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
Forced Labour and Freedom of Association.
Accept the National Unity Government (NUG)
of Myanmar. Reject Military!
#WearMask #WashHands
#Report Corruption #SearchPosts #TakePicturesVideos
September –
5 Sept – Intl Day of Charity
7 Sept – Intl Day of Clean Air for Blue Skies
8 Sept – International Literacy Day
12 Sept – United Nations Day for South-South Cooperation
15 Sept – International Day of Democracy
16 Sept – International Day for the Preservation of the Ozone Layer
17 Sept – World Patient Safety Day
18 Sept – International Equal Pay Day
21 Sept – International Day of Peace
26 Sept – International Day for the Total Elimination of Nuclear Weapons
27 Sept – World Tourism Day
28 Sept – International Day for Universal Access to Information
29 Sept – International Day of Awareness of Food Loss and Waste
30 Sept – World Maritime Day
Monthly Observances:
Health, Safety and Sanitation Month
National Clean-up Month
Civil Service Month
National Peace Consciousness Month
Social Security Month
Rule of Law Month
National Teachers’ Month (Sept 5-Oct 4)
Weekly Observances:
Sept 17 – 23:
World Clean and Green Week
Week 2: Education Week
Week 4: Medicine Week
Last Week: National Family Week
Daily Observances:
Third Saturday:
International Coastal Clean-up Day
Third Monday: World Health Day
Last Friday: National Maritime Day
Sept 8: National Literacy Day
Sept 15: Philippine Medicine Day
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.
