"Gyeonggi-do Public Hospitals unfairly Claim KRW 2.8 Billion for COVID-19 Patient Management"

Five public hospitals under the Gyeonggi Medical Center are known to have falsely charged 2.8 billion won to the National Health Insurance Corporation in the name of managing COVID-19 isolated patients.

According to the administrative audit data submitted by Choi Man-sik (Seongnam 2) of the Democratic Party of Korea from the Provincial Medical Center, five hospitals, including Suwon, Uijeongbu, Paju, Icheon, and Anseong, requested 35.2 billion won from the National Health Insurance Corporation in the name of "patient management expenses for quarantine home treatment intensive management groups."

The Ministry of Health and Welfare and the Health Insurance Review and Assessment Service recently found that 2.8 billion won (7.9%) of them were unfairly charged, and the process of recovering them is underway.

The home treatment intensive management group patient management fee is to check the patient's health status twice a day by phone during the seven-day quarantine period and receive 80,000 won per person from the Health Insurance Corporation.

The hospitals are said to have violated related regulations, such as charging management fees, even though they did not meet the total number of calls per day for each quarantine patient.

By hospital, Anseong Hospital was the highest at 17.4%, followed by Uijeongbu Hospital at 12.0%, Paju Hospital at 10.8%, Icheon Hospital at 10.5%, and Suwon Hospital at 3.3%.

The case of unfair claims is the omission of data from Pocheon Hospital among the six hospitals under the provincial medical center, so the total amount of unfair claims is expected to increase further.