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Hospitals asked to cooperate with NHIF to curb fraud

Health & Science

NHIF acting CEO Nicodemus Odongo (left) with ex-boss Geoffrey Mwangi. [File, Standard]

Hospitals have been challenged to work closely with the National Health Insurance Fund (NHIF) to minimise medical fraud in their institutions.

Last December, investigators stumbled upon a pile of documents at the NHIF, related to premiums from special medical schemes, also referred to as capitation, worth millions of shillings.

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The investigations were focusing on reports that NHIF management and hospitals generated false medical bills for civil servants, police, the National Youth Service and prison staff who had never sought treatment.

In a press statement, NHIF acting CEO Nicodemus Odongo said the fund appreciates the role healthcare providers play in the delivery of healthcare services to members, and towards realising the Government’s commitment towards achieving Universal Health Coverage.

“NHIF is cognisant of the key role being played by healthcare providers across the country in fulfilling their contractual obligations to the Fund.

“This is a heavy responsibility requiring total commitment to safeguard lives of members through provision of quality healthcare services,” he said.

Healthcare providers, NHIF says, should also desist from any un-procedural activities that may lead to fraud. It says such cases should be reported to the police.

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