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Wednesday, October 30, 2013

NHIS De-accredits Hospital over Fraud

The National Health Insurance Scheme on Tuesday descended on an Abuja-based health facility, the First Hospital and Maternity Limited, by enforcing its de-accreditation.
The hospital, located in Karu, had earlier had its certificate of accreditation to run the scheme withdrawn.
The Acting General Manager of the NHIS (Standard and Quality Assurance), Dr. Kabir Mustapha, who is also the head of enforcement, led a team of the Enforcement Division to conduct the exercise at the hospital premises.
A statement by the NHIS Head (Media and Public Relations), Mr. Ayo Osinlu, said the action followed petitions from some enrolees, alleging that the hospital was manipulating the drug list approved by the NHIS, which, it said, violated enrolees’ rights.
Mustapha said, “The decision was sequel to complaints  about the facility, regarding the setting aside of NHIS-approved drug tariffs, thereby over-billing patients who were receiving care under the scheme. The NHIS had investigated and confirmed this to be true.”
He warned hospitals and other health care providers operating under the NHIS to desist from treating enrolees shabbily, while also warning them against discrimination or fraudulent application of the drug list.
He said, “Infringement on the rights of enrolees remains unacceptable, while the importance of satisfactory service delivery to all patients under the scheme is paramount.”
Mustapha reiterated the scheme’s commitment to qualitative healthcare delivery, with a call to hospitals and other stakeholders to adhere to the contractual agreement they entered into with the NHIS, which was hinged on easy access to qualitative healthcare services.
The Chief Matron of First Hospital & Maternity Limited, Mrs, Uzoamaka Chibuudu, who represented the Chief Medical Director/CEO, confirmed that the hospital management had received the news of the de-accreditation.

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