The INSS begins the remote experience to grant sickness benefits; How to program?



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The medical experience of the National Institute of Social Security (INSS) with the use of telemedicine will begin this Monday 16 and will continue until January 31, 2021. The information was confirmed by the Secretary of Labor and Social Security of the Ministry of Economy.

The call teleperition complies with the determination made by the Federal Court of Audit (TCU), and remains a pilot experiment. For this reason, it will only be used to grant the disability help temporary benefit for previous illness.

Thus, in this test phase, the use of telemedicine will not include cases of extension of the sickness benefit. As well as the conversion of the sickness benefit into retirement due to permanent disability or eligibility for the professional rehabilitation service.

How to program teleperience?

The INSS delivered to the companies the Term of Adhesion for Participation in the Pilot Experience of Conducting Medical Expertise Using Telemedicine (Pmut). The document has been available, in electronic format, since last Monday 9.

Teleperience must be programmed by the company that formalized the Pmut. It is necessary to present a photo identification (of the company representative and the employee), as well as a medical report and certificate.

“On the scheduled date and time, the company representative will access the platform, identify the employee before the medical expert and leave the room for the examination,” says the protocol.

Through virtual assistance, the federal medical expert will be able to: verify the disability and thus grant the benefit; Failure to verify disability and deny request; or ask for a face-to-face medical experience if you think you have insufficient elements to decide.

However, if the worker does not attend or the representative of the company does not access the virtual platform, the request will be withdrawn.

Regulation of teleperience

The protocol for the use of telemedicine has been improved to provide security for federal medical experts, authorized to carry out procedures during the new coronavirus pandemic. The federal government held meetings with the Federal Council of Medicine (CFM) and the National Association of Occupational Medicine (Anamt) to improve the protocol and comply with the TCU’s decision.

“There was consensus among the agencies on the need to make adjustments to the protocol formalized by the Secretariat of the Federal Medical Examination and the INSS on October 7, especially with regard to the work of the occupational doctor,” says the file, in a note.

This is because, in principle, CFM and Anamt opposed the protocol when they understood that a clinical physical examination of the insured was necessary in order to diagnose and assess the disability.

CFM Opinion No. 18/2020 establishes that “the doctor is prohibited from conducting the examination without a direct examination by the expert or its replacement by simplified technical evidence.”

See more: For this reason the provision of sickness benefit of R $ 1,045 can be denied; Learn how to avoid it!



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