The National Health Insurance Administration (NHIA) said that it found about 32,000 “irregular” declarations made by the hospital between January and March. Hospital visits in which the diagnostic fee is NT$0 can be excluded from calculations of visits for the policy, she added. In the past, the hospital filed about 10,000 declarations per quarter in which the diagnostic fee was NT$0, Lin said. When the NHIA asked the hospital about the discrepancies, the hospital claimed that those declarations were due to “integrated” outpatient appointments or return visits for medical examinations, she said. As such, the NHIA would require the hospital to repay the NT$55 million in subsidies, she added.
