3 hospitals charged for upcasing from PhilHealth

3 hospitals charged for upcasing from PhilHealth.....»»

Category: entertainmentSource: pep pepOct 16th, 2020

House panels want Duque, other PhilHealth execs charged over corruption

Health Secretary Francisco Duque III and top officials of the Philippine Health Insurance Corporation (PhilHealth) may have to face criminal and administrative cases over the alleged corruption in the agency. This, after House committees on public accounts and good government and public accountability on Tuesday, recommended that the Ombudsman file administrative and graft charges against […] The post House panels want Duque, other PhilHealth execs charged over corruption appeared first on Daily Tribune......»»

Category: newsSource:  tribuneRelated NewsOct 27th, 2020

PhilHealth made P936 million overpayments to health institutions in 2019 – COA

Philippine Health Insurance Corp. (PhilHealth) made overpayments that reached P936.653 million to various hospitals and other healthcare institutions (HCIs) in 2019, the Commission on Audit (COA) said......»»

Category: newsSource:  philstarRelated NewsOct 10th, 2020

16 more to be charged over PhilHealth fund mess

The Presidential Anti-Corruption Commission will file charges against 16 more officials of the Philippine Health Insurance Corporation (PhilHealth) as it continues its investigation into the loss of billions of pesos at the state insurer......»»

Category: newsSource:  thestandardRelated NewsOct 6th, 2020

Lacson stews over PhilHealth

Senator Panfilo Lacson said Sunday the Senate may initiate its own filing of charges against the Philippine Health Insurance Corporation officials not charged by the National Bureau of Investigation over the alleged corruption involving the Interim Reimbursement Mechanism at the state health insurer......»»

Category: newsSource:  thestandardRelated NewsOct 5th, 2020

Senate eyes raps vs more PhilHealth officials

The Senate may file complaints before the Office of the Ombudsman against Health Secretary Francisco Duque III and other officials of the Philippine Health Insurance Corp. who were not included in the list of those charged by the Department of Justice for alleged anomalies in PhilHealth, Sen. Panfilo Lacson said yesterday......»»

Category: newsSource:  philstarRelated NewsOct 4th, 2020

PhilHealth& rsquo;s reckoning

In rapid time, the Department of Justice’s Task Force PhilHealth has identified the PhilHealth officials to be criminally and administratively charged for violating the Anti-Graft Law and the Revised Penal Code, in connection with the reported loss of some P15 billion in agency funds through fraud......»»

Category: newsSource:  thestandardRelated NewsSep 17th, 2020

2 PhilHealth sectors tagged

Two composite teams of a presidential task force will zero in on the information technology (IT) and legal departments of the Philippine Health Insurance Corporation (PhilHealth) to determine if more officials should be charged for the multibillion-peso fund mess at the agency......»»

Category: newsSource:  thestandardRelated NewsSep 17th, 2020

DOJ on PhilHealth mess: Only initial findings out; more may face raps as probes continue

“Further investigations will be conducted and more people may be charged," Justice Secretary Menardo Guevarra.....»»

Category: newsSource:  philstarRelated NewsSep 15th, 2020

Duterte stands by DoH chief

President Rodrigo Duterte has stood by Health Secretary Francisco Duque 3rd, telling him he should not resign despite calls from the Senate that he should be charged in connection with the alleged rampant corruption in the Philippine Health Insurance Corp. (PhilHealth). On Monday night, the President said he fully trusts Duque. “Secretary Duque, this is […].....»»

Category: newsSource:  manilatimes_netRelated NewsSep 9th, 2020

Return P14.8 billion in PhilHealth funds – Sotto

The P14.8 billion believed to be illegally disbursed from the Philippine Health Insurance Corp. to certain hospitals and healthcare institutions under the controversial Interim Reimbursement Mechanism or IRM must be fully accounted for and immediately returned to PhilHealth, Senate President Vicente Sotto III said yesterday......»»

Category: newsSource:  philstarRelated NewsSep 6th, 2020

PhilHealth mess: House bares payments for rejected claims

A house leader on Thursday slammed the Philippine Health Insurance Corp. (PhilHealth) board for the approval of more than P600 million in late payments to hospitals with rejected claims from 2011 to 2019......»»

Category: newsSource:  thestandardRelated NewsSep 3rd, 2020

Speed up probe of PhilHealth losses

  ONE month after Anakalusugan partylist Rep. Mike Defensor, chairman of the House of Representatives Committee on Public Accounts, charged that the Philippine Health Insurance Corp. (PhilHealth) lost P153.76 billion from 2013 to 2018 due to overpayments and fraud, various irregularities have been charged in its operations, and the names of so many officials have come up in a negative […].....»»

Category: newsSource:  tempoRelated NewsAug 28th, 2020

Scrapping of PhilHealth case rates, IRM pushed

The head of the House committee looking into the fund irregularities in Philippine Health Insurance Corp. on Monday called for the scrapping of the insurer’s “case rates” and its interim reimbursement mechanism or IRM for hospitals......»»

Category: newsSource:  thestandardRelated NewsAug 25th, 2020

‘PhilHealth chief could also be charged’

Philippine Health Insurance Corp. president Ricardo Morales may be charged for possible complicity in some questionable activities in the agency based on evidence gathered during the Senate investigation, Sen. Panfilo Lacson said yesterday......»»

