MANILA, Philippines – The Philippine Health Insurance Corp. (PhilHealth) has issued a circular suspending the accreditation of erring hospitals and clinics facing administrative charges for defrauding the government agency.
In PhilHealth Circular No. 47-2009, PhilHealth president and chief executive officer Dr. Rey Aquino said “despite the institution by Philhealth of appropriate administrative cases against accredited health care providers which are involved in fraudulent practices, some of these providers continue to perpetuate the same practices.”
Among these practices are filing padded claims, claims for non-admitted patients, extending the period of confinement, postdating of claims, misrepresentation by furnishing false or incorrect information, and fabrication or possession of fabricated forms and supporting documents, among others.
Aquino said that because of this, the PhilHealth board found it necessary to “further strengthen the capabilities of PhilHealth to adequately address such fraudulent practices.”
He said “one effective way is to enable PhilHealth… to place errant providers with pending administrative cases under preventive suspension.”
The maximum period for the suspension is 90 days and it shall be automatically lifted once a decision on the case has been rendered and when the suspension is ordered lifted by PhilHealth’s arbitration department.
“A preventive suspension may be imposed only once in a pending administrative case,” the circular stated.
But an official of the Private Hospitals Association of the Philippines (PHAP) criticized the circular, saying the PhilHealth Board did not consult them about it.
“It’s arbitrary. Things like this, we should be consulted… What if we also suspend the services that we are giving our patients?” PHAP president Dr. Rustico Jimenez said in a telephone interview.
Jimenez added the PHAP Board will meet to discuss the measure, which “we think is uncalled for.” –Sheila Crisostomo (The Philippine Star)
September 18 –
International Equal Pay Day
“Increase wages now,
more than other cost items.
For widespread, practical equality!”
Invoke Article 33 of the ILO Constitution
against the military junta in Myanmar
to carry out the recommendations of the 2021 ILO Commission of Inquiry
against serious violations of protocols of
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Accept the National Unity Government (NUG)
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October –
Monthly Observances:
Industry and Commerce Safety Month
National Statistics Month
Local Government Month
Consumer Welfare Month
Cooperative Month
National Quality and Productivity Improvement Month
National Health and Wellness Tourism Month
National Indigenous Peoples Month
Weekly Observances:
Week 1: Elderly Filipino Week
Week 2: National Health Education Week
Local Government Week
National Mental Health Week
October 17-23:
National Week for Overcoming Extreme Poverty
October 18 – 24:
United Nations Week
Last Week:
Nurses’ Week
Consumers’ Protection Week
Week of the 4th Sunday:
Barrio Farmers’ Week
Daily Observances:
First Monday (Oct 4): Universal Children’s Day i
n the Philippines
Oct 5: National Teachers’ Day
Oct 10: Local Government Day
Third Thursday (Oct 14): Conflict Resolution Day
Oct 21: Tenants’ Emancipation day
Oct 24: United Nations Day
Oct 29: National Indigenous People’s Thanksgiving Day
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