NHIF stops pay­ing for key medical pro­ce­dures

Business Daily (Kenya) - - FRONT PAGE - Neville Otuki no­tuki@ke.na­tion­media.com

The Na­tional Hos­pi­tal In­surance Fund (NHIF) has stopped set­tling di­ag­nos­tic test bills from hun­dreds of pri­vate ser­vice providers it ac­cuses of mak­ing fraud­u­lent claims.

NHIF said the de­ci­sion was in­formed by the re­al­iza­tion that the fa­cil­i­ties have been mak­ing claims for ser­vices not ren­dered, thereby rais­ing the level of fraud­u­lent claims in the fund.

It said yes­ter­day that it had sus­pended pay­ing for di­ag­nos­tics tests such as MRI and Ct-scan at hun­dreds of small and medium-sized pri­vate fa­cil­i­ties whose list it plans to pub­lish in the com­ing weeks.

“We have sus­pended the pro­gram­me­with­the­se­hos­pi­tals since they are fraud­sters,” said NHIF CEO Ge­of­frey Mwangi, adding that a full list bear­ing the

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