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PhilHealth Executive Revealed 78 Hospitals And 18 Doctors Are Facing Cases For Fraud Claims

CASES FILED – There are 78 hospitals and 18 doctors currently facing multiple cases over claims of Fraud, according to PhilHealth senior manager.

Cases filed
Photo taken from Manila Shaker

Recent reports show PhilHealth hunting down and investigation more than 8000 fraudulent acts. The government-owned insurance company also probed a private dialysis center for claiming benefits for deceased patients.

Last Friday, Philippine Health Insurance Corporation (PhilHealth) disclosed information about 78 hospitals that are facing cases over fraud claims.

In a conversation with ‘Dobol B sa News TV’ by GMA, Rey Balena – senior manager of PhilHealth – the hospitals mentioned are believed to be involved in 370 cases regarding fraudulent acts.

Balena explained the current status of the cases and hospitals included in the fraud claims, saying:

Ito ho yung nasa arbitration na po. Dito sa non-cataract cases sa kasalukuyan meron pong 78 hospitals na kasalukuyang may kaso involving 370 cases. [This is what’s under arbitration already. On the non-cataract cases, there are currently 78 hospitals facing charges involving 370 cases.]”

He also mentione 18 doctors that are also facing cases over the same fraud claims.

While “for the cataract cases”, Balena shared “…sa ngayon meron tayong tatlong hospitals involving 2,000 cases. [for now we have three hospitals involving 2000 cases.]”

He mentioned that there could be so much cataract records that they made a scheme for it.

PhilHealth also revealed that 38 officials and regular employees were suspended for misbehavior in their battle to prevent fraudulent and corrupt practices.

The suspended personnel were revealed by the Insurance Corp as mid-level managers who apparently took in fraudulent transactions’ processes.

This is according to an article from MSN News.

Recently, two former employees of the private WellMed Dialysis & Laboratory Center Corp. reported about the dialysis clinic claiming PhilHealth benefits for ‘ghost’ or non-existing patients.

That is all there is to it, at least for now. We’ll post updates as soon as we got them.

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