February 21, 2024

The National Health Insurance Authority has educated its staff on the common offenses of healthcare facilities and proper documentation in health insurance practices.

A statement by NHIA said the Deputy General Manager and State Coordinator, Mrs Catherine Tanzamado, informed that the aim of the event was to acquaint them with the proper operational modalities and emphasized the sanctions and penalties for particular offenses.

She added that it was a sensitization workshop on operational compliance for health care facilities found to have contravened guidelines in various ways.

In a presentation made available to The PUNCHAkinkunmi Omobolaji of the Enforcement Unit Standards & Quality Assurance Department, NHIA, Yaba Office, explained that offenses relating to NHIA involved relevant stakeholders breaking the NHIA set rules and regulations.

He also listed the penalties as warning of the HCF, payment of a fine not less than N100,000 and/or, report to the regulatory body where applicable, suspension for not less than three months, delisting of repeated offenders, suspension for not less than three months, delisting of repeated offenders and others.

Also speaking Ibukun Olugbode of Enforcement Unit, NHIA, Yaba Office, who spoke on ‘Proper documentation in health insurance practice,’ stated that documentation served as evidence of treatment and care, which also helped to alleviate liability concerns in the event of a claim.

She said, ”It facilitates effective revenue cycle processes, expedites payment, reduces any “hassles” associated with claims processing, ensures appropriate reimbursement.”

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