Category: newsSource:  philstarRelated NewsAug 23rd, 2020

PhilHealth: Some doctors, hospitals involved in fraud

MANILA, Philippines — The Philippine Health Insurance Corporation (PhilHealth) admitted on Monday that a number of physicians and hospitals are indeed involved in fraudulent schemes and transactions with the state health insurer as earlier revealed by the task force investigating the agency. “As to doctors and hospitals, totoo po ‘yun, nilalabas na namin for these […] The post PhilHealth: Some doctors, hospitals involved in fraud appeared first on Cebu Daily News......»»

Category: newsSource:  inquirerRelated NewsAug 17th, 2020

Resource persons bare fraudulent PhilHealth schemes

Some doctors are allegedly involved in the reported corrupt practices at the Philippine Health Insurance Corp. along with some hospitals and banks that allegedly served as remittance centers for the anomalous transactions, the “Task Force PhilHealth” revealed yesterday......»»

Category: newsSource:  philstarRelated NewsAug 16th, 2020

36 tied to PhilHealth mess

The Presidential Anti-Corruption Commission (PACC) on Wednesday linked at least 36 officials of Philippine Health Insurance Corp. (PhilHealth) to the overpayments allegedly made to hospitals......»»

Category: newsSource:  thestandardRelated NewsAug 5th, 2020

House panel to probe PhilHealth anomalies Wednesday

The House Committee on Public Accounts is investigating the alleged irregularities and “systemic” corruption in the State-owned Philippine Health Insurance Corp. (PhilHealth) on Wednesday. (MANILA BULLETIN FILE PHOTO) Anakalusugan partylist Rep. MIchael “Mike” Defensor, chairman of the panel, said the investigation was initially scheduled on Monday but they decided to reschedule it to Wednesday to ensure that invitations have been sent out to resource persons. “Sa Wednesday tayo (We will conduct the hearing on Wednesday), kasi dapat nga bukas talaga itong hearing (the hearing was initially scheduled tomorrow) pero (but) nakiusap sila (they appealed) na Wednesday na isagawa (that it be conducted on Wednesday) dahil sa kailangan ng oras sa imbitasyon (because more time is needed to send out invitations),” Defensor said. He said among those who are expected to attend the hearing are PhilHealth president and chief executive officer Ricardo Morales and former PhilHealth anti-fraud legal officer Thorrsson Keith who claimed that top agency officials are involved in the corruption. In a statement, Defensor said they are expecting Keith to shed light more on his allegations that millions of overseas Filipino workers should not be burdened to pay for the “spillages” of the agency as stated in his resignation letter. “Mr. Keith should explain what these spillages are, what are the instances of corruption in the State health insurance firm, and who are the officials and personnel involved,” he said. Keith’s resignation letter was circulated on social media. In that letter, he stated that his salary has not been given on time since he started investigating PhilHealth officers allegedly involved in the corruption. “It should be noted that the PhilHealth has had its share of corruption issues in the past,” Defensor said He recalled that in June this year, Malacañang called out the PhilHealth for its supposed inaction to look into the missing P154-billion funds within the agency through “fraudulent schemes.” The House leader cited that in August 2019, the Commission on Audit (CoA) also called out PhilHealth for the surge in the number of cases and reimbursement claims of members, particularly those from Rizal and Metro Manila for pneumonia, urinary tract infection, acute gastroenteritis, sepsis, and other diseases. He attributed that tens of billion in “overpayments” to the prevailing all-case rates (ACR) payment mechanism. “The case-rate system, under which there is a fixed cost for the treatment of certain diseases and for procedures, is really a loophole that is resulting in billions of losses on the part of PhilHealth. It is not surprising that it maybe a source of corruption,” he said. According to him, under the ACR payment mechanism, PhilHealth pays the hospital the “case rate even if the cost incurred by a member is much, much less.” “For instance, the case package for mild pneumonia is about P44,000. A hospital could declare that it treated a PhilHealth member for pneumonia even if he had only colds and fever,” he said. He laments that in some instances, a simple eye procedure was claimed as a cataract operation. Defensor said the PhilHealth should bill the actual cost of treatment or procedure, and that the case rates be declared as cost limits. He asked the PhilHealth officials to look into numerous claims for payment or reimbursement for the same or similar diseases or procedures, and involving the same doctors, clinics, or hospitals. “This has happened with pneumonia, eye problems, and dialysis and kidney ailments. They should have learned their lesson. It cannot continue to happen, unless some officials and personnel are involved in corruption,” he said. Defensor had filed House Resolution No. 1069 seeking motu proprio investigation on the corruption issues hounding PhilHealth that led to the resignation of several personalities. “When there seems to be a pattern of alleged abuses where loopholes can be taken advantage of by the unscrupulous, a systemic change needs to be done to overhaul the present set up,” he said......»»

Category: sportsSource:  abscbnRelated NewsAug 2nd, 2020

PhilHealth eyeing release of second hospital reimbursement

The Philippine Health Insurance Corp. is considering the release of a second tranche of the Interim Reimbursement Mechanism or emergency cash advance to help hospitals with the needed liquidity to respond to the increasing number of COVID-19 patients......»»

Category: newsSource:  philstarRelated NewsJul 16th, 2020

PhilHealth denies link to hospital closures from unpaid claims

The Philippine Health Insurance Corp. yesterday reiterated its denial of the Private Hospitals Association of the Philippines Inc. allegation that 300 hospitals in the country face closure because of delayed payment of claims......»»

Category: newsSource:  philstarRelated NewsJun 19th, 2020