MANILA, Philippines — The Philippine Heart Center (PHC) should follow the rules of the Philippine Health Insurance Corp. (PhilHealth) if it wants its P71.17 million worth of claims approved, the Commission on Audit (COA) said in its annual audit report on the government hospital.
PhilHealth has denied or returned around 3,907 claims worth P71.17 million presented by PHC because it did not comply with provisions of the revised Implementing Rules and Regulations (IRR) of the amended National Health Insurance Act (NHIA) of 2013.
This resulted in the accumulation of “uncollectibles from PhilHealth and loss of income on the part of PHC,” according to the COA report, which was rele…
Keep on reading: Heart Center should follow PhilHealth rules to get P71.17 million worth of claims – COA