Monday, December 04
01:24 AM

CMA selects American medical code set for health insurance


Muscat – The sultanate’s Capital Market Authority (CMA) and the American Medical Association (AMA) have announced the selection of the Current Procedural Terminology (CPT) code for the Dhamani health insurance platform aimed to support health data exchange, claims settlement and fund transfer between insurance companies, healthcare organizations, and supervisory and regulatory institutions in Oman.

In line with Oman’s Vision 2040 goals to create an inclusive and equitable healthcare system, the CPT code set will help serve the needs of Oman’s data-driven healthcare system by allowing clinicians, hospitals, health insurers, regulators, and researchers to electronically exchange standardized information on the medical services and procedures provided to patients within the Dhamani platform.

This seamless flow of information across Oman’s healthcare system facilitates reimbursements, reporting, predictive analysis and benchmarking of medical services delivered by all medical specialties, which will enable better patient care, more operational efficiency and lower costs, the AMA said in a press statement.

The CPT content is a comprehensive medical terminology with a standardized code set that identifies and describes over 10,000 medical services and procedures, offering physicians and health care professionals a uniform language for coding medical services and procedures. The uniform language, updated by the AMA to keep pace with modern medicine, streamlines reporting and increases accuracy and efficiency in the management of the insurance claims process.

For more than 50 years, CPT content has standardized procedural medical language used to communicate between governments, healthcare providers, and insurance organizations around the globe and throughout the Gulf region.

Commenting on the announcement, H E Abdullah bin Salim al Salmi, executive president of the CMA, said, “Aligning with Oman’s Vision 2040, the Dhamani health insurance program will promote an efficient, high quality health insurance ecosystem which provides proper funding of the healthcare industry in Oman in efforts to facilitate a decent and sustainable life for all, as we prioritize the well-being and social protection of the people across the sultanate.”

H E Salmi said, “The adoption of AMA’s internationally-recognized CPT standards will increase the accuracy and efficiency of medical services in Oman and enhance the Dhamani platform’s performance.”

On AMA’s behalf, president Gerald E Harmon said, “For over fifty years, CPT content has served the needs of integrated health delivery systems which require efficient and effective data exchange to help improve cost, quality, and access to care. We look forward to a great outcome on the back of the CMA’s selecton of CPT, a uniform and rigorous code set, widely trusted as medicine’s universal language for reporting medical services and procedures provided to patients.”

AMA said, in the efforts of ongoing improvement, an extensive annual process with broad input is applied to enhance the CPT codes set to meet the coding demands of a modern health care system. This rigorous process ensures keeping the CPT code set up-to-date with constant advances in medical knowledge, science, and technology to ultimately fulfill its vital role as the language of medicine today and the code to its future.

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