{"id":1098,"date":"2026-05-18T15:00:00","date_gmt":"2026-05-18T18:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1098"},"modified":"2026-05-18T15:00:00","modified_gmt":"2026-05-18T18:00:00","slug":"mito-clinica-plano-saude-pgrss-pelo-plano","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/mito-clinica-plano-saude-pgrss-pelo-plano\/","title":{"rendered":"Mito: cl\u00ednica que atende plano tem PGRSS pelo plano"},"content":{"rendered":"<h2>A frase<\/h2>\n<p>&#8220;Sou credenciada Bradesco\/Unimed\/Hapvida, eles me auditam e exigem documentos. PGRSS deve ser deles, eles repassam. N\u00e3o preciso contratar terceiro.&#8221; Errado.<\/p>\n<h2>4 pontos onde a generaliza\u00e7\u00e3o falha<\/h2>\n<h3>1. Plano credencia, n\u00e3o opera o estabelecimento<\/h3>\n<p>ANS Resolu\u00e7\u00e3o Normativa 124 (2021): plano fornece <strong>credenciamento<\/strong> + <strong>manual operacional padr\u00e3o<\/strong>. N\u00e3o emite PGRSS \u2014 esse \u00e9 documento t\u00e9cnico do <strong>estabelecimento prestador<\/strong>, com ART do RT da cl\u00ednica.<\/p>\n<h3>2. RT \u00e9 nominativo da cl\u00ednica<\/h3>\n<p>ART (Anota\u00e7\u00e3o de Responsabilidade T\u00e9cnica) \u00e9 registrada no CRBM\/CREA\/CRA com <strong>nome+CPF+CRT<\/strong> do respons\u00e1vel. Plano n\u00e3o pode &#8220;emprestar&#8221; RT \u2014 \u00e9 v\u00ednculo individual.<\/p>\n<h3>3. Auditoria do plano fiscaliza, n\u00e3o emite<\/h3>\n<p>Auditoria de credenciamento (anual ou bienal) <strong>verifica<\/strong> se voc\u00ea tem PGRSS v\u00e1lido. Se n\u00e3o tiver: descredenciamento. Plano n\u00e3o substitui o documento \u2014 exige.<\/p>\n<h3>4. RDC 222 art. 5 cobre estabelecimento, n\u00e3o cobertura<\/h3>\n<p>Texto literal: &#8220;<strong>Estabelecimentos<\/strong> de Servi\u00e7os de Sa\u00fade geradores de RSS s\u00e3o respons\u00e1veis pelo gerenciamento&#8221;. Cobertura\/credenciamento ANS \u00e9 dimens\u00e3o fiscal-comercial, n\u00e3o regulat\u00f3ria sanit\u00e1ria.<\/p>\n<h2>Outras coisas que plano N\u00c3O fornece<\/h2>\n<ul>\n<li>ART do RT (precisa do seu CRBM\/CRM\/CRO pr\u00f3prio)<\/li>\n<li>Alvar\u00e1 VISA municipal<\/li>\n<li>Licen\u00e7a CETESB (quando aplic\u00e1vel)<\/li>\n<li>Contrato de coletora especializada<\/li>\n<li>Capacita\u00e7\u00e3o NR-32 dos colaboradores<\/li>\n<li>Livro RSS 12 meses<\/li>\n<\/ul>\n<h2>O que o plano fornece<\/h2>\n<ul>\n<li>Manual operacional (procedimentos cl\u00ednicos)<\/li>\n<li>Tabela de honor\u00e1rios<\/li>\n<li>Auditoria peri\u00f3dica (que <strong>fiscaliza<\/strong> seu PGRSS)<\/li>\n<li>Eventualmente: cobran\u00e7a de fornecedores espec\u00edficos<\/li>\n<\/ul>\n<h2>Custo<\/h2>\n<p>Id\u00eantico a cl\u00ednica n\u00e3o-credenciada. Credenciamento ANS n\u00e3o isenta de PGRSS. <strong>Tabelar PGRSS R$ 130-1500\/m\u00eas<\/strong> (escala dependente).<\/p>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o para cl\u00ednica credenciada plano<\/a><\/strong> \u2014 pacote para apresentar em auditoria do plano.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Por que plano de sa\u00fade N\u00c3O fornece PGRSS. Credenciamento exige documenta\u00e7\u00e3o, mas RT \u00e9 da cl\u00ednica.<\/p>\n","protected":false},"author":3,"featured_media":1097,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2068,1834,2040,22],"class_list":["post-1098","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-credenciamento","tag-mito","tag-plano-de-saude","tag-rdc-222"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1098","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=1098"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1098\/revisions"}],"predecessor-version":[{"id":3529,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1098\/revisions\/3529"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1097"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1098"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1098"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1098"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}