Philhealth RTH, Denied Claims Declines Under Guico Admin

 

Lingayen, Pangasinan – Governor Ramon V. Guico III’s brand of leadership was again best displayed in the sound financial management of the 14 provincial government-run hospitals.

As of May 31, 2024, the province recorded a decrease in the PhilHealth Return-to-Hospital (RTH) and denied claims.

Data shows a decline in the 14 provincial hospitals Philhealth RTH and Denied Claims as follows: P109,785,115 (Total RTH) and P73,952,094 (Denied Claims) in 2021; P45,480,994 (RTH) and P59,409,670 (Denied Claims) in 2022; P49,544,505 (RTH) and P36,292,974 (Denied Claims) in 2023; P77,060,483 (RTH) and P14,928,409 (Denied Claims) in 2024, respectively.

“If we are going to compare 2021 sa 2022 and 2023, dramatically, malaki po yung binaba ng RTH and Denied Claims,” Dra. Racquel S. Ogoy, Medical Officer III of the Provincial Hospital Management Services Office, said.

 

This only means there was a huge improvement in the processing of PhilHealth claims under the leadership of Governor Ramon V. Guico III.

Dr. Ogoy further disclosed that the 14 provincial hospitals saw a significant increase in profit or revenue in 2024.

“Sa administrasyon po ni Gov. Guico, meron po tayong tinatawag na Medical Assistance for the Indigent and Financially Incapacitated Patient (MAIFIP). Pag sinabi nating RTH, pwede pa nating ere-file or ere-submit kung may mga deficiencies. So may chance pa po na mabayaran ito. Pag denied, hindi na po natin masisingil pero, ang ginagawa nating actions sa 14 government hospitals natin, pina-file po natin siya sa MAIFIP para masingil pa rin po natin siya. Technically, hindi na po siya makokonsider na losses po ng province natin kasi mababayran po siya through the MAIFIP program ng DOH,” Dr. Ogoy explained.

(Chona Rich Majin, Edel Eira Gorospe/PIMRO)