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The “Al-Akhbar” newspaper indicated that the accusations of “Al-Zaabara” hospitals and the seizure of public funds through inflated false bills are not new. What is new is the decision of the Ministry of Health, after years of waiting, to close one of the largest waste sewers in Lebanon, touching the 500 billion lire a year, which enters the pockets of hospital owners through the tone of boredom of the Lebanese people, which is called “crossing the financial limits”.
“The manipulation of operation codes; the billing of fake surgeries; the registration of patients who benefit from the services of insurance companies at the expense of the Ministry of Health and the hospitalization subsidy on both sides; the billing of radiographic images” training “not attached to their results; record false laboratory tests AND manipulated the number of days the patient stayed in the hospital; inserting imaginary patients and charging to” stay “days in the hospital, without essentially crossing its doors; robbing some managers of government hospitals on the periphery of the diesel to heat, forcing patients to bring their “heaters” with them!
The author added: “These, and many others, show what scrutiny of bills submitted by government and private hospitals revealed to the Ministry of Health, which monitored suspicions of systematic looting of public money while reviewing the files of” Ministry patients “, that is, those who do not benefit from any health coverage provided by the rest of the guarantor entities, and the expense of their hospitalization and treatment is at the expense of” health “. They are examples of corruption and waste of health in the hospital sector “that reflects a mind of the mafia that underestimates the mind of the ministry and the state at the same time,” according to Health Minister Hamad Hassan, who canceled the signed contract on April 21. With Hospital Al -Mashreq, the doctor’s contract was terminated.B refers to retroactively financial from the Public Ministry to all bills for the institution.
In addition, according to the information, the annulment decision came after it became clear that the hospital claimed in reports submitted by it that it had treated 96 patients at the expense of the ministry, so it was later discovered that only 16 of them had actual files, while 80 of the alleged patients did not exist in the files! This prompted Hassan to open the archives of the rest of the hospitals and re-examine them, and formed an entry point for his decision (No. 1/454), on April 28, through a strict examination of the archives that exceeded the financial limit assigned to hospitals contracted with the Ministry, as of this month (the ministry assigns to each hospital You contract with it a specific amount to spend to cover the costs of uninsured patients, and exceeding the financial limit means exceeding the funds allocated to patients, requiring reporting including invoices for additional funds.)
Looking at some of the files that were seen by “Al-Akhbar,” for example, show that a private hospital manipulates operating codes and falsifies surgical work to double the cost, while other hospitals have “near-constant medical consultations. … there are, for example, 270 files “For patients in a month, all include an examination carried out by the doctor himself,” says Health Minister Hamad Hassan.
There are also patient files indicating that they were admitted to the hospital for three days, while it was discovered that they only stayed for one day. The ministry’s audit unit also found that several patients were only conducting laboratory tests at the hospital, at a time when their files included their hospital stay for five days. In some cases, there are files indicating that the patient undergoes a large number of laboratory tests and radiographic images, without attaching their results to the file, and upon verification it was discovered that these tests were not originally performed.
Surprisingly, the author added in her article that the staff of the audit unit, trying to communicate with patients to verify the nature of the treatment they received, were surprised that the phone numbers of dozens of patients were incorrect!
According to information obtained from the audit unit, the differences resulting from the cost covered by the ministry and the percentage borne by the patient “sometimes do not exceed £ 35,000, while the hospital receives at least £ 1 million.” Ironically, a review of the files showed that a hospital employee who benefits from the services of an insurance company underwent treatment at the hospital at the expense of the ministry, and the hospital charges the cost of treatment from both the ministry and of the insurance company together!
The Minister of Health stated that “large university hospitals with a financial cap of not less than £ 3 billion claim some patients who do not have a contract with the Ministry of Health, and assign the cap to privileged patients,” emphasizing that the audits “showed disastrous results,” stressing that the ministry “will work to combat corruption in health by reinforcing control over upper financial limits.” The objective of the decision, according to Hamad, is “to stop the waste in its time and moment and not through subsequent measures.” It is part of “a healthy health and hospital strategy that protects the citizen and preserves the right of the institution without attributing suspicious charges to the Ministry of Health and public money.” He noted: “The right of the citizen to see the bill and the medical procedures implemented to which he was subject and request verification with the doctor of the ministry delegated on the bill before paying the difference. It is no longer allowed to tell the patient that the bill It has not yet been prepared as it must be ready before the patient leaves the hospital. ” “
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