PhilHealth revokes hospital accreditation-A A +A
Monday, March 19, 2012
THE Philippine Health Insurance Corporation (PhilHealth) revoked the accreditation of a hospital in Misamis Occidental allegedly due to numerous counts of violation and misrepresentation.
Datu Masiding M. Alonto Jr., vice president of PhilHealt-Northern Mindanao, said Bonifacio Medical Clinic located at Purok 4, Poblacion, Bonifacio town in Misamis Occidental is no longer allowed to accept patients who are PhilHealth members effective March 16, 2012.
Alonto said they filed more than 500 cases against Bonifacio Medical Clinic due to numerous violations since 2007.
“We have already served the writ of execution for revocation as per order of the arbitration office,” Alonto said during a press conference on Monday.
Lawyer Allan Panolong from the legal office of PhilHealth said Bonifacio Medical Clinic is found guilty of “12 counts decision for revocation and six orders of suspension” and will pay a fine of P710,000.
Panolong said PhilHealth has the option to file criminal charges against the hospital for revocation of its license to operate.
“This is because the hospital is still operational up to this time,” he said.
Alonto said based on verification and investigation on the legitimacy of the patients’ confinement, PhilHealth found out about a trend of family confinement at the hospital and detected mandatory admission of three days.
It was also discovered that 29 patients were “non-admitted” based on the statements of the member/patients.
“Bonifacio Medical Clinic was found guilty of numerous counts of violation of the rules and regulations of PhilHealth, which included claims that were filed for non-admitted patients and misrepresentation of facts by providing false and incorrect information,” Alonto said.
He said these acts are tantamount to a “grave breach of the warranties of accreditation,” which is punishable by total revocation of the facility’s status as a PhilHealth-accredited health care provider.
Aside from these violations, Alonto said PhilHealth has also been giving refund to the hospital worth more than P9 million while the case was still on trial.
Bonifacio Medical Clinic is a 24-bed capacity health facility that caters to patients from the town and neighboring areas such as Tangub City, Don Victoriano, Concepcion, Aloran, Panaon, Sinacaban, Aurora, Tambulig, Molave, Dumingag and even Zamboanga del Sur.
In 2011, PhilHealth paid a total of P2.4 billion in claims from 109 accredited hospitals in Northern Mindanao, including the one filed by Bonifacio Medical Clinic.
Because of this, Alonto said PhilHealth will now exercise continuous vigilance to all its accredited hospitals to prevent this kind of incidence from happening again.
He encouraged PhilHealth members to report any anomaly that they will discover for appropriate action.
Published in the Sun.Star Cagayan de Oro newspaper on March 20, 2012.