The Philippine Health Insurance Corp. is fast-tracking payment of hospital claims in Negros Occidental and will act on other concerns raised at a health pre-summit yesterday at Natures Village Resort in Talisay City, Dr. Celestina Ma. Jude de la Serna, PhilHealth interim OIC president and chief executive officer, said.
The amount owed by PhilHealth to the Corazon Locsin Montelibano Memorial Regional Hospital and 11 provincial government-run hospitals has drastically decreased, with wait time for payment further reduced this year with the implementation of their Electronic Claims system, Lourdes Diocson, PhilHealth VI regional vice president, said.
The pre-summit spearheaded by Rep. Alfredo Abelardo Benitez (Neg. Occ., 3 rd District) and Gov. Alfredo Marañon Jr. was held in preparation for a provincewide summit on April 20 to collectively address health issues and concerns in Negros Occidental, they said.
The summit is geared to further enhance the delivery and sustainability of quality health services in the province, they added.
Marañon pointed out that 40 percent of the Negros Occidental provincial government budget goes to health services, while Benitez cited the success of the Negros Occidental Comprehensive Health Program, with the highest number of enrollees coming from his district.
The governor appealed to the PhilHealth president to help hasten payment of hospital claims in Negros Occidental to enable them to survive.
Benitez said de la Serna was invited to the pre-summit so she could hear and address the PhilHealth concerns in Negros Occidental.
De la Serna said she will look into the concerns raised and will have comprehensive answers to them during the provincial health summit.
She used to be head of a hospital in Bohol before she joined PhilHealth, so she understands the concerns being raised, the PhilHealth president said.
Records Monday showed that the 11 Negros Occidental provincial government-run hospitals, as of March 2018, had collectibles of P219,080,330 from PhilHealth, although the figure is subject to verification, Leonardo Eusebio, who heads the provincial government’s Hospitals Operations Division, said Monday.
Of the P219M the provincial government hospitals listed as having the largest amounts of collectibles are the Teresita L. Jalandoni Provincial Hospital at P114,156,224 and the Lorenzo D. Zayco Hospital in Kabankalan with P84, 224, 476, the HOD report showed.
Dr. Julius Drilon, CLMMRH chief, also said Monday that PhilHealth owes his hospital more than P200 million.
But Diocson said their records show that PhilHealth only owes CLMMRH P16.5 million, with P3.2 million pending and P13.2 million on process. She said their records also show that P39.7M in claims from CLMMRH were denied.
She also said their records show that PhilHealth only owes the Lorenzo D. Zayco Hospital P8.6 million with P9million of its claims having been denied.
She said they will have a more comprehensive report on their payments to hospitals at the provincial health summit.
Dr. Claudelia Josefa Pabillo, chief of the Lorenzo Zayco District Hospital in Kabankalan, who presented the hospitals’ issues and concerns at the pre summit, stressed the need to reduce the turn-around time of PhilHealth payment to hospitals.
She also said patients with indigent PhilHealth status but have the apparent financial capability, should not be entitled to the No-Balance Billing privilege.
Dr. Estrella Ledesma, chief of the Teresita L. Jalandoni Provincial Hospital, presented the issues and concerns for the Department of Health at the pre-summit.*CPG
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