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Report by Edward FRIMPONG
The National Health Insurance Authority (NHIA), Claims Processing Centre (CPC) in Kumasi has organized a week-long stakeholder engagement in Kumasi and Sunyani.
In attendance were representatives of the NHIA credentialled healthcare providers, Ghana Health Service (GHS), Faith Based Organizations, Teaching and Private hospitals in the Ashanti, Bono, Ahafo and Bono East Regions.
President of the Private Health Providers Association of Ghana, (PHFAoG), Mr. Emmanuel Kwasi Baah, the NHIA four Regional Directors, Deputy Directors and Medical Superintendents from the various Regional Health Directorates, staff from CPC Accra, Kumasi and Quality Assurance Directorates were there.
A Senior Monitoring and Evaluation Officer, NHIA, Ashanti Regional Office, Mr Augustine Boakye, and a Deputy Director of Health Services, Bono East Region, Dr. Helen Abgozo chaired the events in Kumasi and Sunyani.
The stakeholders were updated on the electronic Claims management processes, seeking to reduce errors by the providers, which usually delay payments.
The facilitators were Deputy Directors from Accra and Kumasi CPCs, Mr Theophilus Owusu Ansah, Mrs. Leticia Osei-Poku, and Mrs Edna Gyau Baffour.
Both Mrs. Leticia Osei Poku and Mrs Edna Gyau Baffour gave an overview of the responsibilities of the CPC Kumasi, elaborating the Claims processing cycle, health Providers role, the Centre’s challenges and recommendations.
Mr. Theophilus Owusu Ansah, Deputy Director of Claims, Accra made a presentation on Claims utilisation indicators.
A Manager, Quality Assurance Directorate, Head Office, Miss Abigail Asalu discussed clinical and compliance audit findings and credentialing.
An MIS staff from the Claims Directorate, Mr. Kwasi Kwakye Marfo highlighted Digital E-claims, Claim-it roll out and some new additions.
Management of the credentialled health facilities showed appreciation to the Authority’s Governing Board and Executive Management for the improved reimbursements of Claims.
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