant mother they bring to LCGH for pre-natal care and delivery payable at the end of every month.
     Section 12. All Ordinances, Resolutions, motions, or parts thereof not consistent herewith are hereby repealed, amended or superseded accordingly.
     Section 13. This Ordinance shall take effect upon approval.
     Carried.
     APPROVED, this 15th day of December, 2014, by the members of the Sangguniang Panlungsod present with the following votes: Those in favor: J.E.P. FariƱas, Siazon, Respicio, Lao, Tamayo, Bonoan, Domingo, Chua, M.V. FariƱas; Nays: None; Abstention: None
     I HEREBY CERTIFY that the foregoing is a true, correct, and faithful excerpt from the Record of Proceedings of the 69TH Regular Session of the 9th Sangguniang Panlungsod held at the Sangguniang Panlungsod Session Hall, Laoag City on December 15, 2014.
Attested:
(SGD) ENRICO A. AURELIO
Secretary to the Sanggunian
APPROVED: 01-06-2015
(SGD) MICHAEL V. FARIƑAS
City Vice-Mayor/Presiding Officer
(SGD) CHEVYLLE V. FARIƑAS
City Mayor

Lapsed Into Law as of February 8, 2015

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