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NHIA Targets Illegal Fees in Hospitals With New Compliance Officers

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The National Health Insurance Authority (NHIA) has begun deploying Compliance Officers to accredited healthcare facilities to improve oversight, enhance service delivery, and protect patients from illegal charges and denial of healthcare services.

The programme will start with 18 accredited health facilities in the Federal Capital Territory (FCT) as a pilot scheme before being expanded to other facilities and states across the country.

According to the NHIA, the Compliance Officers will monitor healthcare providers to ensure they follow operational guidelines and that enrollees receive the benefits covered under the national health insurance scheme.

Their responsibilities include preventing delays or denial of approved services, stopping illegal out-of-pocket payments, ensuring the availability of medicines and medical supplies, handling patient complaints, and monitoring compliance with approved benefit packages.

The authority clarified that the officers will not interfere with medical decisions but will serve as on-site representatives responsible for regulatory oversight, enrollee support, and quality assurance.

NHIA described the deployment as part of ongoing reforms aimed at improving healthcare delivery, strengthening accountability among healthcare providers, and boosting public confidence in the national health insurance programme.

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