PhilHealth hunts down fraud, secures UHC’s future
Credit to Author: The Manila Times| Date: Sat, 09 Mar 2019 19:01:36 +0000
THE Philippine Health Insurance Corporation (PhilHealth) intensifies its campaign against fraud in light of the Universal Health Care law’s enactment. “We cannot afford to fall short on our efforts to halt the progression of these deceitful practices; especially now that the National Health Insurance Program (NHIP) needs a strong and stable fund to enforce the Universal Health Care Act,” said Dr. Roy Ferrer, PhilHealth acting president and CEO. “We take it upon ourselves to initiate collaborations with relevant government agencies and private entities to uphold the moral standards by which our society must prosper,” Ferrer added.
These partnerships ascertain the success of anti-fraud activities in order to ensure reliable and consistent services for PhilHealth beneficiaries.
The corporation recently signed a Memorandum of Agreement with the National Bureau of Investigation and commenced a strengthened effort to suppress fraud. PhilHealth also joined hands with the Philippine Medical Association and Philippine Hospital Association to confront erring health care institutions; while the Professional Regulation Commission was tapped to dispense sanctions upon dishonest health professionals.
Last year, PhilHealth filed about 5,000 cases with its Prosecution Department against health care institutions and professionals. The corporation only takes 17 days to process a case build-up that entails a thorough data-gathering method. Fraudulent transactions spanning from professionals recruiting members into a bogus “Free Wellness Program” only to be paid for by PhilHealth to hospitals and dialysis centers including filing claims for deceased patients were exposed. These cases are now being actively investigated and prosecuted.
Report fraud to PhilHealth’s 24/7 Corporate Action Center Hotline, (02) 441-7442, e-mails may also be sent to actioncenter@philhealth.gov.ph. For more updates, members and stakeholders follow PhilHealth on Facebook (facebook.com/PhilHealth) and Twitter (@teamphilhealth).
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