Private hospitals have been urged to collaborate in a bid to address the rising concern of fraudulent billing practices at the National Hospital Insurance Fund (NHIF).
The call for collaboration comes as reports indicate cases where some healthcare providers submit inflated or entirely fabricated bills to the NHIF.
Hazel Koitaba, the Director Beneficiary and Provider management at NHIF said some private hospitals were taking advantage of the NHIF by submitting inflated or bloated bills, raising concerns about the financial integrity of the national insurance scheme.
Koitaba emphasized the crucial role that Faith-Based Organizations (FBOs) and County governments can play in fostering transparency and accountability within the healthcare system.
“County governments and FBOs know the hospitals around them and they know when something is not looking right. We are requesting them to inform us so that we can correct these issues and ensure we are paying genuine claims,” she said.
Koitaba said the prevalence of bloated medical bills within the healthcare system posed a significant barrier to genuine beneficiaries, preventing those in need from accessing essential healthcare services.
“When we pay fictitious claims, somebody else misses out on treatment. So, kindly let us join hands and work as a team to direct this money to those who genuinely need it,” she urged.
Koitaba commended Consolata Hospital-Kyeni for promoting NHIF enrollment among residents.
Word has it that about 98 percent of the people seeking healthcare services at the hospital are NHIF members.
Koitaba spoke at the hospital during the Fidenza School of Nursing’s eighth graduation where 32 graduands were awarded with Diplomas.
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