COA flags Philippine Heart Center over P110 million unpaid claims

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COA flags Philippine Heart Center over P110 million unpaid claims
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The PhilHealth has rejected P110 million worth of reimbursement claims from the Philippine Heart Center due to lack of supporting documents, the Commission on Audit has found. | dempseyreyesINQ /PDI

But the PHC billing and claims division argued that the reasons for the denial or return of the claims were “beyond their control.”

But PHC is “constantly monitoring” all the denied and returned claims, and that they are “actively pursuing” collections from PhilHealth by filing motions for reconsideration on the denied claims.The audit report also noted that the number of denied and returned claims already decreased from 4,214 in 2021 to 949 last year.

However, a loss is still a loss, according to the commission, and these losses could have been used to improve some facilities of the Heart Center.

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